04-17-2012 School Board Insurance Workshop


The School Board of Brevard County, Florida met for a workshop relating to Insurance on Tuesday, April 17, 2012, at the Educational Services Facility, 2700 Judge Fran Jamieson Way, Viera, Florida. Notice of the meeting was advertised in The Eagle newspaper on Thursday, April 12, 2012. 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

Minutes: Chairman Dr. Barbara Murray called the School Board Insurance Workshop to order at 9:03 a.m.

Roll Call
2. Roll Call

Minutes: Members Present: Dr. Michael Krupp, Dr. Barbara Murray, Amy Kneessy, Karen Henderson, Andy Ziegler

Pledge of Allegiance
3. Pledge of Allegiance


Chairman Dr. Barbara Murray led the Pledge of Allegiance.

Order of Business
4. Order of Business
Attachment: Board Workshop 4-17-12 PP Final 3.pdf

Chairman Dr. Barbara Murray turned the workshop over to Susan Standley, Director of Compensation & Benefits, who introduced the following participants of the workshop:

Willis of Florida representatives: Michael R. Meredith, Executive Vice President; Sue Wiesing, Assistant Vice President; and other personnel that were seated in the audience.

Cigna Health care representatives: Brian McNeil, Senior Client Manager and Brett Schneider, Clinical Registered Pharmacist. 

Brevard Public School employee:  Karen Maltese, Supervisor General Accounting for Compensation & Benefits.


Ms. Standley also took the opportunity to thank Kathy Estrada, Secretary to Compensation & Benefits, and Jacqueline Joy, Administrative Assistant to the School Board, for setting up the meeting.


Ms. Standley gave a presentation on the vision and strategy for Brevard Public Schools (BPS)employee benefits, the importance of Integration and a brief history of the BPS Self-Funded Health Care Plan.  She turned the meeting over to Michael Meredith who expanded on the information as to "Why do Employers Self Fund?" and the Pharmacy Benefit Manager (PBM).


Ms. Standley and Mr. Meredith answered several of the questions from the Board Members as it relates to Health Care Plans and Pharmacy Benefits Manager. 


Mr. Schneider commented the down side of customers going to different pharmacies to receive savings on their medications.  He mentioned the biggest concern is that the pharmacist within the network cannot see the global picture of all the medications that a customer has been prescribed to know if there are any interactions amongst the prescribed medications.  Ms. Kneessy suggested having a class of medications with no co-pay, that are typically free at other places, to keep things from going off the grid.


Ms. Standley covered the scope of services of having a third party administrator as well as the selection considerations. Discussion ensued about auditing claims and the pros and cons of an indepth audit.


Ms. Standley wrapped up the meeting by going over the following key features we will be faced with in the future:

  • Insufficient ongoing revenue
  • Increasing heath care costs
  • The cost of federal health care reform
  • Aging Membership

Ms. Henderson commented that the presentation was very informative and gave some feedback on how some of the employees have reacted in regard to the preferred health centers.  She stated the employees are finding the clinics very helpful, quick, and cost effective.  Ms. Standley mentioned that the Compensation and Benefits Department has been receiving positive feedback from the employees and the providers.  She mentioned that we will be starting with a data analysis this month (April 2012).  Ms. Standley said that she would be doing a board update on the data analysis of the preferred health care clinics.

Ms. Kneessy thanked Ms. Standley and her staff for the comprehensive presentation. 

Mr. Ziegler noted the content of the presentation was excellent and went on to explain what he has been doing to get a better understanding of the complexities of the health care industry.  Mr. Ziegler felt as though the facility based concept is the key to cost containment and asked Ms. Standley for her thoughts.  Ms. Standley stated there are some things we are currently doing but due to the shortage of time of this meeting, will not be able to explain indepth.  She mentioned that Cigna, as our partner, is so committed they are completely funded a health coach to work with Lana Saal, Wellness Manager.

Mr. Ziegler stated that many people have mentioned to him that we will never accomplish what we need to with wellness and education unless we have our own health care centers.

Chairman Dr. Murray thanked Ms. Standley, Mr. Meredith, Mr. McNeil, Ms. Wiesing and Mr. Schneider for providing the Board with this information.  She stated that she will work with Dr. Binggeli and Ms. Standley to do a follow-up in the future.  Chairman Dr. Murray mentioned to the Board the importance of giving Ms. Standley direction as a Board and not a single Board Members idea they wish to push through.  She mentioned that the Board, on several occasions, has given the directive that we do not want to get into the business of owning our own health care centers. 

Closing Remarks
5. Closing Remarks


Chairman Dr. Barbara Murray had a few talking points to discuss with the Board. The following are cliff hangers which need to be discussed at the next meeting:

  1. Marketing and Advertising Policy - Dr. Murray stated that Harold Bistline, School Board Attorney, has the policy drawn up. She requested Dr. Binggeli have the Marketing and Advertising Policy placed on the Information Agenda of the School Board meeting of April 24, 2012.
  2. Dr. Murray stated that Board Members need to give some thought to the BPS TV Studio space.  She mentioned that there is funding for a new studio through cost savings of digitizing rather than using video.
  3. Dr. Murray stated that if we are able to move the studio, then that answers how we will get space back for a board conference room.
  4. Ms. Kneessy has requested moving the August 14, 2012 School Board meeting to an afternoon time since it is the day of the Primary Elections.
  5. Dr. Murray mentioned that a date has been set for a Budget Workshop on May 15, 2012 at 1:00 p.m.  She requested the Board check their calendars to see if that date works with them.
  6. Dr. Murray stated that Ms. Henderson's daughter made it to nationals for spring board diving.  Dr. Murray congratulated her for that and requested that staff be cognizant of scheduling workshops during that time frame so the Ms. Henderson can attend the competition.

Mr. Ziegler commented that he deels that health care centers are not a dead issue until we analyze data that proves that it will or won't work.  Chairman Dr. Barbara Murray stated that his point is taken but it will be a open or closed issue as the Board wishes as a whole.

6. Adjournment


Chairman Dr. Barbara Murray adjourned the School Board Insurance Workshop at 11:16 a.m.