[VII.C. Approval of Resolution Authorizing the Defeasance and/or Redemption of Certain Outstanding Bonds of the LubbockIndependent School District]

DOCTOR WILKINS, YOU HAVE.

THANK YOU. PRESIDENT BRIDGES AND THE BOARD OF TRUSTEES AND DOCTOR ROLLO.

SO THIS ONE IS AUTHORIZING A DEFEASANCE AND WHAT THAT MEANS, IN SIMPLE TERMS IS IN ORDER TO MAINTAIN THE 17.5 CENTS IS RATE THAT WE CURRENTLY HAVE.

WE'VE PAID ALL CALLABLE DEBT OFF, SO WE NEED TO SET UP AN ESCROW ACCOUNT TO FUNNEL THOSE FUNDS INTO.

SO WHEN CALLABLE DEBT COMES DUE WE CAN PAY THOSE OFF AT THAT TIME.

SO THAT'S WHAT THIS IS IN REGARDS TO AT THIS TIME AND IT'S PROJECTED TO SAVE APPROXIMATELY, 3 MILLION IN INTEREST IS WHAT THIS WILL SAVE. THAT WAS TO SAVE THE 3 MILLION.

IS THAT WHAT YOU SAID? YES, MA'AM.

I DIDN'T HEAR THAT. THANK YOU.

OKAY. ANY QUESTIONS? I WOULD JUST THINK IT'S IMPORTANT TO NOTE THAT WHILE THERE IS A SAVINGS HERE, THIS IS IN OUR INTEREST AND SINKING.

YES. THIS HAS NOTHING TO DO WITH OUR MAINTENANCE AND OPERATIONS BUDGET.

THANK YOU FOR CLARIFYING. THEREFORE, THIS CANNOT BE USED TO DEFER ANY OTHER EXPENSES.

CORRECT. OKAY.

ALL RIGHT. DO I HAVE A MOTION TO APPROVE THE ESTABLISHMENT OF AN ESCROW ACCOUNT IN THE ORDER AUTHORIZING THE PARTIAL REDEMPTION OF UNLIMITED TAX REFUNDING BONDS TAXABLE SERIES, 2019. SO MOVED.

OKAY. HAVE A MOTION.

IS THERE A SECOND? JOHN. THANK YOU.

I'M SORRY. I DIDN'T HEAR YOU. JOHN. ALRIGHT.

WE HAVE A MOTION A SECOND. ALL THOSE IN FAVOR, PLEASE INDICATE BY SAYING AYE.

AYE. ANY OPPOSED? SAME SIGN. THANK YOU.

MOTION CARRIES UNANIMOUSLY.

ALL RIGHT. WE WILL DIVE INTO APPROVAL AND DISCUSSION OF THE HEALTH INSURANCE PLAN.

[VII.D. Approval of Health Insurance Plan, Wellness Credit, Prescription Drug Plan and Dental Plan for 2025]

WELLNESS CREDIT, PRESCRIPTION DRUG PLAN AND DENTAL PLAN FOR 2025.

DOCTOR WILKINS.

THANK YOU, MISS BRIDGES. THE NEXT TWO ITEMS ARE ASSOCIATED WITH THE EMPLOYEE HEALTH PLAN.

THE FIRST ITEM THAT WE WILL PRESENT TO YOU IS THE ACTUAL COVERAGE OF THE PLAN ITSELF.

THE SECOND ITEM WILL BE THE EMPLOYEE PREMIUMS ASSOCIATED WITH THAT PLAN.

I'M GOING TO ASK LISA THOMPSON, EXECUTIVE DIRECTOR OF RISK MANAGEMENT AND PAYROLL, TO COME UP TO THE PODIUM AND PRESENT THESE TWO ITEMS FOR YOU.

SHE HAS BEEN INSTRUMENTAL IN GETTING US TO THIS POINT.

THANK YOU.

LISA. GOOD MORNING, PRESIDENT BRIDGES, BOARD OF TRUSTEES AND DOCTOR ROLLO.

AS YOU KNOW, FOR MONTHS, MAYBE YEARS, WE'VE BEEN WORKING DILIGENTLY TO TRY TO COME TO A RESOLUTION OF AFFORDABLE HEALTH PLAN FOR OUR DISTRICT. EVERY YEAR, ABOUT THIS TIME, WE APPROVE A PLAN.

THE COMPONENTS OF 2025 PLAN BASED ON OUR CLAIMS HISTORY AND OUR.

I BELIEVE WE'VE DONE ABOUT 15 TO 20 ITERATIONS OF THE PLAN TRYING TO COME UP WITH AN AFFORDABLE PLAN.

WE'VE ALSO ENLISTED OUR HEALTH CARE EXPERTS.

MARCIA MCLENNAN.

HEATHER REYNOLDS AND JULIE BARNHILL ARE ALSO HERE.

WE'VE HAD AN ACTUARIAL COMPANY.

FIRST TIME WE'VE DONE THAT.

LOOK AT IT TO JUST TRYING TO LOOK AT EVERYTHING WE CAN.

WE'VE ALSO CONTINUED TO LOOK AT OUR FUNDING FOR 25, 26 AND 27 AS A SELF-FUNDED PLAN.

AS YOU KNOW, WE DON'T UTILIZE AN AGENT OR AN INSURANCE AGENT.

WE WORK CLOSELY WITH BLUE CROSS BLUE SHIELD AND CVS, WHO ARE OUR THIRD PARTY ADMINISTRATORS, TO MANAGE OUR CLAIMS AND JUST WANTED TO MENTION ALSO THAT THE MAJORITY OF OUR MONEY 90%, GOES TO PAY CLAIMS. THE OTHER 10% ARE FOR THOSE COMPANIES TO MANAGE THOSE CLAIMS, BILL THOSE CLAIMS AND TO BE PART OF THEIR NETWORK OF THE HEALTH PLAN.

SO, AS DOCTOR WILKINS MENTIONED, WE'RE HERE TO FIRST TALK ABOUT THE HEALTH PLAN, THE STRUCTURE OF THE WELLNESS CREDIT AND THE PRESCRIPTIONS AND DENTAL PLAN, AND THEN

[00:40:04]

AFTER THAT, THE PREMIUM STRUCTURE AND OKAY, THE INFORMATION IS THERE.

I KNOW THAT WE HAVE RECEIVED THE ACTUAL STRUCTURE OF THE HEALTH PLANS.

ARE THERE ANY QUESTIONS? DO WE WANT TO RUN THROUGH THAT? JUST KIND OF TALK ABOUT HIGHLIGHTS OF I'D BE HAPPY TO DO THAT IF YOU'D LIKE.

OKAY. AS YOU KNOW WE LOOKED AT OUR HEALTH PLAN COMPONENT AND OUR CURRENT RATES.

YOU SPEAK UP. I'M SORRY.

YES. AS YOU KNOW, WE'VE LOOKED AT OUR CURRENT STRUCTURE AND APPLIED THE SAME FORMULA.

IF WE DID NOT DO ANYTHING DIFFERENT.

LEFT THE PLAN EXACTLY AS IT IS FOR THIS YEAR, FOR NEXT YEAR AND BASED ON OUR HIGH CLAIMS AND WHEN I SAY HIGH CLAIMS, THAT'S REALLY WHAT'S DRIVING THE INCREASED NEED FOR OUR PLAN WE'VE HAD FOR THE LAST TWO YEARS.

CATASTROPHIC CLAIMS. LAST YEAR, OVER $4 MILLION ADDITIONAL IN CATASTROPHIC CLAIMS AND THIS YEAR WE'RE TRENDING ABOUT THE SAME.

IF WE LEFT THE PLAN AS IT IS, BASED ON OUR CONTRIBUTIONS, THE EMPLOYEES CURRENT CONTRIBUTIONS FIXED CLAIM FIXED EXPENSES, IT WOULD LEAVE US IN WITH A DEFICIT OF 6.993 MILLION PLUS.

THAT'S WITH NO CHANGES.

TOPPLED WITH.

IF YOU THINK WE'RE TRENDING TOWARDS A $4 MILLION ADDITIONAL HIGH CLAIMS. THAT'S $10 MILLION RIGHT THERE.

WE ESTIMATE OUR CLAIMS FOR NEXT YEAR TO BE AT A BASE OF $26.1 MILLION, AND HIGH CLAIMS COULD BE CLOSE TO $30 MILLION.

WHEN WE WORKED ON THE HEALTH PLAN AND HOW BEST TO FUND IT, WE OBVIOUSLY LOOKED AT THE DISTRICT CONTRIBUTION, WHICH IS $3.91 PER EMPLOYEE PER MONTH.

THAT'S AROUND $16 MILLION A YEAR.

COMPARED TO OTHER LOCAL DISTRICTS THAT CONTRIBUTE 325 PER EMPLOYEE PER MONTH.

SO WE ARE ONE OF THE HIGHEST CONTRIBUTORS AND THEN THE EMPLOYEES CURRENT RATES.

