1. 2014-2015 Benefits Committee May 28, 2014 2014-2015 Benefits Committee May 28, 2014 1

2. Our Focus 2

3. Goal is to support the budget process for 2014-15 that supports the District’s Mission and Vision while balancing the need to improve employee benefits while achieving a balanced budget that does not require a tax increase. Goals will be to help assure current insurance benefits are appropriately structured and financed to support institutional needs, including recruiting and retaining faculty and staff. Our Goal Benefits Committee 3

4. Roles and Responsibilities  S erve in an advisory capacity to the district leadership team  Engage in productive dialogue Be objective and maintain a district level perspective  Explore possibilities  Communicate committee work and outcomes to colleagues Confer with principal following each meeting Gather input from colleagues 4

5. Desired Outcomes of Meeting  Fund update  Process for assessment of RFP responses  Where do we go from here?  Provider presentation: Airrosti 5

6. 6 FBISD Contributions$37,435,77664% Employee Contributions$21,141,87036% Total Revenue for Health Plan$58,577,646100% Plan Components Fixed Cost Administration Fees (Cigna)$2,309,000 Stop Loss - $450,000 (Cigna)$985,152 Total Fixed Cost$3,294,1525.6% Note: These numbers are set by Cigna Claims Fund (FBISD)$55,283,49494.4% Note: This claims projection is set by FBISD and MHBT 2014 Health Plan Budget

7. 7 FBISD Contributions$12,547,963 Employee Contributions $7,198,129 Total Revenue for Health Plan$19,746,092 Plan Expenses Fixed Cost Administration Fees (Cigna-$31.39 PEPM) $731,828 Stop Loss - $450,000(Cigna-$14.00 PEPM) $326,396 Affordable Care Act Fees $216,667 Total Fixed Cost $1,274,891 YTD Claims$13,871,032 Total Expenses$15,145,923 YTD Surplus $4,600,169 January-April 2014 Health Plan Performance

8. Name of Company Submitting BidDate of Delivery United HealthCare5/23/2014 Cigna5/24/2014 Mercer5/26/2014 HealthFirst5/26/2014 Blue Cross Blue Shield5/26/2014 Aetna5/23/2014 Medical Plan: RFP Bids Received: 8

9. Assessment of RFP Responses  Volunteers for RFP subcommittee  Teachers – Sharon Meyer & Jody Stiver  Paraprofessionals – Skip Hampton  Auxiliary – still looking  Administration – Steve & Sonja  MHBT – Jared & Kasey  Purchasing – Robert Langston 9

10. Timeline If medical marketing bid takes place for January 1, 2015 Evaluation, InterviewsJune-July Benefits CommitteeJuly 9, 2014 Award DateJuly 21,2014 BOT Mtg ImplementationAugust – September Annual EnrollmentOctober Effective DateJanuary 1, 2015 Source: FBISD Finance 10

11. Where do we go from here?  Medical Recommendation  Other Benefits  Leave  Incentives  Other  Vetting of Provider Proposals  Monthly meetings beginning next fall 11

12. How are we doing?  Have we accomplished our goal for this meeting?  Fund Update  RFP assessment  Where do we go from here?  Questions? Concerns? Feedback?  Next meeting:  Benefits Committee – July 9, 2014 4:30p.m. Annex 12

13. DateTime July 9 th 4:30 – 6:00 August 20 th 4:00 – 6:00 September 24 th 4:30 – 6:00 October 29 th 4:00 – 6:00 November 19 th 4:00 – 6:00 January 21 st 4:00 – 6:00 February 25 th 4:00 – 6:00 March 25 th 4:00 – 6:00 April 22 nd 4:00 – 6:00 May 27 th 4:00 – 6:00 Benefits Committee Meetings : 13

14. Airrosti Introduction Musculoskeletal is the 2 nd largest spend by condition for 2013 Musculoskeletal is the 2 nd largest spend by condition for 2013 Total 2013 spend was $4,660,000 Total 2013 spend was $4,660,000 “Musculoskeletal Conditions are the costliest and most rapidly growing group of diseases.” 14

15. Fort Bend Independent School District 15

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