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  • FRIC Meeting Minutes September 05, 2014 | Funded Retirement and Insurance Committee (FRIC)
    Insurance premium rates for Calendar Year 2015 A handout summarizing the financials for all the health plan options for Calendar Year 2014 and potential rates for 2015 was provided to the committee Overall premiums for the health care plans paced evenly with the expenses paid to cover participants Individually the Single Employee and Spouse and Employee and Children plans were sustained through premium payments The Employee and Family plan operated at a deficit most specifically as a result of substantial payouts to providers for services to care for patients with unique circumstances that will not likely occur with any frequency The committee discussed the pros and cons of both increasing health care premiums and maintaining the current rates for Calendar Year 2015 After substantial discussion a motion was made and seconded to leave the premium rates for all plans unchanged for 2015 The motion was voted on and carried by a vote of 8 4 Item of Business Dental Insurance premium rates for Calendar Year 2015 A discussion of the Delta Dental of Iowa plan provided to University faculty and staff took place based on financial data for the plans for 2014 provided to the committee All of the dental plans with the exception of the Single plan are operating at a deficit for 2014 The current rates were set without the benefit of much financial data because of the previous Dental I and Dental II being combined into one plan for 2014 A brief discussion of the financials were discussed followed by a motion to accept suggested rates for 2015 provided in a handout from Human Resources Benefits for committee consideration The new rates were single 42 spouse 84 child 100 and family 126 The motion passed by a unanimous vote of the FRIC members present at the meeting

    Original URL path: http://www.uiowa.edu/fric/fric-meeting-minutes-september-05-2014 (2015-11-11)
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  • FRIC Meeting Minutes May 02, 2014 | Funded Retirement and Insurance Committee (FRIC)
    minutes from the April 4 2014 were approved INFERTILITY COVERAGE Craig Syrop Our plan pays for infertility coverage for medical purposes Since January 1 2014 non medical purposes were added to our coverages Since this went into effect seven procedures were conducted prior to the onset of chemotherapy and five were conducted to preserve options for the future The efficiency and survival rates have improved Dr Syrop brought documents with updated statistics on clinical pregnancy results following embryo transfer and the estimated number of mature oocytes needed for fertility preservation Pregnancy rates are egg age related Efficiency declines as they age They need 2 5 embryos for every normal one to set Once they are frozen it is an infinite time period for their use The charge for storage is 697 for first three years and 317 per year after that If fifteen eggs were harvested during one procedure all 15 would be fertilized to become embryos Let s say twelve fertilize but only four make it to the blast stage So now you would have just one or two straws to store The committee had lots of discussion and questions for Dr Syrop The discussion was tabled until next

    Original URL path: http://www.uiowa.edu/fric/fric-meeting-minutes-may-02-2014 (2015-11-11)
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  • FRIC Meeting Minutes April 04, 2014 | Funded Retirement and Insurance Committee (FRIC)
    also concern over UIHC having medical claim information on care received outside of that facility Sheldon Kurtz moved the proposal that there is not enough evidence at this point to recommend that UI Choice should adopt an ACO The committee voted unanimously in favor of this proposal The discussion shifted to OPM out of pocket maximum amounts for UI Choice participants The ACA Affordable Care Act requires that the combined total OPM under a health plan should not exceed 6 350 for an individual or 12 700 for a family However it does not require any further breakdown UI Choice is well within these norms with an OPM of 1 700 for medical and 1 100 for drugs for a single contract Richard Saunders asked whether we should change our OPM to one OPM for the combined total of medical and drugs That would increase the burden for some employees who would pay more than 1 700 for medical treatment or 1 100 for drugs in absence of separate OPM s but not exceed both limits The committee discussed and decided the current arrangement is fine There was no proposal to amend the current terms Richard Saunders informed the committee that there has been a recent House proposal to one of the ACA requirements Employers were required to mandatorily cover all employees working more than 30 hours a week The new proposal only requires coverage of employees working 40 hours or more a week The Senate said they will not consider moving the hour limit Specialty drugs are an emerging area of concern to all medical plans These drugs cost an extraordinary amount per covered person Even though taken by very few participants their cost impact rivals the cost impact of all prescription drugs There is an additional concern that if these drugs are obtained from physicians instead of from pharmacies then there is a further significant markup At present the UI Choice plan covers specialty drugs as a drug under the medical side rather than under the pharmacy side The committee decided to leave the current arrangement as it is under the medical side Under the new IRS rules for 2013 employees may carry over unused HCSA health care spending account funds in the maximum amount of 500 to the next year This is also the cumulative carryover allowed under the plan and the employers are required to make it available for 18 months after an employee is terminated Richard Saunders informed the committee that in 2012 an estimated 3 500 employees had some leftover HCSA funds and that 1 800 of them had less than 500 These leftover funds have supported the liveWELL program of UI headed by Joni Troester This program could have a budget shortfall in the range of 1 to 2 million which the Benefits Office would have to fund from other sources Richard Saunders next raised the issue of infertility coverage In recent years there has been a increase in the number of young

