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Public Employees' Benefit Board Meeting Minutes
May 18, 2010
DAS General Services Building
1225 Ferry St SE, Ste B, Salem
Public Meeting Minutes
Tues., May 18, 2010; 10:30 a.m. – 3:00 p.m.
                                                                                                                                                     Approved 6/15/10
NOTE:  Time codes for the video stream (xx:xx:xx) are provided at the beginning of each section. Please refer to the recorded video stream of this meeting for additional details. Topics may be heard out of agenda order.
 
 
Board Members Present
Rich Peppers, Chair (via conf. call)
Peter Callero
Rocky King
Diane Lovell
Paul McKenna
Fariborz Pakseresht
Jeanene Smith
Barney Speight
PEBB Staff Present
Bobbie Barott
Chelsea Hollingsworth
Joan Kapowich
Kathy Loretz
Ingrid Norberg
Chérie Taylor
Guests Present
Jeff Akers, Kaiser
Donna Chastain, OSU
Thandi Clements, VSP
Randy Cline, Willamette Dental
Lisa Dietz, Optumhealth
Elizabeth Enberg, Kaiser
Keith Forrester, Kaiser
Kelley Freels, BAM
Kristina Herron, Providence
Shelia Jameson, Providence
Sally Kallianis, Willamette Dental
David O’Guinn, PEBB Member
Cynthia Platonov, ODS
Jean Poling, Kaiser
John C. Powell, John Powell & Assoc.
Ernie Pressman, UO
Joanne Scharer, The Lund Report
Cash Singleton, Providence
Diane Skutack, BHS
John Thom, BHS
Deborah Tremblay, OJD
Consultants Present
Mikel Gray, Mercer

Hans Leitzinger, Mercer
Agenda
[VIDEO STREAM: Screen 1]
Welcome and Approval of Minutes
Overview of Meeting and Updates
Providence Letter
PEBB Administrative Fee
Operations Subcommittee Report
CBA Petition Update
Public Comment
Information Request at April’s Meeting
[VIDEO STREAM: Screen 2]
Renewal Report / Proposed Rates / Design
Options
Follow-Up on Plan Design
Coverage of 24 – 26 Year Olds
Medical Homes
 
VIDEO STREAM: Screen 1 (00:00/01:22:07)
1.
Welcome and Approval of Minutes (info/discussion/actionBdattach.1)
Vice Chair Speight opened the meeting, announced that Chair Peppers was telephonically participating and called for a motion to approve minutes from the Board’s previous two meetings.
 
Action: Peter Callero moved to approve the Board’s April 20, and May 4, 2010 minutes. Jeanene Smith seconded and the minutes were approved unanimously by the Board.
 
 
 
 
 
00:35
 
Overview of Meeting and Updates
Administrator Joan Kapowich updated the Board on general topics of interest and reviewed the agenda.
 
 
00:55
2.
Providence Letter (info/action)
Administrator Joan Kapowich explained an offer from Providence Health Plans (PHP) to extend current contract terms through the end of 2012.
 
Action: Rocky King moved that, although PEBB is appreciative of Providence’s offer, given recent federal health reform, PEBB should take no action on PHP’s offer, continuing on its path toward releasing a 2011 medical RFP. Diane Lovell seconded Mr. King’s motion and the Board unanimously approved it.
 
 
 
 
 
05:44
3.
PEBB Administrative Fee (info/actionBdattach.2)
Wendy Edwards, Director of Operations, reported on PEBB’s Administrative and Communications Fees, recommending, as one-time reductions, that the administrative fee should be reduced from 0.6 percent to 0.4 percent and that the communications fee be eliminated for Plan Year 2011.
 
Action: Peter Callero moved to accept both of staff’s recommendations, which Diane Lovell seconded. The Board carried the motion unanimously.
 
 
 
 
 
 
 
28:43
4.
Operations Subcommittee Report (info/discussion: Bdattach.3)
Paul McKenna, Subcommittee Chair, updated the Board on the Subcommittee’s May 11, 2010 meeting.
 
 
29:38
5.
CBA Petition Update (info/discussion)
Paul McKenna, Board member, updated the Board on the status of the DAS/Union petition for payment of premium increases above 6 percent.
 
 
32:18
6.
Public Comment – None.
 
38:12
11.
Information Request at April’s Meeting (info/discussion: Bdattachs.7A/7B/7C)
Kathy Loretz, Deputy Administrator, presented the Board with additional information regarding the Council of Innovators (Bdattach.7A), PEBB’s weight management program (Bdattach.7B) and certain birth outcomes (Bdattach.7C) that it requested at its April 20, 2010 meeting.
 
 
40:25
 
Break
01:22:06
 
VIDEO STREAM: Screen 2 (00:00/02:44:20)
7.
Renewal Report/Proposed Rates/Design Options (info/discussion: Bdattachs. 4/4A)
Wendy Edwards, Director of Operations, and Kari Johnson, Mercer, summarized 2011 dental and vision renewals (Bdattach.4A) and staff/consultant recommendations for the Board.
 
Action: Rocky King moved to accept recommendations as outlined, excluding ODS’s bullet 4, pending receipt from the plan vendor of additional pricing data. Peter Callero seconded the motion, which the Board passed unanimously.
 
Wendy Edwards, Director of Operations, and Hans Leitzinger, Mercer, summarized 2011 medical renewals (Bdattach.4) and staff/consultant recommendations for the Board.
 
Action: Rocky King moved to accept staff/consultant’s Kaiser recommendations as outlined, excluding bullet 4, pending receipt of further evidentiary data supporting cost and administrative issues. Diane Lovell seconded the motion, which passed 7 for, 1 against.
 
Peter Callero moved to accept staff/consultant’s Providence recommendations as outlined, excluding bullet 3, pending receipt of further evidentiary data supporting cost and administrative issues. Diane Lovell seconded the motion, which passed 7 for, 1 against.
 
 
 
 
 
 
 
37:24
 
 
 
 
 
 
 
01:09:41
 
 
 
 
01:26:58
8.
Follow-Up on Plan Design Discussion (info/discussion: Bdattach.5)
Mikel Gray, Mercer, updated the Board regarding renewal increases and PEBB’s stabilization fund, and followed up on plan design options.
 
 
01:30:08
9.
Coverage of 24 – 26 Year Olds (info/discussion/actionBdattach.6)
Bobbie Barott, Plan Design Manager, explained the federal health reform requirement of PEBB to cover children up to age 26 beginning Jan. 1, 2011, including implementation options.
 
Action: Paul McKenna moved to accept staff’s recommendations and discuss what, if any, fiscal management adjustments need to be made to finance bullet 3. Peter Callero seconded the motion. Diane Lovell and Fariborz Pakseresht are opposed to bullet 3 because of the cost to implement it, both to the plan and to state agencies.
 
Paul McKenna amended his motion to accept staff’s recommendation bullets 1-5, minus 3. Peter Callero re-seconded. The amended motion was carried unanimously.
 
 
02:11:42
 
 
 
02:33:42
 
 
 
 
 
02:41:13
02:43:13
10.
Medical Homes (info/discussion)
Jeanene Smith, Board member, presented the Board with a DRAFT overview of Patient-Centered Primary Care Home Pilot Development, from the Oregon Health Policy Board’s April 13, 2010, meeting.
 
02:43:51
 
Adjourn
02:44:20