MINUTES CONTRA COSTA COUNTY SCHOOLS INSURANCE GROUP HEALTH BENEFITS COMMITTEE MEETING September 14, 2012 10:00 A.M - 12:00 P.M CCCSIG Conference Room 550 Ellinwood Way Pleasant Hill, CA 94523 1 (866) 922-2744 I. CALL TO ORDER The meeting was called to order by Margaret Kruse at 10:05 AM. II. ROLL CALL & INTRODUCTIONS Bylaws of the Contra Costa County Schools Insurance Group I.G.4. Quorum. A majority of each Committee membership shall constitute a quorum for the transaction of business except that less than a quorum may adjourn from time to time. Member Districts plus Executive Committee Representatives = 10 Number required to achieve a quorum = 6 Those in attendance were: OFFICERS: Contra Costa County Schools Insurance Group MEMBERS: Brentwood Union School District Brentwood Union School District Byron Union School District Castro Valley Unified School District Lafayette School District Moraga School District Oakley Union Elementary School District St. Helena Unified School District Walnut Creek School District Walnut Creek School District CONSULTANTS Keenan & Associates Keenan & Associates ABSENT: Acalanes Union High School San Ramon Valley Unified School District Canyon School District Castro Valley Unified School District Bridget Moore, Executive Director Margaret Kruse, Committee Chair Jane Rodriguez, Alternate Gaby Hellier Robin Yearby, Alternative Lenee Cadotte, Vice Chair Kathy Bell Cindy Peterson, Alternate Greg Medici, Alternate Cindy Lannon, Alternate Kevin Collins Kelly Hall Vickie Vales Chris Learned, Executive Committee Alternate Jessica Romeo, Executive Committee Member Gloria Faircloth Candi Clark 6
Oakley Union Elementary School District Rick Rogers St. Helena Unified School District Bill McGuire III. PUBLIC COMMENTS There were no public comments. IV. APPROVAL OF AGENDA 2012-050 A motion was made by Kathy Bell, seconded by Cindy Lannon and unanimously carried to approve the Agenda as is. V. APPROVAL OF MINUTES July 13, 2012 2012-051 A motion was made by Cindy Lannon, seconded by Robin Yearby and unanimously carried to approve the Minutes as is. VI. CORRESPONDENCE 2012-052 Margaret Kruse reviewed the notification received from Castro Valley Unified School District rescinding their initial notice of intent to withdraw from the Health Benefits Program. VII. UNDERWRITING 2012-053 PREMIUM AND CLAIMS REPORT No applicable for this meeting. VIII. ADMINISTRATION/HEALTH BENEFIT PROGRAM ADMINISTRATIVE UPDATE 2013 RENEWAL 2012-054 Kelly Hall reviewed the renewal information included in the packet regarding the Anthem Blue Cross and Kaiser final renewal actions: Anthem Blue Cross: 9.9% increase for the HMO/EPO plans; 9.5% increase for the PPO plans. Kaiser: 5.39% increase for the HMO and DHMO plans. Margaret Kruse pointed out that by virtue of the Health Benefits Committee voting to accept the renewals as presented, the common plan designs are formally not valid. Kathy Bell asked if there was any additional discussion about where the group goes from here as far as cost savings activities were concerned. Margaret responded there were no further or new discussions at this time, but this should be an agenda item for the next meeting. Kathy Bell also asked if it was too late to obtain individual district quote for 2013. Kelly and Vickie said it was not too late so Kathy informed Keenan she would probably be asking for some options following Moraga s benefits committee meeting in the next few weeks. 7
Greg Medici of St. Helena believed he had plan options from Keenan developed for his district. Kelly pointed out that he may be looking at the common plan design options provided through the renewal process. He said he would look back at the documentation sent to him and would request confirmation from Keenan of what he was given. Jane Rodriguez confirmed the final rates would be provided to the districts and the carriers so there would not be any issues in January. Vickie confirmed confirmation spreadsheets would be provided. Bridget reminded the group now that the 2013 rates have been finalized, she would provide them to the CTA representative as previously noted. A motion was made by Lenee Cadotte, seconded by Greg Medici and unanimously carried to accept the 2013 Anthem Blue Cross and Kaiser Permanente renewals as presented. 