Approved Meeting Minutes

FRIC MINUTES
Friday, May 7, 2021
Zoom
11:30 – 1:00 pm


Members Present:
Nancy Davin, Minute Taker, Jon Garfinkel, Co-Chair, Dan Katz, Cathy Koebrick, John Laverty, Nicole Nisly, Cormac O’Sullivan, Anya Prince, Ben Rogers, Mike Schueller, Co-Chair, Angela Speers, Julie Urmie, Anand Vijh, Chuck Wieland

Admin. Liaisons:
Rebecca Olson, Joni Troester

Guests:
Audra Haddy, Megan Hammes, Cheryl Reardon, Richard Saunders, Julie Sexton, Dana Stafford, Jessica Wade, Kara Wright, Siroos Shirazi, Jill Valde, Cheri Smith, Heather Mineart, Jennifer Vermeer


  1. Introductions/Roll Call.  Complete.
  2. Approval of April meeting minutes. The motion was made by O’Sullivan and seconded by Laverty to approve the minutes. Approved unanimously.
  3. Digital Evaluation and Management (E&M) Coverage. Jennifer Vermeer presented on behalf of the UI Health Care team regarding a proposal for plan coverage of asynchronous medical management communications between the patient and provider via MyChart proposed to begin in January 2022.

  4. For coverage of digital E&M codes, medical care or decision-making must be provided, i.e., not a prescription refill request. Medicare has defined the terms regarding reimbursement. It is a lower-cost option in lieu of an in-person exam and Wellmark is not currently covering. The fee is less than in-person and is based on time.  This option is only available for established patients.  A $0 copay is proposed for the first-year pilot. If approved, it should not have an abundant financial impact on the plan.

  5. A motion was made by Nisly to recommend approval of coverage for digital evaluation and management code beginning January 2022 at $0 copay for a one-year pilot and seconded by Weiland. The motion passed unanimously with one abstention by Katz noted for conflict of interest. Benefits will report back 6-9 months into the pilot.

  6. COVID Updates. No cost-share for covid testing and related services to diagnose or detect covid 19 continues through the end of the national public health emergency. Members have zero cost-share for inpatient, in-network treatment of COVID-19 through June 30, 2021, with a chance of extension as there has been in the past.  Whether renewed or not, there will be communication to employees.

  7. Vaccination Plans. Supply is no longer an issue. On April 5, the Governor opened all Iowans’ eligibility. Fac/staff can receive vaccinations through the University Employee Health Clinic (UEHC) or from a local community provider. Over the summer, there will be conversations with UEHC and UIHC regarding how to incorporate any potential booster vaccine into our annual influenza campaign if feasible. Our healthcare plans cover the vaccines at no charge.

  8. Blue Cross/Blue Shield Class Action Lawsuit. There was a recent nationwide mailing from BC/BS discussing a settlement in a class-action lawsuit where the plaintiff alleged that the national offices violated anti-trust laws because they do not agree to compete amongst themselves. The mailing indicated that the recipient may be considered eligible. The UI General Counsel is discussing with the Board of Regent Office and the Iowa Attorney General to determine UI eligibility. The Attorney General has contacted BC/BS to seek clarification. If members wish to file a claim, they may.

  9. Other Updates

    1. The Quarterly Report for the period 1/1/21 - 3/31/21 was shared.

    2. The March Access Reports for Primary, Specialty, and Tertiary Care all revealed meeting or exceeding their targets except Specialty care at 78.88%, which will be monitored.

    3. Board of Regent Review. The review was approved to send to the presidents of the Regents institutions as part of the Consent Agenda at February 2021 meeting. Incoming president Barbara Wilson begins in July, after which there may be additional information for the committee on this issue.

  10. ​​​​​​​Initial discussion on Pharmacy Benefits
    The committee began its discussion of pharmacy benefits within the health insurance plans. Rebecca Olson provided an overview of current Rx benefit coverage for UIChoice and UISelect. Committee member, Julie Urmie, provided a summary of potential plan change options regarding specific drug coverage, and the overall structure of copay vs coinsurance of drug coverage. Discussion will continue in Fall 2021 regarding options presented, including impact to the plans overall and impact to plan members.

