From: Newcomb, Kellee Sent: Tuesday, May 15, 2012 10:57 AM To: Newcomb, Kellee Subject: call to order call to order 407 john and mike had other committments this afternoon adoption of agenda motion susan and betsy approval of minutes motion susan molly financials no financials at this point. too early and at a conference. plan to send out by end of week. claims are looking lower so looking good. darla talkee about the untion bank info. awareness. all agreements are still in place. only biling for month of january prior to banks purchae. will have separate billing from next quater. assuming nothing is going to change. transition should be complte around sept. if anything noteworthy will bring to attention. audit been unusual audit this year. still researching. gina will go to toyer at end of week to see what its all about. may suggest go out for bid. speaking with other districts who have trust and will report back. moss adams is who they work with. time to look to see whose out there. will try to do a quick turn around. will check with state auditor. like to go out to bid to see who is available and who can complete in timely, thorough and affordable. hoping to have some bids by june 18 meeting. may be a decision about who to pursue at that point. toyer has provided audits for 5 years. june is when dietrich is getting peer revue. TALKED ABOUT what the auditors were concerned about. state auditors has been going on for years and just now sharing it. she will share whatever she can get prior to june meeting. possibility of having an auditor come to meet. fee is in the range of tacoma. the group discussed auditors. gail reviewed the wellness challenge info. and other wellness program informaiton. she shared info from stress management class. lynn evans may be able to help with clock hours in the future. thinks the tour de france too hard. quarterly newsletter instead of monthly. readership is up. gail wants wellness plan to be intentional. without access to data where do we go. what are the goals. health risk assessment is one and only source of data. want to be more strategic and intentional so we can measure success. she did attach the budget. two things she woudl like form trustees what are goals and how much money do want or have to invest in wellness program especially over the next 5 years. she can create the program to support the dollars. one other piece is end of year survey. would like to see at least 50% response. asking same questions but has added a few. if anything else they woudl like her to ask let her know. been pretty consistent over the years. now that we dont have medical claims data anymore where are we get data from. weight watchers, programs, hra. and survey as well. molly said data issue may be short term. sean talked about the legislation and how it was written. may not make the data available to school districts. dont bank on acces to data. not clear at this point. the group discussed what might affect the bottom line dollar. sean talked about the overall pool and the impact the districts program might have on the pool. talked about not knowing what the states benchmarks might be. sean talked about goals that are defined will influence the strategies. what does the trust want to invest. molly thoguth would not invest less than what current investing. sean also has a wellness category that would need to be added to the bottom line. from a fudiciary perspective does it make sense to provide plush programs. the driver was to impact health care costs. not sure if that is not the driver any more if trust should spend that kind of money. david talked about rewording question 3. gail said want to be clear on wellness goals and function of the trust or is it a district goal such as saving money on subs. molly said it is an indicator of the impact. the group talked about the need to do part to bring costs down. susan said goals are still the same pretty much. given whats changed now and what was in the past. gails program is leading the way for others in the state and nationally and others have benefitted from her work. collecting information. the trusts goals and the employees info melding together. she talked about the award application and needing data for that. do we want to use health risk assessment to create goals. gail proposed if input on survey - asked susan and betsy recommended not later than first week of june. sooner the better making decisions based onthe survey. gails proposal is if they have input email her and let her know and she will plan toget survey out before memorial day. agreement with rewording. gail asked for emailed examples. david talked about conversations last meeting and how strongly they felt about the wellness program with our trust. very confirming and reconfirming as vision of trust. a lot has happended in the last 4 years. moved to proposed pertussis...partially or totally subsidized by the trust. dpt. 55 dollars a shot. more parameters. insurance payment would have to be reimbursed. if went to doctor woudl be covered would have to pay copay. molly said it has hit all levels of organization. talked about disrict nurses meeting. adults spread it more than children because they have had current immunizations. gail wondered about complications. betsy talked about just providing pr to staff. must do 100 dollars or it is more than 55 per shot or it is. she can also put it in the hr payroll blurb. mary waggoner could also put in newslinks. sean - sow sean presented included in attachments. walked through and pointed at the changes. will vote to approve at next meeting. items changed formerly self insured plans. balance of services have remained. applied sizable reduciton in fees for next year. down 50000. presented tonight approve next meeting. sean talked about past years. frequency about meeting attendance could be something to talk about. provided hard copy due to small numbers. preliminary projection of budget for 13 and 14 illustrative basis. inital sense for financial situation will be faced with to make potentional strategies. he reviewed the information with the group. talked about the assumptions of cost increases. talked about the mercer fee and a portion of income coming from commissions. he explained. at the end of 2013 1.4 months of expenses carried by the trust. 2014 reserves would be fully depleted. status quo is not likely an option. start discussion on moves would considere to mitigate that. to make major impact employee contribution increases. coverage availability. not an expense problem it is an income problem with no increase from the state. assuming the income is not going to increase choice is to adjust contributions, etc. seans thoughts are that he could prepare scenarios to reduce the level of the deficit. could look at multiple scenarios. also need to look at 2014 as well. federal exchanges will come into play. he talked about what they will need to pay attention to as far as subsidies. talked about some employers developing a private health care exchange. david said he doesnt think want to drop below the 3 month buffer. do want sean to provide numbers that do honor whats coming with the legislation. will bring back to next meeting. darla reminded when she sends out finanacials it will be the fiscal year. numbers will appearl higher. agenda item 9 proposed meeting calendar. susan said times will be in conflict with eea calendar meetings. suggestions from eea for trust to change their meetings to wednesdays. the group discussed days. sean woudl have a conflict if chose first thursday. create calendars for wednesday and thursday dates. betsy will be leaving and replacement will come in either june or august. annual calendar molly suggested the wellness survey come to trust in april rather than may. statt in april and go out about this time in may. the gorup reviewed the proposed revisions. motion with the revisions betsy and susan. adjouned for exec at 5:26 for 5 mins. reconvened 5:30 molly and susan Sent from my iPad