OVERALL, BASED ON THAT CONTRIBUTION AND SOME UNIQUE THINGS THAT WE HAVE AS PART OF OUR PLAN.

I WANT TO HIGHLIGHT THAT WE'RE SET IN PLACE MANY YEARS AGO IS OUR WELLNESS PROGRAM.

ALSO, OUR ZERO COPAY CLINICS IS SIGNIFICANT TO POINT OUT THAT IS FOR EVERY EMPLOYEE, MEMBER OF THE HEALTH PLAN AS WELL AS THEIR THEY'RE DEPENDENTS THAT ARE ON THE INSURANCE.

THAT'S FREE VISITS TO UP TO ABOUT I THINK UMC, WE'VE PARTNERED WITH UMC ZERO COPAY CLINICS.

22 CLINICS IS WHAT THEY HAVE NOW AND ACTUALLY, YOU'LL BE APPROVING HOPEFULLY THEIR CLAIM, THEIR PLAN FOR 2025 HERE IN A LITTLE BIT.

WE PAY CLOSE TO $1.7 MILLION, OR WE'RE TRENDING TOWARDS $1.7 MILLION ADDITIONAL THAT THE DISTRICT PAYS FOR THAT ZERO COPAY CLINIC FOR OUR EMPLOYEES.

THAT ALSO INCLUDES ZERO COPAY PRESCRIPTIONS.

I'M NOT AWARE OF ANY OTHER DISTRICT, CERTAINLY IN OUR AREA, THAT OFFERS THAT CARVE OUT PROGRAM.

WE ALSO HAVE A LIVING BETTER DIABETES PROGRAM, FLU VACCINES AND SO ON.

I DON'T WANT TO CONTINUE TO GO OVER THAT.

I WOULD ALSO WANT TO POINT OUT THAT OVER A PERIOD OF SEVEN YEARS, DUE TO CLAIMS AND CLAIMS TRENDING, WHICH REALLY STARTED IN 2021 POST COVID, THAT'S WHEN WE SAW A SIGNIFICANT IMPACT.

YOU KNOW, THINGS SORT OF SHUT DOWN IN 2020.

SURGERIES WEREN'T REALLY HAPPENING.

THAT WAS MY PAST LIFE.

AS YOU KNOW, I WORKED IN HEALTHCARE.

THERE WERE SOME THINGS NOT HAPPENING.

BUT OVER THE PAST SEVEN YEARS, IN ADDITION TO THAT, AROUND 16 MILLION A YEAR THAT YOU'RE THE DISTRICT IS CONTRIBUTING JUST TO HELP WITH PREMIUMS. WE'VE YOU AS A BOARD HAVE APPROVED INFUSING ANOTHER 9.08 MILLION TO HELP FUND THE PLAN BECAUSE OF HIGH COST CLAIMS. OUR CLAIMS STARTED LOOKING BACK AROUND 16 MILLION, 16.6 MILLION IN 2018.

THEY'VE INCREASED SIGNIFICANTLY.

FROM IF YOU LOOK AT 2020, IT WAS AT 17.7 MILLION.

IN 2021, WE JUMPED TO OVER 22 MILLION IN CLAIMS AND AGAIN, WE'RE PREDICTING IN 2024 THIS YEAR, 24 TO 25 MILLION IN CLAIMS AND 25-26 MILLION IN CLAIMS BASED CLAIMS. SO BACK TO THE BASE AMOUNT.

IF WE LEFT THINGS AS IT IS, AND AFTER WE PAY OUR EXPENSES OUT OF THE FUNDING THAT'S PROVIDED BY THE BOARD OR BY THE DISTRICT AND THE EMPLOYEES, IT WOULD LEAVE US 19 MILLION,

[00:45:04]

19.1 MILLION TO PAY CLAIMS OF 26.1 MILLION.

TRUSTEE'S ALL OPEN FOR QUESTIONS.

WOULD YOU? THERE'S BEEN AND I APPRECIATE ALL THE PEOPLE THAT HAVE SPOKE, ALL THE PEOPLE THAT HAVE EMAILED AND QUITE FRANKLY, I DON'T BLAME A SINGLE SOUL FOR BEING PISSED.

I MEAN, NOBODY WANTS TO PAY MORE FOR ANYTHING AND THEY WORK THEIR TAILS OFF AND SO I DON'T I THINK I CAN SPEAK FOR EVERYBODY UP HERE AND THE GENTLEMAN THAT'S NOT HERE, NOBODY. NOBODY HAPHAZARDLY WANTS TO INCREASE ANYTHING.

SO, YOU KNOW, WE UNDERSTAND THE CONSTRAINTS.

BUT WOULD YOU SPEAK A LITTLE BIT TO THE PROCESS BECAUSE, I FEEL LIKE THERE'S SOME MISUNDERSTANDING WITH RESPECT TO THIS WAS DECIDED, YOU KNOW, A YEAR AGO AND KEPT IT UNDER WRAPS, KIND OF WALKED THROUGH, I THINK, TO SHARE WITH THE GENERAL POPULATION WHEN WE STARTED REVIEWING THIS, YOU KNOW, AND MAYBE EVEN MORE OF THE MULTIYEAR SINCE YOU'VE BEEN HERE, KIND OF THE PROCESS WE'VE GONE THROUGH.

SURE. I STARTED IN JULY OF 2020.

AT THAT TIME WAS THE FIRST YEAR I GOT TO ASK YOU FOR $3 MILLION TO HELP INFUSE THE HEALTH PLAN BECAUSE WE DIDN'T HAVE ENOUGH MONEY.

BUT OVER THE YEARS, WE'VE LOOKED AT IT EVERY YEAR AND AS, YOU KNOW, BOARD OPERATIONS AND NOW BOARD OPERATIONS AND FINANCE MEETS EVERY MONTH, SOMETIMES MULTIPLE TIMES DURING THE MONTH WHEN WE HAVE TO MAKE THOSE DECISIONS AND WE'RE LOOKING AHEAD AS I MENTIONED, NOW WE'RE LOOKING AT 27-28.

SO RIGHT NOW WE'RE LOOKING AT THOSE YEARS COMING, COMING TO US, BUT WE HAVE BEEN WORKING ON THIS SINCE LAST YEAR AND AS YOU MAY RECALL, IN DISCUSSIONS LAST YEAR, THERE WAS DISCUSSIONS ABOUT RAISING THE PREMIUMS. BUT WE WE KNEW THERE WERE PARTICULAR CHALLENGES WITH FUNDING AND DIFFERENT THINGS.

SO ONE OF THE THINGS THAT THE BOARD OPTED TO DO WAS TRY TO LOOK AT.

IS THERE A WAY TO HELP BETTER FUND BY CHANGING DEDUCTIBLES OR OUT OF POCKET MAXES WITHOUT HITTING PREMIUMS? AND AND WE DID THAT.

WE DID A LITTLE BIT OF THAT, BUT WE JUST FRANKLY DID NOT HAVE THE IMPACT ON OUR CATASTROPHIC CLAIMS PROCESSES.

SO WE'VE BEEN WORKING ON THIS AND FOR A WHILE, BUT I BELIEVE IN FEBRUARY, MARCH, WE STARTED BRINGING PROPOSALS AND LOOKING AT AS THAT OF COURSE, YOUR TARGET CHANGES EVERY MONTH AS YOU HAVE CLAIMS, YOU KNOW.

SO EVEN AS TIME GOES ON, WE'VE HAD ITERATION AFTER ITERATION BECAUSE AS WE'VE HAD CLAIMS COME UP OR HIGH CLAIMS, WE'VE HAD TO LOOK AT THAT AND SEE HOW WE CAN FUND THAT. SO IT'S YOU KNOW, HONESTLY, THAT'S WHAT I'M PAID TO DO.

SO EVERY DAY, ALL DAY WE'RE LOOKING AT THAT.

BUT I KNOW WE HAVE HAD AD NAUSEAM CONVERSATIONS, REITERATED REITERATIONS.

WE'VE DONE VERSIONS ONE, TWO, THREE, FOUR, SO ON WITH WITH A, B, AND C, SO IT'S BEEN A VERY ONGOING THING.

LOOKING AT OTHER ALTERNATIVES OF JUST STOPPING THE DENTAL PREMIUM INFUSION, REDUCING THE WELLNESS CREDIT I MEAN WE EVEN DISCUSSED IS, YOU KNOW, WE DID SURVEYS IN 21, 23 AND 24 ASKING FOR INPUT ABOUT THE HEALTH PLAN AND OUR EMPLOYEES, RIGHTFULLY, AS YOU MENTIONED, WANT LOW PREMIUMS AND LOW DEDUCTIBLES, AS WE ALL DO.

