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HomeMy WebLinkAbout2-18-26 TranscriptEmployee Benefits Trust Board Meeting-20260218_110536-Meeting Recording February 18, 2026, 6:05PM 39m 28s Bill Nary started transcription Bill Nary 0:03 We are starting our monthly board of trustees meeting for the City of Meridian Employee Benefits Trust. It is Wednesday, February 18th, and I'll call the meeting order of Bill Mary President Alex Vritag, Christina Barney. Alexander Freitag 0:16 Present. Christena Barney 0:19 Present. Bill Nary 0:20 Eli Daniel. And Shawn Harper is absent. He may join us later. He did. He did accept it as tentative. So we'll see if he ends up joining us. We have both Laurie and Scott. Hear from Gallagher and Dan Malloy is also here from Blue Cross so. We start. We had, I think, two sets of minutes, minutes of our last regular meeting and minutes of our special board meeting that we had in January. Just need a motion to approve those. Alexander Freitag 0:52 I'll make a motion. Eli Daniel 0:54 2nd. Bill Nary 0:56 It's been moved and seconded to approve both sets of minutes, all those in favor say aye. Alexander Freitag 1:01 Hi. Bill Nary 1:02 Aye, it's approved. All right, so. I guess we can go quickly over maybe the monthly experience reports. Christine, did you want to ask Scott or Lori to help us walk through those? Christena Barney 1:21 Yes, 'cause I missed the meeting that they walked through the new format. So I'm having a hard time figuring it out. So I can I have it pulled up? If you need me to pull it up and share it or OK. Laurie Churella 1:34 Yeah, that would be great. And then I can. I can answer it. Christena Barney 1:37 OK. OK. Give me just one second. I just need to move my minutes to another screen. OK. Laurie Churella 1:59 New format that has quite a bit of information in it. But hopefully. Especially if we get into the new plan year, we'll we'll help to bring more context each month to the to the reporting. Reporting through December, so it represents the full plan year. The left column of this just shows the the total medical and pharmacy claims. That's any stop loss reimbursements. Plus, our administrative and stop loss costs per total plan costs. It all shows the total funding at the bottom left for a loss ratio of 117.7% for the for the plan year. And it shows all the same numbers on a PEPM basis and shows the prior year's numbers. For comparison, so our loss ratio is up 7 1/2% from the prior year. I know the next page. Shows the data that can would be more used to seeing on the old monthly experience reports, but it shows it for. 2 Rolling 12 month periods. So again because this. Is the rolling 12 and the plan year are the same because this is a December report. But in future months, we'll see. You'll always see 24 months of data on this screen, so it just will help with some context, but again. Bottom right, you can see that the current rolling 12 month loss ratio is 117.7 the prior roll 12 month loss ratio was 110.2. At stage. Shows. Similar data, but for the plan year I believe. Bill Nary 4:22 Is that a different page? Christena Barney 4:24 Yeah, I need to keep going. Bill Nary 4:25 OK. Laurie Churella 4:27 Yeah, I think that was the same page. Christena Barney 4:30 OK. Bill Nary 4:32 OK. Laurie Churella 4:32 Yeah, yeah, there we go. Bill Nary 4:32 There we go. Christena Barney 4:32 There we go. Laurie Churella 4:36 So this is just the the prior. Wonderful. Yeah, we skip two, so. No, I said. A current plan year and a prior plan year again because. Plan year. It matches what was on the the rolling 12. As we get into the new year, this will be where you'll see the. You know, time as we build up on the plan year. What we've seen also is the prior plan year, which again matches the prior rolling 12. 110 loss ratio. So the next one. This is shows the historical planes experience, so we actually see three years of data on this. We can see that 2.6% loss ratio in 23 jumping up to 110 in 24117 in 25. The next page. I. Past payments for the the most recent 12 months. We have 4 claimants who've exceeded the the specific stop loss level of 225,000 with our largest being a cancer claim. Our second largest also. Contributed claims. Number three was a pretty broad mix of things. But I have some. So much Oval stuff was the was the main cast driver. And then #4 also a broad mix of things, but I think. Both some musculoskeletal and cardiac things were the main drivers. Christena Barney 6:53 Same thing in the that'll populate as the year goes on. Laurie Churella 6:53 Same. Yeah, that's right. Again, with this being December, a