    Original URL path: http://www.uiowa.edu/fric/fric-meeting-minutes-april-04-2014 (2015-11-11)
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  • FRIC Meeting Minutes March 07, 2014 | Funded Retirement and Insurance Committee (FRIC)
    of Iowa LiveWELL report which can be found at http hr uiowa edu files hr uiowa edu files liveWELL Annual Report 2013 pdf She also shared a PowerPoint presentation on Creating a Culture that Supports Health and Well Being Highlights included Departments may apply for 500 grants for worksite wellness initiatives Wellness has established a social media presence U of I Wellness program is ranked among the top nationally U of I has over 150 Wellness ambassadors Apple logo for healthy choice options has been trademarked Christine Miller shared additional information regarding a proposed accountable care organization ACO proposal for UI Choice members The ACO s focus would be on chronic and complex conditions that have been identified and approximately 3000 active employees employee family members meet the criteria The identified goals would be to improve access increase patient satisfaction as measured by Press Ganey UIHC s satisfaction survey vendor and improve quality and costs The requested funds to implement are projected 800 000 annually to support nurse coordinator social service and technology needs Mr Kurtz queried what the benefit for the University UI Choice would be if savings beyond the cost were achieved and that had not yet been

    Original URL path: http://www.uiowa.edu/fric/fric-meeting-minutes-march-07-2014 (2015-11-11)
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  • FRIC Meeting Notes February 07, 2014 | Funded Retirement and Insurance Committee (FRIC)
    per day Future plans include same day appointments expanded hours and a new procedure suite Many of the services that have moved to IRL have some duplication with services at UIHC There will always be some duplication Behavior health is not at IRL yet although there is a wellness component with Women s Health that addresses some behavioral health needs Dave Ricketts from parking addressed questions regarding the Cambus transportation out to IRL from campus Ricketts explained that UIHC administration asked for and received a cost analysis for obtaining a direct Cambus route to IRL Other less expensive options were also provided but UIHC has elected to use the existing Oakdale route which runs 45 minutes and stops at the top of the IRL hill on First Avenue There is very light ridership at this point around 12 passengers per day Several concerns regarding the use of the Oakdale route were introduced including the need for Efficient transportation for health care students traveling to and fro from IRL to campus in time for clinics and classes Accessible transportation and drop off location for ill patients traveling from campus to their providers at IRL Accessible drop off location for handicapped patients traveling to and from the bus on the sidewalk and hill Committee members suggested that Cambus UIHC conduct a ridership analysis to assess why there is such low ridership on Cambus for IRL Committee members asked Rickets to communicate with Coralville transit to understand its future plans for bus transportation to IRL area UI CHOICE ACO Chris Miller was unable to be at the meeting Committee members discussed what they understood about the ACO proposal Buckley indicated that for the ACO to be in place it would need identifiable health information from those we insure Saunders indicted that the identifiable

