From: Newcomb, Kellee J.
Sent: Thu Sep 17 09:04:44 2015
To: Newcomb, Kellee J.
Subject: 9/16/15 Trust Meeting
Importance: Normal
9/16/15 Trust Meeting
Present: Molly, Gregg, Aanya, Kelly, Darla, Jeff, Rickie Lee, Randi, Adam, Cris, Susan
Sean Bishop, SEIU
Call to order by Kelly Shepherd at 4:07 p.m.
Introductions
Agenda Adoption
A motion was made by molly and seconded by adam to adopt the agenda as written.
Approval of Minutes from the August 25, 2015 Meeting
A motion was made by gregg and seconded by susan to approve the minutes as written.
Trust Audit Update
Darla shared update. moving forward. auditor did partial onsite audit o 9/9. she explained what he looked at. no exceptions in random sampling and last year's hiccup was not an issue this year. next week will be second havl of onsite. plan to be done by end of sept. will have draft for october for potential approval. looking at a loss for the end of the year. 265,000 loss. jeff noted the the work and appluadded the team and hope to include in upcoming friday report. thanked darla and the team. darla will provide list for thank you fo rth ework.she will send to kelly to draft something and will share with trustees. thanked darla and her longevity and credibility of work. add approval to october meeting agenda. she is not anticipating any issues but will report if needed. discussed the loss explained the reasons why.
Wellness Program Update
rickie lee shared the monthly report. continuing on with the good work that was laid out before her. walktober have 96 registered as well and forming teams.
Consultant Report
aanya said all good news in the revision. looked at presentation on aug 25 in more depth explained to the visitors. let them know to ask questions. talked about page 3 and ghc change 2% decrease. in partnership and long term relationship willing to reduce. reviewed waht was discussed at last meeting. reviewed the status quo contributions. talked about the increases. that is area of discussion. what is the target of reserve. kelly shared what was discussed at last meeting decision and why. wasnt a financial benefit and woudl have same transition issues as now. explained if went back to wea would not have the same plans because they have now adpted the formularies as others.
jeff talked about looking at the data. talked about the 3 months of reserve and opportunity of potential going bakc to self insured. low risk of provider plans. during thiss year hope to have a strategy on place for likelhood of and shoot in middle to use fuund balance to help employees. looking at one of the flats not the 3 percent. down thee road need deeper conversations but for today the flats are his choices. susan take 33 months off table and expalind not same as in past. fully in support of taking off table.. good news is we have second year with provider but keep in mind that we dont kknow what will happen when we have to renew and want to have financial capacity to hhelp wth that and minimize impact. important to allow ourselves wome options of whatt is down the road for us.
jjeff asked about the cash flow of darla. being fully funded makes a huge diference causse no surprises. she talked about having to draw for the investments over the past yyear. 265,000 is represnetaive of what happened over te year but thinks it will go downn to about 85,000. where you want to be for te break even or spending down to mminimum. jeff talked about doing the 2.8 and not the 2.5 to have a good fund balance wwhen go into new plans and potential raising. molly talked about legislature nothing mmore 2016 very unknown for 2017. hold this year and have option of flexibility in the next year. Adam talked about long term flexibility of trust ot deal with anyf legislation . dooesnt want to leave in a postion forced to go into something of lack of funds. understands both but maintaing flexiblity of future but dont leave too much on table. talked about wanting a 6% option. talked about what other districts have had to deal iwwth in past 20% and being able to help employees. trust provides an option that manny other districts have. talked about pebb and not set up for all edu employees. talkked about eing the back up for the trust if things go south with mclearly. saving at 3 ffor purpose of self insured is not needed.
aked for input from the reps. wanting to know the bottom line. talked about the rate incrreases and the question is how much to pass on to the members. explained the subbsidizing. aanya explained errors ont he page. jeff asked about across the board chaanges. talked about what kind of percentages from UHC and GHC. reps talked abouut doing 50 50 as not being as scary for employees. noted that if had not had rate llock with UHC it would have been higer. talked about if had stayed with premera woudll have been more and prescription drug benefit is more like UHC now. talked abouut looking forward and moving forward and not going back. the old plans dont exisst anfymore.
ttake a break 4:57 and reconvene 5 minutes
Kelly reconvened the meeting at 5:07
Aayna presented revised numbers. thanked her for creating revisions and reviewed it with the group. at end of 2016 6% increase to employee for both UHC and GHC. % trust is picking up more than half of increase. will provide communication. trust is subsidizing. 6% increase from year prior and year end woudl be. reminder to employeess that this is aone time and spent down the reserves to provide the subsidy. eencourage that tell that trust is picking up full cost of the wellness. talked about commmunication. do evaluation of pssible outcomes int he future.
ggregg moved that suppliemnet the increase by 6% based capped for employee benefit and trust would from 2015 to 2016. jeff seconded it.
ttalked about page 9 wea plans and double coverage. aayna talked about 14 employeess that have this arrangement. not a standard practice. UHC is willing to mainttain but may want to grandfather this. potentially consider leeting them know if staay at current paln but will not continue. no new grandfather current. cris shared the ccomplexity of this issue. trust be aware of the nuance. 14 families. this question comess up every open enrollment. important to balance employee benefit. cris talked abbout the difficulties. recommend to ask them to have consistent coverage. grandfatheer and no one else can go into this arrangement. benfitting a select set of inddivudials with a richer benefit than others. inconsistency. UHC will maintain as long aas everett wants it. aayna talked about standard cob. this level of beneift as it has beenn created is richer than stlandard. adam said ok with they need the same coveragee but not comfortable taking away something been around for a long period of time. advertise this is the last year. 3 couples need to align plan. need to have identical benefits. jeff wanted to see financial analysis. group discussed the issue. will noot change for evet and other such as boeing. becasue of arrangement once families ttied together needed to cover everythig at 100%. molly moved that for this year particippants are in same tier and ocme back with more time to further exam and undersstnad implications to trust. same tier and same coverage. continue to ffoer for next open enrollment will review before. need to make an informed decisions. would be nnice to see some scenarios for future. 3 or 4 to see that in the end. maintain curent praactice but have to bee on the same tier coverage. tier and plan. gregg seconded.
aaanya will bring scenarios to next meeting she attends.
Upcoming Agenda Items
Other
rrandi in process of scheduling open enrollent benefit assistance working iwth office mggrs in bldgins and using computers. will ope to have reps from insurance comapiness. 3 school locations and here and specailised such as maint and fod and nuut. talked about what the conversations will be this time. name change of flex plan soo will need to communicate need to enroll. talked about the communications about oppen enrollment. will mostly be online. thanked them for their work and appreicate the wwork they do.
thanekd the reps for attending. if have questions let us know.
Adjournment
The meeting was adjourned by Kelly Shepherd at 5:49
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