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Southwestern Ohio Educational Purchasing Council epc-online

Southwestern Ohio Educational Purchasing Council www.epc-online.org. Barbara Coriell CEBS EPC Benefit Plan Administrator 3/2/2010. EPC Overview. Council of governments – organized in1968 Covering 18 counties in SW OH with 126 member districts & schools

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Southwestern Ohio Educational Purchasing Council epc-online

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  1. Southwestern Ohio EducationalPurchasing Councilwww.epc-online.org Barbara Coriell CEBS EPC Benefit Plan Administrator 3/2/2010

  2. EPC Overview • Council of governments – organized in1968 • Covering 18 counties in SW OH with 126 member districts & schools • 18 commodity areas including food, paper, lights, busses, natural gas, classroom supplies, property & liability insurance • Workers Comp Group Rating sponsor • Employee Benefits pool covering 54 districts for Life, Medical, Dental & Vision

  3. EPC Benefit Plans • 4 self funded pools: • Anthem 33 districts, 4710 ees, 12,330 members, $49,900,000 / yr • UHC 22 districts, 4850 ees, 12,690 members, $53,500,000 / yr • Delta Dental 43 districts, 8,050 ees, 22,400 mem. $6,100,000 • VSP Vision 28 districts, 1,670 ees, 4600 mem. $296,000 / yr • Life Insurance Sun Life 33 districts, 7830 ees, $42,800,000 volume

  4. Benefit Plan Stats

  5. Dependent Eligibility Audit • Step 1 – Affidavit Audit • 4 Goals – Correct data on enrollment system, collect dependent SS#s for Medicare, collect phone numbers for Disease Management + clean out those dependents who don’t belong • Ees instructed to review online enrollment info, fill in dependent SS#s, phone #s & correct address • Download affidavit form, complete & submit • EPC cost: minimal • Estimated savings: Dental reduction in members per EE equates to estimated cost reduction of $190,000 / yr.

  6. Dependent Audit • Step 2 – Aon Document Audit • Targeted / random audit of 1/3rd of group • Full documents required: Birth certificates, marriage certificates & most recent tax return listing dependents with SS# & income data blacked out. • Handled by Aon’s Dependent Audit unit • Process: • Initial letters mailed 12/1, response due by 12/31 • 2nd letter mailed 1/15 with email to district with names, due 2/12 • Final email to districts 2/16 – Aon closes phone center 2/19 • Last chance to submit 2/26 • Non compliant: Dependents will be terminated • Cost:$80,000 (Quote for full audit was over $160,000)

  7. Shaping Your Future: Disease Management & Wellness Anthem Districts: Alere UHC Districts: UHC & Optum

  8. Alere DM • Conditions covered: • EPC specific website with Health Risk Assessment • Nurse24 Nurse phone access • Phone based counseling services

  9. Program Promotion

  10. EPC Wellness • Flu shots at work – EPC covers $15 per shot for all employees • Wellness web portals w/ Alere & UHC including Health Risk Assessment • Health Coaching • EPC funded incentives • $25 gas card for HRA completion within open window • Cover up to $25 per person for biometric screenings • District wellness incentive $s • $300 + $5 per covered employee to be used for wellness related items: pedometers, T shirts, water bottles etc.

  11. Wellness Promotion

  12. Shaping Your Future Newsletter

  13. Bottom line: What Does It Cost?

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