    Original URL path: http://www.uiowa.edu/fric/fric-meeting-notes-february-07-2014 (2015-11-11)
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  • FRIC Meeting Notes December 6, 2013 | Funded Retirement and Insurance Committee (FRIC)
    would have to be given the opportunity for insurance benefits This would include temporary employees This will add more employees to the insurance pool with increased premium cost to the UI Dental Coinsurance Saunders At the prior meeting FRIC agreed to increase the percentage covered by the University for Orthodontic Care from 30 to 50 for 2015 This change would increase the total cost by approximately 157 000 Dental Annual Maximum Saunders Another new option that is available for 2015 is the ability to carryover up to an additional amount of the unused maximum benefit for Parts B C not to exceed 2000 This carryover would continue forward until needed This change would increase the total cost by approximately 420 000 Dental Network Saunders Another new option for 2015 is to create a three tier dental network Tier 1 would consist of a preferred provider group which includes the University of Iowa Dental College Tier 2 would be all other Delta Dental providers and the 3rd Tier would be all other dental providers Both the UI and the employee save when the employee chooses a dentist from the Tier 1 network The savings would be approximately 25 The savings is estimated to be approximately 400 000 Supplemental Life Insurance Saunders The current supplement life insurance goes up to 3 5 times the salary with no limit The insurance company would like to limit that amount so that no one single large claim would affect the rates for the rest of the participants The group voted to limit supplemental insurance to 1 million Only 62 employees would be affected by this move Long Term Disability Insurance Saunders Drugs Alcohol Mental Health claims are increasing at an alarming rate Mental Health Drugs Alcohol is about 10 of the cases but is 33

    Original URL path: http://www.uiowa.edu/fric/fric-meeting-notes-december-6-2013 (2015-11-11)
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  • FRIC Meeting Notes November 1, 2013 | Funded Retirement and Insurance Committee (FRIC)
    Sorofman Tachau Vijh Vining Admin Buckley Saunders Guests Minutes of the October meeting were approved HCSA IRS changed the rules on the health care spending account allowing a carried forward amount of 500 too following year The decision is up to employer May consider for future years pros and cons were discussed Unused funds currently go back to fund the various wellness programs for employees In 2012 2 million dollars were returned A suggestion to consider sending a message to campus explaining why we cannot operationalize this immediately was discussed but not decided upon The previous option of allowing a 2 5 month extension is that it only really works once which is why it was not implemented Wellness programs funded with these unused funds save money by helping employees be healthier ACO Chris Miller Assistant VP with UIHC presented on creating a UI Choice ACO similar to currently in place for Medicare Adds care coordinators who identify patients at risk for poor outcomes and facilitates and coordinates care Improves access quality and reduces cost improves patient experience Data on outcomes same day appointments and service excellence are part of plan IRL has brought patient satisfaction up significantly They wish

    Original URL path: http://www.uiowa.edu/fric/fric-meeting-notes-november-1-2013 (2015-11-11)
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  • FRIC Meeting Notes October 4, 2013 | Funded Retirement and Insurance Committee (FRIC)
    system website HealthCare gov UICHOICE Levels Richard Saunders UI HC has developed an alliance with MercyCare of Cedar Rapids Mercy Des Moines and Genesis from the Quad Cities The primary care providers of the partners will be incorporated into level 1 allowing the 5 co pay rather than the Level 2 20 co pay The goal is to implement this by January 1 2014 2014 OPM Ricard Saunders Traditionally coinsurance and deductibles count towards out of pocket maximum co pays do not apply For 2014 the medical OPM will include all co pays All drugs count towards OPM for prescription drugs This change was mandated by the ACA 2015 OPM Richard Saunders The ACA will require one OPM for medical and prescription drugs OPM can t be separated anymore and cannot exceed a Federal limit for OPM 6053 for singles and 12 700 for families Currently the UICHOICE combined medical and drug OPM is 4 800 for singles and 9 600 for families Anand Vijh requested information on what OPM people have paid so we can see how many people hit their OPM Most inpatient stays will cause a person to have hit their OPM Dental Coinsurance Richard Saunders Currently under Dental 2 100 preventative care is paid 80 restorative 30 orthodontic This is in line with other comparable employer plans except for the orthodontic which typically is provided at a 50 benefit paid by employer and 50 paid by employee 235K spent last year on orthodontic implants If we increase our coverage it would increase the total cost approximately 165K which translates to 13 per contract per year Nancy Davin motioned it was 2 nd by Nicole Nisley to increase the percent coverage from 30 to 50 for the orthodontic care motion passed Dental Annual Maximum Richard Saunders A

    Original URL path: http://www.uiowa.edu/fric/fric-meeting-notes-october-4-2013 (2015-11-11)
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