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01/25/2013 AuditMONROE COUNTY COURTHOUSE 500 WHITEHEAD STREET, SUITE 101 KEY WEST, FLORIDA 33040 TEL. (305) 2944641 FAX (305) 295-3663 BRANCH OFFICE: MARATHON SUB COURTHOUSE 3117 OVERSEAS HIGHWAY MARATHON, FLORIDA 33050 TEL. (305) 289-6027 FAX (305) 289-1745 January 25, 2013 The Honorable Amy Heavilin Clerk of the Circuit Court 4ft��r r Qouw*'� CLERK OF THE CIRCUIT COURT MONROE COUNTY www.clerk-of-the-court.com Re: Review of prior Health Plan Agreements and run off claims Dear Mrs. Heavilin: BRANCH OFFICE: PLANTATION KEY GOVERNMENT CENTER 88820 OVERSEAS HIGHWAY PLANTATION KEY, FLORIDA 33070 TEL. (305) 852-7145 FAX (305) 852-7146 ROTH BUILDING 50 HIGH POINT ROAD PLANTATION KEY, FLORIDA 33070 TEL. (305) 852-7145 FAX (305) 853-7440 The Clerk's Internal Audit Department has completed a review of payments of claims and related invoices under the agreements between Monroe County and Wells Fargo Third Party Administrator (TPA), Keys Physician -Hospital Alliance (KPHA), MultiPlan, Inc. and Dimension Health Network. The County Administrator requested a review of run-off claims when it was determined that the total paid was approximately $1.2 million over the end of year estimate. Run-off claim data was analyzed for proper processing, payment and timeliness of payment. This review was conducted by Sandra L. Mathena, CPA, CIA, CFE, Director of Internal Audit with the assistance of Michael D. Stanek, CIA, CCSA, Internal Auditor. The accompanying audit review is provided for your information. Additional copies of the review will be provided upon your request. We would like to thank the Employee Services Division Director and her staff for their cooperation while conducting the review. Sincerely, Michael D. Stanek, CIA, CCSA Internal Auditor cc: Board of County Commissioners (5) Roman Gastesi, County Administrator Teresa Aguiar, Division Director Employee Services Bob Shillinger, County Attorney Tom Ravenel, Clerk's Finance Director REVIEW OF PRIOR HEALTH PLAN AGREEMENTS AND RUN OFF CLAIMS .. GOVN7- 044. � s •�� 40 OUN'T' January 25, 2013 Prepared by: Internal Audit Department Clerk of the Circuit Court Amy Heavilin, Ad Interim Clerk Monroe County, Florida REVIEW OF PRIOR HEALTH PLAN AGREEMENTS AND RUN OFF CLAIMS OBJECTIVES AND SCOPE The Clerk's Internal Audit Department has completed a review of payments of claims and related invoices under the agreements between Monroe County and Wells Fargo Third Party Administrator (TPA), Keys Physician -Hospital Alliance (KPHA), MultiPlan, Inc. and Dimension Health Network. The County Administrator requested a review of run-off claims when it was determined that the total paid was approximately $ 1.2 million over the end of year estimate. Run-off claim data was analyzed for proper processing, payment and timeliness of payment. METHODOLOGY A. We interviewed the following personnel to obtain information about the Monroe County Group Health Benefit Plan. 1. Teresa Aguiar, Division Director Employee Services Monroe County 2. Maria Fernandez -Gonzalez, Senior Administrator Employee Benefits Monroe County 3. Meggan Meggs, Senior Coordinator Employee Benefits Monroe County 4. Cynthia Hall, Assistant County Attorney 5. Suzanne Hutton, Monroe County Attorney 6. John E. Whitley, HealthSmart Benefit Solutions, Inc. 7. Eddie Reddick, MultiPlan 8. Terry Mullins, Wells Fargo Third Party Administrators 9. Lora Denny, Wells Fargo Third Party Administrators 10.The Clerk's Finance Department personnel B. Internal Audit Department examined the following documents: 1. Florida Statutes related to the Group Health Benefit Plan 2. Monroe County Group Health Plan Document Effective January 1, 2010. 3. Monroe County local ordinances, resolutions, policies and procedures. 4. Health and dental claims registers. 5. Health Benefit invoices and related expenditures. 6. Monroe County checks for monthly payments. 7. Second Amendment to Administrative Service Agreement between Monroe County and Wells Fargo Third Party Administrators dated May 20, 2009. 8. Third Amendment to Self -Insured Welfare Benefit Plan Administrative Service Agreement dated October 19, 2011. C. The Internal Audit Department reviewed the contract and amendments to ensure that the terms and conditions were being complied with as documented within the Agreement. D. Excel was utilized to analyze insurance claim data provided by the TPA for 2010 and 2011 for proper processing, recording, billing and monitoring of the program. E. Run-off claim data provided by HealthSmart was analyzed for proper processing, payment and timeliness of payment. BACKGROUND INFORMATION Florida Statute 112.08 authorizes local government units to provide and pay out of its available funds for all or part of the premium for officers and employees of a group plan. Each government union may self -insure, subject to approval of the Office of Insurance Regulation, based on the actuarial soundness of the plan. The Board of County Commissioners has established a self -funded Employee Health Plan (the Plan) originally effective on October 1, 1996 it was amended and restated effective January 1, 2007. In self -funding, the County acts as its own "insurance company", paying its own claims and administrative costs. In a self -funded plan, the employer assumes the claim risk. This claim liability can be limited by a reinsurance company, who will reimburse claims that exceed a pre-set limit. Self - funded plans are subject to federal laws, including the Health Insurance Portability and Accountability Act (HIPAA). Wells Fargo was the Third Party Administrator. The TPA is responsible for receiving, processing and payment of claims. Health Smart bought Wells Fargo shortly after the contract ended. The County pays the Third Party Administrator a monthly administrative fee for their services as well as a fee for using their network. Blue Cross and Blue Shield of Florida, Inc. won the bid for the County Health Plan. The new plan began on November 1, 2011. All claims incurred after November 1, 2011 were adjudicated by Blue Cross and Blue Shield of Florida. The current participants in the plan are employees of the: Board