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Meeting Agenda
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I. Employee Benefits, Insurance and Risk Management Committee Meeting Called to Order
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II. Pledge of the Allegiance/s
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III. Roll Call:
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IV. Review of Third Party Administrators Insurance Providers
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V. Independent Review Scope - Employee Benefits Department & Self-Funded Health Plan Governance
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V.A. Objective:
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V.A.1. Assess whether the district’s Employee Benefits Department decision-making process is independent, data-driven, and free of undisclosed conflicts of interest, given the district’s direct financial exposure as a self-funded plan sponsor.
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V.B. Scope Areas:
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V.B.1. Meeting Governance
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V.B.1.a. Attendance logs and minutes for Employee Benefits Department meetings (prior 12–24 months)
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V.B.1.b. Identification of all non-district personnel present (brokers, TPA/carrier reps, consultants) and their stated role/authorization
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V.B.1.c. Review against any existing district policy on vendor participation in internal deliberations
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V.B.2. Conflict of Interest
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V.B.2.a. Disclosure records for any district staff, board members, or committee participants with financial ties to current or prospective vendors/carriers
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V.B.2.b. Cross-check of participant affiliations (e.g., agency/carrier employment) against district conflict-of-interest policy and, if applicable, Texas Local Government Code Ch. 176 (conflict disclosure requirements for local government officers)
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V.B.3. Vendor/Carrier Relationship History
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V.B.3.a. Timeline of TPA and carrier selection/renewal decisions, and the stated rationale (RFP results, cost comparisons, board minutes)
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V.B.3.b. Whether carrier changes or retention decisions correlate with cost/quality data or with the presence of specific individuals in the decision process
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V.B.4. Financial Performance of the Self-Funded Plan
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V.B.4.a. Claims experience, loss ratio, and stop-loss performance over the review period
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V.B.4.b. Trend in employee premium contributions relative to plan cost drivers
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V.B.4.c. Comparison of current TPA/carrier fees and service levels against market benchmarks
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V.B.5. Network/Access Decisions
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V.B.5.a. Documentation supporting any proposed or executed changes to provider network access (e.g., facility or service-area changes)
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V.B.5.b. Employee utilization data supporting or contradicting the stated rationale for those changes
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V.C. Methodology:
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V.C.1. Document request and review (minutes, contracts, disclosure forms, claims/financial reports)
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V.C.2. Confidential staff interviews, conducted by the reviewer without department leadership present
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V.C.3. Benchmarking against comparable self-funded district plans in the region
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V.D. Deliverables:
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V.D.1. Written findings report with specific factual observations (not recommendations on personnel)
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V.D.2. Recommended policy language for vendor participation in internal meetings
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V.D.3. Recommended conflict-of-interest disclosure process going forward
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V.E. Independence Requirement:
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V.E.1. Reviewer should have no current or prior contractual relationship with any carrier, TPA, or broker involved in the districts plan
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V.F. Presentation of our current, Workers Compensation contracted services, status and claims pending
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VI. Public Input
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VII. Adjournment
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Agenda Item Details
Reload Your Meeting
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|---|---|---|
| Meeting: | September 8, 2026 at 5:30 PM - Employee Benefits, Insurance and Risk Management Committee Meeting | |
| Subject: |
I. Employee Benefits, Insurance and Risk Management Committee Meeting Called to Order
|
|
| Subject: |
II. Pledge of the Allegiance/s
|
|
| Subject: |
III. Roll Call:
|
|
| Subject: |
IV. Review of Third Party Administrators Insurance Providers
|
|
| Subject: |
V. Independent Review Scope - Employee Benefits Department & Self-Funded Health Plan Governance
|
|
| Subject: |
V.A. Objective:
|
|
| Subject: |
V.A.1. Assess whether the district’s Employee Benefits Department decision-making process is independent, data-driven, and free of undisclosed conflicts of interest, given the district’s direct financial exposure as a self-funded plan sponsor.
|
|
| Subject: |
V.B. Scope Areas:
|
|
| Subject: |
V.B.1. Meeting Governance
|
|
| Subject: |
V.B.1.a. Attendance logs and minutes for Employee Benefits Department meetings (prior 12–24 months)
|
|
| Subject: |
V.B.1.b. Identification of all non-district personnel present (brokers, TPA/carrier reps, consultants) and their stated role/authorization
|
|
| Subject: |
V.B.1.c. Review against any existing district policy on vendor participation in internal deliberations
|
|
| Subject: |
V.B.2. Conflict of Interest
|
|
| Subject: |
V.B.2.a. Disclosure records for any district staff, board members, or committee participants with financial ties to current or prospective vendors/carriers
|
|
| Subject: |
V.B.2.b. Cross-check of participant affiliations (e.g., agency/carrier employment) against district conflict-of-interest policy and, if applicable, Texas Local Government Code Ch. 176 (conflict disclosure requirements for local government officers)
|
|
| Subject: |
V.B.3. Vendor/Carrier Relationship History
|
|
| Subject: |
V.B.3.a. Timeline of TPA and carrier selection/renewal decisions, and the stated rationale (RFP results, cost comparisons, board minutes)
|
|
| Subject: |
V.B.3.b. Whether carrier changes or retention decisions correlate with cost/quality data or with the presence of specific individuals in the decision process
|
|
| Subject: |
V.B.4. Financial Performance of the Self-Funded Plan
|
|
| Subject: |
V.B.4.a. Claims experience, loss ratio, and stop-loss performance over the review period
|
|
| Subject: |
V.B.4.b. Trend in employee premium contributions relative to plan cost drivers
|
|
| Subject: |
V.B.4.c. Comparison of current TPA/carrier fees and service levels against market benchmarks
|
|
| Subject: |
V.B.5. Network/Access Decisions
|
|
| Subject: |
V.B.5.a. Documentation supporting any proposed or executed changes to provider network access (e.g., facility or service-area changes)
|
|
| Subject: |
V.B.5.b. Employee utilization data supporting or contradicting the stated rationale for those changes
|
|
| Subject: |
V.C. Methodology:
|
|
| Subject: |
V.C.1. Document request and review (minutes, contracts, disclosure forms, claims/financial reports)
|
|
| Subject: |
V.C.2. Confidential staff interviews, conducted by the reviewer without department leadership present
|
|
| Subject: |
V.C.3. Benchmarking against comparable self-funded district plans in the region
|
|
| Subject: |
V.D. Deliverables:
|
|
| Subject: |
V.D.1. Written findings report with specific factual observations (not recommendations on personnel)
|
|
| Subject: |
V.D.2. Recommended policy language for vendor participation in internal meetings
|
|
| Subject: |
V.D.3. Recommended conflict-of-interest disclosure process going forward
|
|
| Subject: |
V.E. Independence Requirement:
|
|
| Subject: |
V.E.1. Reviewer should have no current or prior contractual relationship with any carrier, TPA, or broker involved in the districts plan
|
|
| Subject: |
V.F. Presentation of our current, Workers Compensation contracted services, status and claims pending
|
|
| Subject: |
VI. Public Input
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|
| Subject: |
VII. Adjournment
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