2011 Anthem Blue Cross Overrides 2012-055 Bridget informed the committee of receipt of the Anthem Blue Cross override for 2011. The payment was delivered to CCCSIG July 23, 2012. This brings the balance of this wellness fund to $23,333 and can be used to fund the flu vaccinations, if the committee chooses to hold them again this year. 2010 2011 Kaiser Overpayment/Refund 2012-056 Bridget confirmed for the committee receipt of the 2010-2011 Kaiser refund in the amount of $16,614.80 as discussed during the May 11, 2012 Health Benefits Committee meeting. This refund was mailed to CCCSIG August 27, 2012. This refund will be in separate wellness fund and can also be used for the flu vaccinations, if the committee chooses to hold them again this year. 2009 2011 Kaiser AB2589 Refunds 2012-057 During the May 11, 2012, Health Benefits Committee meeting, the committee was provided AB2589 refund documentation. The members decided to issue refund checks directly to the districts. The refund checks were delivered via US Postal registered mail September 4, 2012. Return receipts have been received from all districts except Castro Valley. The refund breakdown by district was reviewed with the committee. Anthem Blue Cross Medicare D Provision 2012-058 Kelly Hall reviewed the notice and FAQ documents received from Anthem Blue Cross regarding a change in their Medicare D Dispense As Written claims policy. Vickie provided a handout to the group, which describes the four tiers or drug categories. The handout will be distributed via e-mail, also. Wellness Update Flu Clinics 2012-059 Vickie reviewed the flu clinic information provided and reminded the group the time is running short to get the clinics scheduled. Maxim will provide the same material as last year for each of the districts participating. Lafayette will decline as it is too much trouble and takes too much time without a lot of interest by the employees. St. Helena also will not participate as Napa County provides free flu shots already. 8
Bridget asked Castro Valley if they would be interested this year now that there were funds available for the Kaiser members, but they declined. Brentwood and Byron will be combined again this year. Walnut Creek will hold their clinic on October 23rd. Vickie will follow up with Brentwood, Moraga and Oakley for their clinic dates and contacts and will forward all information to Maxim. Maxim will reach out to the individual district contacts to coordinate the clinics. A motion was made by Cindy Lannon, seconded by Gaby Hellier, and unanimously passed to sponsor flu clinics. IX. INFORMATION MEMBER COMMENTS Margaret mentioned that there is a lot of information and action needed surrounding health care reform. She appreciated the presentation at the SSICCC meeting and knew the county was hosting another presentation later this month. She reminded the committee to make sure all of their employee materials were updated with whatever changes would apply to each of them for 2013. Margaret and Bridget discussed with the group there were no further meetings scheduled. It appears there are no business issues that warrant meetings during October or November. It was agreed to hold a meeting Friday, December 14th to discuss open enrollment, districts final plan changes, and begin discussions on next steps for additional cost savings. Vickie will send the Outlook calendar invite to the group. Bridget also discussed the member survey. She will be developing the draft for review during the next meeting and it should include specific questions about broker activity during the past year. Also, she would like to get feedback from the committee members about what they would like to expect during the next year. CONSULTANT COMMENTS There were no additional consultant comments. LEGISLATIVE UPDATE/BRIEFING/ARTICLES OF INTEREST 2012-060 Vickie reviewed the two (2) legislative updates included in the packet: 1. Health Care Reform: U.S. Supreme Court Upholds Affordable Care Act 2. New Standards for Coverage of Women s Preventive Care Set to Go Into Effect 9
X. AGENDA ITEMS NEXT MEETING The next meeting will be Friday, December 14, 2012, 10:00 AM 12:00 PM at the CCCSIG office in Pleasant Hill. Agenda items are: 1. Member Survey 2. Broker Agreement 3. Flu Clinic Results 4. District Plan Changes and open enrollment 5. Future Cost Savings Next Steps XI. ADJOURNMENT Americans with Disabilities Act: Contra Costa County Schools Insurance Group conforms to the protections and prohibitions contained in Section 202 of the Americans with Disabilities Act of 1990 and the federal rules and regulations adopted in implementation thereof. A request for disability-related modifications or accommodation, in order to participate in a public meeting of the Contra Costa County Schools Insurance Group, shall be made to: Bridget Moore, Executive Director, Contra Costa County Schools Insurance Group - 550 Ellinwood Way, Pleasant Hill, CA 94523-1 (866) 922-2744. 10