paradise valley unified school district november 1, 2012

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Paradise Valley Unified School District November 1, 2012

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Paradise Valley Unified School District November 1, 2012. Discussion Points. Background/Overview Review of Financial Statements Executive Summary of VSIT/VSWCP Annual Report (handout) Services Data (handout). 2. Background/Overview - PowerPoint PPT Presentation

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Page 1: Paradise Valley Unified School District November 1, 2012

Paradise Valley Unified School DistrictNovember 1, 2012

Page 2: Paradise Valley Unified School District November 1, 2012

Discussion Points

Background/Overview

Review of Financial Statements

Executive Summary of VSIT/VSWCP Annual Report (handout)

Services Data (handout)

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Page 3: Paradise Valley Unified School District November 1, 2012

Background/OverviewHow are Insurance Services and Products Acquired?

Two Methods for Acquiring Insurance

Individual school district procurement

Join insurance pool and have pool acquire on your behalf

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Page 4: Paradise Valley Unified School District November 1, 2012

Background/Overview Overview of Individual School District Procurement

Issue Request For Proposal (“RFP”) for consultant services

Hire an Employee Benefits Consultant

Put out RFP for providers

Review proposals and evaluate

Committee review

Best and Final negotiations

Award contract

3+ months to do

Perform above at least every 5 years or when a change of vendors is needed

During 5 year award negotiate renewals with only current vendors

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Page 5: Paradise Valley Unified School District November 1, 2012

Background/OverviewOverview of Pool (Valley Schools) Procurement Process

Solicit proposals from providers

Receive and evaluate proposals

Award contract

Perform the above at least each year

3+ weeks to do (more of less if necessary)

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Page 6: Paradise Valley Unified School District November 1, 2012

Background/OverviewPool Advantages

Lower administrative costs for acquisition

Reduce administrative work on appeals, claims, documents, legal, vendor management, committee work, etc.

Vendor other than current vendor can be negotiated with during annual rate renewals (continuous Best and Final)

More negotiating power due to aggregation of members

Eliminates formal bid protests and unintended bid rejections

Able to enter into longer term relationship

Investment Advantages

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Page 7: Paradise Valley Unified School District November 1, 2012

Background/OverviewHow is Valley Schools different from other Pools/Trusts in Arizona?

Surplus Reserves can be used to offset contribution increases, wellness program costs, or any other employee benefit or insurance related expense

Autonomy of plan design for all Employee Benefits (i.e. health, dental, life, etc.)

Portion of rate for fixed expenses broken out from medical/pharmacy claims expense

More transparency of management/administration operations

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Page 8: Paradise Valley Unified School District November 1, 2012

Background/OverviewValley Schools Formation and Governance

The Valley Schools Insurance Trust (“VSIT”), Valley Schools Workers’ Compensation Pool (“VSWCP”) and Valley Schools Employee Benefits Trust (“VSEBT”) are public entity pools created by an Intergovernmental Agreement pursuant to A.R.S. §11-952.01

The Valley Schools Management Group (“VSMG”) was formed by an Intergovernmental Agreement pursuant to A.R.S. §11-952

Annual audit by Certified Public Accountant

Monthly/Quarterly financial statements prepared by independent Certified Public Accounting firm

Oversight and regular periodic examinations by the Arizona Department of Insurance

Governing/Management structure

Assets

Twenty-three public entity pools in Arizona

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Page 9: Paradise Valley Unified School District November 1, 2012

Background/OverviewValley Schools Operations

VSMG fixed management fee is charged to VSIT, VSWCP and VSEBT

Management fee allocated to VSIT/VSWCP/VSEBT members

VSIT closed to new members; VSWCP and VSEBT open to new members

VSEBT is the largest of the eight employee benefits public entity pools in Arizona

VSEBT average annual growth:

25% in ADM 57% in members 22% in covered lives

VSEBT serves about 25% of all public school district employees

VSEBT had 100% retention this year

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Page 10: Paradise Valley Unified School District November 1, 2012

Background/Overview

How does a school district assure itself on an ongoing basis it is getting the best deal?

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Page 11: Paradise Valley Unified School District November 1, 2012

Background/OverviewVSEBT Contribution (Premium) Breakdown

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Page 12: Paradise Valley Unified School District November 1, 2012

Fixed Expenses Medical Claims Administration (TPA) Network Usage Prescription Drug Administration Stop Loss Coverage EAP/Managed Care COBRA Services

Background/OverviewWhat are fixed expenses?

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Page 13: Paradise Valley Unified School District November 1, 2012

Compare like programs to accurately

evaluate fixed expenses

Self-Insured School Districts UnitedHealthcare

Background/OverviewHow do you compare fixed expenses?

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Page 14: Paradise Valley Unified School District November 1, 2012

District 1 & 2 Average (PEPM) $ 54.32

PVUSD Rate (PEPM) $ 46.42

PEPM Difference $ 7.90

PVUSD Employee Count X 2,811

Total savings on Fixed Expenses $ 266,483

Interest earnings $ 380,134

TOTAL $ 646,617

The above rate include claims administration, network usage, stop loss coverage, EAP/managed care, COBRA administrationThe above PEPM rates have not been adjusted for differences in stop loss levels or all contractual termsThe above do not include dental, vision and life insurance savingsThe above information was obtained through Public Records Requests

Background/OverviewFY 2011/12 VSEBT Fixed Expense Comparison/Annual Savings

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Page 15: Paradise Valley Unified School District November 1, 2012

Review of Financial Statements

Valley Schools Insurance TrustValley Schools Workers’ Compensation PoolValley Schools Employee Benefits TrustValley Schools Management Group

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Page 16: Paradise Valley Unified School District November 1, 2012

VSIT Financial Statements

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Page 17: Paradise Valley Unified School District November 1, 2012

VSWCP Financial Statements

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Page 18: Paradise Valley Unified School District November 1, 2012

VSEBT Financial Statements

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Page 19: Paradise Valley Unified School District November 1, 2012

VSMG Financial Statements

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