DAS General Services Building
1225 Ferry St SE, Ste B, Salem
 
PEBB Public Meeting Minutes
Tues., Nov. 20, 2012; 10:30 a.m.-12:00 noon
 
                                                                                                                         APPROVED20121218
NOTE:  Time codes for the audio stream (xx:xx) are provided at the beginning of each section and at each action taken by the Board. Please refer to the audio recording of this meeting for additional details. Agenda items may be heard out of order.
 
Click here to view the meeting video and to download the meeting agenda and handouts.
 
PEBB Board Members
Sean Kolmer, Chair
Peter Callero
Sen. Betsy Johnson, ex officio (absent)
Tom Jovick (excused)
Rep. Tina Kotek, ex officio (absent)
 
Diane Lovell, Vice Chair
Paul McKenna
Mitch Morrow
Rich Peppers
Jeanene Smith
PEBB Staff
Joan Kapowich
Bobbie Barott
Kathy Loretz
 
Chérie Taylor
Guests
Megan Myrick, Willamette Dental
Vicki Palmer, PEBB Member
Cynthia Platonov, ODS
David Scearce, The Standard
Cash Singleton, Providence
 
Diane Skutack, Benefit Help Solutions
Marc Strickland, Regence
Sophary Sturdevant, Kaiser
Tom Syltebo, Kaiser
Deborah Tremblay, OJD
Consultants
Mikel Gray, Mercer (by phone)
 
 
Agenda
Welcome/Administrator Update/Approval
            of Minutes
Financial Report
Open Enrollment Update
Agenda-Specific Public Comment
 
Appeals
Flexible Spending Account Admin Fee
2013 Plan Design Changes
General Public Comment
 
 
 
VIDEO STREAM: 00:00/2:11:27
1.
Welcome (info)
Chair Kolmer called the meeting to order and welcomed members and attendees.
 
Approval of Minutes (discussion/action: Bdatts. 1/1A/1B)
Action: Peter Callero moved to approve the Board’s July 17, Aug. 10 and Oct. 22, 2012, meeting minutes. His motion was seconded by Rich Peppers and the Board passed it unanimously.
 
Administrator Update (info)
Administrator Kapowich reviewed open enrollment data and the regional meeting outcomes, and discussed recent interviewing activity by PEBB for its Director of Operations position.
 
 
0:00:01
 
 
 
 
 
0:00:41
 
 
0:00:49
2.
Financial Report (info/discussion: Bdatts.2/2A)
Deputy Administrator Loretz answered Board member questions regarding PEBB’s year-to-date financial report.
 
 
0:18:44
3.
Open Enrollment Update (info/discussion: Bdatt.3)
Deputy Administrator Loretz presented preliminary data regarding open enrollment statistics to the Board for discussion. A more complete report, with recommended improvements, will be brought back to the Board after internal discussions among Board Leadership, PEBB staff and its vendors.
 
 
0:35:05
 
Public Comment Specific to Agenda Items (info/discuss)
No oral public comment was requested.
 
 
0:45:29
4.
Appeals (info/action: Bdatt. 4)
Plan Design Manager Barott reviewed member appeals for the Board’s action.
 
Action:
Appeal 1: Mitch Morrow moved to accept staff’s recommendation, denying this appeal for a refund of member-paid HEM surcharges. Diane Lovell seconded the motion, which the Board passed, by roll-call vote, 5-1.
Appeal 2: Rich Peppers moved to accept staff’s recommendation to deny this appeal for a refund of member-paid HEM surcharges. The motion was seconded by Mitch Morrow and the Board unanimously passed it, by roll-call vote, 6-0.
Appeal 3: Diane Lovell moved to accept staff’s recommendation to deny an appeal for a refund of member-paid HEM surcharges. Paul McKenna seconded the motion, which the Board passed unanimously, by roll-call vote, 4-2.
 
 
0:45:40
 
 
 
 
 
1:04:53
 
 
 
1:09:40
 
 
 
1:21:45
 
Return from brief recess
[NOTE: Due to audio difficulty, there is a brief lapse in sound.]
1:28:30
5.
Flexible Spending Account (FSA) Administration Fee (info/discussion: Bdatt.5)
Administrator Kapowich discussed the FSA Administrative Fee payment, currently paid by agencies.
 
Action: Rich Peppers moved to accept staff’s recommendation to adopt staff’s plan to meet with affected parties to study best practices for increasing FSA member participation, as well as applying 2012 forfeitures to fund gap between FICA savings and administrative costs, with any remaining balance staying with PEBB’s stabilization fund. Diane Lovell seconded his motion, which the Board passed, by roll-call vote, 6-0.
 
 
 
1:28:44
 
 
 
 
 
 
 
1:42:09
 
6.
2013 Plan Design Changes (info/discussion/action: Bdatts.6/6A/6B/6C)
Administrator Kapowich discussed possible changes to the 2013 plan design for the Board’s action.
 
Action: Peter Callero moved to accept part 1. of staff’s recommendation to modify 2013 plan design allowing members’ in-network substance abuse benefits to become barrier-free (no member-paid deductibles or copayments of coinsurance). Mitch Morrow seconded the motion, which the Board passed unanimously, by roll-call vote, 6-0.
 
Peter Callero moved to accept part 2. of staff’s recommendation to modify 2013 plan design; specifically, the Providence Health Plans value drug tier (no member-paid deductibles or copayments of coinsurance). Paul McKenna seconded the motion, which the Board passed unanimously, by roll-call vote, 6-0.
 
NOTE: Parts 3. and 4.* of staff’s recommendation were held over, pending further research of issues by staff.
 
*Provision to the Board of a plan for initiation of and reimbursement for wellness visits during 2013 plan year, and, review of Health Evidence Review Commission’s guidance on benefits for future consideration for the additional cost tier and/or exclusion list to offset the additional costs of these plan design changes, respectively.
 
 
1:42:26
 
 
 
 
 
 
2:03:51
 
 
 
 
 
2:07:12
 
2:07:30
 
 
 
General Public Comment (info/discuss)
No oral public comment was requested.
 
 
2:11:16
 
ADJOURN
2:11:25