Forum: Medical Insurance

1
Forum Medical Insurance

• May 5, 2004

2
Committee Tri-Chairs

• Dr. Linda Heitman, Assistant Professor,
  Department of Nursing
• Laura Stock, Director of Business Operations
• Alissa Vandeven, Assistant Director of Human
  Resources.

3
Committee Members

• Dr. Jim Ermatinger, Chairpersons Forum
• Dr. Ray Dowdy, Faculty Senate
• Tim Arbeiter, Professional Staff Council
• Julie Dement, Clerical-Technical-Service Staff
  Council
• Bev Cutsinger, Retiree Group
• Phil Brodeur, Human Resources Director 

4
Committee Charge

• Southeast Missouri State University believes the
  costs and efficiency of its health and pharmacy
  plan for employees and retirees needs to be
  reviewed and possibly restructured. Consequently,
  President Dobbins has created an Ad Hoc Committee
  for Medical Insurance to explore reasonable
  alternatives for our current health care coverage.

5
RFP Process

• Insurance consulting services were bid out and
  CBIZ, of Kansas City and St. Louis, was chosen to
  assist the University.

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Employee and Retiree Needs Survey

• RETIREES
• Age
• 75 were 65 years of age
• 22 between 55 64
• 3 between 40 54
• Gender
• 56 male
• 44 female

• EMPLOYEES
• Age
• 25 were between 20-39
• 47 were between 40-54
• 25 were between 55 64
• 2 were between 65 over
• Gender
• 39 male
• 61 female

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Priorities of Benefits

• 1. Medical Insurance
• 2. Dependent Medical Insurance

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Spousal Coverage

• RETIREES
• 38 have spousal coverage
• 54 do not have spousal coverage
• EMPLOYEES
• 30 have spousal/children coverage
• 70 do not have spousal/children coverage
• Of the the 70 who do not cover spouse/
  
  children, more than half would
  do so
  if possible

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Priorities of Coverage

• Retirees
• Current 80/20 Co-insurance
• Preventive Wellness Care
• Oral Surgery
• Catastrophic Coverage
• Less Prescription Benefits at a lower cost

• Employees
• Current 80/20 co-insurance
• Current regular Plan A
• Preventive Wellness care
• Visits/ER co-pay
• More prescription/ higher cost

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Priorities of Preventative Benefits

• Annual Benefits
• Mammograms
• Pap Smear Cytology
• PSA Blood Test
• Screening Colonoscopy
• Immunization
• Well Baby Visits

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Timeline of Events

• 1/07/04 Meeting with President  Charge to
  Committee
• 1/15/04 Tri-Chair Heitman met with Heather
  Brooks, Assistant City Manager, regarding City of
  Cape Girardeaus process of selecting health
  care consultants.
• 1/15/04 First committee meeting
• 1/27/04 RFP request for consultants issued

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Timeline of Events

• 2/10/04 Tri-Chairs attended Consumer Driven
  Health Plan presentation2/12/04RFP bids closed
• 3/04/04 Meeting with President Dobbins
• 3/04/04 Second committee meeting
• 3/05/04 CBIZ chosen as consultant
• 3/15/04 Meeting with President Dobbins, CBIZ
  representative, Dr. Ivy Locke, Phil Brodeur and
  Tri-Chairs
• 3/23/04 Health Benefits survey

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Timeline of Events

• 4/01/04 Third Committee meeting
• 4/02/04 Health Benefits survey closed
• 4/12/04 Meeting with President Dobbins
• 4/13/04 Meeting with President Dobbins
• 4/16/04 Proposed web site availability
• 5/05/04 Health Care Forum Glenn
• Auditorium, 12 noon

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Committee Website

• http//www4.semo.edu/humanresources/Benefits/
• Ad Hoc Committee on Medical Insurance
• Committee Charge and Membership
• CBIZ
• Medical Inflation Cost Trends
• Timeline of Events
• Frequently Asked Questions (FAQ)