of County Commissioners Clerk of the Circuit Court Land Authority Property Appraiser Sheriff's Office Supervisor of Elections Tax Collector Internal Service funds are used to accumulate and allocate costs for the group health plan. Preferred Provider Organizations (PPO) Keys Physician -Hospital Alliance (KPHA) was the primary preferred provider organization for the Monroe County Group Health Plan. A preferred provider organization is a managed care organization of medical doctors, hospitals, and other health care providers who have contracted with an insurer or third party administrator to provide health care at reduced rates to the members of the plan. KPHA also provided precertification services. KPHA would not provide services to 2 Monroe County for the month of October 2011 causing the loss of discounts to the County and their employees. The Blue Cross and Blue Shield contract did not begin until November 1, 2011. Run-off Claims The Third Amendment to the Self -Insured Welfare Benefit Plan Administrative Service Agreement dated October 19, 2011 between Monroe County and Wells Fargo Third Party Administrators was to specify the terms and conditions by which Wells Fargo will continue to handle claims during a runout period following termination of the agreement. The administrative fee was ten percent of total paid claims for the period starting November 1, 2011 through October 31, 2012, which was the runout period. The Financial Review completed by Arthur J. Gallagher & Company dated August 29, 2012 stated "Claims experience under the new vendors continues to be favorable, although the positive results are partly obscured by the fact that the actual runout from the Wells Fargo TPA ("WFTPA") will be $ 1.2 million more than the reserve the plan was holding as of September 30, 2011. See Exhibit— Financial Review" Run-off Summary Month # of claims Amount Charged Amount Paid 10% run-off fee paid to the TPA November '11 1,053 1,523,165 527,875 52,072 December '11 2431 1,157,778 522,962 51,810 January '12 560 556,225 204,893 20,157 February '12 2,144 303,616 1,112463 11095 March '12 448 932,105 316,979 3080 April '12 153 427,788 210,676 20,40 May'12 273 737471 103,642 10,337 June '12 85 233,351 5308 5,309 July'12 172 407,975 43,628 4,339 August '12 50 110,571 1908 1,825 September '12 -2;254 0 Total 7,369 9,770,045 3,1131761 307,662 *** 'Amount Paid' includes payments to the 3rd party administrator for use of the network. 3 AUDIT CONCLUSIONS 1. Wells Fargo (HealthStnart) processed run-off claims incorrectly using the 10% Dimension discount rather than the 25% KPHA discount. This error resulted in an estimated $75,000 over payment by the County. 2. An appeal approved in September 2011 was not processed until February 2012 costing the County the 10% claims paid fee totaling $ 13,801.64. 3. Wells Fargo included vendor payments when invoicing the County for the 10% administrative fee for processing run off claims. This resulted in the County being over billed $1,202.15. 4. The run-off claims paid claims billing for September was incorrect. 5. County paid approximately $115,000 to KPHA providers without BOCC approval. 6. Misclassified administrative fees charged by third party administrator without contract amendment. 7. Group Insurance Management Should Provide Employee Education on Reporting Possible Fraud or Abuse. N AUDIT FINDINGS 1. Wells Fargo (HealthSmart) processed Fishermen's Hospital run-off claims incorrectly using the 10% Dimension discount rather than the 25% KPHA discount. Finding: During the examination of run—off claims, it was determined that Fishermens Hospital was paid using the 10% Dimension discount rather than the 25% KPHA discount. All claims incurred before September 30, 2011 should have been paid using the 25% discount. Only the claims paid between October 1, 2011 and October 31, 2011 should have been paid using the Dimension discount of 10%. The estimate of the additional discount due is $67,855.78. The 10% of claims paid fee to HealthSmart was also over paid approximately $6,785.58. The total overpayment is approximately $75,000. The third party administrator agrees with internal audit and has applied for a refund on one claim (# 433417) for $7,451.28. According to the Administrative Service Agreement Section 27 (a) General Conditions "If an auditor employed by the County or Clerk determines that monies paid to Acordia were spent for purposes not authorized by this agreement, the Acordia National shall repay the monies together with interest calculated pursuant to Section 55.03, FS, running from the date the monies were paid to Acordia National." We are waiting for HealthSmart to process additional refunds. Information requested from the third party administrator has either not been provided or it was not provided on a timely basis. Recommendation(s): 1. Group Insurance Management should pursue the refunds from the third party administrator. County Administrator ResDonse(s): 1. Management will work with the County Attorney's office and send a letter to HealthSmart to demand the refunds. We reserve all of our contractual rights in order to recoup the monies if this becomes necessary. 0 2. An appeal approved in September 2011 was not processed until February 2012 costing the County the 10% claims paid fee totaling $13,801.64. Finding: During the examination of run—off claims, it was determined that the appeal for claim number 414948 was approved in September 2011 but the adjustment claim (#431869) of $138,164.64 was not processed until February 27, 2012. Since the claim was paid after November 1, 2011 the paid claims fee of 10% was charged which was $ 13,801.46. Internal Audit corresponded with John Whitley of HealthSmart about the slow payment of the appeal and requested a refund of the paid claims fee. HealthSmart agreed and the County was told not to pay the outstanding bills of $4,102.75 and a check would be issued for the difference of $9,693.54. The Clerk's Finance Department will have to complete a journal entry to record the transaction. Recommendation(s): 1. Group Insurance Management should ensure that the refund from the third party administrator is received. County Administrator Response(s): 1. The refund was received by Group Insurance Management on December 5, 2012. 