  11. New Business (AY 2021 - 2022)

    1. Farmland Investments

    2. Mental Health Coverage​​​​​​​


Next Meeting
September 3 and 10, 2021
Zoom Meeting

Funded Retirement and Insurance Committee (FRIC)

Meeting Minutes for April 2, 2021
Meeting was via Zoom

1130 AM


Members Present: Jon Garfinkel (co-chair), Michael Schueller (co-chair), Nancy Davin, Cathy Koebrick, John Laverty, Nicole Nisly, Cormac O’Sullivan, Anya Prince, Ben Rodgers, Angela Speers, Julie Urmie Anand Vijh, Chuck Wieland.

Administrative Liaisons: Joni Troester, Rebecca Olson

Guests: Audra Haddy,  Cheryl Reardon, Richard Saunders, Julie Sexton, Dana Stafford, Jessica Wade, Kara Wright, Mike Brownlee, Lisa Mascardo, Alex Mersch, Kevin Zihlman, Cheri Smith, Jill Valde, Mike Weaver

Members Absent: Dan Katz


  1. Introductions– Jon Garfinkel and Michael Schueller
    1. Completed for members and guests.

  1. Approval of March meeting minutes – Garfinkel and Schueller
    1. Motion to approve the minutes by John Laverty, second by Cathy Koebrick. The motion passed unanimously.

  1. Annual Specialty Pharmacy Presentation by Mike Brownlee, Lisa Mascardo, and Alex Mersch – UI Health Care Pharmaceutical Services
    1. Alex Mersch and Mike Brownlee gave a Powerpoint presentation on outcomes from the specialty drug partnership between UIHC and UI Benefits and answered questions about the program. High satisfaction with the specialty pharmacy services and good patient adherence were reported. The vast majority of UI Plan participants’ specialty drugs are filled at UIHC.

  1. COVID Updates – Troester/Olson
    1. Rebecca Olson provided an update on cost-sharing for COVID diagnosis and treatment.
      • ​​​​​​​​​​​​​​No member cost for COVID 19 testing & related services to diagnose or detect during the public health emergency.
      • No member cost for COVID 19 in-patient, in-network treatment was extended to June 30, 2021.
      • The university is preparing to begin vaccinating students and employees. The ReadySet survey for employees to indicate interest opens April 2 and UI starts the vaccination process for faculty and staff on April 5

  1. 2022 Plan Design Discussion – Olson/Troester
    1. Rebecca Olson presented data on member impact and peer comparisons related to the proposed change in level 1 copays. There was a discussion of the pros and cons of the proposed change.
      • Current coverage:  Apply one co-pay per date of service.
      • Proposed change:  Apply one co-pay per provider, per date of service.
      • Motion to approve the change by Nicole Nisly, second by Chuck Wieland. The motion passed with 12 members in favor and 1 member (O’Sullivan) opposed.

  1. Prioritization of May Agenda Items for Discussion - Garfinkel
    1. Three short presentations were given in order to prioritize a topic for discussion at the May 7, 2021 FRIC meeting.
      • Nicole Nisly presented on the issue of Farmland Investments in the retirement plan.
      • Julie Urmie presented on the issue of coinsurance in the pharmacy Benefits.
      • There was a pre-recorded video presentation from Dan Katz on the Mental Health Co-Pay Structure.
    2. A poll will be sent to FRIC members to have them select the topic they feel is the highest priority for presentation at the May meeting. The topics not selected for presentation at the May meeting will be discussed at a later meeting
      • ​​​​​​​Updated poll results (7) members prioritizing Pharmacy Benefits (5) member prioritizing mental health benefits and (1) member prioritizing Farmland investment for discussion at May 2021 meeting

Motion by Nicole Nisly to adjourn the meeting, second by Nancy Davin.  Motion passed and the meeting was adjourned at 1:00 p.m. 

Meeting minutes submitted by Julie Urmie


​​​​​​​Next Meeting

May 7, 2021

Zoom Meeting

Funded Retirement and Insurance Committee (FRIC)
Meeting Minutes

Via Zoom

March 5, 2021


  1. Role Call/Introductions
    1. Members Present:
      1. Jon Garfinkel*, Michael Schueller*, John Laverty, Nancy Davin, Anya Prince, Cathy Koebrick, Dan Katz, Nicole Nisly, Cormac O’Sullivan, Angela Speers, Julie Urmie, Chuck Wieland+, Anand Vijh
    2. Members Absent:
      1. Ben Rogers
    3. Administrative Staff Present:
      1. Joni Troester, Rebecca Olson
    4. Visitors Present:
      1. Cheri Smith, Megan Hammes, Audra Haddy, Cheryl Reardon, Richard Saunders, Dana Stafford, Jessica Wade, Kara Wright, Teresa Marshall, Dan Fick, Heather Mineart

  1. Approval of February meeting minutes – Garfinkel/Schueller 
    1. Motion to approve by Wieland; Second Davin. Unanimous approval.

