STUDENT FEE ASSESSMENT COMMITTEE
MINUTES
November 4, 2011
Committee Members Present – Matthew Brockelman (Chair), Courtney Warner, Michael
Naughton, Billy Namen, Carlo Fassi, Shari Shuman, Jim Owen, Karen Patterson
Others Present – Devany Groves ( Budget), Betty Garris (SG), Michael McGuire (SG),
Pam Quimby (SG), Joey Rodil (SG), Joe Parisi (SG), Hether Celetti (SG), John Simms
(SG), Chere Morelle (Student Affairs), Christine Malek (Student Affairs), Shelley Purser
(Health Promotions), Mike Kennedy (Health Promotions), Terri DiNuzzo (Counseling
Center), Doreen Perez (Student Health Services)
I. Introductions and Announcements
The meeting was called to order at 3:01 pm by this year’s chair Matthew Brockelman.
Committee members and guests were introduced. The chair stated that the meeting
would be recorded for the purpose of taking minutes.
II. Budget Presentations
Health Promotions
- Health Promotions has requested an increase of $0.11 in order to hire a
Healthy Osprey Coordinator.
 Health Promotions feels that the Healthy Osprey Coordinator will be
beneficial in the following manner: student recruitment, First Year
Experience, Healthy Osprey Learning Community, student retention,
university community development and the Jacksonville community
involvement.
Questions & Answers
Q: Matt Brockelman asked Shelley Purser to clarify that they did want to hire a
coordinator last year but due to circumstances they were unable to.
A: Shelley’s response was yes and she that she understands there is only so much money
to go around and she just wanted to reintroduce it again this year.
Shari Shuman stated that it was her understanding that this would be part of the Student
Life & Services fee. However it was not in the last version that was presented.
Betty Garris stated that Sitou Byll-Cataria had said no to it last year and didn’t feel it
should go with the Student Life & Services fee and that it should come back to the
Student Fee Assessment Committee this year.
Student Health Services
- Student Health Services gave three proposals this year.
- The first proposal is for no increase.
 Student Health Services would like to increase the part time nurse
practitioner to a full time line. The nurse practitioner will help provide
health care to the increased number of students that will be living on
campus next year. The funds to support this position come from an
increase in SCH and a decrease in benefits.
- The second proposal is for a $0.09 increase.
 With this proposal Student Health Services could begin the process of
3rd party billing by hiring an insurance clerk to bill insurance
companies and complete in office referrals. Doreen stated that this is
not the ideal proposal as the cost for students may rise with 3rd party
billing.
- The third proposal is for a $0.39 increase.
 The third proposal is to set up an HMO for students. The HMO would
provide free procedures, vaccinations and physical exams for students
up to $300.00 per student.
Questions & Answers
Q: Matt Brockelman asked that when setting a price for students do you pick a provider
with the lowest price?
A: Doreen stated that no, they do not pick. The insurance companies will tell UNF what
they will reimburse. This is why an insurance clerk would so important in knowing all the
codes.
Matt’s follow up question was that there is no flat rate for students; it will be totally up
to the student’s insurance plan.
Q: Is there a possibility that students or their families will be paying more if you do third
party billing?
A: Doreen stated that the students would not be paying more, the insurance company
would be paying more.
Shari Shuman stated that the insurance companies negotiate a lower rate then what they
are actually getting. The company will bill $50 and they get paid $20 and the family only
pays a small portion depending on what type of insurance it is. It was also stated that
most of the HMO’s won’t even cover UNF because you have to stay within network.
Q: Is there a chance that the copay the student or family has to pay will be higher with
insurance then what the current prices are?
A: Doreen stated no that the person that is going to be most affected is the uninsured
student because Student Health Services is going to have to find a way that they are not
impacted by any of the rising.
Doreen stated that everyone has to be charged the same amount. The price that the
students are charged does not change but the amount that you bill the insurance
companies change.
Q: Matt stated that it would be hard to gauge how much revenue you would be getting
back if every insurance company reimburses a different amount.
Shari also stated that it would be a huge assumption that insurance companies would put
UNF in network. It is not as easy as hiring a clerk to do the billing. You would need to
hire a consultant to do this job.
Q: Shari then asked how many students are actually utilizing the clinic and would like to
see a three year breakdown. Also requested was how many students are doing the
procedures.
The whole setup for the Health Clinic was originally set up for those students that do not
have insurance. Now with the Health Law changes most students can be on their parents
insurance until the age of 26. It is easier for students to come to the Student Health
Center. Not all students under the age of 18 will want their parents to be billed for a
procedure they are coming in for.
Shari stated that she would be concerned for the uninsured with the procedures if you
start billing and that prices could increase.
Q: Shari also asked if CDRC has a nurse.
A: Doreen stated that a staff visits the CDRC to review procedures. They do not provide
first aid to the CDRC.
Q: Jim Owens asked with existing staff and with the increase of the part time practicioner
to full time what will be your capacity? With the 22,000 visits last year are you at
capacity or near capacity?
A: Doreen stated that right now they are at capacity. Almost every afternoon is booked
and the mornings tend to be open which is helpful because they have walk-ins. With the
requirement for freshman to live on campus next year she feels that one more hand would
be helpful.
Q: Jim asked if there are resources available to absorb the costs if the HMO is approved.
A: No, they will have 4 full time staff and women’s health.
It was stated that there is a potential if the HMO is picked and students were favorable in
attendance wise that the Student Health Services would be back next year to look for
another position.
Q: Billy Namen asked how big of an impact the HMO would be on the uninsured
students?
A: Doreen stated that Student Health Services will always be available for the uninsured
students. The Affordable Care Act will give uninsured students more choices than before.
As long as they don’t have to do third party billing they will be able to keep their rates
low.
Q: Michael Naughton reconfirmed that proposal #2 is the Student Health Services least
favorite. Doreen stated that the most favorable proposal was #1. While it would be great
to offer an HMO to students she is not sure how feasible it is at the current time. No other
universities are doing HMO’s at this time.
Q: Courtney Warner asked if the insurance coordinator would be able to see where a
student’s insurance is available and forwarded to another facility.
A: Doreen stated that yes that is a majority of what the coordinator would be doing.
Shari brought up the point that only a few people call a year asking for third party billing
and stated that is why the numbers needed to be reviewed.
Counseling Center
- The Counseling Center is asking for a $0.26 increase to hire one additional
Counselor/Psychologist, additional OPS hours for a Psychiatric Nurse
Practitioner and additional overhead and misc. fees.
 With the hiring of another Counselor/Psychologist the Counseling
Center would be in full compliance with Accreditation Standards.
 Also with the increased complexity of cases the Counseling Center is
seeing they feel that with increased staff and hours they would be able
to see more students and decrease their waiting list.
Questions & Answers
Q: Matt Brockelman asked Terri Dinuzzo how delinguent the Counseling Center would
have to be before losing accredidation.
A: Terri stated that they are nowhere near losing accreditation but stated that they should
be in compliance. They are at minimum compliance now which is why one extra
counselor is needed.
Q: Shari Shuman asked if the Counseling Center was seeing more students or if the cases
where becoming more complex.
A: Terri stated that the complexity of the cases they are seeing are becoming more severe
than in the past.
Q: Shari then asked why Terri felt the cases are becoming more severe.
A: Terri answered that more and more students come to the university already on
medication from High School along with the increased amount of pressure the students
are receiving once in college.
The meeting was adjourned at 4:19 p.m.
The next meeting is scheduled for November 14, 2011 at 12:00 pm in the Student
Affairs Conference Room.
Those presenting are Vince Smyth, Michael McGuire and Lee Moon