3. Wells Fargo included vendor payments when invoicing the County for the 10% administrative fee for processing run off claims. Finding: The Third Amendment to Self -Insured Welfare Benefit Plan Administrative Service Agreement provided for the payment of run -out claims for the period starting November 1, 2011 through October 31, 2012 at a cost of 10% of paid claims. Wells Fargo overbilled the first three run-off invoices by including 10% of vendor payments in the invoices. There were vendor payments to Wells Fargo and Multiplan included in the claims report. The invoices which included the vendor payments were as follows: Wells Fargo Claims Amount $387,119.75 $140,755.04 $251,755.25 Vendor Payments $7,133.40 $ 24.56 $4,863.51 Amount Overbilled (10% of vendor payments) $713.34 $ 2.45 486.36 $1,202.15 Internal Audit notified the Finance Department that 10% of vendor payments should not be paid and the $1,202.15 was deducted from the amount paid. During the audit, HealthSmart (formerly Wells Fargo) was notified by Employee Benefits of this error and future invoices were corrected. Recommendation(s): 1. We recommend that all future network access fees be paid as a vendor payment and not be included as part of the claims paid amount. County Administrator Response(s): 1. Management understands the recommendation and will comply to the extent possible within the parameters of our vendor agreements. In general, Network Access Fees are not part of the contractual obligations with BCBSFL and are paid separately from claims as an inherent part of the Administration Fee. However, there are limited circumstances that are identified in the Administrative Services Agreement when an Access Fee is charged and is passed on to the County as a claim liability at the time a claim is processed. The amount is contractually limited to $2,000 per claim and represents contractual payments made to out of state BCBS Affiliates for services performed. 7 4. The run-off claims paid claims billing for September was incorrect. Finding: HealthSmart incorrectly billed the County $1,824.75 for September 1, 2012 through September 15, 2012. This amount was the August paid claim total. The documentation provided to support the claims was the August 2012 checks issued register. The incorrect billing was approved for payment by the Sr. Benefits Administrator, Employee Services Division Director, and Deputy Administrator. This billing was not paid. Internal Audit notified HealthSmart and a new bill should be issued. Recommendation(s): 1. County Management should review all documentation to support an invoice before it is authorized for payment. 2. County Management should ensure that the September 2012 billing is corrected. County Administrator Response(s): 1. Management understands the recommendation and will appropriately review the support documentation before it is authorized for payment. 2. The correct support documentation has been requested by both the Finance Department and Management. As soon as it is received from HealthSmart it will be sent to Finance. 0 5. County paid approximately $115,000 to KPHA providers without BOCC approval. Finding: KPHA would not extend their contract one month; therefore the County lost the KPHA discount of 25%. County Management directed the third party administrator to pay 100% of the discount that was usually given by the KPHA network for the period October 1, 2011 through October 31, 2011. The letter from County Management states "Please be advised that for the effective dates 10/ 1 / 11-10/31 / 11, all claims received from a KPHA provider, who was solely in the KPHA contracted network will be processed as follows: The discount that would have been taken prior to 10/ 1 / 11 will be deducted from the billed amount and the claim adjudicated as if the discount had applied. The amount of the discount will be paid at 100% on a separate detail line and payable to the provider. See Exhibit— Memo dated October 13, 2011 to third party ad-tninistrator. Both Fishermens Hospital and Mariners Hospital were also in the Dimension network so the Dimension discount was taken for the month of October and there was no additional cost to the County. The 25% discount paid by the County to the KPHA providers was approximately $ 104,413.44 and there was also the 10% additional claims paid fees of $ 10,441.34. The estimated total additional cost was $114,854.78. The payment of the 25% discount to the KPHA providers not in another network was not brought to the Board of County Commissioners for approval. Recommendation(s): 1. We recommend that the Board of County Commissioners formally approve any additional fees charged by the contractors. County Administrator Response(s): 1. The $ 115,000 was the cost of doing business in the transition period of changing providers. The BOCC was aware of the transition and there was no mechanism in place to formally take to the BOCC for approval. When KPHA declined to extend their contract, Management consulted with the County Attorney's office. It was discussed and decided that because the direction to third party administrator was not in the form of a contract (i.e., no signature required from Wells Fargo) it did not require BOCC approval. Due to KPHA being unwilling to extend their contract, Management had no choice other than to direct the third party administrator to process claims (for the period of 10/ 1 / 11 — 10/31 /11) without the KPHA network discount since we no longer had a contract with that provider. The direction to the third party administrator enabled the County to pick up the discount (that would have been applied) at 100% without passing the loss of the discount to the employee. By terminating contracts with the previous providers and contracting with Blue Cross Blue Shield of Florida, the County Projected to save and has saved millions of dollars (See Exhibit A of the of the Review of prior Health Plan Agreements and run off claims dated November 13, 2012). Management understands the recommendation and will comply with it if any future incidents of this type occur. 