  1. COVID Updates – Troester/Olson
    1. Health Plans
      1. No member cost for COVID 19 testing & related services to diagnose or detect during the public health emergency.
      2. No member cost for COVID 19 in-patient, in-network treatment has been extended to June 30, 2021.
    2. Vaccination Plans
      1. Still following IDPH guidelines for COVID 19 vaccinations.
      2. Faculty/staff eligible for vaccine based and age and/or medical condition priority system as administered through health provider.
      3. Vaccines may also be obtained through pharmacies based on IDPH guidelines.

  1. Retirement Plans – Troester/Garfinkel
    1. Update – New IRS guidelines regarding loan provisions and plan administration
      1. TIAA implemented new loan system to comply with new IRS guidelines.
      2. University converts to new system March 30.
      3. New limit on number of loans is 3.
      4. One time administration fees ($75-$125 processing fee and $25 annual fee).
      5. Current loans are grandfathered on existing loan system.
      6. Communication sent to plan participants in February.
    2. Update – 4/1, 5/1, and 7/1 Fund line-up changes
      1. Retirement Fund Investment Committee (RFIC) regularly reviews retirement funds available to UI employees and recommends the following:
        1. 4/1 - Freeze Invesco Oppenheimer Senior Floating Rate fund due to performance; map new contributions to most age appropriate fund within  Lifecycle funds for each participant
        2. 5/1 - Freeze Lazard Emerging Markets fund due to performance; map new contributions to TIAA-CREF Emerging Market Fund Index
        3. 7/1 - Freeze Templeton Global Bond fund due to performance; map new contributions to Western Asset Plus

    1. Update - Natural Disaster Distribution
      1. Federal government to allow participants to take a special natural disaster distribution of individual retirement plan monies.
      2. Participant must have suffered a financial loss in 2020 due to a natural disaster such as the derecho.
      3. UI employees must contact TIAA to determine eligibility and make a request for a distribution of their VRSP funds.
    2. Farmland Investments
      1. Discussion on topic will occur on March 9th during scheduled presentation at the Faculty Council meeting.  Update will be given to the FRIC members during the April meeting.

  1. 2022 Plan Design Discussion – Olson/Troester
    1. Hearing Aid Coverage
      1. Current coverage is 20% coinsurance with a $2,000 limit every 5 years.
      2. Proposed changed to applicable level of co-insurance with a $1,500 limit every 36 months.
      3. Motion to approve (Wieland) second (Garfinkel). Unanimous approval
    2. UI Choice Level 1 Co-pay
      1. Current coverage:  Apply one co-pay per date of service.
      2. Proposed change:  Apply one co-pay per provider, per date of service.
      3. Discussion on the pros and cons of the proposal.
      4. Additional information to be provided to the committee at April meeting. 

  1. Updates – Troester/Olson
    1. Access Reports
      1. Employee patient access reports shared with committee.
        1. Reviewed all measurable goals in each category, UIHC exceeded each category.
    2. Quarterly Metrics
      1. PowerPoint slide provided to the committee which included 4 quarters of 2020 costs and utilization for UIChoice and UISelect.
    3. Board of Regent Review
      1. Board of Regents consent agenda (hyperlink provided)
        1. Consent agenda was approved by BOR
        2. Updates will be provided as issues/resolutions arise.

  1. New Business
    1. April– Specialty Pharmacy Annual Presentation
    2. UIHC North Liberty Project – on hold


Next Meeting

April 2, 2021

Zoom Meeting

Funded Retirement and Insurance Committee (FRIC) Meeting

February 5, 2021, via zoom       


Members present: Jon Garfinkel*, Michael Schueller*, John Laverty+, Nancy Davin, Anya Prince, Dan Katz, Nicole Nisly, Cormac O’Sullivan, Ben Rogers, Angela Speers, Julie Urmie, Chuck Wieland, Anand Vijh

