GLENDALE ELEMENTARY SCHOOL DISTRICT NO. 40 Maricopa County, Arizona MINUTES OF REGULAR TRUST BOARD MEETING Business Office Conference Room 4:00 p.m. March 27, 2013 Present: Board Members Mr. Lee Peterson Ms. Cathey Mayes Ms. MaryAnn Wilson Ms. Bernadette Bolognini Other Attendees Mr. Rick Conrad Mr. Rod Petricek Ms. Linday Lagreid Ms. Amy Girardo Ms. Darlene Kracht Mr. Bill Moss Phone Participant(s): None Recorder: Jacquelyn Duarte Call to Order Mr. Peterson acknowledged a quorum was present the meeting was called to order at 4:00 p.m. Visitor Comments Mr. Peterson welcomed any new attendees and sought introductions. Ms. Maryann Wilson, Glendale Elementary School District, Governing Board President was introduced as a new Trust Board Member and everyone else was introduced. Approval of Agenda Ms. Bologini moved to accept and approve the agenda as presented, Ms. Mayes seconded. Motion passed 3 - 0 Action Items Approval of Minutes Regular Meeting of February 13, 2013 Mr. Peterson requested approval of the minutes Ms. Bolognini made the motion to approve the minutes, Ms. Mayes seconded the motion. Motion passed 3 – 0 4th member arrived at 4:06 pm Discussion Item Recommend approval of Wellness Specialist Position increase in hours from 20 to 35 hours Mr. Conrad explained how the increase costs were split. This will assist some of our programs with effectiveness. Ms. Mayes made the motion to approve the Wellness Specialist position increase in hours. The motion was seconded by Ms. Bolognini. Ms. Wilson arrived at 4:06 p.m. and suggested a survey from employees with regard to the Wellness program to review the interest, and asked is there a great need for it? Ms. Wilson recommended that more documentation would assist with this decision and maybe start the increase in hours at the beginning of the year. Ms. Mayes stated that Ms. Lagreid plans to speak on this topic and a survey has been taken. 1 Ms. Lagreid explained that many employees do participate in the program and she ensures constant travel to schools for Wellness program employee enrollment. In addition, Ms. Lagreid explained, we had double the amount of employees schedule mammograms this year. The utilization of services has increased and a total of 102 pounds to date have been lost. Incentives like gift cards are offered for wellness points. A description of how to earn wellness point system was explained by Ms. Lagreid. Mr. Peterson spoke upon the fact that the program was on hiatus for a bit. Ms. Bolognini reminded everyone that this role had been vacant for some time and we should ensure to keep the program going for the benefit of employees. An increase in hours would ensure that Ms. Lagreid would stay with us. Ms. Bolognini further explained that anytime we could have anything in the workplace like a wellness program we will have better production from employees. Ms. Wilson expressed that it’s this time of year that concerns her. She’s not sure of the buy in from employees and Wellness program enrollment is low. We should be presented with wellness program information prior to making a Wellness Specialist Position increase in hours decision. Mr. Conrad stated that the financial piece that will fund the increase is a part of the big picture and has been accounted for. In the long run it is a cost savings. If we wait until May we may have missed the preventative cycle. If we move at this time it will benefit the district at this time for the future. Mr. Peterson expressed that he does not personally see the wellness program as the wins and preferences of the employees it is a win-win for the employees. We identify specific goals. Mr. Peterson explained that he is not one to spend money without returns and he certainly looks forward to an increase in employee utilization. Mr.Peterson stated that this has been thought out appropriately and he appreciates Ms. Wilson’s questions. In addition, this continues to be literature based what costs that we are accounting for and we are entering a cycle of this which we have been expecting for a while. Mr. Conrad stated that effectiveness is accessed, each program is assessed and roles are defined. Ms. Lagreid explained that number of days missed is a large factor for the wellness program and this has been a benefit for employees. Mr. Peterson explained that this program is an investment. Ms. Mayes stated that Ms. Lagreid’s presentation contains informational evidence of progress. Ms. Mayes motioned that we approved the Wellness Program Special position hours increase, Ms. Bolognini 2nd the motion. Ms. Wilson made the motion to postpone the increase. Mr. Peterson requested that we review Ms. Lagreid’s presentation first. Ms. Wilson stated that we do not have a full board here. Mr. Lee stated that the district is waiting for a Trust Board member position to be filled and a quorum was in attendance. Ms. Bolognini asked how many people participated. Ms. Lagreid replied, over 800 out of 1300 employees have participated thus far. Ms. Lagreid stated that she expects to see an increase in wellness program registration. Ms. Lagreid explained that the main goal is to increase registration and to make it her goal to ensure that everyone understands their benefits. At this time, we have some employees fresh out of college that don’t know too much about benefits or the significance. She feels strongly that benefits and wellness can work well together. 