lot of the the rolling 12 and the current plan year are just the exact same. Prior large claimants was that prior slide and then. So again, I I think you'll find and Christina mentioned there's just a lot more data in this report, so it. It is a little bit overwhelming, but I like it 'cause it helps to just provide a lot more context as as we go through it. Next page was the dental claims. So this is the plan your dental claims for the year. We ended up running at 106.2 per person. You on the dental. Compared to 102.7 in the prior plan year. Christena Barney 7:56 106 is current. Laurie Churella 7:59 Yes. Christena Barney 8:01 For December. Laurie Churella 8:02 Uh-huh. Christena Barney 8:03 OK. And then prior plan year was the 102.7? Laurie Churella 8:07 That's right. Christena Barney 8:10 Sorry, I'm also trying to take notes. Laurie Churella 8:13 Oh, sorry, yeah. Christena Barney 8:14 That's OK. Laurie Churella 8:15 Multi multitasking. Christena Barney 8:16 Yes, OK. So we just talked about that. Laurie Churella 8:19 Yeah. And so the that next page focuses on the prior plan year, then we've got rolling 12 on the dental, which again because this is December, it's the same as the as the plan year. Then we get into some utilization we we realized during the committee meeting that the vision experience was missing from this. We're still working on pulling that in. But as soon as we have that, we'll we'll send it over. What you'll also see in each of these is a little bit more of a look at utilization. So rather than just claims numbers and loss ratio numbers, we'll see some information on what kind of utilization. Is driving costs, so you can see kind of what service categories we have. With outpatient professional pharmacy and inpatient and then further breaking down some of those. Some of those categories below, so you can see a little bit in a little bit more detail. What type of what type of services have been driving? The the Queen's utilization. Christena Barney 9:42 What is this amount down here? The two 20%, what does that reflect above? Laurie Churella 9:50 So that is. See. Yeah, it's that is showing. Uh. A percent change over the prior rolling 12. But I am. I'm actually suspicious of that number because our claims, while they did go up, they did not go up that much that much. So I feel like. It may not be pulling complete data from the prior 12 on this. We'll take that back. Christena Barney 10:31 Which should be matching this. Laurie Churella 10:36 Yes. So it might just be that we had. Yeah, I think it's just missing some categories on the on the prior rolling 12 where it's not pulling in complete data for some reason. Christena Barney 10:57 Thank you. Laurie Churella 10:58 Yep. Top prescription drugs for the current rolling 12 versus the prior rolling 12. So you can see some of the. The high cost drugs that are driving some of our cost, a lot of these are going to be. Autoimmune and then a few of the cancer medications that are also. Popping up on this. Drugs by cost. This is the top utilized drugs. So for the most part you see. Lower cost medications that are that are highly utilized, so things like. You know, antibiotics, some of the. You got thyroid medication and then some. Gastrointestinal medications, cholesterol, blood pressure, those kind of things where a lot of people are using them, but they're not. For the most part, driving significant costs. A couple of the exceptions will be the diabetic medications where we see a lot of prescriptions on a relatively high cost category there. And that should. Just some information on enrollment in the plan, which has been very stable, so. So yeah, I again new format lot of information, but I think it'll be it'll be useful to help give us more insight month to month on on how the plan is running and more context because we'll always have kind of a rolling two year period that that we. Doing comparisons on. Christena Barney 13:12 Perfect. Any questions from the committee? Other board. Bill Nary 13:18 I don't, I think. I mean, I guess I think when we talked about it, Christina at the at the benefits meeting, I mean again where you know I think we've that kind of tasked the committee as a whole to kind of talk about. Which you know, there's a lot of moving parts here, right? There's no one fix. And there's no one thing. And so I think we asked Gallagher to maybe help us sort of, you know create different categories and like. Maybe trying to figure out hey, can we adjust a little over here and a little over here and a little over, I mean different areas to try to look at the whole picture, but knowing