*Co-chairs; +Minutes

Members absent: Cathy Koebrick

Administrative staff present: Joni Troester, Rebecca Olson 

Visitors present: Megan Hammes, Audra Haddy, Cheryl Reardon, Richard Saunders, Julie Sexton, Dana Stafford, Jessica Wade, Kara Wright, Cheri, Smith, Siroos Shirazi, Jennifer Vermeer, Jody Felderman, Michelle Havinga, Teresa Marshall, Heather Mineart


  1. Roll Call/Introductions: Joni Troester completed roll call.
  2. Approval of December Meeting Minutes: A motion to approve the minutes was made by Nancy Davin, seconded by Chuck Wieland, approved unanimously.
  3. UIHC Population Health Presentation: Jennifer Vermeer and Michelle Havinga from UIHC presented to the committee. They explained what an Accountable Care Organization (ACO) is and common contract features. Specifics of the internal MOU UIHC/UI Benefits were discussed. It was noted there is an emphasis on quality first and then potential savings secondarily. Wellmark quality targets as defined by the “Value Index Scores” (VIS) were elaborated on as well as types of medical visits and tracking of those visits. UIHC’s key projects, including the Wellmark PCP Visit Project, ED Discharge Follow-Up Project, Population Health Provider Dashboard, and the Primary Care Provider Incentive Plan were explained. It was emphasized there is a several month lag in data reported for the ACO agreement due to claims run-out period and then data analysis. At the September 2021 meeting there will be a report of CY2020 outcomes for the ACO that includes attributed members from UI Choice and UI Select.

  1. Open Enrollment—Final Results: Rebecca Olson shared a table indicating some movement towards the UI Select plan (13%) vs. UI Choice (87%). There was movement in all family status categories to UI Select, but it was highest from the “Employee Only” status, accounting for about 80% of the overall migration. A discussion ensued of what trends may look like in the coming year which is hard to predict, although it was noted enrollment in the UI Select plan is approaching the original estimate when the plan was implemented.

  1. COVID Updates: The University health care plans have no cost-share for COVID testing and related services to diagnose or detect COVID-19. Coverage is in place during the public health emergency. There is no cost-share for in-patient, in-network treatment of COVID-19 through March 31, 2021 (which has been in place since last spring).

    Joni Troester co-chairs the UI Vaccination Distribution Group (VDG) with Dr. Dan Fick as part of the UI Critical Incident Management Team (CIMT). The VDG has developed an integrated campus plan and is currently working through the Iowa Department of Public Health (IDPH) guidance regarding priority of eligible populations based on UI employment categories. Staff in “critical roles” are being notified by their collegiate/division leaders; those 65 and older can show interest for receiving the vaccine via UIHC MyChart or working with another community provider. There has been advocacy for people working in higher education to be prioritized for the vaccine.

    The Johnson & Johnson 1-dose shot will greatly increase supply and accessibility once it’s approved. A question was asked about CIMT putting out a communication to campus about what Fall semester will look like; Cheryl Reardon replied it is too early to communicate those details right now.

  1. Retirement Plan Updates: Joni Troester explained recommendation from the RFIC that UI pursue pro rata fee leveling for retirement plan funds with TIAA as the recordkeeper. These funds include our 403B mandatory retirement accounts as well as the voluntary individual plans. These are asset-based fees charged as a percentage of the fund assets; the percentage is relatively small at 3bps (1 bps = 1/100 of 1%); the fee covers recordkeeping and tracking data within the funds; and those with similar account balances pay similar fees. There are life cycle funds right now that are not paying a fee which creates inequity. The tentative timeline includes further discussion in February and March 2021, with expected implementation during CY2021 with an effective date of 1/1/2022. A motion to support the RFIC fee-leveling recommendation from their January 4, 2021 meeting was made by Dan Katz and seconded by Chuck Wieland; approved unanimously.

  1. With the meeting time running out, Joni suggested we table the other items on the committee agenda (including additional retirement plan updates, 2022 plan design discussion, UIHC care patient access report update, and new business) until our next meeting in March; all agreed. Joni also noted there is a meeting with the Faculty Council and RFIC members on March 9 to further discuss the Farmland Investments. Dan Katz strongly suggested Liz Tovar as UI’s Chief Diversity Officer be included in that meeting.

