Fresno City Employees Health & Welfare Trust Agenda for the Regular Board Meeting February 13, :00 AM

Transcription

1 621 Santa Fe Street Fresno, CA Employer Trustees-City of Fresno Bruce Rudd, Vice Chairperson Bob Koury, Trustee Administrator Phil Musson, CEO Jennifer Weeks, Plan Manager II!DII!~"II",II/80 rne~;~~a~~ CITY EMPLOYEES HEAGrH AND WELFARE TRUST o ADMINISTIlATION OFFICE Health Camp Third Party Adnlinistration TELEPHONE (559) FAX (559) Fresno City Employees Health & Welfare Trust Agenda for the Regular Board Meeting February 13, :00 AM Employee Trustees Shane Archer, Chairperson Jacky Parks, Trustee Douglas Landy, Trustee William Dearsan, Trustee Terran Nyberg, Trustee Robert Mesel, Trustee Patricia Tierce, Trustee Mike Alforque, Trustee Marina Magdaleno, Trustee Jo Billings, Trustee Vacant MAILING ADDRESS P.O. BOX FRESNO, CA FFA FPOA ATU IBEW FCEA CFPEA CFMEA FFA Local 39 FPOA FAPSS Legal Counsel Michael E. Moss, Esq. Moss Tucker Chlu Hebesha & Ward PC 1) Approval of Agenda i) February 13, 2013 c;discussion and action as required Roll Call 8:00 A.M. Consultants Jim Rhein Rael & Letson 2) Approval of the Minutes i) December 12, 2012 Ii) January 9,2013 c;discussion and action as required 3) Public Discussion'" c;discussion as required 4) Correspondence a) The University of California at Berkeley Wellness Letter c;discussion as required 5) Administrator's Report c;discussion as required a) Claim and Benefit Reports b) Specific Stop-Loss Report c) Turnaround Time Report

2 Fresno City Employees Health & Welfare Trust Regular Board Meeting Agenda February 13, d) Status of Special Open Enrollment for Local 39 6) Review & Approval of Appeal Interpretations, Report from Appeals Committee None 7) Reports from Managed Care Vendors a) Blue Shield of California i) Cost Savings Information b) Kaiser Permanente c) Psy-Care d) Pacific Union Dental/United HealthCare e) Catamaran i) Copay Modeling f) Delta Dental i) DHMO Proposal g) ChiroMetrics 8) Consultant's Report a) Cost Analysis Report for the Requested Benefit Changes for the Fiscal Year b) Vendor Rates for the Fiscal Year c) Contribution Rates for the Fiscal Year d) Benefit Reduction Percentage for Non Contributing Participants for the Fiscal Year e) Submission for Request of Plan Document Changes for the Fiscal Year f) Annual Flu Shot Program 9) Healthcare Reform Bill c:> Discussion as required 10) Attorney's Report

3 Fresno City Employees Health & Welfare Trust Regular Board Meeting Agenda February 13, ) Board Meeting Schedule 12) Executive Session Items 13) Future Agenda Items 14) Adjournment 9Discussion and action as required **Provides an opportunity for members of the public to address the Board of Trustees on items of interest to the public within the Board's jurisdiction and which are not already on the agenda. It is the policy of the Board not to answer questions impromptu but refer such matters to the Administration Office for placement on the next agenda, Speakers should limit their comments to no more than three (3) minutes. No more than ten (10) minutes per issue will be allowed. For items which are on the agenda for this meeting, members of the public will be provided an opportunity to address the Board before a vote is taken on each item. NOTICE APPEALS COMMITTEE Next Meeting: Monday, March 4, 2013 at 4:00 p.m. Committee Members to Attend: Marina Magdaleno, Bruce Rudd, William Dearsan

