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Employee Benefit Trust Minutes - 07/25/2006 CITY OF WICHITA FALLS EMPLOYEE BENEFITS TRUST MEETING July 25,2006 Present: Bill Sullivan, Chair Darron Leiker, City Manager David Winney, Director of Human Resources Gail Garmon, Employee Benefits Coordinator Cassie Stennett,Benefits Broker Keith Brickert,Blue Cross/Blue Shield Account Representative Sondra Ferrill,Pharmacare Account Representative The meeting was called to order at 12:05 p.m. Agenda Items: Approval of Minutes Bill Sullivan made a motion to accept the minutes of the last meeting. Darron Leiker had one correction to the minutes, to change David Winney's title from Administrator to Director of Human Resources. Jim Dockery seconded the motion. Motion carried. Financial Statement Jim Dockery gave a financial report on the Section 125 Flex Spending Account. He reported that $231,000. of the committed $303,000. had been distributed. He confirmed that this $303,000. means a savings of approximately $24,000. to the City's liability in FICA taxes for the year. He then reported that revenue is up $600,000. from last year of which $300,000 is the committed amount for the flex spending accounts. He further stated that total revenue for the year will be approximately $7,619,615. with total expenditures of approximately $7,388,277, leaving a potential balance (savings) of approximately $231,338. Pharmacare Sondra Ferrill, account representative for Pharmacare, reported that while the City still is seeing lesser increases in our prescription expenditures, as compared to other groups of similar size, there are still savings to be gained if more subscribers could be steered toward mail order. Darron Leiker asked that Pharmacare give us a list of recommendations that might be implemented to accomplish this. Sondra further reported that for the second quarter of 2006, the price of generic drugs is up 10%, preferred is up 52% and non-preferred is up 5%, over the same quarter of 2005. • Blue Cross/Blue Shield Keith Brickert, account representative for Blue Cross/Blue Shield presented a report showing claims filed and paid for the period January 1 through June 30, 2006. During that period the City's self funded health plan experienced a 46.1% provider savings on billed claims. He reported that the normal savings is 42-45%. His report reflected total claims payment for the period of$1,620,063 (an average of$153 per month per member) and $242,711. in administration fees. He noted that claims paid as a Medicare supplement totaled approximately $138,900 for the period. He was asked to have Blue Cross refine future Medicare supplement reports to reflect the average amount paid per month per member. The total dental claims paid for the same period totaled $192,006. Mr. Brickert reported one claimant had exceeded the $200,000. stop loss limit, for which the Trust will be reimbursed approximately$41,000 by their stop loss carrier, ING. On-Site Clinic Ken Phillis, PA for the City's On-Site Clinic presented a list of medications that are currently on the City's prescription plan under the non-formulary (non-preferred) tier, at $55.00 co-pay per retail script. He asked that the Board consider putting these medications on the formulary (preferred)tier, at $40.00 co-pay. He also inquired as to the possibility of revising the physical forms used in the Clinic and for revisions in the scheduling of applicant and promotion appointments to the Clinic. The Board agreed to consider his requests. Mr. Phillis then reported that the Diabetic Education program at the local hospital cost around $900 for ten hours of instruction. He stated that they are willing to provide it to our diabetic employees and dependents for $300-$350. The Board decided to first find out if this is a covered expense under the Blue Cross plan. Mr. Phillis stated that the On-Site Clinic is in need of a computer. Jim Dockery stated that he would look into the possibility of providing one for the Clinic's use. In other business Gail Garmon, Employee Benefits Coordinator, reported that the Trust had received reimbursement of $52,652.15 in Retiree Drug Subsidy for the first six month of 2006, from Part D Advisors. Part D Advisors was contracted with to act as a collector of subsidy payments due the Trust from Medicare for prescription medications purchased by retiree medicare recipients. Subsequent subsidy payments should be received quarterly. The meeting was adjourned at 3:15 p.m. Respectfully submitted. Gail Garmon Employee Benefits Coordinator