THEY VOTED UNANIMOUSLY, UNANIMOUSLY ABOUT WANTING TO KEEP THE ZERO COPAY CLINICS BECAUSE WE LOOKED AND TALKED ABOUT, DO WE KEEP THE ZERO COPAY CLINICS? CAN WE USE THAT FUNDING TO HELP? THAT AND OVERWHELMINGLY CLOSE TO 90% AVERAGE, 87, 88% EMPLOYEES WANT THE ZERO CO-PAY CLINICS AND THE ZERO CO-PAY PRESCRIPTIONS.

THEY FEEL LIKE THAT.

THAT HELPS US. ADDITIONALLY, THAT CARVEOUT SAVES US ANOTHER 1 TO 2 MILLION BECAUSE WE PAY THAT DIRECTLY TO OUR ZERO CO-PAY PARTNERS.

INSTEAD OF BILLING THAT THROUGH BLUE CROSS BLUE SHIELD IN THAT ADDITIONAL COST, IT SAVES US ANOTHER 1 TO 2 MILLION.

SO WE PAY THAT DIRECTLY FOR THOSE VISITS AS WELL AS THE CO-PAY PHARMACY VISITS.

SO IN OTHER WORDS, IF WE REMOVED THE ZERO CO-PAY CONTRACT, YES, THOSE CLAIMS WOULD THEN FALL UNDER BLUE CROSS BLUE SHIELD AND WOULD COST MORE.

YES, MA'AM. IT WOULD COST.

SO WE WOULDN'T BE SAVING ANY.

SO ONE OF THE GREAT THINGS ABOUT THE ZERO CO-PAY CLINICS IS OUR EMPLOYEES, AS YOU KNOW, CAN GO THERE AND DO NOT HAVE TO PAY A DIME.

THEY WOULD HAVE TO PAY OUT OF POCKET FOR THAT VISIT THAT WOULD GO TOWARDS THEIR DEDUCTIBLE.

SO RIGHT OFF THE BAT THAT $100 VISIT $150 VISIT $200 VISIT RECENT EXPERIENCE WENT VISIT.

IT WAS $225.

WHAT IT WOULD HAVE BEEN HAD I NOT GONE TO A ZERO COPAY CLINIC THAT WOULD FIRST HAVE TO BE PAID OUT OF THE EMPLOYEE'S POCKET RIGHT OFF THE BAT.

WE ARE TAKING THAT BURDEN OFF THE EMPLOYEE AND PAYING THAT IF THEY GO TO THOSE ZERO COPAY CLINICS WHICH HAVE PEDIATRICIANS, PRIMARY CARE, THOSE SORT OF THINGS. SO WE'RE UPFRONT, AS YOU KNOW, WE'VE REALLY LOOKED AT HOW CAN WE REDUCE UPFRONT COSTS TO OUR EMPLOYEES AND THAT ZERO COPAY CLINIC.

[00:50:03]

DOES THAT. IT ALSO DOES A QUITE A FEW THINGS IS ONE, IT GIVES THEM CARE QUICKLY BEFORE THEY GET TOO SICK.

IT'S AFFORDABLE.

THEY CAN GO SEE A DOCTOR AND GO GET THAT PRESCRIPTION FOR WHATEVER AND NOTHING OUT OF THEIR POCKET.

BECAUSE WE WANT THEM TO GET THE CARE THEY NEED.

WE ALSO KNOW IT.

IF THEY GET IT SOONER, THEY WON'T GET SICKER.

THEY WON'T END UP IN THE EMERGENCY ROOM, THEY WON'T END UP IN THE HOSPITAL.

AND AGAIN, WE CARE ABOUT OUR PEOPLE AND WE DON'T WANT THAT TO HAPPEN.

SO YES, I MEAN, THAT IS WE LOOKED AT THAT, WE LOOKED AT LISA, REAL QUICK.

YES, MA'AM. I JUST WANT TO HAVE A REALLY QUICK, PLEASE IN REGARDS TO THE WELLNESS.

IT'S CALLED WELLNESS FOR A REASON.

IS IT LIMITED TO WHAT THEY CAN VISIT WITH OR FOR? FOR THE ZERO CO-PAY CLINICS? NO, MA'AM. THERE'S NO LIMIT TO THAT.

THEY CAN GO THERE.

YOU KNOW, IT'S PRIMARY CARE FOR THE MOST PART.

SO, YOU KNOW, YOU COULD GO THERE.

DO YOU THINK YOU SPRAINED YOUR ANKLE? YOU COULD BE SEEN THERE, AND THEY COULD REFER YOU TO AN ORTHOPEDIST.

BUT THE PROGRAM, AGAIN, KUDOS TO MY PREDECESSOR, WAS SET UP YEARS AGO TO TRY TO GET, YOU KNOW, MY KIDS ARE SICK.

THEY'RE ON THE PLAN. I CAN GET THEM THERE.

YOU KNOW, A LOT OF THEM OPEN UP AT SEVEN IN THE MORNING, GET THEM THERE, GET THEM THE PRESCRIPTIONS, GET THEM BETTER.

FOR THE EMPLOYEES, TOO. IT ALSO OFFERS TELEMEDICINE.

SO THAT IS A GREAT SERVICE THAT CERTAINLY I BELIEVE THAT WAS A PROCESS PUT IN PLACE WITH COVID BEFORE I GOT HERE.

THAT WAS A THAT'S, WELL UTILIZED.

FROM THAT PERSPECTIVE, THAT IS ONLY THROUGH UMC THAT THEY CAN GO THROUGH THAT.

CORRECT. AT THIS TIME.

YES, MA'AM. WE BID THAT OUT EVERY YEAR.

EVERY FIVE YEARS AT LEAST WE BID THAT OUT WITHIN A YEAR OF MY BEING HERE.

WE DO HAVE TO BID THAT OUT NEXT YEAR.

THAT'LL BE FOR 2026 AND WE'RE ALREADY OUR PARTNERS.

MARSH, MCLENNAN AND I ARE ALREADY LOOKING AT THAT.

WE MEET FREQUENTLY WITH UMC.

WE OPEN THAT UP AND FOLLOW THE RFP PROCESSES ACCORDINGLY ON THAT, AND THE BOARD WILL BE CONSIDERING THAT NEXT YEAR.

THANK YOU. YES.

LISA, WOULD YOU MIND SHARING HOW THIS PROPOSED PLAN COMPARES TO OUR NEIGHBORING DISTRICTS? IN PARTICULAR WHEN WE'RE TALKING ABOUT CHILDREN AND SPOUSE AND FAMILY AND THEN ALSO, I THINK IT'S IMPORTANT TO NOTE HOW THIS COMPARES WITH THE STATE TRS PLAN. YES, MA'AM.

SO WE DID REALLY LOOK AT THE YOU KNOW, WE'RE GOING FROM FOUR PLANTS TO THREE PLANTS.

ALSO TRYING TO SAVE OUR EMPLOYEES SOME MONEY AND STREAMLINE OUR PREMIUMS ACCORDINGLY.

SO EMPLOYEE ONLY, WE HAVE A BASIC HMO PLAN, AND WE HAVE TWO FEES.

WHAT'S PUBLISHED? WE HAVE TO PUBLISH IS THE BASE RATE.

WITHOUT THE WELLNESS CREDIT.

WELLNESS IS A GREAT PROGRAM HERE THAT OFFERS LOTS OF RESEARCH RESOURCES TO OUR EMPLOYEES AND THEIR FAMILIES AND ALSO REMEMBER, WITH WELLNESS REAL QUICK, WE DO AN ANNUAL SCREENING FOR THOSE, A LIST OF WHAT BLOOD WORK AND THINGS LIKE THAT MANY EMPLOYEES USE FOR THEIR ANNUAL VISIT.

SO OUR BASE RATE WITH THE WELLNESS CREDIT FOR THE BASIC HMO IS $100.

A LEATHER LOCAL DISTRICT IS 97, 67 A MONTH AND THE OTHER DISTRICT IS ONE 4734 A MONTH.

ACTIVE CARE WITH TRS IS $447 A MONTH.

SO FOR EMPLOYEE AND CHILDREN IN PARTICULAR $250 A MONTH UNDER THE BASE HMO PLAN.

200 WITH THE WELLNESS CREDIT AND THAT'S A CREDIT THAT'S EASILY ACHIEVED WITH SOME GUIDELINES.

SO ANOTHER DISTRICT HERE LOCALLY, IT WOULD BE $557.11.

SO $200, 557 THE OTHER DISTRICT, $501 AND THEN TRS ACTIVE CARE IS $760. SO JUST TO CLARIFY, THAT'S FOR EMPLOYEE AND CHILDREN.

YES, MA'AM. SO $200 WITH THE WELLNESS CREDIT.

5711 AT ANOTHER DISTRICT, 501 AT ANOTHER DISTRICT, AND TRS ACTIVE CARE IS $760 AND TO CLARIFY FURTHER, THIS IS AS PROPOSED.

AS PROPOSED? YES, SIR.