full well again there's not 111 size fits all, but there are. Little ways that maybe we could, you know, educate a little bit more. Some areas do more preventative. In some areas, try to address some things in some areas in programming, but I think it's a big it's a, it's a big elephant to tackle, that's for sure. Christena Barney 14:22 Thanks. Bill Nary 14:22 I mean, I think you're still going to conversation with the Council to understand. That the healthcare costs are not going to there is no, for lack of a better way, say there's not a better way. You know the the way we're doing it is the best way we could do it. The cost of the program is not driven by the way we're doing it. It's driven by the cost of medical care and prescriptions, not because if we chose a different way or a different vendor or different method that would be cheaper. Christena Barney 14:51 Mm-hmm. Bill Nary 15:00 That's not how it works, and so I think there's going to be that continuing education, understand that we're doing it the best way we can, but we're trying to address the areas in parts that we can impact. Laurie Churella 15:02 Right. Bill Nary 15:14 Without impacting the whole cost of the program. Ram, the impact on the employees, you know, we know we've talked so many times about. More draconian measures you could take in passing the cost back to the employees and shifting the cost to greater contributions, less and less coverage for dependents or different way of covering dependents or other ways that we do that or we're also having to deal or concern ourselves with. Recruitment and retention as well, and who are competing with in the market. So it really is you to say we just push the cost here or we could just stop covering that. But we then make ourself less attractive in other ways. So trying to address all that and educate the Council that, you know, with all these other factors, we're doing the very best we can and the way we're doing this is the best we can do. Laurie Churella 16:09 Yep, agreed. And I think the the issue that we've hit on with Council several times, we've hit on in, in these meetings is. Bill Nary 16:14 Please. Laurie Churella 16:19 The the biggest challenge that we had was the sudden turn in claims experience that we saw and just having the funding catch up to that. Has been the struggle of the last year or two. Bill Nary 16:36 Well and and and I don't know how to get the Council passed the idea of trying to fund. To a certain level and allow the fund to to have some level of reserve besides just the mandated required reserve. But to build a reserve to weather through those storms so they aren't having to come back, you know every quarter and say OK we're you know now another. Half $1,000,000 or another $1,000,000. To catch up versus we can weather through that if we sort of plan further ahead, so. Anything else? I don't think there's anything on the monthly financials or quarterlies to do at the moment. Unless I'm mistaken, Christina. Christena Barney 17:25 No, I think it's helpful though for us to just talk about the end result on those, the balance sheet profits loss and catch those in the Minutes. That's what I'm hearing from DOI. We need to be, like, actually engaging in a conversation regarding those. Bill Nary 17:36 Yeah. Christena Barney 17:42 So the balance sheet as of December 31st, 2025, the total liabilities and equity or $2,474,237.45? And the profit profit loss statement as of the same date, our net income was at 49,100 and 8707. So we're back in the black, but barely. Any questions on that? OK. Bill Nary 18:11 Back great song. Christena Barney 18:14 And then for the quarterly financials, we have a draft of the financials. We were waiting for Blue Cross's rebate letter, which we received today. Adequacy of the surplus is at $53,139, which is in excess compared to the deficit of $112,375 it was. To the prior year. And then we'll be finalizing that quarter few for financial and submitting that to DOI by the end of March. Sooner, if we're able to. Eli Daniel 18:50 That rebate came back a little higher than we planned, didn't it? Christena Barney 18:55 It's, I mean it absent flows a little bit, but I think it's in line with what we've been receiving. Eli Daniel 19:02 That was expected. OK. Christena Barney 19:03 Yeah. I think the last one was like 97,000. This one's 115 if I recall correctly. Eli Daniel 19:08 Yeah, that's cool. Bill Nary 19:12 Every little bit helps. Christena Barney 19:14 Yep. Eli Daniel 19:14 Yep. Bill Nary 19:15 OK. On our discussion items, first item up is election of officers. It's this is our first meeting of