9 6. Misclassified administrative fees charged by third party administrator without contract amendment. Finding: Monroe County had a contract with Multiplan, Inc. (MPI) a preferred provider organization effective January 1, 2003 to allow access to MPI's network. MPI has created a network of healthcare providers (MPI Providers), by entering into agreements with acute care and ancillary health care providers (MPI Facilities), and physicians and other health care professionals (MPI Practitioners). MPI's contract required Monroe County to pay 25% of the amount saved by using the preferred providers in the network to Multiplan, Inc. Private Healthcare Systems (PHCS) another PPO was purchased by Multiplan on October 18, 2006. Wells Fargo began billing Monroe County for the PHCS network in March 2010. According to Terry Mullins an employee of Wells Fargo, there was a conference call on June 28, 2010 with Rick Legg, Maria Fernandez, Cindy Archer and Lora Denny which according to Wells Fargo gave Wells Fargo permission to charge the County an additional administrative fee of 20% of network savings. Monroe County did not sign an addendum or amendment to the contract with Wells Fargo. For 2010 Wells Fargo was paid $36,269.38 and for 2011 it was $99,823.81. Wells Fargo was charging Monroe County 20% of savings to use the PHCS network. Wells Fargo would not disclose how much they paid Multiplan to use the PHCS network. Eddie Reddick at the Multiplan billing department stated that Wells Fargo paid 16% to use the PHCS network. According to an e-mail dated November 2, 2011 from Ron Skipper the Senior Account Manager at Multiplan "PHCS confirmed rate at 16% of savings. We'd prefer to get an addendum from you all to add PHCS but that wasn't an option according to Maria when we met about it. We do have contracts with all of our TPA clients for all of our products and require the client to tie their groups to our agreement." See Exhibit— % rate. On November 3, 2011 Ron Skipper sent another e-mail stating "Sorry but the rate is 25% of savings. My mistake on the last e- mail. That's why I don't like to quote another client's rates." Exhibit D E-mail stating rate is - /a. Wells Fargo completed an explanation of benefits (EOB) and a check payable to themselves and included it as an insurance claim to be funded by Monroe County. The invoice charged Monroe County 20% for use of the PHCS network. See Exhibit— EOB, Invoice Allowing Wells Fargo to bill and write themselves a check from County funds circumvents internal control. With proper monitoring a check payable to Wells Fargo written by Wells Fargo should have been noticed and researched the first time it occurred. The check to Wells Fargo was not a claim payment and should have been paid and charged as an administrative expense (vendor payment) not as part of paid claims. The paid claims were over stated and the administrative expenses for Wells Fargo were understated. An addendum to the contract should have been completed as required by County policies and procedures. Recommendation(s): 1. We recommend that the Board of County Commissioners formally approve any additional fees charged by all contractors in compliance with policies and procedures. 10 2. Group Insurance Management should establish a program of audits and inquiries on a periodic basis to ensure that the plan is functioning as intended. County Administrator Response(s): 1. When Group Insurance Management was notified that PHCS was purchased by Multiplan, Group Insurance Management had discussions with Wells Fargo and it was understood that in cases where a Provider was covered by both Multiplan and PHCS, the better discount would be applied (i.e. Multiplan at 25% versus PHCS at 20%). The check payable registers that were attached as support documentation were sent to Finance each month and showed the fees being paid to Wells Fargo when the PHCS and Multiplan network was used. (See Exhibit A and B attached). Management understands the recommendation and will comply with it if any future incidents of this type occur. 2. Group Insurance Management will work with the Consultant to establish set guidelines to perform audits and inquiries periodically. Auditor Comments: It is the business owner's responsibility; in this case Employee Services, to over -see the County's Health Plan. Finance's responsibility is to enter the financial information submitted to them from the various business owners. The County Administrator's Exhibit A reinforces this point. Employee Services has signed -off, in multiple locations that "I hereby certify that I have reviewed the attached register. The payments being issued are for the employees and/or dependents who are enrolled in the Monroe County Insurance program at the time service rendered. Totals are also correct." Note that the County Administrator's Exhibit A and B have been highlighted for this report. This information had not been highlighted when sent to the Finance department. 11 7. Group Insurance Management Should Provide Employee Education on Reporting Possible Fraud or Abuse Finding: Offers to waive coinsurance and copayment amounts are considered fraud according to Florida Statutes 817.234 — False and fraudulent insurance claims. Accepting an employee's insurance as payment in full and disregarding the copayment or deductible results in overbilling the Monroe County through the TPA. It is considered unethical by the medical profession. Physicians, dentists, and outpatient facilities are not reducing their fee when they do not collect patient payments. Instead these providers are charging inflated fees to the TPA to make up for the money they lose from waiving the coinsurance/copayment amounts. Employees who knowingly agree to the scheme are participating in this deception. However, we have no evidence of providers or facilities trying to attract more business by participating in this practice. No matter how irresistible the offer of free services seems, the care you receive isn't really free. As a result, it increases costs and the health plan becomes more expensive. BlueCross BlueShield of Florida has an Insurance Fraud and Abuse Report on their website. See Exhibit Insurance - Fraud and Abuse . Employees should also be advised that a self insured plan means that Monroe County pays for each claim and any fraud could increase the contributions made by employees and retirees. Recommendation(s): 1. Group Insurance Management should establish policies and procedures to educate employees on this issue and provide procedures for the employees to report the issue to the Group Insurance Department or directly to BlueCross BlueShield of Florida, Inc. County Administrator Response(s): 1. Group Insurance Management will comply with the recommendation and work with the Consultant and develop a Notice to employees regarding False or Fraudulent Insurance Claims. The notice will be provided with all New Hire Packets, be posted on the Benefits website and will be distributed during the annual open enrollment. 