AS PROPOSED AND I KNOW THAT THE BOARD HAS A HEART AND WE'VE TALKED A LOT ABOUT OUR EMPLOYEES AND EMPLOYEE AND CHILDREN FOCUS TO, YOU KNOW, MANAGE THAT.

CAN I ASK REAL QUICK SO WHAT'S AN OPTION IF WE CAN'T AFFORD OUR SELF-FUNDED OR SELF-ADMINISTERED PLAN, WHAT'S OUR OPTIONS.

THE TRS COULD DO TRS, BUT IT WOULD COST OUR EMPLOYEES SIGNIFICANTLY MORE.

IF YOU THINK $200 VERSUS 780 OR 760, IT COST THEM MORE, YOU KNOW,

[00:55:01]

IT COSTS AND I WOULD SAY WE'VE INFUSED OVER $9 MILLION OVER THE LAST SEVERAL YEARS TO HELP KEEP PREMIUMS AS LOW AS POSSIBLE WHEN WE WERE NOT ABLE TO COVER OUR CLAIM COSTS.

YES, WITH VERY LITTLE NEW MONEY FROM THE STATE.

THERE IS NOWHERE TO PULL MONEY TO INFUSE INTO THE HEALTH SYSTEM IF WE CANNOT COVER CLAIM COSTS.

THERE IS NO MONEY.

IT WOULD ADD TO OUR DEFICIT.

IT WOULD ADD TO OUR ALREADY DEFICIT BUDGET AND I WOULD JUST COMMENT.

WE HAD OVER 4 MILLION UNEXPECTED CATASTROPHIC CLAIMS LAST YEAR.

RIGHT NOW IT'S AT 3.1 PER MILLION FOR 3RD JUNE.

LISA, FIRST, I WANT TO THANK YOU BECAUSE I KNOW AS THE NEW KID ON THE BLOCK, WE'VE ASKED A MILLION QUESTIONS AND YOU HAVE COME UP WITH ANOTHER PROPOSAL AND ANOTHER PROPOSAL AS WE TRY TO FIGURE OUT HOW TO DO THIS.

I THINK THE PROBLEM IS THAT THE DISTRICT HAS BEEN ABLE TO INFUSE MONEY TO COVER THAT IN THE PAST.

WE DON'T HAVE THAT MONEY TO DO THAT.

WE ALREADY ARE IN A DEFICIT BECAUSE THE STATE HAS FAILED TO FUND US FULLY AND SO I APPRECIATE WHAT YOU'VE DONE AND NONE OF US WANT TO VOTE FOR THIS KIND OF PREMIUM INCREASE.

BUT I DO THINK IT'S IMPORTANT TO TALK ABOUT WHEN WE LOOK COMPARED AND WHEN WE LOOKED AT THE NUMBERS, OUR DISTRICT IS MUCH MORE AFFORDABLE THAN OUR NEIGHBORING DISTRICTS, CERTAINLY BETTER THAN THE TRS PLAN.

I CAN ALSO REMEMBER MYSELF AS A DISTRICT EMPLOYEE, AND I HAD MY HUSBAND ON THE DISTRICT'S PLAN BECAUSE IT WAS A LOT CHEAPER AND BETTER THAN WHAT HIS EMPLOYER OFFERED.

YES, MA'AM. BUT THAT CAME AT THE COST OF THE DISTRICT HAVING TO SUPPORT THAT WITH GENERAL REVENUE IN THE BIG PICTURE.

NOT PERSONALLY OUR THE SHARPE FAMILY, BUT YES, IN THE REVENUE WHEN WE'RE IN THE POSITION WE ARE IN NOW, I REALLY CAN'T VOTE TO NOT SUPPORT TEACHING AND LEARNING, WHICH IS OUR MISSION WITH EVERY DOLLAR WE HAVE AVAILABLE.

OVER, BECAUSE A PARTICULAR COST INCREASE IS GOING TO HIT ON SPOUSES, ON PLAN.

YOU KNOW, I THINK WE HAVE TO FUND OUR MISSION AND THAT IS TEACHING AND LEARNING.

WE HATE DOING THIS BECAUSE WE KNOW, AND I DON'T THINK THERE ARE MANY OF US ON THIS BOARD WHOSE PERSONAL FAMILY MEMBERS ARE NOT GOING TO BE NEGATIVELY IMPACTED AND I'VE GOTTEN EMAILS AND GET IT.

WE'RE JUST IN AN AWFUL SPOT AND SO I THINK FUNDING OUR PRIMARY MISSION OF TEACHING AND LEARNING IS WHERE WE HAVE TO FOCUS AND DO THE VERY BEST WE CAN AND IF BY SOME MIRACLE, THE LEGISLATURE DECIDES TO GIVE US MORE FUNDING, WE CAN TRY TO DO SOME THINGS DIFFERENTLY IN THE FUTURE.

YES, MA'AM AND LISA, I JUST WANT TO ADD TO THAT AS WELL.

YOU KNOW, I APPRECIATE EVERYTHING.

I'VE TALKED WITH YOU ONE ON ONE.

I CAME OUT THERE COMFORTABLE.

CAME OUT OF YOUR OFFICE COMFORTABLE LOOKING AT THE BIGGER PICTURE AND THEN I GET ALL AFTER IT HIT EVERYBODY.

IT BECAME PUBLIC INFORMATION.

YOU CAN ONLY IMAGINE AND I SHARED WITH YOU SOME OF MY EMAILS, SOME OF MY PHONE CALLS.

YOU KNOW, IT JUST LED ME TO A DIFFERENT DIRECTION AND THEY FEEL BECAUSE OF THE CATASTROPHIC CLAIMS THAT WE'VE HAD, THEY FEEL LIKE THEY'RE PENALIZED BECAUSE OF THAT AND I GO, WELL, THANK GOD WE HAVE INSURANCE.

YOU KNOW, YOU KNOW, THAT'S IMPORTANT AND THERE'S PEOPLE THAT HAVE OTHER ILLNESSES AS WELL AND I GET IT AND I KNOW HOW MUCH THAT COSTS SOME OF THOSE INFUSIONS I GET THAT TOO.

YES, MA'AM. BUT I'VE LISTENED I'VE LISTENED HARD TO EVERYBODY AND YES, IT DOES BREAK MY HEART.

I KNOW WE'RE IN BETWEEN A HARD ROCK AND A HARD PLACE AND AT THE END OF THE DAY, I'M ONE TO LISTEN TO MY CONSTITUENTS, LISTEN TO MY EMPLOYEES AT THE END OF THE DAY, BECAUSE AT THE END OF THE DAY, WE MAY NOT HAVE EMPLOYEES EITHER.

THAT'S SOMETHING THAT WE NEED TO CONSIDER TOO.

I'VE HEARD PLENTY OF THEM.

SEVERAL MONTEREY LUBBOCK HIGH.

THEY'RE READY TO RETIRE.

THEY'RE ABLE TO RETIRE.

THEY CHOSE TO STAY, BUT THEY'RE BETTER OFF.

THEY SAID IF THEY DID RETIRE.

SO I'M HEARING LOTS OF STORIES AND I CAN'T BELIEVE THAT NOBODY ASKED.

HAVEN'T HEARD THE SAME THING I'VE HEARD.

HEARD AS WELL.

THE SURVEY SPOKE VOLUMES.

I BELIEVE IN SURVEYS.

I'VE ASKED YOU ABOUT SURVEYS, AND YOU'VE DONE A WELL JOB WITH THAT TOO.

I THINK EVERYBODY HERE HAS WORKED HARD ON THIS AND HAD HARD ISSUES WITH IT.

HARD TIMES.

I GET IT.

SO THANK YOU FOR WHAT YOU'VE DONE.

THANK YOU AND I WANT TO MAKE SURE I UNDERSTAND IT BECAUSE I'VE HEARD THAT TOO.

LALA. AND THANK YOU FOR THE INPUT.

IF YOU'RE AN EMPLOYEE AND YOU RETIRE, THEN YOU'RE GOING TO GO ON TRS AND SO INSTEAD OF PAYING POTENTIALLY 200 IT WAS WHAT THAT'S NOT FOR EVERYBODY.

[01:00:07]

WELL, IF YOU GO ON TO I MEAN, IF YOU GO ON TO GO ON TRS INSURANCE.

SO IF YOU'RE AN EMPLOYEE AND ONLY AND FOR WE GET A PRICING FOR REGION 17, WHICH JUST GOES INTO EFFECT SEPTEMBER 1ST.

SO IF YOU'RE AN EMPLOYEE ONLY SAY YOU WANT TO JUST COVER YOURSELF WITH US.

YOU'D PAY $100 WITH THE WELLNESS CREDIT.

WITH TRS, YOU'D PAY 447.

YEAH. SO, YOU KNOW, I THINK I HOPE ANYBODY WHO'S THINKING ABOUT RETIRING INSTEAD OF TAKING, YOU KNOW, THIS IS A HARD PILL TO SWALLOW, LOOKS CAREFULLY AT THAT BECAUSE IT SOUNDS LIKE TO ME THEY'RE GOING TO PAY.

