Common use of Health Benefit Advisory Committee Clause in Contracts

Health Benefit Advisory Committee. There shall be a health benefit advisory committee composed of four members appointed by the Employer, one of whom shall be the Manager of Employee Relations, and four members appointed by the Association, one of whom shall be the Contract and Field Operations Administrator. a. The purpose of the committee is: (1) to advise the Employer on all issues related to the purchase and administration of health benefit plans authorized or required by this agreement; and (2) to make recommendations to the Employer for changes in benefit design, utilization management, and/or provider payment policies that will preserve the continued viability of the health plan by limiting the growth in claims costs while improving the quality of care, including, but not limited to, recommendations concerning health education, wellness incentives, incentives to utilize “centers of excellence” or more efficient providers, preventive medical services, case management, disease management, high-risk intervention, aligning provider payment policies with quality improvement, and providing consumer information on treatment alternatives and provider cost-effectiveness. b. The committee shall be entitled to receive any information relevant to its mission and which is not confidential. c. The Employer shall make available to the committee such expert advice and assistance as is reasonably necessary to accomplish its mission. d. The Employer shall consider the reports and recommendations of the committee on issues related to the purchase and administration of the health benefit plan before making final purchasing decisions, provided that the reports and recommendations are timely filed. Nothing contained in this section shall prevent the Association’s representatives on the Committee from contacting the Governor and Executive Council members about any health benefit vendor contract subject to any non disclosure agreement or statutory disclosure prohibition. The Department of Administrative Services shall notify the Association’s Committee representatives of its intent to place such contract onto the Governor and Executive Council agenda. Such notice shall not be less than fourteen (14) days prior to the specific meeting it intends to bring forward such contract for approval. e. The Employer shall consider the reports and recommendations of the committee on issues related to claims costs and quality of care before making proposals for health benefit plan changes in renegotiation of this Agreement, provided that the reports and recommendations are filed by July 1 of even- numbered years. f. The Committee shall meet at least quarterly. g. The Employer and the Association shall receive a copy of any report or recommendations prepared by the Health Benefit Advisory Committee.

Health Benefit Advisory Committee. There A. The Superintendent shall be maintain a health benefit advisory Health Benefits Advisory Committee. The composition of the committee composed shall include: Five (5) members of four the Administrative Staff appointed by the superintendent; the Union President or his/her designee; and bargaining unit members appointed by the Employer, respective unit Presidents on the basis of one of whom shall be the Manager of Employee Relations, and four (1) member for every five hundred (500) members appointed or fraction thereof represented by the Association, one of whom shall be the Contract and Field Operations Administrator. a. bargaining unit. The purpose of the committee isis to allow joint consultation on matters concerning hospitalization, major medical, prescription, dental, vision and term life insurance coverage. Any health Benefits Advisory Committee member organization may retain, at its own cost and for its own purpose, a health care consultant who may attend committee meetings. Such consultation shall include, but is not limited to: (1) monthly monitoring of all plan costs, including claims; quarterly reviews to advise the Employer on all issues related to the purchase insure effective and administration efficient fringe benefit expenditures; quarterly reviews of health benefit plans authorized or required by this agreementplan performance objectives; and, annual reviews of coverage options and (2) to utilization studies and claim audits. The Committee shall determine its own meeting schedule, and shall make annual recommendations to the Employer for changes in benefit design, utilization management, and/or provider payment policies that will preserve the continued viability Superintendent regarding any aspect of the health plan by limiting fringe benefits package. Information on new classifications of drugs shall be shared with the growth committee within thirty (30) days. The Health Benefits Advisory Committee shall meet regularly during the term of this agreement. It will have the authority to review data in claims costs while improving one or a combination of the quality of carefollowing areas: Prescription co-pays, includingmandatory mail-in for maintenance drugs, but not limited tooffice visit co-pays, recommendations concerning health education, wellness incentives, incentives to utilize “centers of excellence” or more efficient providers, preventive medical services, case management, disease management, high-risk intervention, aligning provider payment policies with quality improvementsingle and family annual deductibles, and providing consumer information on treatment alternatives monthly premiums (in dollar amounts). The committee, by consensus, may expand the list of areas. The Board’s Health Care Consultant shall participate in the meetings and provider cost-effectiveness. b. The committee shall be entitled to receive any information relevant to its mission and which is not confidential. c. The Employer shall make available provide estimates of costs savings to the committee such expert advice and assistance as is reasonably necessary based on possible changes to accomplish its mission. d. the plan. The Employer Consultant shall consider the reports and recommendations of provide the committee on issues related with data supporting the estimated savings as well as other information he/she may be expected to routinely keep in his/her capacity as the purchase and administration of the health benefit plan before making final purchasing decisions, provided that the reports and recommendations are timely filed. Nothing contained in this section shall prevent the AssociationBoard’s representatives on the Committee from contacting the Governor and Executive Council members about any health benefit vendor contract subject to any non disclosure agreement or statutory disclosure prohibition. The Department of Administrative Services shall notify the Association’s Committee representatives of its intent to place such contract onto the Governor and Executive Council agenda. Such notice shall not be less than fourteen (14) days prior to the specific meeting it intends to bring forward such contract for approvalHealth Care Consultant. e. The Employer shall consider the reports and recommendations of the committee on issues related to claims costs and quality of care before making proposals for health benefit plan changes in renegotiation of this Agreement, provided that the reports and recommendations are filed by July 1 of even- numbered years. f. The Committee shall meet at least quarterly. g. The Employer and the Association shall receive a copy of any report or recommendations prepared by the Health Benefit Advisory Committee.