the year. I'm happy to do it one more year. I I'm hoping in 2027 to be planning to retire. So I would like I plan to over here and help transition this in 2017 to someone else and but I'm happy to do another year if everybody's OK with that. But someone else fills a burning desire. I'm perfectly fine too. I think the key factors if just for the future to make sure on the record, the key factors in honestly in chairing these meetings besides just sharing the meeting is making sure we're compliant with the public records requirements for scheduling the meetings and noticing the meetings, making sure. Eli Daniel 19:48 I'm fine with that plan. Bill Nary 20:06 There's an agenda that's published, and I do that through the clerk's office and we'll talk a little bit about some of that in relation to DUI. I for the future, but just just for the record, that's kind of the primary function of the chair is to make sure we have an agenda that's set. It gets published properly and it gets properly noticed for public meetings, so I'm happy to do it again for another year so. I think we probably need to vote. Christena Barney 20:40 Read in a motion and a vote. Or do we just need a? Bill Nary 20:42 I think we need a motion and a vote. Christena Barney 20:45 A motion that you remain the chair for this coming year. Bill Nary 20:49 Right. OK. It's been moved a second for for myself, Bill and Mary to remain chair for. 2026 all those in favor say aye. Eli Daniel 21:00 Hi. Bill Nary 21:03 And then we need a vice chair. I would move that Alex Frytag remain as the vice chair as long as you're still willing to do that, Alex. Alexander Freitag 21:11 Yeah, yeah, no problem at all. So. Eli Daniel 21:13 I'll second it. Bill Nary 21:16 Right. It's been moved and seconded for Alex to remain as the vice chair for 2026. All those in favor? Say aye, aye. Eli Daniel 21:24 Right. Bill Nary 21:27 Alright, DUI update. I just wanna I put that on here, Christina, just to make sure we put on the record and we did send the response. Think we all reviewed it? Have we had any contact back from them yet? As to our response? Christena Barney 21:42 We have not. The only thing I've received was a request for some triangle reporting on claims for medical, dental and vision. So I'm working with Reba and the carriers to get that information, but I have not heard a response or the finding response letter. But as soon as I do get a response, if I get a response, I'll make sure to share that with the board. Bill Nary 22:12 The other things that they asked us in in some of their comments and Reba had reminded me and setting the agenda was they asked us to annually acknowledge the conflict of interest statement I meant to print it off. I hadn't had time to do that, so I will print off a conflict of interest statement and send it out to the board members for signatures. Recognizing that we that so. I will do that and send it out to the board if everyone's OK with that and then we. We could submit, then we could keep that on the record or keep a record of that. And then the other, oh, go ahead. Sorry. Christena Barney 22:50 Yeah. Well, I can send that to you. I have the form so I can send it to you with the minutes. I think the the other thing is they wanted us to actually go through the conflict of interest each year. Bill Nary 22:56 Oh, that would be awesome. Christena Barney 23:02 So I have it up, I can share it. Bill Nary 23:02 OK. OK. Let's do that. Alexander Freitag 23:06 True. Christena Barney 23:09 Generally it's just it's just a statement stating that you are fiduciary responsibility party for the the trust and that you aren't to put yourself in situations where there could be a conflict of interest. And if there is a conflict of interest that arises that you'll notice the board of trustees so that we're aware, and then we can choose to remove you from whatever decision needs to be made. Any questions on that? Bill Nary 23:42 I don't thank you, Christina. Eli Daniel 23:43 Nope. Christena Barney 23:44 OK. No problem. And then. Bill on in the same vein, the disclosure statement. So it was in a response all of the board members have seen it, but just making sure that when we update our bylaws, we put in that anytime an employee or a member comes to the board, we will read the disclosure statement that basically states that it is. Bill Nary 23:55 Yes. Christena Barney 24:12 On them, what information they share choose to disclose, but this is public record. And that we would ask that they not share anything confidential during that meeting. Bill Nary 24:24 Right. And I don't think if if I recalled Christina