I THINK THEY HAVE THEIR HUSBAND'S INSURANCE.

BUT I WOULD ALSO I'VE SAID THIS AND APOLOGIZE TO THE BOARD FOR REPEATING THIS IS ADDITIONALLY, I WANT TO CONTINUE TO EMPHASIZE OUR CARVE OUT THINGS THAT ARE SPECIAL THE ZERO CO-PAY CLINICS, THE ZERO PRESCRIPTIONS, THE WELLNESS CREDIT, THE LIVING BETTER DIABETES PROGRAM HAS BEEN A KEY PROGRAM FOR US, WHERE WE REIMBURSE UP TO $2,500 AND EMPLOYEES THAT PARTICIPATE IN OUR DIABETES WELLNESS PROGRAM.

WE HAVE THE VACCINES, THE EMPLOYEE ASSISTANCE FUND, THE GYM PROGRAM.

WE ALSO REIMBURSE FOR GYM MEMBERSHIP.

I KNOW THAT'S A SIDE AND DIFFERENT THAN THE PREMIUMS, BUT THOSE ARE THINGS WE HAVE.

ADDITIONALLY, THAT TOTAL UP TO ABOUT 3.4 MILLION THAT I'M NOT AWARE OF OTHER DISTRICTS OFFERING IN OUR AREA.

THAT'S AN ADDITIONAL THING THAT OUR DISTRICT PAYS FOR AND FOR THIS AGENDA ITEM FOR ITEM D, IT IS REALLY JUST APPROVING THOSE THINGS SO WE CAN I'M SORRY, WE CAN GO AHEAD IF I MIGHT, IF WE HAVE A MOTION OR IF THERE'S ANY MORE DISCUSSION ON THE ACTUAL COMPONENTS OF THE PLAN, WE CAN DISCUSS THAT, BUT THEN WE CAN MOVE ON TO THE EMPLOYEE CONTRIBUTION.

SO DO WE HAVE A MOTION TO APPROVE THE HEALTH INSURANCE PLAN, WELLNESS CREDIT PRESCRIPTION DRUG PLAN AND DENTAL PLAN FOR 2025 AS PRESENTED.

SO MOVED. SECOND.

MOTION AND A SECOND.

THANK YOU. ALL THOSE IN FAVOR, PLEASE INDICATE BY SAYING AYE.

AYE. ANY OPPOSED? SAME SIGN. I OPPOSE.

OKAY. SO WE HAVE FOUR IN FAVOR AND TWO OPPOSED FOR THE PLAN.

APPROVAL. OKAY.

MOTION CARRIES. THE WHAT? OKAY. WHAT TO MY COLLEAGUES.

I WANT TO MAKE SURE THAT IS THE ACTUAL PLAN, NOT THE COSTS.

YEAH. SO WE HAVE AN ISSUE WITH THE PLAN ITSELF, THE OFFERINGS.

BECAUSE THAT'S WHAT WE JUST VOTED ON.

YEAH. SO WHAT? YES. I'M JUST CURIOUS.

I'M I THE EVERYTHING.

I JUST WISH THAT THINGS COULD BE SO DIFFERENT.

DIFFERENT CONVERSATION HERE TODAY AND I DON'T THINK THAT WE'RE HERE TO DISCUSS THAT AT THIS POINT OTHER THAN TO VOTE.

SO WE'LL TALK PUBLICLY, NOT PUBLICLY.

EXCUSE ME. [INAUDIBLE].

I CAN.

ARE YOU TALKING ABOUT BIDDING OUT THE PLAN? NO. JUST BIDDING.

LOOKING AT OTHER INSURANCES THAT WE'VE DONE THAT.

WE DID THAT FOR OUR 22 PLANNING GOING FORWARD.

THOSE ARE FOR FEES AND THINGS LIKE THAT.

THAT'S LESS THAN NINE.

THAT'S LESS THAN 10% OF WHAT WE'RE PAYING.

WHAT IS DRIVING THESE THIS PLAN AND THE COST IS THE CATASTROPHIC CLAIMS. RIGHT. THAT'S IT.

SO WE BID IT OUT AND WE'VE DONE THAT PROCESS.

WE VOTED AND CLOSED ON THAT SO THAT ITEM D IS CLOSED.

LET'S MOVE TO ITEM E, WHICH IS APPROVAL OF HEALTH INSURANCE PLAN, PREMIUM STRUCTURE AND DENTAL PLAN PREMIUM STRUCTURE FOR 2025, WHICH IS THE ACTUAL COST?

[VII.E. Approval of Health Insurance Plan Premium Structure and Dental Plan Premium Structure for 2025]

YES. THE COST PER EMPLOYEE.

YES. OKAY.

ALL RIGHT. LET'S MOVE TO THAT.

I JUST REMIND YOU THAT THE PROPOSED RATES THERE ARE WITHOUT THE WELLNESS CREDIT AND AS WE'VE DISCUSSED PREVIOUSLY, THE STRUCTURES THERE AGAIN CAN DIVE FURTHER ABOUT THE COSTS FROM THAT PERSPECTIVE.

BUT COMPARED TO THE OTHER DISTRICTS, WE ARE SIGNIFICANTLY LOWER AND AGAIN, THE CARVE OUTS OF A PART OF THAT WE PAY FOR 3.4 MILLION FOR THE WELLNESS CLINICS AND ALL THE OTHER PROGRAMS WE HAVE, OR THE ZERO CO-PAY CLINICS.

I'M HAPPY TO ENTERTAIN ANY FURTHER QUESTIONS OR EXPLORE FURTHER THOUGHTS ON THAT AND I JUST WANT TO MAKE CLARIFY, MAKE SURE THAT WE HAVE THIS STRAIGHT THAT THE WITH THE ZERO CO-PAY CLINICS AND THAT GIVES A MORE PREDICTABLE BECAUSE OF EMPLOYEE KNOWS ONCE THEY PAY THAT PREMIUM, THEY'RE NOT GOING TO BE PAYING A DEDUCTIBLE. THEY'RE NOT GOING TO BE PAYING A COPAY.

THEY CAN GO TO THE DOCTOR TO THE ZERO COPAY PAY AND GET, YOU KNOW, AMOXICILLIN OR WHATEVER FOR STREP THROAT AND SO IT'S A MORE PREDICTABLE THEY CAN EXPECTATION OF WHAT THEY'RE GOING TO PAY MONTHLY.

SO WOULD THAT BE ACCURATE? YES, MA'AM. I MEAN, YES, OF COURSE, BECAUSE YOU'RE NOT PAYING ANYTHING FOR THOSE VISITS.

THE EMPLOYEE IS NOT PAYING FOR THE VISITS.

[01:05:01]

WHETHER THEY GO ONE TIME, TEN TIMES, 15 TIMES, IT DOESN'T.

WE DON'T COUNT AND IT DOESN'T COST THEM ANYTHING.

YEAH IT COSTS THE DISTRICT.

WE DO PAY FOR THOSE VISITS AND, THAT RANGES DEPENDING ON THE TYPE OF VISIT FROM $75 PER VISIT, UP TO 125 BASIC VISIT AND THEN WE ALSO PAY FOR THINGS LIKE RAPID STREP TESTS, FLU TESTS, THOSE SORT OF MINIMAL THINGS LIKE THAT.

SO THEORETICALLY, AN EMPLOYEE COULD GO TO ONE OF THOSE FOR WITHOUT THE ZERO COPAY AND PAY $225 VERY EASILY FOR PAYING FOR THAT. THEY PAY NOTHING FOR THAT.

YEAH AND THEY PAY NOTHING FOR THOSE PRESCRIPTIONS.

WE'VE PARTNERED WITH UNITED PHARMACIES FOR MANY YEARS THAT DO THE ZERO PRESCRIPTION CO-PAYS.

ALSO, CVS, WHO'S OUR NATIONAL PROVIDER FOR PRESCRIPTIONS, HAS ZERO OR LOW PAY, $4 OR NONE.

SO THEY CAN GO TO THEIR PHARMACY OF CHOICE.

I WANT TO CLARIFY THAT. YES, LISA.

YES AND WE'LL DO A GREAT JOB OF PUBLICIZING.

YES WE'VE SEEN AN INCREASE AS YOU'VE SEEN PROBABLY FROM THE NUMBERS WE PRESENT, WE HAD ABOUT 93,400 VISITS LAST YEAR AND WE'RE TRENDING TOWARDS 99.

I SAID 9400. NO, 9900 OR 9900 THIS YEAR.

SO WE DO CONTINUE TO PUBLICIZE THAT UMC HAS BEEN GREAT PARTNERS WITH US WITH THOSE CLINICS FOR MANY YEARS.

