1. Welcome Employee Benefits Committee November 5, 2013

2. All EBC meetings at BHS Lecture Hall 3:30 to 5:30
SBC Nov 12 SBC Jan 14 SBC Jan 28 SBC March 11 SBC May 15 EBC Feb 6 EBC March 4 EBC March 18 EBC April 1 EBC May 1

3. September 5 October 3 October 15 October 29
SBC Meetings to Date
September 5 October 3 October 15 October 29

4. EBC.CUSD.COM EBC Website
All documents provided at meetings will be posted to our website.
Accessible by any employee/retiree/dependent from any computer with Internet access
EBC.CUSD.COM

5. Major Items for Review in 2013-14
Performance Review – Caremark
Performance Review – VSP Vision
Performance Review – Delta Dental
Review benefits for bariatric surgery
Review Blue Shield additional services
Local providers
Other items

6. Expenses for 2012-13 – Lower than Previous Year

7. Medical/Rx Expenses for First 4 Months

8. Historical Number of Members Covered by CUSD Health Plan

9. History of Retiree Premiums

10. Modifications to Rx Plan

11. Changes in Utilization

12. Trends that are resulting in Savings

15. Caremark Update –Generic Step Therapy
Original Date of Implementation – September 1 New Implementation Date – November 1 SBC met with Caremark Managers October 29

16. Brokerage Services – New Stop Loss Insurance
Last year SBC reviewed former provider and interviewed Gallagher Benefit Services
Based on an analysis of multiple criteria, SBC approved a change to Gallagher Benefit Services
Potential for significant savings plus a greater benefit by the inclusion of pharmacy under our stop loss coverage…..
Savings of at least $500,000 over last year

17. New Third Party Administrator
Health Now
Questions

18. Approximately $700,000 for Clovis Unified
Affordable Care Act – Impact on Clovis Health Care Plan Transitional Reinsurance Fee
Final Regulation March 7, 2013
The $63 per year/per covered life transitional reinsurance fee (TRF) to be paid to the federal government by insured and self-insured group health plans beginning in 2014 has been confirmed in a final regulation from the Department of Health and Human Services (HHS).
When drafting the Patient Protection and Affordable Care Act (PPACA), Congress tapped employers and insurers to bear the cost of a temporary reinsurance fund that will seek to stabilize premiums for coverage in the reformed individual health insurance market (inside and outside the exchanges) for a three-year period from 2014 through 2016.
Approximately $700,000 for Clovis Unified

19. ACA/California Covered – Costs of the Plans Silver Plan at Various Income Levels and Clovis Unified

20. ACA/California Covered – All Plans w/ Income > $45k and Clovis Unified

21. Affordable Care Act – Impact on Education
The definitions of the 30 hour work week used by the ACA, may qualify additional employees employed by educational institutions for full health benefits

22. Affordable Care Act – Additional Questions

23. EBC Action Items Kelly Avants will provide talking points
Provide updates to your colleagues
Work with your supervisor to determine a plan for dispensing information to your site/department
Kelly Avants will provide talking points
Next Meeting:
Thursday, February 6 at BHS Lecture Hall