  1. Adjournment: The meeting adjourned at 1:00 p.m. after a motion to do so was approved unanimously.


Recorder: John Laverty

Enrollment Management

Funded Retirement and Insurance Committee (FRIC) Minutes
December 4, 2020, 11:30 am – 1:00 pm
Conducted via Zoom


Members present: Jon Garfinkel*, Michael Schueller*, Nancy Davin, Dan Katz, Nicole Nisly, Anya Prince, Cormac O’Sullivan, Angela Speers, Anand Vijh +, Chuck Weiland

*Co-chairs; +Minutes

Members absent: Cathy Koebrick, John Laverty, Ben Rogers, Julie Urmie

Administrative liaisons present:  Rebecca Olson, Joni Troester

Visitors present: Teresa Marshall, Cheryl Reardon, Cheri Smith, Julie Sexton, Dana Stafford, Jessica Wade, Kara Wright, Megan Hammes, Siroos Shirazi


  1. Roll Call/Introductions: Joni Troester completed roll call.
  2. Approval of November Meeting Minutes: A motion to approve the minutes was made by Nancy Davin, seconded by Cormac O’Sullivan, approved unanimously.

  3. Open Enrollment Preliminary Results: Rebecca Olson informed the committee that approximately 11,000 UI employees completed benefits enrollment by the scheduled end date of November 13, 2020. Regarding health plans, approximately 12% of the enrolled employees chose UISelect and the rest chose UIChoice. A significantly higher number of employees chose UISelect plan compared to last year when it was first offered.  Final stats will be shared with FRIC in February.

  4. Board of Regents Review: The Board established an advisory group to identify possible administrative and academic collaborations and efficiencies across the Regent institutions. The Board had their first meeting on this topic in November 2020 and a second meeting is scheduled in February 2021. Some of the collaborations and efficiencies involve insurance benefits. Updates on the Board review will be shared with FRIC.

  5. Affordable Care Act Update: A court case currently filed with the Supreme Court questions the constitutionality of ACA in view of the repeal of individual mandate. The Supreme Court will release their decision in spring or early summer. The benefits department will monitor developments and inform FRIC periodically.

    The Supreme Court decision is not likely to impact the University health care plans. UI provides health insurance coverage to regular faculty and staff employees working at least 50% time which is more generous than ACA requirements.

  6. COVID Update: The University health care plans provide excellent coverage of COVID related health problems. There is no member cost for COVID testing during the national pandemic. There is no member cost share for in-patient, in-network treatment of COVID-related health problems through March 31, 2021. COVID vaccines will not require a cost share from members. In addition, through December 30, 2020, retirement plan participants may withdraw money from their retirement plan without a tax penalty if they have a COVID-related financial hardship.

    UI Hospitals are geared up for delivering COVID vaccine that they expect to receive. Iowa River Landing facility of UI Hospitals has purchased six super-cold freezers to store the vaccine. Cormac O’Sullivan informed the committee that both Pharmacy and Nursing students at UI are planning to help with delivering the vaccine.

  7. Farmland Investments: Faculty Council received a proposed resolution to divest from farmland investments held by TIAA. An initial conversation occurred during the November Faculty Council meeting. A follow-up discussion will occur in their January meeting where TIAA is scheduled to present on this topic. Jon Garfinkel, Cathy Zaharis and Joni Troester will attend the meeting and provide FRIC with an update.

  8. Other Updates: Joni Troester updated the committee on the timing of access reporting from UIHC and open questions concerning prior authorizations and return visits. Committee to expect access reporting and answers to open questions for February meeting.

  9. New Business: Joni Troester reviewed the status of new business items.  UIHC will provide the committee with an update on the North Liberty project in the spring. UIHC population Health will provide an update to the committee during our February meeting. Mike Brownlee and Lisa Mascardo from UIHC Specialty Pharmacy will provide an update of 2020 results during our April meeting. Joni also shared the committee will discuss plan design changes during the February meeting.

Adjournment: The meeting adjourned early after a motion to do so was approved unanimously.

Recorder: Anand M. Vijh

Tippie College of Business
Next Meeting: Feb. 5, 2021; 11:30am-1:00pm; via Zoom

Funded Retirement and Insurance Committee (FRIC) Minutes
November 6, 2020, 11:30 am – 1:00 pm
Conducted via Zoom


Members present: Jon Garfinkel*, Michael Schueller*, Nancy Davin, Dan Katz, Cathy Koebrick, John Laverty, Nicole Nisly+, Anya Prince, Cormac O’Sullivan, Ben Rogers, Angela Speers, Julie Urmie, Anand Vijh, Chuck Weiland