THEY'VE EASED SOME PUBLICATIONS ON HOW TO GET TO THEM WITH A BARCODE, WEIGHT FROM HOME, THOSE SORT OF THINGS THAT WE'RE REALLY CONTINUE TO PUSH TO OUR EMPLOYEES AND TRY TO EDUCATE THEM AND LISA, GO BACK TO SO THE DISTRICT CONTRIBUTION PER EMPLOYEE IS 391.

YES, MA'AM AND I THINK SEVERAL YEARS AGO WE INCREASED THAT FROM 340 TO 391.

I THINK IT WAS AROUND 21 OR 22.

OKAY. OTHER DISTRICTS CONTRIBUTE.

325 AND IS THERE ANY APPETITE ABILITY FOR US TO OR WOULD IT EVEN HELP IF WE INCREASED $10 THAT CONTRIBUTION? I DON'T KNOW THE ANSWER TO THAT.

I'M JUST THROWING JUST TRYING TO HAVE A DISCUSSION ON DIFFERENT.

AGAIN, I WOULD POINT OUT THE LAST TIME WE INCREASED THE EMPLOYER CONTRIBUTION.

CAN YOU SPEAK UP, PLEASE? YEAH. LAST TIME WE INCREASED THE CONTRIBUTION, IT WAS ROUGHLY A $2 MILLION HIT TO THE DISTRICT BUDGET.

THE DISTRICT BUDGET. OKAY.

THE 391 THOUGH LISA AND DOCTOR ROLLO, YOU SPOKE TO THIS TOO AND I THINK NOT EVERYBODY UNDER MAY UNDERSTAND BECAUSE IT'S, YOU KNOW, NUMBERS AND EVERYTHING GET COMPLICATED.

BUT WE'VE ALSO CONTRIBUTED ANOTHER $9.5 MILLION ON TOP OF THE 391.

SO I JUST WANT TO MAKE SURE PEOPLE UNDERSTAND UP UNTIL THIS YEAR.

EVERY SINGLE YEAR SINCE 2019, WHICH IS THE LAST YEAR WE GOT AN INCREASE IN THE BASIC ALLOTMENT, WE'VE PUT $8 MILLION ON TOP OF THE 391 THAT WE'VE CONTRIBUTED. SO AGAIN, TO LAUREN, TANNER, BRENDA, KATIE, ANYONE WHO'S EMAILED SPOKEN, YOU ARE HEARD.

YOU MATTER.

WE HAVE PUT OUR PEOPLE FIRST YEAR AFTER YEAR AFTER YEAR AFTER YEAR.

WE ARE OUT OF MONEY.

THERE IS NO MONEY TO BE GOTTEN.

WE HAVE MINIMIZED EVERYTHING THAT WE POSSIBLY CAN AND TO THE FOLKS WHO WOULD SAY THIS IS KIND OF LAST MINUTE OR SPRUNG ON THEM, I PERSONALLY, FOR THE LAST SIX YEARS, EVERY TIME WE VOTED ON THE INSURANCE, HAVE SAID ON THE RECORD OUR INSURANCE PLAN CANNOT KEEP GOING.

OUR INSURANCE PLAN CANNOT KEEP GOING.

UNFORTUNATELY, EVENTS HAPPEN THROUGHOUT THE LAST FOUR YEARS THAT DIDN'T ALLOW US TO RIGHTSIZE ANYTHING.

JUST LIKE LAST YEAR, THIS BOARD MADE A DECISION.

THE COMMITTEE FIRST, AND THEN THE BOARD MADE A DECISION THAT WE WEREN'T GOING TO INCREASE ANYTHING BECAUSE IT WASN'T FAIR GIVEN GIVEN THE CLIMATE.

I THINK SOMETHING SOMETHING THAT GETS LOST ON A LOT OF FOLKS, YOU KNOW, A VAST MAJORITY OF ESSER MONEY WAS CONTRIBUTED TO THE TEACHERS BECAUSE WE CARE ABOUT THEM. WHEN WE COULD HAVE USED THAT TO RIGHTSIZE OTHER THINGS, WOULD THAT HAVE BEEN FAIR? WOULD THAT HAVE BEEN EQUITABLE? I DON'T KNOW. YOU KNOW, IT'S EYES OF THE BEHOLDER.

IT SEEMS LIKE WE AS CITIZENS, YOU KNOW, IT'S KIND OF AND IT'S HUMAN NATURE.

WHAT HAVE YOU DONE FOR ME LATELY? AND I TOTALLY GET THAT.

BUT AGAIN, AS A DISTRICT, WE BEFORE THE NINE, BEFORE THE 8 MILLION, WE GIVE $65 MORE PER EMPLOYEE THAN ANYBODY IN OUR NEIGHBORHOOD.

WE OFFER ZERO CO-PAY CLINICS.

WE OFFER ZERO CO-PAY PRESCRIPTIONS.

WE INJECTED $3 MILLION LAST YEAR, A ONE TIME TO MAKE SURE THAT WE DIDN'T PUT BURDEN ON ON STAFF.

8 MILLION SINCE 19.

OUR CLAIMS SINCE SINCE THE LAST BASIC ALLOTMENT ADJUSTMENT, OUR CLAIMS WENT FROM JUST UNDER 18 MILLION TO PROJECTED TO BE

[01:10:08]

OVER $25 MILLION AND THE REVENUE THAT WE'RE RECEIVING IS THE EXACT SAME.

NOTHING'S CHANGED IN THAT AND SO THAT GOES SOMEWHERE AND SO YOU KNOW, THE OTHER THING I WOULD SAY, AND ONE AND I KNOW THE TEACHER ORG HAS A JOB TO DO, AND I CAN APPRECIATE THAT JOB.

THEY SHOULD BE THERE TO SUPPORT THE TEACHERS.

I'M DISAPPOINTED IN THE NUMBER OF RESPONDENTS THE TEACHER ORG HAD VERSUS THE NUMBER OF RESPONDENTS THAT WE HAVE WHEN WE SEND OUT SURVEYS.

WE'VE SENT OUT SURVEYS ALMOST EVERY YEAR WITH RESPECT TO HEALTH INSURANCE.

AND IF I REMEMBER THE NUMBER CORRECTLY, IT WAS LIKE 1200 RESPONDENTS FOR THE TEACHER ORG.

I THINK OUR LAST SURVEY, THE RESPONDENT WAS 654 AND SO IT'S IN REGARDS TO RYAN, THE HEALTH INSURANCE BOTH OF THEM HAVE BEEN WITH FOR HEALTH.

IS THAT WHAT YOU'RE SAYING? YES, MA'AM.

I THINK THE ONE LAST YESTERDAY.

WHATEVER. JUST OPINIONS.

BUT THE ONE BEFORE YOU SAID THERE WAS TWO THAT THEY'VE DONE.

NO, MA'AM. NO. THE ONE THAT WE DID.

OKAY. WE GOT 654 RESPONDENTS.

GOTCHA. THE ONE THAT THEY DID WAS 1200.

SO TO THE TEACHERS AND I'M NOT BLAMING YOU.

YOU ARE NOT RESPONSIBLE FOR STATE FUNDING.

YOU ARE NOT RESPONSIBLE THAT WE DON'T GET ANY ADDITIONAL REVENUE.

HEAR ME LOUD AND CLEAR. THIS IS NOT YOUR FAULT.

BUT I AM ASKING WHEN YOUR OPINION IS ASKED FOR BY THE PEOPLE WHO MAKE DECISIONS.

IT WOULD BE EXTREMELY HELPFUL IF YOU GAVE THAT, WHETHER IT'S AGREEING OR DISAGREEING, WHATEVER THE CASE IS, BECAUSE ALL OF THAT INFORMATION IS USED.

THAT'S THE REASON WE KEPT THE ZERO CO-PAY CLINICS.

THAT'S THE REASON WE KEPT THE WELLNESS CLINIC OUR, OR INCENTIVE.

I KNOW IT'S DECREASED, BUT WE KEPT IT BECAUSE THAT WAS A PRIORITY FOR OUR STAFF AND SO WE DO TRY TO HEAR FROM YOU.

IT'S NOT EVERYBODY SPEAKS AND SO ANYWAY, TO SUMMARIZE ALL THIS HAS BEEN COMING FOR SIX YEARS.

I ABSOLUTELY HATE IT.

I WOULD RATHER US BE ABLE TO PROVIDE ZERO COST INSURANCE TO EVERY SINGLE PERSON THAT WORKS FOR US.

THAT'S NOT AN OPTION.

HEARING THE PAIN IN EVERYONE'S VOICE, I WOULD HAVE AN AMENDED PROPOSAL TO THE AGENDA ITEM AND I WOULD PROPOSE THAT WE TAKE THE INCREASE AS IT'S LISTED ON THE AGENDA, THE CURRENT.

SO TAKE THE EMPLOYEE ONLY CURRENT 95 PROPOSED 150.

SO THAT'S $55.

I WOULD PROPOSE THAT WE DO THAT FOR EVERY COLUMN AND WE SPLIT IT IN HALF OF THAT INCREASE IS FOR THIS YEAR.