12 V. EXHIBITS EXHIBIT A Financial Review August 29, 2012 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS FINANCIAL REVIEW AUGUST 29, 2012 Presented by: Rick Capizzi Area Assistant Vice President Glen Volk Area Vice President, Actuarial Services Arthur J. Gallagher & Company Gallagher Benefit Services 2255 Glades Road, Suite 400E Boca Raton, FL 33431 Monroe County Board of County Commissioners Health plan Financial Results through .July 2012 --- Highlights Claim experience under the new vendors continues to be favorable, although the positive results are partly obscured by the fact that the actual runout from the Wells Fargo TPA ("WFTPA") program will be $1.2 million more than the reserve the plan was holding as of September 30, 2011. We have also seen some large claim activity that has affected the current year results, although claim activity in July was in line with expectations. We estimate that mature medical claims have fallen from $1.1 million per montb under a prior program to approximately $725,000 per month under the BCBSFL progra;'Jestimated Pharmacy claims also continue to run lower than last year's level and that works out annual savings of over $400,000 in prescription drug costs. We remain confident that the County will see savings in excess of the levels that we had initially suggested. (Page 1) As expected, we continue to see a much faster claim payment pattern under the BCBSFL program than we saw under the WFTPA program. The plan historically held claims reserves of approximately $2 million under the WFTPA. program, while we expect the average reserve under the BCBSFL program will be approximately $900,000 to $950,000 based on the early claim results. This will result in a drop of over $1 million in the claim reserve (IBNR). dote that the actual runout under the WFTPA program has already reached $3 million, so the reserve held at September 30, 2011 was understated by over $1 million. (Page 2) Because of the higher than expected runout from the WFTPA program we project a loss of $400,000 for the plan for the current fiscal year. This is still a significant improvement over the prior year. (Page 3). We still project that the County will not have to increase the health plan budget or funding rates for FY 2013. The 2013 year will be helped by the absence of both the estimated $1.2 million loss on runout claims and the $300,000 expense associated with the WFTPA runout processing. FY 2013 will be the first year in which the County realizes all of the savings associated with the new vendors without having to pay any of the costs associated with the transition away from the prior vendors. With the July experience, we project that the plan will realize a small gain of $200,000 for the 2012/13 plan year if the current budgeted revenue is continued into 2013. (Page 4) e We project that the plan surplus will fall from $12.2 million to $1 I ,9 million this year and then increase to $12.1 million by the end of the 2012/13 plan year at the current level of funding. 'Phis is a very comfortable surplus amount and easily satisfies the Office of Insurance Regulation (01R) safe harbor surplus threshold. (Page 5) O In the first 9 months under the BCBSFL program, there have been 15 claimants who have exceeded $50,000 in medical claims paid. The highest claim amount is over $320,000, with a second claimant at just over $240,000, In total the claimants represent over $1.5 million in claims, or 15.5% of the total claims paid so far this year. These totals are up only slightly from the June report. This is somewhat deceptive in that the WFTPA data is not included and that would almost certainly cause the number and amount of large claimants to be higher. This measure will become more credible as the BCBSFL program becomes more mature and the WFTPA program continues to wind down. (Page 6) Monroe County Board of County Commissioners Financial Review August 29, 2012 TABLE OF CONTENTS Total Net Paid Prescription Drug and Medical Claim Summary 1 October 1,2009 through July31,2012 IBNR Analysis Based on Claims Paid Through July 2012 2 Status Report as of July 31, 2012 3 Renewal Projections -- October 1,2412 through September 30, 201.1 4 Assuming Current Enrollment Projected Fund balance and Reserve Adequacy — As of July31,2012 5 Large Claim Summary as of July 31, 2012 6 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Total Net Paid Prescription Urugj and Medical Claim Summary October .l, 2009 through My 31, 2012 Claims Paid WFTPA BCBSFL Month Enrollees Rx Medical Medical Total Oct-09 1,.S88 $168,838 $1,192,721 $1,361,559 Nov-09 11582 172,722 1,066,022 1,238,744 Dec-09 13,587 198,020 117202095 1,918,115 Jan-10 1,594 176,372 697,116 873,487 Feb-10 1, 599 177,655 986,646 1,164,301 Mar-10 1,594 211,999 11124,366 103369365 Apr-10 11600 201,399 785,118 986,517 May-10 19600 18 33 308 914,499 19097,806 Jun-10 11598 190,794 110430445 1,234,239 Jul-10 13600 195.522 816,370 19011,892 Aug-10 13596 197.355 879,241 11076,596 Se -10 1,589 2149l74 7939675 190079,849 Oct-10 1,598 2011061 761,233 9621294 Nov-10 1,598 204,259 11149,555 1,3139813 Dec-10 11597 2141174 1,29OA4:32 1,5049605 Jan-11 11600 ?39,704 1,124,618 12364,322 Feb- 11 1,597 183,576 722,663 906,239 Mar- 11 1,595 208,054 924,985 19133,039 Apr-11 1$92 209,798 9721$425 1,182,223 May-11 19591 21 1,681 112.569565 1,4680246 Jun•11 15587 2061102. 