Minnesota Self-Funded User Group

Minnesota Self-Funded User Group MSBA Annual Leadership Conference Workshop Panel Presentation “School District Employees’ Health Plan Options” Thurs...
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Minnesota Self-Funded User Group MSBA Annual Leadership Conference Workshop Panel Presentation

“School District Employees’ Health Plan Options” Thursday, January 16, 2014, 2:30 to 3:30pm, Room 102-B

Moderator

Dennis Dahlman, Dennis Dahlman Consulting (former Director of HR – Hopkins Public Schools) Questions / Issues and Panel Members

1. What is a “self-funded” plan and how is it different from a “fully insured” plan? Linda Fenwick, Consultant (previously Director of Labor Relations and Benefits, Anoka-Hennepin School District)

2. Why do a growing number of school districts self-fund their health plans? Craig Holje, Director of Human Resources and Administrative Services, Richfield School District

3. At what size (number of employees) and through what processes should organizations begin to consider self-funding as a viable option? How do School Districts manage the risk of a self-funded plan? Julie Cink, Director of Business Affairs, Prior Lake – Savage Area Schools

4. How do School Districts generally administer their self-funded plans? Dr. Nik Lightfoot, Assistant Superintendent & Director of Administrative Services, Hopkins School District

5. How would you describe the impact of your self-funding initiative on employee relations? Craig Holje, Director of Human Resources and Administrative Services, Richfield School District

6. What are the other initiatives you have pursued as a mature, successful self-funded plan? Dr. Nik Lightfoot, Assistant Superintendent & Director of Administrative Services, Hopkins School District

7. The Rosemount-Apple Valley-Eagan story. Tom Pederstuen, Director of Human Resources, Rosemount-Apple Valley-Eagan School District Q&A Break

8. Advice to Districts that want to consider all options including self-funding. All Panel Members

Minnesota Self-Funded User Group CHARTER Our Minnesota Self-Funded User Group was formed concurrent with its first “Founders Group” meeting held on November 17, 2011. Our Group meets monthly at Golden Valley, MN. Goal: Our Group’s goal is to continuously increase knowledge and expertise in employee healthcare plan decision processes and management with emphasis on transparency and understanding the “self-funding” plan option. Purpose: Our Group’s purpose is to advance knowledge in order to increase capabilities to effectively manage employee healthcare programs and to provide peer-to-peer assistance to those who are exploring the self-funding option. Value Proposition: The value proposition for participants and their organizations is that the Group is a peer-to-peer resource in support of continuous improvement of quality and cost-effectiveness of organizations’ employee health programs for the benefit of organizations’ stakeholders. Functions: 1.

Peer-to-peer communications and support with the goal of continuously improving their knowledge and resources in employee healthcare program management;

2.

Support for those who have responsibilities in their organizations for evaluating employee healthcare program options including self-funding or are moving along the path to self-funding;

3.

Continuously expanding and improving the Group’s “Self-Funding Road Map.”

Participation is open to administrators of public school districts; administrators of other public sector organizations are welcome. Approximately 50% of the active participants in our Group represent organizations that are presently “fullyinsured” and/or participating in PEIP and are exploring their “self-funded” option in the course of improving their employee health plan programs. Sponsorship in the form of encouragement, facilitation and support is underwritten by PreferredOne; however the Group members manage the Group’s functions, agenda and activities. Education Outreach: Our Group provides panels of Group participants for presentations and workshops that are appropriate in furthering the Group’s goals and purpose. Examples of such activities include:     

MASBO Conference (Breezy Point) workshop May 2012; MASBO Institute (St. Paul) February 2013 and 2014; MASA Fall Conference (Brainerd) October 2012; MSBA Annual Leadership Conference (Mpls Convention Center) workshops January 2012, 2013 & 2014; State Negotiators panel presentation February 2012.

Meetings and Contact Information: Our Group meetings are usually held on the second Friday of every month at Golden Valley, MN. To be added to the Group’s distribution list or for additional information, please contact the Group’s facilitators, Dennis Dahlman at 612.750.9780 ([email protected]) or Thom Sturgeon at 612.462.1765 ([email protected]), or contact one of our participants.

Self-Funded User Group Knowledge Base: Self-Funding Road Map

January 1, 2014 The Road to Self-Funding

The First Year

The Second Year

START NOW

From "start now" to formalizing the self-funding decision.

Implementing and learning to manage the self-funded program.

Becoming Owners and Stewards of "Our Plan".

Years Three and Beyond

Managing Our Plan for continuous improvement.

Our "User Group" is a unique resource in Minnesota bringing together business, human resources and benefits administrators with the shared purpose of health plan improvement (One or more of these topics are explored in-depth in peer-to-peer discussion at each monthly meeting) Starting out "On the Road" a) Leader-champion b) Courage to change c) Catalyst event d) Acquire knowledge

Bid / RFP Process a) Requesting proposals b) Evaluating proposals

Plan Design

Setting Premiums for Self-Funded Plans

Employee Education

Estimating and Comparing Cost Savings

Advisors: Selection, Evaluation and Management a) Broker/Consultant Experience b) Managing Brokers/Consultants c) Responsibilities, Functions and Roles

Communications a) Identifying Stakeholders b) Communications planning c) Stakeholder education

Management Responsibility and Structure a) Insurance committee b) Cabinet c) Board / Commission

Financial a) Reserve management b) Asset management c) Stop Loss / Reporting

Product Integration

Legislative Awareness and Communications

Wellness/Health Promotion

Networks

Reference Article in MSBA's May-June 2012 JOURNAL, page 22-23: http://issuu.com/msbajournal/docs/may2012journal "Making A Change: Selecting A Self-Funded Healthcare Plan"

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