HALF OF THAT INCREASE IS FOR THE NEXT FISCAL YEAR.

SO THAT WAY PEOPLE HAVE TIME TO PLAN IF THEY WANT TO LEAVE FOR OTHER DISTRICTS BECAUSE THEY THINK IT'S CHEAPER, EVEN THOUGH I THINK THE DATA WOULD SAY IT'S NOT.

THEY CAN AND THEN AS A DISTRICT, THOSE OF US ON THIS DAIS AND DOCTOR ROLLO, YOU AND YOUR STAFF WILL HAVE TO FIGURE OUT WHAT WE'RE GOING TO CUT TO MAKE UP THE DIFFERENCE, BECAUSE THAT'S THE REALITY. THERE'S NO FUNNY MONEY THAT WE'RE HOLDING.

WE'RE GOING TO HAVE TO CUT SOMETHING.

BUT I THINK IT ALLOWS PEOPLE TO MAKE A DECISION AND THEN ALSO I WOULD ENCOURAGE EVERYBODY THE BASIC HMO PLAN. PEOPLE KIND OF ASSUME THAT'S HORRIBLE COVERAGE.

IT'S NOT YOU HAVE ACCESS TO ALMOST THE EXACT SAME DOCTORS AND SO FOR THOSE OF YOU THAT ARE WORRIED ABOUT A PREMIUM GOING FROM 144 TO 300, I WOULD URGE YOU TO LOOK AT THE HMO.

YOU'D BE SAVING ALMOST $200 A MONTH AND SO I DON'T KNOW WHAT THE APPETITE FOR THAT IS, BUT I WOULD PROPOSE THAT AMENDMENT.

SO YOU'RE SAYING SPLIT THE INCREASE BETWEEN THE NEXT TWO YEARS? OKAY. AND THIS I THINK WHAT EVERYONE'S LOOKING AT HERE IS CURRENT BASE VERSUS PROPOSED BASE.

THAT'S IN THE AGENDA FOR THIS BOARD MEETING.

THE PROPOSED BASE.

CORRECT ME IF I'M WRONG, DOES NOT INCLUDE THE $50 WELLNESS CREDIT.

THAT'S CORRECT. SO 150 WOULD BE THE PROPOSED BASE WITH THE WELLNESS CREDIT IS 50.

I'D BE REMISS IN SAYING AND YOU KNOW THIS, BUT I HAVE TO SAY THAT AS A MANAGER OF THE PLAN IS WE WILL NOT HAVE ENOUGH MONEY TO COVER OUR CLAIMS FOR NEXT YEAR, AND WE WILL NOT HAVE ENOUGH MONEY TO COVER OUR CLAIMS IN 2027.

I JUST NEED TO MAKE SURE THAT'S ON THE RECORD AND SO IT'S THE BOARD'S DECISION.

BUT I HAVE TO SAY THAT.

SO I WILL BE COMING BACK TO YOU FOR MONEY AND WE WILL HAVE YOU'LL WE'LL HAVE TO CUT SOMETHING.

I MEAN, WE'LL HAVE. WE DON'T HAVE ANYTHING RIGHT NOW LEFT TO CUT.

THAT IS NOT EXTREMELY DIFFICULT.

BUT WE WILL HAVE TO FIND THE MONEY BECAUSE THE PROPOSED INCREASE WAS TO COVER THE BASE CLAIMS IF THEY COME IN AT 29.8 MILLION, WHICH IS WHAT WE'RE SEEING WITH THE CATASTROPHIC CLAIMS.

[01:15:01]

IT COULD BE COMING FOR 10 MILLION NEXT YEAR TO COVER US OR 15 WHEN I APPRECIATE AND THAT IS YOUR JOB AND I'M PUTTING THE ONUS ON US AS A BOARD.

I UNDERSTAND AND I'M PUTTING THE ONUS ON OUR THREE STATE REPRESENTATIVES TO GET OFF THEIR DUFF AND RELEASE THE FUNDING, BECAUSE I FIRMLY BELIEVE THAT SOMETHING WILL HAPPEN. UNFORTUNATELY, I THINK THAT'S GOING TO COME WITH PAST VOUCHERS.

BUT IF WE GET ADDITIONAL FUNDING FOR PUBLIC ED, DO WHAT YOU WANT.

AS LONG AS WE'RE PLAYING BY THE SAME RULES AND SO I THINK AS A DISTRICT, WE WILL BE ABLE TO RIGHTSIZE SOME THINGS AND THAT'S WHAT I'M PRAYING FOR.

IF IT DOESN'T HAPPEN, THEN WE'LL HAVE TO CUT THINGS AND THEN THE CUTS WILL BE DIFFICULT AS WELL.

YEAH. THERE'S NOT I MEAN YEAH AND I HOPE THERE'S NO EASY CLEAR ANSWER HERE.

SO IS THERE. BUT CAN WE IN THE SHORT TERM HELP SO WE CAN DISCUSS THIS.

NO. OKAY.

WELL, YOU DON'T LEAVE ME NO CHOICE FOR WE HAVE TO MAKE A PLAN.

WE HAVE TO NOTIFY OUR CHANGES BY SEPTEMBER 1ST.

WE HAVE TO NOTIFY OUR CARRIERS.

SO WE DO HAVE TIME.

WE STILL HAVE TIME TO TALK BEFORE.

AS LONG AS WE DO IT BEFORE SEPTEMBER 1ST.

THAT'S NEXT WEEK.

YEAH. I MEAN WE I WOULD TO THE BOARD.

DO WE HAVE ANY OTHER DISCUSSION OR IS EVERYONE AMENABLE TO AMENDING THE PROPOSED MOTION TO.

I DON'T EVEN KNOW WHAT THAT WORDING WOULD BE.

I WOULD JUST I MAKE A MOTION TO AMEND THE EXISTING THE NEXT HALF OF THIS YEAR AND THEN EXPECTED HALF NEXT YEAR.

CAN WE CAN YOU RESTATE THAT SO THAT WE'RE CLEAR ON WHAT.

IT'S HALF OF EVERY INCREASE TO EACH PLAN, OR HALF OF THE.

IS THAT WHAT YOU'RE SAYING? CAN YOU PLEASE REPEAT THAT, SIR? YEAH. MY AMENDED MOTION IS TO NOT CHANGE ANYTHING OTHER THAN THE PROPOSED BASE SPLITTING, THE INCREASE THAT WE'RE PROPOSING THIS YEAR BY TWO.

SO HALF OF THAT INCREASE GOES EFFECT JANUARY 1ST, 2025.

THE OTHER HALF OF THAT INCREASE GOES INTO EFFECT JANUARY 1ST, 2026 FOR EACH PLAN SPLITTING THE INCREASE.

YES. FOR EACH PLAN, EACH CATEGORY.

YES AND SO THAT'S GOING TO BE A DEFICIT ON US.

PROBABLY 4 MILLION BUCKS, PROBABLY $4 MILLION AT LEAST AND THAT'S ALL BASED ON CLAIMS TOO.

SO IT COULD BE 9 OR 10 BASED ON CATASTROPHIC CLAIMS THAT WE'RE TRENDING TO, YOU KNOW, YOU TALK ABOUT SURVEYS AND THE ZERO CO-PAY CLINICS, YOU KNOW, AND I KNOW THAT WE NEEDED MORE PARTICIPATION ON THE SURVEYS AND I THINK FOLKS WILL TAKE THAT TO HEART WHO ARE LISTENING TO THIS OR WHO WILL REVIEW IT AFTERWARD.

I THINK THE VAST MAJORITY OF PEOPLE BEING EMPLOYEES OF THE DISTRICT THE MOST IMPORTANT THING TO THEM WAS PREMIUMS OUT-OF-POCKET EXPENSES EVERY MONTH.

I KNOW THERE ARE SEVERAL PEOPLE IN THIS ROOM WHO ARE GOING TO FEEL THIS.

HOWEVER WE IMPLEMENT IT AND I THINK YOU'VE DONE A GREAT JOB OF EXPLAINING THROUGH THIS AND, YOU KNOW, LIKE NANCY SAID, WE HAVE MADE YOU GO THROUGH MULTIPLE ITERATIONS OF THIS, AND WE APPRECIATE ALL YOUR HARD WORK.

BUT I ALSO THINK YOU'VE DONE A GOOD JOB OF EXPLAINING THAT, YOU KNOW, WE'VE COME UP WITH THE BEST OPTION WE CAN.

SO I THINK SPLITTING THE DIFFERENCE WE HAVE TO COMPROMISE SOMEHOW.

WE'RE A SELF-FUNDED PLAN, AND THIS IS BASED ON CLAIMS THAT ARE HAPPENING WITHIN OUR PLAN, AND THEY'VE GONE UP FROM $18 MILLION TO, YOU KNOW, 25 TO $30 MILLION.

