University of South Alabama Fringe Benefits Committee – Meeting Minutes Date: Time: Place: 1 July 27, 2010 3:00 p.m. HR Learning & Development Center Members Mr. M. Wayne Davis Dr. Elizabeth Adams Dr. Lanier S. Cauley Dr. Thomas Chilton Dr. Jim Connors Mr. Pat Downing Mr. Charles Dunnam Ms. Amy Fleet Dr. David Johnson Mr. David Knight Mr. Andy Lightbourne Mr. John Pannelli Ms. Kelly Peters Dr. Victoria Rivizzigno Dr. Robert Shearer Ms. Barbara Shirvanian Dr. J. Allan Tucker Ms. Karen Watts Ms. Carolyn Williams Chairman - Financial Affairs Chair, Faculty Senate Fringe Benefits Committee Mechanical Engineering Associate Dean of Education Chair, Faculty Senate USA Brookley Center Maintenance Dept. Marketing Academic Affairs Supply, Processing & Distribution Computer Center COM Business Office Business Office Earth Sciences Office of the President Dean of Students College of Medicine Nursing-Quality Management College of Medicine Present Present Present Absent Present Present Present Absent Present Absent Absent Present Present Present Absent Present Absent Present Absent Others Present Ms. Pamela Henderson, Assistant Vice President Human Resources Mr. Gerald Gattis, Associate Director of Human Resources Ms. Tina Stalmach, Assistant HR Manager, Employee Benefits Mr. Ed Kahalley, Jr., Benefits Consultant, Secretary to the Committee Mr. David Cooper, Ms. Lori Schneider, Ms. Anne Ruzic, Blue Cross Blue Shield Call to Order & Meeting Minutes Chairman Wayne Davis called the meeting to order and asked for approval of the April 27, 2010, meeting minutes. A motion was made, seconded and the vote unanimous to dispense with the reading of the meeting minutes and approve same as prepared by the Secretary. Mr. Davis introduced Ms. Tina Stalmach stating that she had recently been promoted within the Human Resources Department to Assistant HR Manager, Employee Benefits. University of South Alabama Fringe Benefits Committee – Meeting Minutes 7/27/2010 2 Pharmacy Benefit Manager Ms. Anne Ruzic introduced herself stating that she represented Prime Therapeutics, LLC, the pharmacy benefit manager which had partnered with Blue Cross Blue Shield of Alabama effective July 1, 2010. Prime is an independent company owned by 12 Blue Cross Blue Shield Plans and has more than two decades of experience providing pharmacy benefit management. Prime has a proven track record and consistently competes with other leading PBMs in both annual drug trend and in delivering low net-cost. Ms. Ruzic stated that she had been the clinical pharmacist with Blue Cross Blue Shield of Alabama before moving to Prime and she would be working on the transition. She stated that Prime should be transparent to the claim payment system except for providing a high level of service, more cost effective purchasing and systems to better manage the cost and utilization of prescription drugs. Ms. Ruzic thanked the committee for the opportunity to discuss the new program and the Blue Cross Blue Shield representatives left the meeting. Experience Report The Benefits Consultant distributed the June 2010 Experience Report. He stated that the sixmonth period shows a positive balance of $339,652 compared to $(1,230,331) this time last year and the reserve stands at $8,696,200. The University’s contribution covers 75% of total cost compared to the target of 75%. The Plan is doing better than expected. The benefit changes have reduced trend with a reduction in the cost of physician, major medical, pharmacy and dental benefit costs. The Nexium replacement program has reduced the cost of that prescription by 25% compared to this time last year for a saving of about $60,000. The Plan reflects that where there are USA Health Plan providers the benefit paid to those providers accounted for 34% of the total benefit paid. The Consultant completed his review of the experience. Tobacco Cessation Program Ms. Henderson stated that the tobacco cessation program went live on 5/1/2010 and all was doing well. Twenty-six eligible plan members have enrolled in the program. Counseling is being provided to participants along with a 24-hour hot line and a nicotine replacement program. Tobacco Cessation workshops are being offered to all employees. She stated that there had not been a firm decision on the wellness incentive for the coming year but that it would be discussed when the cost projection is provided by the claims administrator and benefits consultant. Patient Protection and Affordable Care Act (PPACA) The Consultant provided a brief review of compliance issues under PPACA. He stated that the USA Health & Dental Plan’s effective date for PPACA compliance would be January 1, 2011. He explained the compliance requirements for that date stating that the cost impact should be between 1% and 1.5%. The Plan’s first year of compliance is not expected to be difficult. He stated that the lifetime maximum will be eliminated, coverage expanded for a dependent to age 26 and no pre-existing condition provision for individuals under the age of 19. Additional information will be provided as regulatory clarifications are issued. University of South Alabama Fringe Benefits Committee – Meeting Minutes 7/27/2010 3 Long-Term Disability Insurance Mr. Gerald Gattis reported a successful competitive review of the University’s long-term disability policy. This insurance plan fully paid by the University provides valuable salary protection for employees. He stated that the plan has been insured with Sun Life for some 30 years. Based on responses to the request for proposal, Reliance Standard offered the lowest cost duplicating the existing benefits. Mr. Gattis stated that the University would save approximately $3 million over four years or about $750,000 annually. He stated that Reliance Standard also offered some additional benefits to further enhance the benefit to the employees. Reliance Standard is the sixth largest insurance company issuing long-term disability and is rated excellent by financial rating firms. He stated that the transition is set for October 1, 2010, and employees would be notified accordingly. Adjourn: There being no other business to come before the Fringe Benefits Committee, the meeting was adjourned at 4:15 p.m.