Health Benefit Advisory Committee. There shall be a health benefit advisory committee composed of four members appointed by the Employer, one of whom shall be the Manager of Employee Relations, and four members appointed by the Association, one of whom shall be the Contract and Field Operations Administrator. a. The purpose of the committee is: (1) to advise the Employer on all issues related to the purchase and administration of health benefit plans authorized or required by this agreement; and (2) to make recommendations to the Employer for changes in benefit design, utilization management, and/or provider payment policies that will preserve the continued viability of the health plan by limiting the growth in claims costs while improving the quality of care, including, but not limited to, recommendations concerning health education, wellness incentives, incentives to utilize “centers of excellence” or more efficient providers, preventive medical services, case management, disease management, high-risk intervention, aligning provider payment policies with quality improvement, and providing consumer information on treatment alternatives and provider cost-effectiveness. b. The committee shall be entitled to receive any information relevant to its mission and which is not confidential. c. The Employer shall make available to the committee such expert advice and assistance as is reasonably necessary to accomplish its mission. d. The Employer shall consider the reports and recommendations of the committee on issues related to the purchase and administration of the health benefit plan before making final purchasing decisions, provided that the reports and recommendations are timely filed. Nothing contained in this section shall prevent the Association’s representatives on the Committee from contacting the Governor and Executive Council members about any health benefit vendor contract subject to any non disclosure agreement or statutory disclosure prohibition. The Department of Administrative Services shall notify the Association’s Committee representatives of its intent to place such contract onto the Governor and Executive Council agenda. Such notice shall not be less than fourteen (14) days prior to the specific meeting it intends to bring forward such contract for approval. e. The Employer shall consider the reports and recommendations of the committee on issues related to claims costs and quality of care before making proposals for health benefit plan changes in renegotiation of this Agreement, provided that the reports and recommendations are filed by July 1 of even- even-numbered years. f. The Committee shall meet at least quarterly. g. The Employer and the Association shall receive a copy of any report or recommendations prepared by the Health Benefit Advisory Committee.

Health Benefit Advisory Committee. There shall be a health benefit advisory committee composed of four members appointed by the Employer, one of whom shall be the Manager of Employee Relations, and four members appointed by the Association, one of whom shall be the Contract and Field Operations Administrator. a. . The purpose of the committee is: (1) to advise the Employer on all issues related to the purchase and administration of health benefit plans authorized or required by this agreement; and (2) to make recommendations to the Employer for changes in benefit design, utilization management, and/or provider payment policies that will preserve the continued viability of the health plan by limiting the growth in claims costs while improving the quality of care, including, but not limited to, recommendations concerning health education, wellness incentives, incentives to utilize “"centers of excellence” " or more efficient providers, preventive medical services, case management, disease management, high-risk intervention, aligning provider payment policies with quality improvement, and providing consumer information on treatment alternatives and provider cost-effectiveness. b. . The committee shall be entitled to receive any information relevant to its mission and which is not confidential. c. . The Employer shall make available to the committee such expert advice and assistance as is reasonably necessary to accomplish its mission. d. . The Employer shall consider the reports and recommendations of the committee on issues related to the purchase and administration of the health benefit plan before making final purchasing decisions, provided that the reports and recommendations are timely filed. Nothing contained in this section shall prevent the Association’s representatives on the Committee from contacting the Governor and Executive Council members about any health benefit vendor contract subject to any non disclosure agreement or statutory disclosure prohibition. The Department of Administrative Services shall notify the Association’s Committee representatives of its intent to place such contract onto the Governor and Executive Council agenda. Such notice shall not be less than fourteen (14) days prior to the specific meeting it intends to bring forward such contract for approval. e. The Employer shall consider the reports and recommendations of the committee on issues related to claims costs and quality of care before making proposals for health benefit plan changes in renegotiation of this Agreement, provided that the reports and recommendations are filed by July 1 of even- even-numbered years. f. . The Committee shall meet at least quarterly. g. . The Employer and the Association shall receive a copy of any report or recommendations prepared by the Health Benefit Advisory Committee.