*Co-chairs; +Minutes

Members absent: none

Administrative liaisons present:  Rebecca Olson, Joni Troester

Guests:  Charles Anderson, Katherine Imborek, Susan Klatt, Teresa Marshall, Heather Mineart, Cheryl Reardon, Keri Semrau,  Cheri Smith, Sonia Slevinski, Julie Sexton, Dana Stafford, Jennifer Vermeer, Jessica Wade, Mike Weaver, Kara Wright


 

  1. Roll Call/Introductions. Joni Troester completed roll call.
  2. Approval of October meeting Minutes.  A motion to approve was made by Chuck Weiland, seconded by Nicole Nisly, approved unanimously.
  3. UIHC COVID-19 Response.  Jennifer Vermeer, Katherine Imborek, Keri Semrau presented an overview of UIHC’s response to the COVID-19 since the pandemic was announced in March. The committee agreed UIHC’s response to the pandemic is very impressive.
  4. Open Enrollment Update. Rebecca Olson provided an update on open enrollment which is currently underway. The virtual open enrollment is going very well. Final day for open enrollment is Friday, November 13th.  She will share preliminary results at the December FRIC meeting.  
  5. Benefits at Termination of Employment.  Rebecca Olson reviewed what occurs with insurance benefit coverage when faculty and staff leave employment at the university.
  6. UIHC Patient Access Reports.  Joni Troester presented UIHC patient access reporting thru September, 2020.  UIHC continues to meet goals in this area.   A question was posed by committee member regarding prior authorization requirement for UI Choice or UI Select members to schedule with a specialist.  No authorization is required.  Joni Troester to follow-up with Patient Access Center. Additional question posed by committee member regarding access for return visits.  Joni Troester to follow-up with UIHC to determine if this data is currently captured and could be shared with the committee.
  7. Quarterly Metrics. Rebecca Olson shared quarterly health plan stats thru 3rd quarter 2020. A side-by-side comparison of data from both plans (UI CHOICE and UI SELECT) was reviewed. Given the COVID-19 pandemic, there has been irregular utilization  which makes data analysis difficult to interpret.       
  8. New Business Topics. Joni Troester reviewed the status of three new business items.  UIHC North Liberty project was placed on hold due to COVID but should be resurrected in early 2021. We will have something to share with the committee in the spring. UIHC Population Health will provide update to the committee during our February meeting. Mike Brownlee and Lisa Mascardo from UIHC Specialty Pharmacy will provide an update of 2020 results during our April meeting.

Motion to adjourn by Michael Schuller, second by Cormac O’Sullivan; approved unanimously.

Funded Retirement and Insurance Committee (FRIC) Minutes
October 2, 2020, 11:30 am – 1:00 pm
Conducted via Zoom


Members present: Jon Garfinkel*, Michael Schueller*, Nancy Davin, Dan Katz, Cathy Koebrick, John Laverty, Nicole Nisly, Anya Prince, Cormac O’Sullivan, Ben Rogers+, Angela Speers, Julie Urmie, Anand Vijh, Chuck Weiland

*Co-chairs; +Minutes

Members absent: none

Administrative liaisons present:  Rebecca Olson, Joni Troester

Guests:  Dan Fick, Megan Hammes, Susan Klatt, Teresa Marshall, Cheryl Reardon, Richard Saunders, Cheri Smith, Julie Sexton, Jill Valde, Jessica Wade, Mike Weaver


  1. Introductions.  Michael Schueller introduced the members and guests present for today’s meeting. Joni Troester welcomed new committee member, Anya Prince, who replaced Brian Kaske.
  2. Approval of September meeting Minutes. A motion to approve was made by Chuck Weiland, seconded by Nicole Nisly, approved unanimously.
  3. COVID-19 Updates. Rebecca Olson shared that COVID 19 retirement plan loans which allowed increased loan limits expired September 22, 2020.
  4. Open Enrollment Plans. Rebecca Olson provided an update on Open Enrollment plans. Open Enrollment for 2021 benefits runs Oct 22 - Nov 13. This year is an expanded open enrollment period due to COVID-19. The enrollment will be fully virtual this year, including several online resources, including an interactive enrollment guide, daily live Q & A sessions, real world examples of costs under our health plans, and informational videos. Open Enrollment communication to campus started September 30th and will continue until the end of the Open Enrollment period. Rebecca fielded questions from the Committee. She confirmed a side-by-side comparison of health plans would be available for employees to use during the enrollment period.