1,2051,139 1,411,241 Jul-11 11588 194,953 110031869 1,198,822 Aug-11 11595 226,269 717,596 943,865 Sep-1 1 11584 202 521 1,1529396 19354,917 Oct-11 11588 161,630 783,236 944,866 Nov- 11 1,591 177%409 5271875 $2.601262 965,546 Dec-11 1,593 1871183 522,962 456,951 19167,097 Jan-12 1.599 197,650 104,892 440,308 842,850 Feb-12 l .597 211,115 I , 112,463 418,426 19,742,004 Mar-12 11615 2099259 316,979 9641,109 194909347 Apr-12 1,622 1 ill :404 210,676 943,373 193450453 May-12 11607 210,016 103,642 802,083 111159741 Jun-12 19612 200,431 53,088 5859872 839,391 Jul-12 1,608 190,616 761,046 951,662 2009/10 19,127 $292882159 $12,0191314 $0 $149307,472 2010/11 19,122 $2,5020150 $129241,475 $0 $14,743,626 2011/12 YTD 16,032 $1,936,713 $3,8359813 $5,632,430 $1194049956 Last 12 Mos 199211 1 $2,365,502 $5,7059806 $59632,430 $13,703,738 PEPM 2009/10 $119.63 $628.40 $0.00 $748.02 2010/11 $130.85 $640.18 $0.00 $771.03 2011/12 YTD $120.80 $239.26 $351.32 $711.39 Last 12 Mos $123.13 $297.01 $293.19 $713.33 MCBCC Report 072012 1 8/28/2012 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IBNR Analysis Based on Claims Paid Through July 2012 Medical - BCBSFL Only Rolling Twelve Cumulative Paid to mate Outstanding Incurred Months Incurred Exposure Claims by Completion Claim Outstanding Claims Per Incurred Clahns Per Incurral Month Unit Incurral Date Factor Incurred Claims Reserve Claim Reserve Unit Claims Per Unit Unit 6 Month (Before (Margin LIVES Averaging Margin) Applied) PEPM PEPM PEPM Nov-11 11591 $582149 0.9965 $584,194 $2,045 $2,147 $367.19 $367.19 $367.19 Dec-11 1,593 $534:845 0.9946 $537,737 $21,893 $39037 $337.56 $352.37 $352.37 Jan-12 10599 $753,114 0.9938 $757,833 $4,719 $4,955 $473.94 $393.01 $393.01 Feb-12 11,597 $733,940 0.9921 $739,800 $59860 $6,153 $463.24 $410.59 $410.59 Mar-12 1,615 $8390200 0.9781 $858,007 $18,807 $19,747 $531.27 $434.97 $434.97 Apr-12 1,622 $586.882 0.9392 $6241,871 $37,989 $390888 $385.25 $426.58 $426.58 May-12 11,607 $6120288 0.9182 $666,833 $54,545 $57,272 $414.96 $424.92 $424.92 Jun-12 11,612 $6419900 0.7450 $861,634 $219,734 $2309721 $534.51 $438.68 $438.68 Jul-12 19,608 1 $335 642 0.4468 $751 251 $415 609 $436 389 $467.20 $441.86 $441.86 2011I12 14,444 SS 619 959 88.06% S6 382159 S762 00 $$00 t0 +-$441.86 Average Monthly Claims $ 750,399 Recommended Reserve $ 800,310 Reserve in Months of Claims 1.07 Recommended Pharmacy Reserve YTD Avg Monthly Paid Claims $ 193,671 Estimated Lag in Months 0.50 Estimated Reserve 1 $ 96,835 Medical + Pharmacy Reserve Total Recommended Reserve $ 8970145 Total Average Claims $ 944,071 Total Reserve in Months 1 0.95 MCECC Report 072012 2 8/28/2012 MONROE COUNTY BOARD of COUNTY COMMISSIONERS Status Report as of July 31, 2012 Actual YTD Projected Per GBS Year End 1. Total Gross Paid Claims (1) a. WFTPA $ 31835,813 $ 31935,813 b. BCBSFL $ 51632,430 $ 71104,456 c. Envision ..,....__.... -1,936,713 $ , 2,340,456 Total Paid Claims $ 11,404,956 $ 13,380,726 ll. Fixed Costs (2) a. WFTPA $ 300,983 $ 310,983 b. BCBSFL 6573202 8030530 c. Envision 60,120 721180 d. Internal Expenses 181,248 2171498 e. Other M138, Life AD&D _.._ 264.137 _ 316,964 Total Fixed Costs $ 11463,690 $ 11721,155 III. Total Paid Plan Costs $ 12,868,646 $ 15,101,880 IV. Funding a. Contributions (4) $ 11,265,477 13,525,318 b. Interest (3) $ 83,333 $ 100,000 c. Other Total Funding $ 11,3489810 $ 13,6259318 V. Cash Surplus/(Deficit)$ 11519,836) $ 11476,562 V1. Change in Claim Reserve a. Starting Reserve $ 2,024,412 $ 21024,412 b. Estimated Closing Reserve $ 897,145 $ 911,510 c. Change in Reserve $ 11127,267 $ 1,1129902 V11. Incurred Surplus/(Deficit) $ 392,669 $ 363,661 V111. Incurred % Surplus/(Deficit) -3.5% -2.7% (1) Based on paid claims through July 31, 2012. (2) Based on fixed rates and reported and/or projected enrollment and actual WFTPA (3) Based on September 2011 Financial Statements. (4) Based on enrollees multiplied by current funding rates. MC BCC Report 072012 3 8/28/2012 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Renewal Projections O& ober_1 2012 through September 30. 2013 Assuming Current Enrollment Projected Assumed Projected 2011/12 % Change 2012/13 I. Total Net Incurred Claims 1 $ 12,2679824 9.6% $ 11,943,223 II. Fixed Costs (2) a. WFTPA $ 3101983 -100.0% - b. BCBSFL 8031530 3.0% 9041211 c. Envision 729180 0.0% 72,360 c. Internal Expenses 217,498 4.0% 226,198 d. Other GBS Life AMID) 31fi,964 0.0% 316,964 Total Fixed Costs 11721,155 0.0% 1,519,732 III. Total Plan Costs 2 $ 13,9880979 $ 13,462, 956 IV. Revenue at Current Level 13,625,318 0.0% $ 13,6599047 V. Surplus/(Deficit) With No Change in Funding $ 363,661 $ 196,091 Vl. Increase Required to Break Even in 2012113 NIA 0.0% $ 139659,047 Notes: (1) 2011/12 Net Claims $ 13,380,726 1,112, 902 $ 12, 267, 824 (2) 2011/12 Total Plan Costs from Prior Page $ 15,101,880 - �.�.(1 1 112,902) $ 13, 988, 979 (3) Projected 2012/13 Funding $ 13,659,047 $ 100,000 $ 13,559,047 x 1.0000 $ 13,559,047 $ 100,000 $ 131659,047 Projected Paid Claims Reserve Change Total Paid Plan Costs Reserve Change Annualized Funding at 2012 Rates Less Interest and Other Income Annual Contributions Required 1/1/13 Increase Resulting 2013 Contributions Plus Interest and Other Income Total Projected 2013 Revenue MC BCC Report 07�2012 4 8/28/2012 N � � + + f I II 4}19t II c 3 ce) II II M to r• 00 U 000 Co w I� CO N LO 00 � 00C3)Ms- r•M 'Cj I�tD I oCOU")M Cor 4- CNo N LO O00000M NM M oN M CDN0)N ft oo Cry r M N o in r �r- Two r 6F} V.'#� 64 Ef} EF} big U � 0 CJ N 00 a Co l`• r 00 o a M M I � LO co ccoo LO ) � N C}7 to N �- 00 N cU �17 P.-Co t"' CO co m E r. 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O W m Q }, o c a j •� � � � � W >. �- � Q cr Z -- cv a o to V 0 c c � cn 0 wc ? o o m u. w ca L- ICE an U cd 0 E ' /•y co m ` C C .1 �D w W 20 to Cto ILI U U $ M a=>- cv m� z v°U 00co > Liz IMONROE COUNTY BOARD OF COUNTY COMMISSIONERS BCBSFL Large Claim Summary as of July 31, 2012 Total YTD Claims (Medical & Pharmacy) $ 11,404,956 Large Claims as 16.5% % of Total * Includes claims paid by BCBSFL only MCBCC Report 07.2012 6 8/28/2012 Monroe County Board Of COURtY Commissioners Summary of Annual Health Plan Builts And 2011/2012 Network Savings Estlimate August 29, 2012 tno Presented 13y- Rick Cap izzi, Area Assist(ant Vice president GIcn Volk Area Vice Presidciit, AdUarial Services co a O CV d% m C� a a N N W a V E . 