2 Mr. Peterson explained how the use of the benefit program would improve the connections and wellness of employees. If staff appropriately chose their benefits that would benefit everyone, Mr. Peterson added. Mr.Peterson then asked if there was any further discussion. There was no further discussion. A vote was taken and the Wellness Program Specialist Position has increased hours. Claim Experience Review Medical and Prescription Claims through February 2013 Mr. Conrad explained that at year end we incurred a 108% loss ratio. The months of January and February were reviewed. Mr. Conrad noted that there was a black month in Feb for Cobra and a red mark for the HSA2500 plan for December and February. Overall an 81% loss ratio was reported Mr. Conrad explained. Mr. Peterson said that is good. Mr. Conrad stated it is hard to see where the trend is at this point and IBN has taken this into consideration for next year’s funding. Mr. Peterson asked if there was any other ways that anyone would like to review data. There was no response. Mr. Conrad plans to reflect the overall effect of where we are in the next couple of years at the next April meeting. Many fine lines will be defined stated Mr. Conrad. Dental Claims through February 2013 Mr. Conrad stated that dental continues to look good and there was plenty of utilization over the break. Overall, the buy up plan is doing better. Overall the dental paid loss ratio is at 86.8% through the eighth month of the plan year. Wellness Program Report/Ms. Lindsay Lagreid Ms. Lagried began on a positive note by stating that we have had 233 new enrollees since September 2012. Ms. Lagreid is in the process of following up with schools for continued enrollment. Mr. Peterson asked how we can support Ms. Lagreid to enroll more employees. Ms. Mayes explained that Principals are very protective of time and that afterschool would prove to be a better venue for time. Mr. Peterson explained that this needs time and direction from the district as to what is a priority. Ms. Lagreid explained that she has worked with schools and is very flexible with time. Ms. Lagreid pointed out that many demands are coming up like AIMS. Ms. Lagreid explained that she strongly feels that communication is very important. Health Risk Assessment was very successful, 271 employees participated. This gave employees a great picture of their health. It was a costly incentive. Mr. Conrad asked if there were any stories that have come back to her. Ms. Lagreid stated that some employees have come to her for advice for diabetics, etc… Mr. Peterson asked, can we tell how many smokers there are in Glendale Elementary School District? Ms. Lagreid explained we will have that data soon. Ms. Lagreid stated that we can incorporate a smoking cessation program and currently nineteen people are enrolled in Weight Watchers and have requested another ten week program. Ms. Lagreid explained the cost to employees and how it could work during winter break. There is a fifteen person minimum and it is something that a lot of people have expressed interest in. We doubled the number of mammograms this year and there were plenty of positive comments made by employees. Rental from the District Office DVD exercise library has been popular. Ms. Lagreid felt strongly that it would be a great incentive for Support Center employees during their breaks. We are having healthy cooking classes with plenty of positive feedback. We are also having monthly hikes and monthly 5K runs for fun. We have an upcoming Rave Run on April 6th and Ms. Lagreid explained that the goal each month is to have a cooking class and a 5K. Ms. Lagreid had negotiated discounts for membership rates from the Foothills Recreation and Aquatic Center 3 as well Jazzercise. At this time Ms. Lagreid is expecting to hear final discount information from Gold’s gym. Ms. Lagreid explained that she has the capability to email all employees at the same time by using the e-all users email address. Mr. Conrad asked if there are Wellness Program bulletin boards at the school. Ms. Lagreid explained that posters and flyers are posted at schools and emails are sent out to the e-all user’s email address. Ms. Lagreid reported that we have two additional softball teams for the Spring league. At this time she is expecting the softball game schedule from the Glendale Parks and Recreation department. It does encourage people to get out and get active. Ms. Lagreid reported that she has worked hard along with Ms. Kracht to implement the pregnancy program since 80% of our employees are women. This includes a maternity welcome basket funded by the district. Ms. Lagreid explained that the fitness reimbursement data will give us a good picture of how many employees are consistently active and upcoming May 2013 hike dates are to be determined. Visions training may present an opportunity “insource” for our wellness tracking and we are planning a Wellness Fair in the fall. In closing Ms. Lagreid spoke of the new P.R.E.P program and described how it encourages prevention. She explained that it is built into our