    Committee members asked how flexible spending accounts (FSAs) work. Rebecca stated that the FSA funds in one’s account on December 31st must be used, otherwise they are forfeited. The list of eligible medical expenses has been expanded to cover certain over-the-counter items without a prescription. Both masks and face shields purchased during the COVID are considered eligible medical expenses on the health FSA.

    Committee member asked if our FSA plan allowed a "grace period" option of 2.5 months and the option to carry a small amount over to the next year. The UI does not administer the plan this way, as the administration of such a plan is challenging; no other discussions on this topic.

    In past years, open enrollment closed on a Sunday, but this year it is a Friday. The decision to close on Friday is due to an absence of staff in ITS and University Benefits over the weekend should the employee encounter a system problem. This year, the enrollment period was extended by one week to include a three-week time period.

    A question was raised regarding translation for employees for whom English is not their spoken language. If employees wish assistance translating our materials to their native language, University Benefits will secure a translator on campus.
  5. Retirement Plan: Fund Line-up change. Joni Troester communicated the recommendation from the Retirement Fund Investment Review Committee to eliminate Invesco Oppenheimer Senior Floating Rate Fund due to underperformance. Assets within this fund will be mapped to the most age appropriate fund with the Lifecycle target funds for each participant.
  6. CY2019 ACO Shared Savings Results. Joni Troester provided an update on the CY2019 ACO through UIHC. UIHC exceeded the Quality Indicator score, and received 30% of the annual savings attributed to the ACO (per the shared savings agreement). Total savings were $1.8 million for calendar year 2019 with $550k was transferred to UIHC. Discussion: There was request from the committee for more information about the ACO in general, and population health. Joni will follow-up with UIHC regarding a future presentation on this topic.
  7. UIHC Patient Access Report. Joni Troester presented patient access reports thru August, 2020. UIHC continues to meet goals in this area.   
  8. Financial Challenges in the Coming Months. Joni Troester indicated if there are any benefits related issues relative to institutional financial challenges there may be a need for a special meeting prior to November 6th.    
  9. New Business Topics. UIHC North Liberty project was put on hold due to COVID. UIHC will try to have something to share with the committee in Spring 2021. For the November FRIC meeting, UIHC will come to the meeting and discuss their COVID response.
  10. Final comments. Dan Katz shared he is concerned that there are people in our community that are losing their jobs. Could we extend our benefits after layoffs of University employees? This will be added to the agenda for November.   

Motion to adjourn by Jon Garfinkel, second by Michael Schueller.

Next Meeting:

Dec. 04, 2020

Zoom Meeting 11:30am - 1:00 pm

Funded Retirement and Insurance Committee (FRIC) Minutes
September 4 and 11, 2020, 11:30 am – 1:00 pm
Conducted via Zoom

September 4 Meeting Minutes


Members present: Jon Garfinkel*, Michael Schueller*, Nancy Davin+, Dan Katz, Cathy Koebrick, John Laverty, Cormac O’Sullivan, Ben Rogers, Angela Speers, Julie Urmie, Anand Vijh, Chuck Weiland

*Co-chairs; +Minutes

Members absent: Brian Kaskie, Nicole Nisly

Administrative liaisons present:  Rebecca Olson, Joni Troester

Guests:  Dan Fick, Megan Hammes, Susan Klatt, Teresa Marshall, Cheryl Reardon, Richard Saunders, Cheri Smith, Julie Sexton, Jill Valde, Jessica Wade, Mike Weaver, Kara Wright, Dana Stafford


  1. Introductions.  Jon Garfinkel  introduced everyone.
  2. Approval of May meeting Minutes. A motion to approve was made by Cormac O’Sullivan, seconded by Chuck Wieland, approved unanimously.
  3. COVID-19 Updates. This will be a standard agenda item for the foreseeable future. Rebecca Olson discussed the changes that were made to the health plans as discussed at our May FRIC meeting. There is $0 cost-share for COVID-19 testing and related services during the public health emergency, and $0 cost-share for in-network, inpatient COVID-19 treatment through December 31, 2020. As of September 1, we will revert to the standard health plan provisions for virtual visits and accidental dental benefits. UI Choice and Select plans provide coverage for virtual visits and will now be considered an office visit where a co-pay would apply unless seeking mental health services on UI Choice; $0 copay. Accidental dental benefits must be treated within 12 months from the injury. Finally, special mid-year health plan changes where IRS allowed COVID-19 exception for employees to add to or drop health insurance coverage ended August 31, 2020. When a COVID-19 vaccine is developed and distributed, it will be covered with no co-pay since it is part of the preventative plan.