12 O N 6A T- 69 uq N co 00 N 49 .La E C� W .?aN y c CM z ,s t°s cc o ,yc m [0 Z c C-4 V cm O N a 0 2 N 0 m E o� C! U. m c� CD o m .E v, Cco. a aE a 0 cq o Baca -00 z.0ma U M cn a a o� 0 �� 0 c a .0 E ge r CO a � o� E N> 0 ace¢ .�i w L- C.) stm 0 s t m N � m co z a Cl "E .E W W W N O Z CA . C LL Cl)LL 0) 8m 00 .N L) U "a [D co Ui 'C .E ° c ° c a 0 m o LD rn C C o 0 �� m a a� Q � o � o ,cE�o � U 8 o c N� C cCo 8 `E .�oa cvZ.... ,e o o 0 ai 0 ' `~ Q LLLL. \° m C9 c C m O a m Z �. m m O C C E p� o Lo 'a L *- a LM LM U. LL a U O a. .9 (o cc c) Lu m c'C5 -- a. u r-- INT M cT-- T- -r- 69 V) 6-9 2 1 s) S u -9 [`� 1 2 U co " co CO m L'-� N n \T (Ni CV C4 C4 y CL (1) V) ;• Rtr C%4 Ln Ln (L) E m E > < E E LU C: 5: co ej C) m to L- CL to Lu cu 06 > a z 10 CL M 0 'X 0 co co co r-, o cq 1— Ln co 0 a) Cr) Ham 0 > c 0.) :.-j '7 IZ C: 0 > 1 CN a) C) (N (Z) L ; :�; C:) T- CD (D 0 C:) rob PZ' N Ora r�- M rN Ln E m u >4 u (13 E CL CL LIJ CL CD Ft-lt e-f 0 EXHIBIT B Memo dated October 13, 2011 to third party administrator OUNW o MON ROE KEY WEST FLORIDA 3304 t3051294.4641 CA" of the Empkyoe Services DWon Director 'Me Htstaric Guo Cyr fw" 1100 SfMantar Sbut, Sulu 268 Kerr West. Ft U040 (305) 292-4458 — Phone (305) 2924564 - Fie October 13, 2011 Wells Fargo Third Party Administrators, Inc. 602 Virginia St. E. Charleston, WV 25301 Attn: Debbie Duespohl, CEBS Assistant vice President, Operations Manager Mayor Headw Carruthers, Dlstrkt 3 Mayor Pro Tem David � RIces DisWct 4 iam ftington, DOict I George Heugent, Dist rd 2 Sylvia I Murphy, Distract 5 Please be advised that for the effective dates of service 10/1/11.10/31/il, all claims received from a KPHA provider, who was solely in the KPHA contracted network with Monroe County prior to 10/1/11, will be processed as follows: The discount that would have been taken prior to 10/1/11 will be deducted from the billed amount and the claim adjudicated as If the discount had applied. The amount of the discount will be paid at 100% on a separate detail line and payable to the provider. Providers In Dimension and/or Multiplan will be processed according to our current network agreements. Claims received from providers who were in KPHA are currently in either Dimension or Multiplan will be processed according to those current contracted network agreements with Monroe County, If you have any questions, please contact me Immediately. 2 SinceS i nce r ly, Lernandez•Gonzalez, Sr. Benefits Administrator Final concurrence, • Roman Ga stesY County Administrator Zres ui , Division Director Employee Services EXHIBIT C E-mail. confirming 16% rate C: M 4-) Va 0 a) 0 CL C: a) m > u 0 cu D u c LA _0 t-) M 4-) 0 m u ( :3 a- 0 c- 0 ur) L- :3 L (a CL C V) 4-) m 4-) -C (1) 0 0 F- C: L. 4-) 4- L 0 4-1 Z5 4-) c 0 a) Z) ci >1 r) -r-I GJ 0 r--i Lfl r--1 c V) u Z5 CL 0 0 < 0 w CL �4- -0 V) lU 4-) Lin M m Z5 ryq0 o -H (1) c a) c 4-J r--i L- > r- u 0 4-J -C L --i < - >11 m CL OL Z5 = 4-J 4-) C- 0 L 0 0 w = r-i rD 0 or -I 4-J 4r-i U L o L�- m a) 0 #- 0 = = < E 4- 4-d 4-d CL E 0 L -0 0 L. E 4- m 0 0 W 4-J CJ 0 4-J 4-J Ln Ln :9 C 4-J 0 0 A -0 m u = -0 0 E m 4-J 0 4-J L - >, u LL Q) 4-5 4--, a) 4-' E 0 a) 4-� 0 0 J u 4-J 4F -cu - w (V r-i 0) V) L > L r--i cu m to m -H > C L 0 L 0 L m D CD OL 75 Z5 >% CL un - (D (D 4-J -r-I C- Qj Q) 0- 7:5 F- tA 2- 4-J Ln a) 0 E >-, H 0- L -4-J LA = C -H LA r--i u (D MO 4-J 0 Q) Z5 Z5 0 0 > -0 CD L 41 0■ (D m m L L OH uq -H U 4-J 4-J 3: 0 0 -p w m 0 w (1) 0 E 4-d L E u •C)- C -r-A W L E v 0-0 = rz C) (D U) > U) >., L u 4-f W 0 M W W L ry) M = 4-J -H -S-- M C) -It ro :3 > 00 m Ln a) k.JL rf) (7) (U M -p -r-i, c ro 00 H H E -H c ci m H r-_ -�j L L a) z a-C Z 4-J -j - K* r --- i -r-i M -HCl- L- -p r--1 U- 0) (NJ =5 r- 0 0 ai m (D uo 4-j 0 C- u cl C Ue) 00 r--j 0 L 4-J 4-d C) M- < Q m 00 z m (Ii > oH r-I r--i 0 L Z M L -Y L -�e n- = (U -r-A 0 = 0 Ul 0 Ln H W C) Ln E 0 V) Ln 0 = -H 3 U U 0- 4-J >i 4-) c *H c * C: -;-� U') r--1 c r--� t-i (A 0 x m 0) LL 0) � = a- M L 0 E C Or- V) C- Z: T-i :3 cl- UL CL c 0 (U (D (D 0 0 0 0 E E a < ru H 4-J CD H F= Ul) Ic-i un r-I 0 0 Ic-i 0 0 r-I 0 CD 0 CD 4-J r\J 4-1 rq >1 E m ry) 0 ki L. u ra a) ro (D - E -0 aj C: -:0 m C) (V 0 0 a) 0 c 0 = 4-1 L- = 4-j w L- 4-J U C: C 4-d u = c m 0 0 0 M 0 4-j 0 m Lu 0 m 0 CL M 0 c -H 4-J un :E: M 4-) .i-/ u Ul u V) Q) a) E 4-j m L w 0 = L W 0 = U- (A V) U- un F- uq V-4 V) u r L C-L 0 0 4-j M Cif tJl 0 0 Ul 4-j 4- H c f- oz >N >% 4-d 0 -0 �J 0 0 V) 4-j -H 0 C 7) M 0 0 4- -0 4-J 0 0 0 M u < F= 0 0 0 0 4- LL M V) CL a) OD 0 a) >1 A CL H 0 > u LL • 4-J .H -0 r-I E � 0 4- 0 u ro >1 0 0 -H M r--i 0 4-) E c 4- Ln -0 E 0 0 4-J a) u LA ro u E a Ln 0 a) E L > ai tIi r-I LA .H 4-J 4-- 00 m LA 0 ru V) � a) -H E u 0 r) c = 4-) -0 1 V1 1 u 6 0 0 u W (V ru OH u -0 ro 0 QJ L. u tA m Ln L V) 0 c c -% -0 = c ro ai LA u a CL E 0 CL x c 7D V) 4-J Ln E >) c C_ = CD E lzt ru ru -r-i 0 4-� .. 0 4-j 0 Ln 4-j :3 M CAI F= E H L 0 4-j C) c ro = 0 4-d >% 0 CD C) u 41 M 4-J N F= 0 CD 0 1 0 c 4--j ai 0 E (D m 0 o- 0 M U -0 rlr� m u 4-J L Cq -�e 4-J < i-n %-It 00 m -0 L 0 M 00 ra L C: C114 CS) H- z Q) W CD = (N '--� L W = E re) L Ln M L -C 0 0 Ln a) r-q 0 m C- 4-1 1 0 M 4-J -�e u Ul -0 u _I_- = L 4-� H 0 a) - 0 0 m Ul rn �n Z5 c- 0 4-d u CL m ry) r"ll M 0 >% u 0 0 u 0 0 u LU Lr) k-D V) >1 c -�J L 0 0 L '4- 4-jL- -H 4-J rf) m c: E 2: 4- (D > Lr) 1 (1) 4-) ro H E :3 rr) --,t C) 0 L s & 0 M I CT -H ul 4-j 41 C L M W :j:a Ln w 4-J 0 - r-I M 4:1 rr) ul 4-J V) Ll- M 4-J LL --.,Oo w Ln c kA 0 >1 :3 c E-= L E 4-J .1 r-� CO L 0 X H Q) 0 E L W 0 0 0 (11 C- w 0 n C) 0 C) C) CD 0 D- LL E -0 4-d t-i M i LL. tn F--- 1 c V) U- un F- V) >- —i 0- tJ U-1 (a -H E 0 u a) 0 0 2: E CL Q1 fulfl 00 E r-I CD 0 0 a) 4-J >1 m 0 ro -0 —1 L LA 4-% Z5 >1 ru Ul) 46 E 4-; 0 E . . a) LL- u0 n F-- V% M L 0 -i a a) (v L do M Z3 0 0 4- :i: J cu 1: V) u 0- (U 0 ro 0- m 0 4-1 CCU a) r- 0 u la a E (U >1 Lunn >1 E C) u Ul (1) -0 V) M E U-i 0 to -0 m -j Cl) ur) Ln Cl) 4-J 4-J 4-J V) > -0 a) a) (A C Ci -H Gi 4-) -0 m LA M CD 4- ri a) 0 VI 0 LL. M a) (D L L (D -r-I L > 4-J W 0 to 4-) M 4J ul) un Ul) 4-J -0 > -r-i0 4-J C) Q) CZ 4-J U E E (V -H L 0 > r-A 4-J 0 c 0 4-J >1 c ci _ a) L �4— 0 m rl q) u0 un 0) 0 > c 0 CL 0-0 u m Ul _0 41 M L E 4-J V) u M 4-J ul 4-J -H -H 4-J 4-J Ul) 4-J >1 c = L (D -ki c co u QJ V) 0 c 0 aj E QJ un 4-J U ur) L (1) 0 0 E I-4 F= LU L L 0 Ul Q) H- 0 -0 U- c 0 U- 0 73 -# j Q) CLO -0 c >% = -H �4- F--i 0 0 -� u C- (Ii tA LA C) 4-) -0 (ID V) ra 0 4- r- 0) 0 Lin L 0 m EXHIBIT D E-mail stating rate i.s 25% > 4-J c 7ZD U,) z3 4-J 0 u 4m-J U 0 o L.) (D > CU 4-ml > V) > 0 4-J 4m, 0 4mmJ W rL a) 4-; V' +-j E Q) 4mi a) a) QJ 0 0 +Mj "I 4-0 u :3 CL Ln 0 0 W 0 0 4-j 0 0 C) +1' 0 Ln Le) E u 0- CL) U 0 cli tLo 0 0 0 L- >.