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Association of Metropolitan School Districts

Association of Metropolitan School Districts. C O R P O R A T E H E A L T H S Y S T E M S , I N C. Statewide Health Insurance Plan (SHIP) bill. April 17,2009. Purpose. To share information to help you take an informed position on the SHIP bill.

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Association of Metropolitan School Districts

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  1. Association of Metropolitan School Districts

  2. C O R P O R A T E H E A L T H S Y S T E M S , I N C. Statewide Health Insurance Plan (SHIP) bill April 17,2009

  3. Purpose To share information to help you take an informed position on the SHIP bill.

  4. SHIP Bill =

  5. Bill Proposes – Subject to change • What • Requires membership in the Public • Employees Insurance Program (PEIP)

  6. What is PEIP? • Legislature 1990 • Coverages offered: Medical Dental Life Insurance • Medical plans: • 1. Advantage – Highest level of benefits • 2. Advantage Value – Mid level benefits • 3. Advantage HSA – Consumer driven model • Contractors: Blue Cross Blue Shield Health Partners Preferred One

  7. PEIP – other info • Number of members • Alexandria School District Why hasn’t PEIP been more successful? PEIP relationship to State Insurance Plan (SIP) Bill proposes using SIP’s provider networks

  8. Bill Language – Subject to change • What • Requires membership in the (PEIP) • Who All school district employees • Except: Self Insured School Districts Charter Schools • Who will govern? State Employee Insurance Committee (14 members) • When Jan 1, 2011

  9. Conversion Assessment • Organizational capacity Current membership to over 100,000 lives?

  10. Conversion Assessment • Organizational capacity • Benefits Comparison Insurance Consultant can do a written comparison

  11. Conversion Assessment • Organizational capacity • Benefits Comparison • Disruption = changing providers Insurance Consultant can do a written comparison

  12. Conversion Assessment • Organizational capacity • Benefits Comparison • Disruption • Premiums Underwriting • Experience Pool – PEIP separate pool for school districts Statewide? Regional?

  13. Conversion Assessment • Organizational capacity • Benefits Comparison • Disruption • Premiums Underwriting • Experience Pool – PEIP separate pool for school districts • Subsidy – buying of business School employees = higher claims - pharmaceuticals Study shows possible buying of school district accounts

  14. Conversion Assessment • Organizational capacity • Benefits Comparison • Disruption • Premiums Underwriting • Experience Pool – PEIP separate pool for school districts • Subsidy – buying of business • Reserves Will PEIP reserves be consolidated? Size of reserves?

  15. Conversion Assessment • Organizational capacity • Benefits Comparison • Disruption • Premiums • Negotiations Review your collective bargaining agreements

  16. Summary To share information to help you take an informed position on the SHIP bill. • Insurance consultant – benefits comparison and disruption report • Question – PEIP experience pool – Statewide or • Regional? Will PEIP reserves be consolidated? • Review your collective bargaining agreements

  17. C O R P O R A T E H E A L T H S Y S T E M S , I N C. Thank you End

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