and then you can correct me. But if for example, an employee were to come to a board member with a concern of whatever the issue would be and share that and ask the board member like they didn't want to come to the board meeting, but they said, could the board member come and share? That. Would then the board member. Advise the employee. Yes, I can bring your concern forward. I won't share your name and I won't share your specific. I will share the concern about whatever the issue is. The program, the covers, whatever that may be, to see if the board will address it. Christena Barney 25:00 Mm-hmm. Bill Nary 25:04 Is that OK? Is that is that I think that's still compliant because I think again that's still the employee's request. Christena Barney 25:13 Yes, my understanding from DOI is that they just don't want any Phi. Bill Nary 25:14 Right and. Christena Barney 25:19 So personal information shared in a public forum. But if we aren't sharing their public their personal information, we aren't tying something specific to an employee. Bill Nary 25:23 Mm-hmm. Christena Barney 25:31 It's unidentifiable that I don't think that's a concern of theirs. Bill Nary 25:36 Got it. Christena Barney 25:39 The other thing was wet signatures on minutes. There was a question asked about where where we're keeping those. So. Bill Nary 25:49 So so I can now add to that conversation. So I did. So here's how things have been going. Laurie Churella 25:54 Some things have been going. Bill Nary 25:57 I'm sorry. Christena Barney 25:59 There was just feedback. Eli Daniel 25:59 I think we got feed feedback on Mike's, yeah. Bill Nary 26:02 Oh, so I think here's how things have been going. And it's inconsistent and I'm gonna try to help create some consistency. Every month I've been recording the meetings on teams. And I have then. Downloaded the recording and downloaded the transcript and saved them on our L drives. And I've got each month as I prepare the agenda, I send them to the clerk's office. US. And they have a link on our web page with the trust and the agenda. And then they post the physical agenda on the board. I asked the clerk's office if we could then. Now, instead of it being in some of its some of the Minutes are done in hour and I think you guys might keep some there. Christina, I keep the approved minutes in our L drive. Obviously those are two different places that doesn't sense. So I asked the clerk's office could we create a place in the clerk's office through laser fish? That. A. Public access could access. To our minutes, the transcript, the video recording and all of that. And he said yes, they could do that. So I'll work with them over the next month and we'll create that Ave. So and then we'll create SOps. So when myself or any of us aren't part of this board anymore, will have a protocol in place for all of this to happen. So the recording can get done, downloaded, sent, you know, and preserved in one location that the public could access. And that way it's not a hit or miss or. And so there's a more consistency. So that's. Kind of what I think would make the most sense, and I think that would be much more compliant with what DOI was looking for. Christena Barney 27:54 OK. Bill Nary 27:58 So I will. I will take it on to to get that done, but hopefully by next month I talked with the clerk today and that's no problem. Right now what we've been doing is. Our paralegal takes it and sends it to the clerk and they have been preserving it, but I think we'll make sure that there's a clear, identifiable location for the public to access through our laserfish system to it, just like they could any other Commission or a public meeting. That the city is a part of. If so, we'll do it that way, but I will take care of it and hopefully by next month that'll be a done deal. Anything else on those for the moment? Christena Barney 28:44 That was it. Bill Nary 28:44 OK. Christena Barney 28:46 Oh, I already addressed that. So yeah, once we get legal counsel, we'll need to update our bylaws with all of these different things that we're doing. Bill Nary 28:51 Yep. I put on here enrollment update. I didn't know if we needed any other follow up. Any other hiccups, issues, concerns from the enrollment? I know we're a couple months past that. We're into the the plan, years, everything OK? Everything's so far. Christena Barney 29:08 We did. Yeah, we did have a couple hiccups with our file feeds from work day for open enrollment. But I think we've worked through all of that. So everything's good at this point? Bill Nary 29:19 Great. Next Trust Council process. I don't recall where