    The IRS released clarification of COVID-19 related provisions which included expansion of “qualified individuals” definition giving members access to COVID 19 retirement fund distributions up to the lower of their plan balance or $100,000 with no penalty before December 31, 2020. COVID 19 retirement plan loan limits were increased to the lower of their plan balance or $100,000 and are available before September 23, 2020. A communication regarding this will be distributed.
  4. CY2021 Premium Rate Discussion
    1. Plan comparisons are listed on the website.
    2. Dental II Premiums. UI Benefits recommends 0% increase across all family statuses. 
    3. UI Choice. 
      1. Employee premium cost share for Employee and Dual Spouse Family is 10% for CY2021.
      2. Employee+Spouse and Employee+Child and Family status remain at an employee premium cost share of 20%.
    4. UI Select.
      1. Employee premium cost share for Employee and Dual Spouse Family statuses remains at 0%.
      2. Employee Spouse, Employee+Child and Family Statuses have a cost share of 20%.
      3. Joni Troester  reviewed the design features of the UI Select Health Plan.
  5. CY2021 Premium Rate Setting.
    1. Rate setting process discussed; assumptions and data used in rate setting shared.
    2. Proposed rates were presented with a 5% increase for both UI Choice and UI Select plans and across all family status. (less than CY2020 @ 10%)
  6. CY2021 Retiree Health Insurance Rates.
    1. Rate setting process discussed; assumptions and data used in rate setting shard.
    2. Proposed rate increase for Medicare Carve-out Retiree Health Plan is  8.9%. (slightly less than 10.6% for CY20)

  1. Motion to approve rates for CY2021. Following discussion and time for questions, a motion was made by Nancy Davin, which was seconded by John Laverty to approve the rates as proposed. The motion was passed unanimously. 
  2. Anand Vijh asked that Zoom roll call votes be alternated in alpha and reverse alpha order
  3. We will have an additional September meeting next Friday, September 11, 11:30 a.m. Outlook invitations are on calendars with the Zoom link included.  We have a proposal from UIHC on which Jennifer Vermeer – from UIHC-  would like FRIC feedback. 
  4. Chuck Wieland made a motion to adjourn, seconded by Ben Rogers. Motion passed.

September 11 Meeting Minutes

Members present: Jon Garfinkel*, Michael Schueller*, Nancy Davin+, Dan Katz, Cathy Koebrick, John Laverty, Nicole Nisly, Cormac O’Sullivan, Ben Rogers, Angela Speers, Julie Urmie, Anand Vijh, Chuck Weiland

*Co-chairs; +Minutes

Members absent: Brian Kaskie

Administrative liaisons present:  Rebecca Olson, Joni Troester

Guests:  Teresa Marshall, Heather Mineart, Richard Saunders, Katie Schier, Cheri Smith, Julie Sexton, Dana Stafford, Jennifer Vermeer, Jessica Wade, Kara Wright


  1. eConsults.  Jennifer Vermeer and Katie Schier from UIHC presented on behalf of UIHC regarding adding eConsults to the UI Choice and UI Select plans for 2021. Presentation included a definition of e-consults, benefits to the plan and patient, and results from a previous pilot program with Medicare.
    Time was allowed for questions and discussion. A motion was made by Nicole Nisly, seconded by Ben Rogers. All present voted in support of adding eConsult to the plan except Dan Katz who abstained due to the fact that a decision would present a conflict of interest.
  2. 2020 Metrics. Rebecca Olson shared the metrics for July 2018 through June 2020. There has been irregular utilization due to the COVID-19 pandemic, making data analysis difficult to interpret at this point. FRIC members requested a side-by-side comparison of data from both plans (UI CHOICE and UI SELECT) in the future, especially when meeting virtually.   

Following open enrollment FRIC members will receive an update on plan migration.

  1. UI Health Care Patient Access Report. Patient access targets continue to be met in a timely manner. The PAC has done an excellent job facilitating access. Nicole Nisly asked if eConsults will counted in the access numbers.  Joni Troester will let the committee know in November whether eConsults will be tracked.
  2. New Business. Scheduled for spring 2021 is an update from UIHC on the North Liberty project (rehab facility). At the October 2020 meeting an update will be provided on the open enrollment plan.

The next meeting is October 2, 11:30 am – 1:00 pm.