Delaware County Public Schools Healthcare Trust
DCIU Board Update: Accomplishments
and the Work Ahead
September 3, 2014
Building On Success
Primary Trust Goals
q  Shared Governance q  Transition to a Self-­‐‑insured Funding approach
q  Manage Costs through effective claims management and wellness.
q  Streamline Plan Offerings
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The Pathway….
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Trust Structure
Delco Public Schools Healthcare Trust
Shared Governance
All Payments flow through Trust
All Participating Districts rated together based on 50%/50% formula
Trust will bill each Districts at Pre-­‐‑Determined Rates
Purchasing School Entities
Claim funds do not flow through Trust
Districts purchase discounted stop loss, administration and other services.
Claims paid by District as billed by IBC
Management
Labor
TRUSTEES
Structure And Functions
Executive CommiQees
Wellness
Plan Design
Financial
Contributions
Districts
Eligibility
Administration
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2013-­‐‑14 Accomplishments
Delco Healthcare Trust
Delco Healthcare Trust
11 school districts and DCIU saved over $12 million, approximately 14% in the first year of the Trust. In its first full year in operation, the Healthcare
Trust has accomplished the following:
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Established a shared governance and
management structure for carrying out
the work of the Trust
Entered into a purchasing agreement
with Garnet Valley School District.
Appointed auditors to perform year-end
Trust audit for a three-year term.
Extended the Stop/Loss coverage to
include prescription drug claim costs.
Approved renewal rate increases and
set premium rates for 2014-15.
Began work on reducing the number
and widening the scope of Plan Designs
Contracted with IBC for Disease
Management services
Approved the adoption of Board
Policies
Developed a coordinated Wellness
Program
Delaware County Public Schools Healthcare Trust
Moving Forward
Delco Healthcare Trust
HM vs. Sun Life
Specific Stop Loss: Effective July 1, 2014 Current Renewal Sun Life HM HM Sun Life Individual S pecific Deductible $250,000 $250,000 $250,000 Annual Maximum Lifetime Maximum Contract Basis (Incurred/Paid) $0 $0 $0 Unlimited Unlimited Unlimited 12/12 24/12 24/12 Medical & Rx Medical & Rx Medical & Rx $33.84 $51.62 $34.83 Total Annual Premium Annual $ Change from Current $2,707,741 $4,130,426 $2,786,957 N/A $1,422,684 $79,216 Annual % Change from Current N/A 52.5% 2.9% $0 $0 $120,024 $2,707,741 $4,130,426 $2,906,981 Annual $ Change from Current N/A $1,422,684 $199,240 Annual % Change from Current N/A 52.5% 7.4% Carrier Benefits Covered Monthly Composite Rate 6668 Annual IBC Reporting Fee Total Annual Premium + IBC Reporting Fee Timeline of Wellness Program
November/D ecember 2 014 :
- Launch Wellness Program with IBC Maintain Don’t Gain Challenge
- Continue education phase through meeting with Grassroots groups to
share activities and programs
Required Programs
•  Maintain Don’t Gain
•  Biometric Screenings
(Metabolic Package OR
Blood Pressure & Pulse)
•  National Walk at Lunch Day
Menu of Optional Programs
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Walking Works
Losers are Winners
Onsite/At Home Nutritionist
Fitness Classes
Stress Management
Classes
•  IBC Wellness Newsletter
ARTHUR J. GALLAGHER & CO. | BUSINESS WITHOUT BARRIERS™11
Proposed Plan Offerings
13 Proposed Plans with Employee Enrollment
21 1 (HMO 5)
The Plan Design
Committee is
proposing
collapsing the 30
plans into 13
plans.
137
177
113
280
322
Keystone HMO 5
Keystone HMO C1-F1
622
Keystone HMO C2-F2
Personal Choice C1-F1-O1
Personal Choice C2-F1-O1
286
Personal Choice C3-F1-O1
Personal Choice 15
Personal Choice 10/20/70
Personal Choice 20/30/70
These 13 plans
represent 70.5% of
the total enrolled
employees.
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339
10
2150
280
Keystone Direct POS C1-F1-O1
Keystone Direct POS C2-F2-O1
Keystone Direct POS C3-F2-O2
Keystone HMO D4-N2
Self-­‐‑Insured Trust
Proposal
Delaware County Public Schools Healthcare Trust Current ParticipaPng EnPties (Current 13 School Districts) Current Purchasing EnPty (GVSD) DE County Non-­‐School EnVty??? (EffecPve 1/01/15) ARTHUR J. GALLAGHER & CO. | BUSINESS WITHOUT BARRIERS™13
Questions?
Delco Healthcare Trust