ALASKA COMPREHENSIVE HEALTH INSURANCE …

1 011216 FINAL: 6/3/16 ALASKA COMPREHENSIVE HEALTH INSURANCE ASSOCIATION TELECONFERENCE MEETING OF THE BOARD OF DIRECTORS tuesday , January 12, 2016 3:00 Eastern, 2:00 Central, 12:00 noon Pacific, 11:00 ALASKA time Meeting Call to Order The teleconference meeting of the ALASKA COMPREHENSIVE HEALTH INSURANCE Association was called to order by Brian Angel, Chair, at 11:04 ALASKA time on tuesday , January 12, 2016. Board Members Present: Brian Angel, Chair AFLAC Shawn Pollock Mutual of Omaha INSURANCE Company Jason Gootee Moda HEALTH James Grazko Premera Blue Cross & Blue Shield of ALASKA Mona McAleese Public Advocate Sarah Bailey, Ex Officio ALASKA Department of INSURANCE Board Members Absent: Marilyn Kasmar Public Advocate Others Present.

2 Lori Wing-Heier, Director ALASKA Division of INSURANCE Cecil Bykerk, Executive Director Bykerk Consulting, LLC Debbie McCormick Benefit Management, Inc. Bernie Jamieson Benefit Management, Inc. Alan Kellogg HealthLinx, LLC Jennifer Halttunen Moda Peggy Onstott Onstott Consulting, Inc. Cindy Carl Recorder 1. Review Agenda (See Attached) There were no changes to the agenda, and it was adopted by unanimous consent. 2. Review Minutes Approval of Minutes of 9/28/15 and 12/21/15 Teleconference Meetings A.

3 9/28/15 Minutes B. 12/21/15 Minutes MOTION: By Mona to accept the minutes of 9/28/15 and 12/21/15. SECOND: By Jason PASSED UNANIMOUSLY 3. Executive Director Report & Comments Cecil Cecil said he had no report, but wanted to state in response to an earlier comment that, as expected, the number of high-risk pools still in business was dwindling. COMPREHENSIVE HEALTH INSURANCE ASSOCIATION MEETING MINUTES tuesday , January 12, 2016 Page 2 of 6 011216 FINAL: 6/3/16 4.

4 Report from Administrator Debbie/Bernie/Denise A. Operations and Financial Reports No Discussion Planned, Questions Only (See Attached) Debbie said there was nothing remarkable to report for any of the reports that had been provided to the Board for the period ending November 30, 2015. She said there had been no high claims, and the enrollment figures through November 2015 had remained steady. She said they had lost a couple of enrollees who had become Medicare-eligible, and the next opportunity to review the enrollment figures would be when BMI prepared the January reports to determine if any others had terminated and/or obtained other coverage.

5 Cecil added that there were 145 ACHIA enrollees at the end of November. There were no questions or discussion. 5. Review and Approval of Reinsurance Study RFP Jim, Jason and Cecil (See Attached) Cecil reported that a conference call was held with the consultants Jeff Yetman and Pete Pinot, Moda, and Premera, and he had talked with Jim and Jason a couple of times since that meeting. He said that Premera and Moda had worked together to draft the reinsurance study RFP that was distributed with the agenda and other documents for this meeting, and he had just received a few minutes ago the initial draft proposal from the consultants.

6 Cecil reminded the Board that they already had a contract with the consultants, and it did not need to be amended. He said that for the work they would be performing on the reinsurance study RFP project, they were proposing a blended hourly rate of $350/hr. He said they were estimating 40 to 80 hours of work on the project for an estimated total cost of between $14,000 and $28,000. Jason reported that there was a lot of back and forth between Cecil, Moda and Premera regarding the RFP, and he felt they had zoned in on where they wanted to be on the overall scope as well as some of the technical aspects.

7 Jim expanded on Cecil's comments and pointed out that this was a collaborative iterative effort. He said the RFP was basic, and he explained what they were trying to accomplish and what the deliverables would be. He said they had received good input from the carrier reps, Cecil, and Sheila Tallman, Premera's Director of Legislative Affairs. He said he had had a conference call with Sheila earlier this morning, and she had briefed him so he could update the Board at this meeting on the legislative technical fix, which Sheila said was in the works and would happen.

8 He said that at some point, it would be good to draft a letter indicating that ACHIA was willing to take on this project going forward, that the Board had the ability and expertise to undertake the project, and that they had experience running a similar program successfully in the past. He said this would reflect the Board's willingness, ability and past experience running the children's program and would help ensure that ACHIA would be able to get a sponsor for the proposed legislation.

9 Brian said that the Board had discussed this issue before, and he wanted to hear from them further regarding their willingness from the admin side to support the Department of INSURANCE and the State in terms of providing an administrative chassis to run this new program. In response to Brian, Debbie said she was comfortable saying that she felt she did have enough information to make that type of a representation to the legislature in terms of being able to facilitate and administer the program.

10 She said there was no issues on BMI's side. Director Wing-Heier said this was not a done deal. She said the Department of INSURANCE had not seen the draft bill yet, and she wouldn't go so far as to say the legislature or the administration was on board with it yet. She said she thought it would be an uphill battle to get it approved, and she suggested that COMPREHENSIVE HEALTH INSURANCE ASSOCIATION MEETING MINUTES tuesday , January 12, 2016 Page 3 of 6 011216 FINAL: 6/3/16 the scope of work be amended to include a cap because an open-ended assessment proposal would be scrutinized.