February 18, 2020 Joint Board/Superintendent's Insurance Advisory Committee Workshop

Educational Services Facility
12:00 p.m.

The School Board of Brevard County, Florida for a Joint Board/SIAC meeting on  February 18, 2020, at the Educational Services Facility, 2700 Judge Fran Jamieson Way, Viera, Florida. Notice of the meeting was advertised in the Florida Today newspaper on Thursday, February 13, 2020.  The affidavit of publication with a copy of the ad attached is filed in the Affidavit File in the Board Office.

Opening Exercises
1. Opening Exercises

Chairman Belford opened the meeting at: 12:00 p.m.

Roll Call
2. Roll Call

Board Members Present:  Misty Belford, Cheryl McDougall, Tina Descovich, Matt Susin and Katye Campbell.

Pledge of Allegiance
3. Pledge of Allegiance

Chairman Belford led the Pledge of Allegiance.

Order of Business
Order of Business
4. Agenda (Joint/SIAC) Meeting
2019-20 SIAC PowerPoint Deck for Tuesday 2-18-2020 - Final.pdf
SIAC Minutes - 1-22-2020.pdf
SIAC AGENDA - 2-18-2020.pdf

Chairman Belford turned the meeting over to Mark Langdorf, director of Risk Management who then followed the published agenda.  Mr. Langdorf, began by asking for everyone around the table to introduce themselves.  Seated were SIAC members along with ancillary guests and staff members.  Superintendent Dr. Mark Mullins introduced Cindy Lesinski, the District's new Chief Financial Officer.  


Mr. Langdorf asked for the SIAC committee members to approve the January 22, 2020 SIAC committee meeting minutes.  A motion was made by Amy Williams to approve as submitted with a second by Sheila Gaylor.  The motion passed unanimously.


Jonathon Anderson of AON provided a historical and current overview which included a summary of recent plan management initiatives.  Mr. Anthony Colucci, SIAC committee member who represents Brevard Federation of Teachers (BFT) stated that we need to decide what "solving" the problem means (short or long term). Mr. Susin expressed that there was a lot of information to cover and asked how everyone felt about extending the time.  Ms. McDougall was hopeful to scale back the presentation.  Mr. Susin preferred to extend the time. Ms. Belford felt that it would be most prudent to stay on track as it may be impossible for all present to stay beyond 3:00 p.m.  Mr. Langdorf asked for Cigna and Marathon representatives to adhere to their timelines and reduce when possible.


During and after each presentation, Board members and SIAC members engaged in extensive questions and discussions. Board members had questions about actual savings by having the health clinics and also how the clinics are being utilized.   There were several questions about speciality drugs and what percent of specialty drugs are now generic and which generics are we not utilizing.

In regards to the Marathon health care clinics, questions arose about the viability of these clinics and of the clinic locations.  Do they serve the District's needs?  Do they provide a cost savings? Are we better off going back with preferred urgent care centers?  Mr. Colucci stated that currently the locations of the clinics inhibit access to all employees across the District. 


Dr. Mullins stated that he would like to work with Mr. Langdorf to look at a more in-depth utilization analysis of health care centers and what is the deferred cost savings to the employee and to the employer as well as what the capacity is currently.  We have to understand our current capacity before we expand capacity. What is the projected cost savings again with enhanced preventative care.  He would like a lot more information and data from Aon/Marathon. We have to know exactly what our savings is for this model before we look at other options.

Mr. Susin asked how much the urgent cares are currently being utilized. He wants to know if we are still using the urgent cares even though the Maraton Health Clinics have been introduced. He also asked if we have a list of all of the procedures and the numbers behind those procedures at the health care centers.  Mr. Demers told him there is a report that is provided every month called the CAP. 


Mr. Susin asked Mr. Langdorf if there was a way to get numbers on how many times people were using the urgent cares to determine if there would be enough use to justify placing health care centers in other areas.


Solutions may be employee cost increases, multiple plans and/or tiered approaches. Extensive dialogue continued.


Ms. Belford suggested to Board members to reach out to Dr. Mullins for any additional information he or she feels they need.  She suggested that SIAC members reach out to Mr. Langdorf.


Cigna wants to bring back several options for Board consideration.


Consideration of Mr. Susin's request to tentatively come back in April for further discussion will be given.


Closing Remarks
5. Closing Remarks
6. Adjournment

Chairman Belford adjourned the meeting at: 3:10 p.m.

For further details about this meeting, please visit the School Board website at www.brevardschools.org.

Chairman: _________________________________________________________ Secretary: _________________________________________________________
Agenda Plus