insurance and is an inherent part of our program. She explained the program and stated that the first two items need to be done then a third option is chosen. She requested the Board’s input on how do we want to reward people on this? Mr. Peterson asked if a suggestion was given. Ms. Lagreid explained that one option is a stipend, the other option is a gift card and if we chose a gift card, we would need to decide where that funding would come from. Ms. Lagreid reported that the Insurance committee was in favor for the funded incentive. Mr. Conrad advised to fund for everyone that is eligible. Mr. Lee asked for suggestions from the room. Ms. Kracht explained how another school district was handling it and gave another idea. Mr. Peterson requested that we look at it from an HR perspective. Mr. Conrad stated that he feels we can get there and he can work the numbers to get it started. December Financial Mr. Conrad reported that the source use is behind what medical utilization plan reports are and at the next meeting he plans to bring it all together to see what our reserves are. He recommended that we need to look at what’s incurred not reported for this particular report and in April we will see a report that bridges that difference to translate between the two. Mr. Conrad explained, no real surprises and the last report was prior to November. Mr. Lee asked if there were any questions. There were no questions. Recommend the Board consider Fully Insured Property / Casualty Liability / Auto Mr. Conrad explained the deductible analysis reports. The point of these reports is to reflect over time at what you are saving with the deductible. It has come to about an additional 10K in premium, and then we eliminate all that risk. As the trust has matured they brought the zero deductible back. Ms. Wilson asked about the freezing costs for cold weather. Mr. Petricek reminded everyone about a broken pipe and water damaged that we had this year. Mr. Conrad stated that this analysis shows what is reported to the trust and looking at the higher deductible items you are ahead because you are now on a zero dollar basis. Ms. Mayes asked how long we have been selfinsured. Mr. Conrad explained that we went from a low deductible to a high deductible back through 1989 and he was not certain when it changed and he could find out if needed. Mr. Conrad asked if we would like to cancel that part of trust. This is something for the new Assistant Superintendent or he can look at it if needed. 4 Insurance Committee Update and Interest-Based Negotiations Update / Cathey Mayes Ms. Mayes combined both topics and reported that our goal was to minimize impact to benefit eligible employees but still give them the benefit coverage they expect. Ms. Mayes described the structure of the Insurance committee team. With a Power point Ms. Mayes presented Insurance Committee recommendations and plan design recommendations. She explained that Recommendations were not approved by IBN since most are on the 104 plan. In addition Cabinet and Administration reviewed a minimized impact for employees then a retirement increase was taken into account and contributions from employees were taken into account. Mr. Conrad explained the salary increase point illustration. Ms. Mayes gave a brief summary of calculations on each page and the total summary calculations page to reflect a gradual curve. Ms. Mayes reported that a vote will be taken tonight at the IBN meeting where every employee would pay $10 a month for the health plan. Mr. Conrad explained plan design changes and how the new information could bridge the rate difference. On a paid claim basis is down by less than half a million, this takes all of the rate renewal into effect explained Mr. Conrad. Ms. Mayes explained how employees that utilize HSA contributions would be affected. Wellness incentives were discussed to add to HSA contributions. Ms. Lagreid explained how incentives for HSAs would work. Mr. Lee stated they should look at the design of HSA. He is not surprised of this observation stated Mr. Lee and in addition we need to tune and work on the engine as it is moving. Mr. Lee stated that this idea has good rationale to it and it requires selling it harder. It is not an easy sale. Ms. Mayes spoke of Short Term Disability for a three or seven day waiting period and with assistance from Ms. Girardo and Ms. Kracht, a cost analysis will be done on dental information. Ms. Mayes reported that life insurance is a strong option and no design or rate plan changes for it at this time. In closing Ms. Mayes reported that IBN is looking at employee contribution for health coverage. Mr. Peterson asked if the attendance at these meetings has been good and if employees have been hard at work. Ms. Mayes and Mr. Conrad reported that attendance and participation has been great. Trust Board Comments Mr. Peterson asked if there were any more comments. Ms. Wilson requested that we move the start time to Trust Board meetings to 4:15 pm. A consensus was shown and Trust Board meeting will begin at 4:15 p.m. Adjournment Ms. Bolognini made the motion to adjourn the meeting. Ms. Mayes seconded the motion. The meeting ended at 5:26 p.m. Submitted by Jacquelyn Duarte Educational Services Division 5