we were with that. Christena Barney 29:30 I have reached out to all three of the attorneys that were on our list. We have received a bio back from one of the attorneys I've had another attorney reach out to me and say he's interested. Bill Nary 29:38 OK. Christena Barney 29:41 He had a couple questions and he's working on getting a bio to us. What I've received so far. I forwarded to Alex because Alex and I were tasked with vetting through these attorneys. I have not heard anything from the third one yet, so as soon as we get the second bio. Alex and I'll schedule some time for us to go through those and then provide a recommendation to the board. Bill Nary 30:01 Great. Yeah, I've been keeping a couple of running lists of things of that. We'll have to have the new Council do once we get there, but. Christena Barney 30:16 OK. Bill Nary 30:16 And then I think after we do that, we probably need to look at this next item which is trustee process and succession planning. I think that's another thing the DOI had asked about. The mayor has also asked us about that. So that we create a process for that too. I don't know if that's something we need to do right now, or should we wait till we get the Council in place? The board have a preference. Christena Barney 30:45 I would suggest waiting until we get Council in place. Bill Nary 30:48 OK. Yeah, I don't think it's urgent. I think we just want to make sure we take care of it probably in the next few months. You know the next three or four months we least create a process. You know, I think we did bring it up with the benefits committee just as a an FYI, when people are interested that we would like to know and then I think this is just to see if there's other methods besides that. To use as an Ave. for people that are interested. I don't think we had any bills this month that I'm aware of. Christena Barney 31:25 We don't, but we have some upcoming that I wanted to make the trust aware of. So we have taxes that are due by March 9th. We have an estimated amount at this point, but we needed to finalize all of the rebates and all of that. So right now it's estimated at 1393, so 1393, as soon as we finalize that, Reba will be sending out an e-mail and getting board approval and then we'll just make sure we. Formally approve it on the next. Meeting. Bill Nary 31:57 OK. At least we have enough money in the bank to pay that. Eli Daniel 31:59 I think I've seen him before. What were these taxes for? Like. Christena Barney 32:05 OK. Give me just a second. Eli Daniel 32:08 Sue. Christena Barney 32:08 They are taxes for self funded healthcare plans. So it goes to the federal government through the Department of Insurance. Eli Daniel 32:15 Oh OK, seems silly being a. Bill Nary 32:19 And it was one of the few things that Kevin W actually did for us to show that we actually had to pay it. Christena Barney 32:25 Two years in, yes. Eli Daniel 32:25 Hmm. Bill Nary 32:27 Yes, eventually, when we actually asked him, like, did we really have to pay it so? Christena Barney 32:32 Yeah. So it's based on number of lives on your plan per month. And then there's a calculation point. Four on the total beneficiaries for the year that you pay tax on. Eli Daniel 32:44 Cool. Yeah, I guess it makes sense. Just seems silly being. Laurie Churella 32:45 I think it's actually. Eli Daniel 32:48 Government and healthcare and everything. Christena Barney 32:49 Up. Eli Daniel 32:50 It's like, why are there taxes here but? Christena Barney 32:52 Yeah. Laurie Churella 32:53 I think it's actually. Bill Nary 32:53 Well, 'cause, they don't consider us to be a government, right? Eli Daniel 32:56 Right. Bill Nary 32:56 We are technically not part of the government, although we kinda are, but we're not. Eli Daniel 32:58 Yeah. Bill Nary 33:01 So that's why. Christena Barney 33:02 Thought you had something to say? Laurie Churella 33:04 Yeah, I I think it's actually a state tax the the. Christena Barney 33:09 Oh, you're right. State of Idaho. Laurie Churella 33:10 The with the oversight that the Department of Insurance has on government self insured plans. They don't get premium tax like they would on a on an insured plan and so they they use the self insured plan tax to to generate revenue for their oversight of the plans I think. Eli Daniel 33:31 OK, it says DOI doing the same thing we do to keep our keep our doors open. So. Laurie Churella 33:36 Yeah. Eli Daniel 33:37 OK. Thank you for the clarification. Appreciate that. Christena Barney 33:42 Yes. Thanks Scott. The other thing is we have a refund from hinge health of $1595. Scott, is that for counseling sessions? I