I MEAN, IT'S JUST ARITHMETIC.

SO I THINK SPLITTING THAT DIFFERENCE PEOPLE MEETING THE CRITERIA FOR THE WELLNESS CREDIT TO KNOCK ANOTHER $50 OFF OF THAT.

YOU KNOW, IS SOMETHING THAT I THINK IS A GOOD COMPROMISE GIVEN THE TERRIBLE CIRCUMSTANCES.

SO I THINK SO TOO.

AT THIS POINT, I THINK THAT'LL HAVE SOME OF OUR PARAPROFESSIONALS THAT ARE OUT THERE THAT DON'T MAKE THAT MUCH.

THEY MAKE $1,400.

SO I TAKE ALL THAT INTO CONSIDERATION.

SO I'M WITH THAT.

RYAN, I'M GONNA CALL YOU BRIAN.

OKAY. YEAH, I'VE BEEN CALLED WORSE.

OH, I'M SURE YOU HAVE, BUT.

ALL RIGHT. DO I HAVE A MOTION TO APPROVE THE HEALTH INSURANCE PLAN? PREMIUM STRUCTURE AND DENTAL PLAN, PREMIUM STRUCTURE, WHICH WE DIDN'T DISCUSS.

DO WE WANT TO TALK ABOUT DENTAL? IS THERE ANYTHING FOR DENTAL? WE'RE GOOD. THE DENTAL PREMIUMS WOULD REMAIN THE SAME.

THE DISTRICT WOULD NO LONGER DO THE EMPLOYEE ONLY CONTRIBUTION FOR CLARITY.

SO MOVED.

I'M NOT. LET ME RESTATE IT THOUGH.

LET ME FINISH FOR SURE.

SO DO YOU HAVE A MOTION TO APPROVE THE HEALTH INSURANCE PLAN? PREMIUM STRUCTURE AND DENTAL PLAN.

PREMIUM STRUCTURE FOR 2025, AMENDED BY SPLITTING THE PROPOSED BASE COST BY HALF BEGINNING JANUARY 2025, AND THE

[01:20:09]

REMAINING HALF JANUARY 2026.

PROPOSED INCREASE.

INCREASE IN THE BASE. THANK YOU.

WITH ALL OTHER THINGS.

YEAH, THAT IS MY MOTION.

SPLITTING THE PROPOSED BASE INCREASE BY HALF BEGINNING JANUARY 2025 AND THE OTHER HALF JANUARY 2026.

SO MOVED. YEAH.

MOTION AND SECOND. OKAY. WE HAVE A MOTION BY TRUSTEE CHAVEZ AND A SECOND BY TRUSTEE CURRY.

ALL THOSE IN FAVOR, PLEASE SAY AYE.

AYE. ANY OPPOSED? SAME SIGN. THANK YOU.

MOTION CARRIES 6 TO 0.

THANK YOU GUYS.

THANK YOU LISA.

VERY MUCH SO.

THANK YOU. YOU'RE TURNING RED UP THERE.

YEAH. SHARPEN YOUR PENCILS.

WE HAVE WORK TO DO. YEAH.

YEAH. OKAY.

ALL RIGHT. MOVING ON TO PROCUREMENT AND CONTRACTS.

[VIII. Procurement and Contracts]

APPROVAL OF DISTRICT PURCHASES.

DOCTOR WILKINS. THANK YOU, MISS BRIDGES.

WE HAVE TWO ITEMS FOR YOUR CONSIDERATION THIS MORNING.

THE FIRST ITEM IS AN INTERLOCAL AGREEMENT WITH TEXAS TECH.

THIS IS PART OF OUR PARTICIPATION OF THE SGS SYSTEMS OF GREAT SCHOOLS AND IT'S PAID FOR WITH THE 21ST GRANT FUNDS.

I DO HAVE KEN CASAREZ HERE THIS MORNING TO AND HE'D BE HAPPY TO ANSWER ANY QUESTIONS IF WE IF YOU HAVE ANY.

HE'S DOING A PHENOMENAL JOB.

OKAY. ALL RIGHT. I'LL MOVE ON TO THE NEXT ONE.

THE NEXT ONE IS AN INTERLOCAL AGREEMENT WITH TEXAS TECH IN REGARDS TO STEM ACTIVITIES THAT WILL BE LED BY TEXAS TECH UNIVERSITY LEADERS.

STUDENTS WILL MEET WEEKLY TTU WILL ORGANIZE, DEVELOP, IMPLEMENT AND MAINTAIN THE SYSTEM CLUBS AT LISD CAMPUSES AND YOU CAN SEE THE CAMPUSES LISTED THERE IN THE DESCRIPTION.

TRUSTEE, ANY QUESTIONS? ALL RIGHT. DO I HAVE A COLLECTIVE MOTION TO APPROVE THE DISTRICT PURCHASES AS PRESENTED? SO MOVED. SECOND.

SECOND. THANK YOU. WE HAVE A MOTION AND A SECOND.

ALL THOSE IN FAVOR, PLEASE INDICATE BY SAYING AYE.

AYE. ANY OPPOSED? SAME SIGN.

MOTION CARRIES 6 TO 0.

THANK YOU. APPROVAL OF DISTRICT CONTRACT RENEWALS, DOCTOR WILKINS.

THANK YOU, MISS BRIDGES. WE HAVE FIVE CONTRACTS FOR YOUR CONSIDERATION THIS MORNING.

THE FIRST ONE IS A ZERO COLDPLAY CLINIC THAT MISS THOMPSON MENTIONED EARLIER.

AS YOU CAN SEE, THIS IS YEAR FIVE OF FIVE.

SO WE WILL HAVE TO START THE PROCESS OF REQUEST FOR PROPOSAL DURING THIS YEAR.

THIS IS PAID FOR WITH THE HEALTH HEALTH HEALTH PLAN FUNDS.

EXCUSE ME. THE NEXT ONE IS OUR PARTNERSHIP WITH GERM BLAST.

WE HAVE BENEFITED GREATLY FROM THIS PARTNERSHIP AS WE CONTINUE TO WORK DILIGENTLY TO PROTECT OUR STAFF AND STUDENTS.

I'LL POINT OUT THAT THIS IS A NOT TO EXCEED NUMBER AND THE SERVICES BOTH SCHEDULED AND AS NEEDED BASIS, SO WE CAN USE THEM AS NEEDED WHEN WE DISTRICT DISCOVERS AN INCREASE IN ILLNESS IN THE FACILITIES.

OKAY. THE NEXT ONE IS OUR ANNUAL RENEWAL FOR FRONTLINE SOFTWARE.

YOU CAN SEE WHAT, THE SYSTEMS COVERED BY THIS CONTRACT, THIS IS OUR ERP AND OUR HR STUFF.

SO THIS IS ALL OF OUR FRONTLINE STUFF WE USE AND THEN THE NEXT ONE IS OUR MICROSOFT LICENSING THAT WE USE IN THE DISTRICT.

IT'S FOR ALL STAFF AND ENROLLED STUDENTS.

THIS IS AN ANNUAL RENEWAL AS WELL AND THEN FINALLY WE HAVE AN ANNUAL CONTRACT WITH CISCO SOFTWARE.

THIS IS OUR SOFTWARE THAT WE USE FOR VIDEO VOICE OVER IP, WHICH IS OUR PHONE SYSTEMS AND THE TECHNOLOGY SWITCHES.

SO ALL RIGHT TRUSTEES ANY QUESTIONS OR COMMENTS.

ALL RIGHT. DO YOU HAVE A COLLECTIVE MOTION TO APPROVE THE DISTRICT CONTRACT RENEWALS AS PRESENTED.

SO MOVED SECOND THANK YOU.

HAVE A MOTION A SECOND. ALL THOSE IN FAVOR PLEASE INDICATE BY SAYING AYE.

AYE. ANY OPPOSED? SAME SIGN.

MOTION CARRIES. THANK YOU.

OKAY, OKAY.

ALL RIGHT. AN EXECUTIVE CLOSED SESSION WILL BE HELD UNDER THE PROVISIONS OF TEXAS GOVERNMENT CODE CHAPTER 551.

[IX. Executive Closed Session]

IT IS 8:24 A.M.

AND WE ARE ADJOURNED TO CLOSED SESSION.

THANK YOU. ALL RIGHT.

IT IS 9:06 A.M.

AND WE ARE RECONVENED FROM EXECUTIVE CLOSED SESSION.

[X. Reconvene from Executive Closed Session]

DO WE HAVE ANY ACTIONS FOLLOWING CLOSED SESSION? NO. HEARING NONE.

IT IS 9:06 A.M.

AND THIS MEETING IS NOW ADJOURNED.

* This transcript was compiled from uncorrected Closed Captioning.

I. Call to Order

V. Consent Agenda

X. Reconvene from Executive Closed Session

Aug 22, 2024 Board Meetings

I. Call to Order

V. Consent Agenda

X. Reconvene from Executive Closed Session

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