4 621 Santa Ji'e Street Fresno, CA ~D~~"lIt",\I/~ rne~;~~4~~ CITY EMPLOYEES HEALTH AND WELFARE TRUST o ADMINISTRATION OFFICE Health Camp Third Party Administration TELEPHONE (559) FAX (559) MAILING ADDRESS 1'.0. BOX FRESNO, CA FRESNO CITY EMPLOYEES HEALTH &WELFARE TRUST MINUTES OF THE REGULAR BOARD MEETING January 9, 2013 EMPLOYEE TRUSTEES PRESENT: EMPLOYEE TRUSTEES ABSENT: EMPLOYER TRUSTEES PRESENT: EMPLOYER TRUSTEES ABSENT: OTHERS PRESENT: Jo Billings Robert Mesel Terran Nyberg Jacky Parks Shane Archer Marina Magdaleno Bob Koury Bruce Rudd William Dearsan Douglas Landy Mike Alforque Pat Tierce HealthComp, Inc. Phil Musson Jennifer Weeks Moss Tucker Law Mike Moss Rael & Letson Jim Rhein, Consultant Benefit Analyst, COF Leslie Schoener Blue Shield of CA Linda Patron informedrx Marian Reilly PUD/UHC Psy-Care Kaiser Permanente Kathy Ferguson FORCE Violet Lee ChiroMetrics Jeremy Oswald Dr. Stephen Albracht Delta Dental Jerry Sauter

5 II Item 1 Item 2 Public Discussion - None Correspondence a) The University of California at Berkeley Wellness Letter - Mr. Phil Musson reviewed the correspondence that consisted of the University of California at Berkeley Wellness. b) FPOA Trustee Appointment - Mr. Musson referred to a letter from FPOA introducing the new FPOA Trustee, Jacky Parks. Item 3 Administrator's Report Mr. Phil Musson reviewed the following reports for the Board of Trustees: a) Claim and Benefit Reports for six months ending December 31, b) Specific Stop Loss Analysis Report for the period July 1, 2012 through June 30, 2013 had one individual that would have exceeded a specific Stop Loss deductible of $175,000 if such a policy existed. Four individuals would have been above a 50% specific stop loss claims level. c) Turnaround Time Report for the month of December, d) Special Open Enrollment for Local 39 - Mr. Musson reported that all Special Open Enrollment packets for Local 39 members were mailed out. Item 4 Item 5 Review & Approval of Appeal Interpretations - None Reports from Managed Care Vendors a) Blue Shield of California - Ms. Linda Patron, Account Manager, was present and referred to the cost containment analysis and educational information. b) Kaiser Permanente - Ms. Kathy Ferguson was present and had nothing new to report. c) Psy-Care - Ms. Laurel Harper was not present. d) Pacific Union Dental - Ms. Devereux Corlett, Account Manager, was not present. e) informedrx - Ms. Marian Reilly, Account Manager, was present and had nothing new to report. f) Delta Dental - Mr. Jerry Sauter, Account Manager, was present and introduced his colleague Sara Englemen. i) DHMO Proposal - Mr. Sauter referred to the DHMO proposal in the packet.

6 III g) ChiroMetrics - Dr. Stephen Albracht was present and referred to the December 2012 Utilization Reports. Item 6 Item 7 Item 8 Item 9 Consultant's Report a) Cost Analysis for the Requested Benefit Changes for the Fiscal Year - Mr. Jim Rhein requested that the Trustee's submit any benefit change requests for cost analysis for the February 13, 2013 Board Meeting. b) Contribution Rates for the Fiscal Year - Mr. Jim Rhein presented Exhibits A - C outlining the Trust's financial projections with five months of actual claims. Healthcare Reform Bill - Mr. Mike Moss had nothing new to report. Attorney's Report a) Dependent Eligibility Audit Refunds Recovery Update - Mr. Mike Moss updated the Board that the last litigation case is now closed and judgment was in favor of the participant. Executive Session Items - None Shane Archer, Chairperson Fresno City Employees Health & Welfare Trust Date Phillip J. Musson, Administrator HealthComp Administrators Date