missed what that was for. Laurie Churella 33:55 So hinge health is a a digital physical therapy program that's offered in conjunction with the MSK program through Blue Cross. Christena Barney 34:00 It's right. Laurie Churella 34:07 And. What what we've been told is that if utilization of the hinge health program was below a certain threshold that they they're returning some of the admin fees that they collected. And so that's, that's what this is. Bill Nary 34:29 Now the plus side is is we sound like we have enough in our bank account to pay the taxes, so we're good. Christena Barney 34:34 Yes. So with the hinge help rebate, we have two options. We can accept the refund or we can apply the refund to. The the fees, I guess that are upcoming for that program. Eli Daniel 34:53 Do we have enough fuel station to know that we'll continue doing that? Or is that something we just get? Christena Barney 35:00 That I don't know. Laurie Churella 35:02 It's it's one of the buy up programs. So we've got it for this year and so there will be. There'll be a per employee charge on each month's invoice from Blue Cross. But. We don't know that it's a program that will continue next year and as part of our review with Blue Cross, we'll be talking about all of their program offerings and and which ones make sense for the trust for the 27 plan year. You know, later this spring, early summer, so. Bill Nary 35:41 So it's kind of six to one after the other, right? I mean, we either take it and just bank it and pay the pay the regular rate, or we credit it towards the rate and get a discount on the rate. That's like amount, but. I. I don't know. I don't have a preference. I don't know the board have a preference. Alexander Freitag 36:03 I'd just take the money, I think. Christena Barney 36:06 I think that would be my preference as well. I'd rather the money in our bank than someone else's. Bill Nary 36:08 Yeah. Yeah. Yeah. It's just as part of the the other fee we're already paying. Eli Daniel 36:11 Yeah, let's do it. Bill Nary 36:16 It's not gonna matter that much that way. We might as well just bank it and we'll look at the program later. OK. Now we're just up to updates. Stan, do you have any update from Blue Cross for us for anything? Daniel Malloy 36:33 Well, yeah, as you're talking programs, I will give you one quick update. As Scott had mentioned too, we're redesigning all of our programs for 2027 and the pricing structure around them as well. You're going to see PEPMS go away on a. Lot of the programs and it will be more of a of a flat fee or a claims charge. So there are lots of changes coming within the programs for 2027. As soon as we have that finalized, we'll meet with Scott and his team and discuss a little bit and then get together with up with you and the trust to be able to say. Hey, these are the, these are the recommendations based on claims and based on the programs that are available for 2027 that might make the most sense for the trust. Bill Nary 37:25 Thank you, Dan Gallagher. Is there any updates Scott or Gloria from you guys? Laurie Churella 37:33 Some takeaways from the from the last committee meeting where, like Christina mentioned, we're putting together. Some exhibits to show you know some potential solutions to address some of the the claims concerns that that we have. So we'll be. We'll be putting those together and then also. You know, reviewing programs with Blue Cross and some other third party programs to to make recommendations. I guess as all that is in the works. You know, if anybody, if any of the trustees have questions on the material that was presented to the committee, you know, we're happy to to hear those and address those or have those questions kind of inform the the material that that we come back with over the next. Few weeks but. Bill Nary 38:40 That sounds great. Was there any questions from anybody? For for Scott. OK. Any other things for the next meeting besides the stuff that we talked about in this meeting? Any other additional items? OK. It is 1144. We have a motion to adjourn. Eli Daniel 39:07 I'll make a motion to adjourn. Bill Nary 39:10 And so moved all those in favor, say aye. Christena Barney 39:13 Hi. Eli Daniel 39:14 Right. Bill Nary 39:14 Aye, OK. We are adjourned. Thank you everyone. Appreciate your time and. Thanks for getting through. We had a lot of stuff on there, so thank you for that. Everybody have a great day. Eli Daniel 39:24 You too. Christena Barney 39:24 Thank you, chair. Laurie Churella 39:25 Thank you all. Bill Nary 39:25 See you later. Alexander Freitag 39:26 OK. Bill Nary stopped transcription