— cu 0 0 ik- 0 0 o 1-4- c: 0 E � CU 4-J c o E +-, 0 E D 4-1 ai V) > CD C: co 01 4-j 0 CU 0 4-0 z < 0 4-0 0 W cu CL .%-- >0 0 (D , E 0 C OJ CU 0 CD - > 4-1 0 1-- uo 0 C) E ro . Ul) (10 (3) M 0 0 0 Qj 4--J U) U) M > -C-- b cu OZ 0 C) Lr) r-4 >, ro c 4-J 0 tLo 4--J -0 m o 4--J 0 cu c = 4-� OJ CZ W U W < rL M 04-j E 4-0 a) o i. a) (D 0 LM E E 0 0 4-j 0 0 co Co Lo (D M m CO CO 0. _j U- (D M " CD 0 0- M CO co r- 0 T- Ln a) 0 x CO a_ U- El E 0 0 u u aj Q u I I a) ai 0 0 c 0 < IT Ln Z- D 0 u 0 >1 LLJ ro 0 -0 Lf) c: as ro E U. T--4 4-J 0 u CU 0 0 _0 0 ro 0 CU E CU E 0 E cu _0 C: a 0"1 u Ln (D a la KOM 0 �A 3: F- u w u 0 4-P 70 a) 0 3: 4—j w C7 cu Ln =3 0 4— C-- D 0 u cu 0 0 0 Ln 4-J E 0 u E Ln 0 —i 0 cu 0 m ru Ln LO C1.4 co co c 0 Ln C: 0 Q) co 0 tiL T) F = 7D C) CD 01) < LO co L- 0 LC) r- U ru < cy') N 00 m LJJ r-,- I cc) c1r) LO co >1 co M 0 -s.- 0 M 0 0 U) > m (1) Q) 00 - C: Le) C) o T CD M LL cli Qj au -0 Q 46ti iL a 9 u 6 0 0 E Ma 0 u ro 0 L.- L- 0 IV = C am t .. E 4W 0 0 LL V) F- LAI EXHIBIT E EOB, invoice and check Wells Fargo Third Party Administrators, Inc. EXPLANATION OF BENEFITS ***THIS IS NOT A BILL*** P 'ayment Calculation: GRAND TOTALS PAY PROVIDER AMOUNT DUE ---> 10322.; 10322.31 T.':YEAR 20- t J 1 01200000130 SEE BACK FOR MORE INFORMATION EMPLOYER. MONROE CNTY ORD OF COMMISSION PROVIDER PAID WELLS FARGO 3RD PARTY AQMIN 10,322.38 602 VIRGINIA ST E CHARLESTON WV 25301-2154 MONROE COUNTY ATTN : MAR I A FERNANDE Z 1100 SIMONTON ST -� SUITE 2 272 KEY WEST FL 33046 NON NEGOTIABLE IF YOU HAVE ANY QUESTIONS CONCERNING THIS BENEFIT DETERMINATION, PLEASE CONTACT WELLS FARGO THIRD PARTY ADMINISTRATORS, INC. AT 800.624.8605 BETWEEN 7:00 AM AND 7:00 PM EST OR WRITE TO PO BOX 3262, CHARLESTON, WV 25332. For Web access go to tpa.wellsfarago.com and click 'For the Client, Employee, Provider'. F�FMARK CQQF • NOT COVERED: EXPLANATION;�OF�� - SV PPO SAVINGS FEES Image $120111012GO01 71003 Page 02 Of 2 060- INVOICS 242130 Wells Fargo.Third Party Administrators, Inc... DESCRIPTION AMOUNT PRCS W OF SAVINGS FOR THE MONTH (S) OF: SEPTEMBER, 2011 20% X $51o611-91 $10,3224.38 Should you have any questions, please contact: ji. OCI T 1 2 2 0 11 WELLS FARGO TPA TERRY MULLINS EXTENSION 8807 (800) 332 -4 73 2. SALES TAX Total Billed: $101322-38 Please make chock payable to: WELLS FARGO TPA DO BOX 535100 ATLANTA GA 303535100 MONROE COUNTY GROUP INSURANCE ATTNI BETTY CAR ER *** CUSTOMER COPY *** PAYMENT DUE UPON RECEIPT DATE INVOICE'E'.4 ACCOTR1T 10/01/11 242130 5830-PHCS BRIER 'CUSTOMER AMOUN111 DUE1 99 4603 $101322.3�1 ,1;C;V-06-20'2 03-02 PM CAPITAL INVESTM �j T q NAPLES 2392634543 2 /2 It= Detail Page I of I Item Detail�..1����r��. BANK Check 1 of I Status: Paid DNA" Monroe County 0 ATU f0/ 13/ MM f Ornup TIO BANK 0 Ow KEYS XEY 'SST, S. ;iT EXAM' 0*404(322 DOLLARS 1.08 CEWS VQ11DL AMR �*'DAYS JeN LLA PAY TO FA90 3RD PARTY -AMIN OMM OF UALESTOR WV Now 'http-.//192.168.150.9.)�/'Ichcck/Check-Detail.,-tsp 11/6/2012 EXHIBIT F Insurance fraud and abuse report BlueCross BftieShield of Florida An In dopond4w Ucomwo cal ft Blue C ross and Bkm Shoed ASS00WOn Insurance Frain. and Abuse Report To report suspected insurance fraud or abuse, please complete the information requested below. Items marked with an asterisk are reqUlred for filing, Once the form is complete, please send to - Blue Cross and Blue Shield of Florida, Inc. Special Investigation Unit PO Box 44193 Jacksonville, FL 32,231-4193 Please submit separate entities for each suspect. SUSPECT OF COMM117ING THE FRAUD/ABUSE "Narne Ondividual. or Company) "Address *City *State *Zip Telephone Number Profession Professional License # (if known) LIST VICTIMS) OTHER THAN YOURSELF Name Andress City state Zip Daytime Telephone Number BCBSF Contract # (if applicable) COMPLAINANT (Yourself) *Your Name 'Address *City State Z_;0 *Daytime Telephone Number E-mail Address Have you attempted to contact the person(s) suspected of committing the fraud/abuse Concerning your complaint? Yes No If Yes, when? 63103-0804 Page I of 3 BlueCross BlueShield of Florida An kodapvWeal Lkensee of ft Bkoe Cmu " Bkw Sh*dd AnWation WITNESSES (Please give full name, address and phone number) Please list all individuals who may have knowledge concerning the activity that may be fraudulent or abusive. It you have additional witnesses, please list in the comments section of this report, Witness Name Address City State Zip Home Telephone Number Work Telephone Number Witness Name Address City State Zip Home Telephone Number Work Telephone Number Witness Name Address city Siam Zip Home Telephone Number Work Telephone Number Wliness Name Address City State zip Home Telephone Number Work Telephone Number Witness Name Address city Slate ZIP Home Telephone Number Work Telephone Number 63103-0804 Page 2 of 3 BlueCross BlueShield errof Florida An hdeporldent LwAnsec% of the Blue Croj4 " 9juq3 Shield Aswckalkon DESCRIPTION OF FRAUD OR ABUSE Please provide as much information as possible in the space below concerning your complaint. Be sure to include all details such as date it took place. etc. 63103-0804 Page 3 of 3 County Administrator Response County of Monroe The Fl1* Keys The Historic Gato Cigar Factory 1100 Simonton Street Key West, FL 33040 December 18, 2 0 12.0 Michael D. Stanek, CIA, CCSA Monroe County Clerk of Courts Internal Audit Department RE- Health Plan Audit Response Dear Mr. Stanek: BOARD OF COUNTY COMMISSIONERS Mayor George Neugent, District 2 Mayor Pro Tem. I leather Carruthers. District 3 Danny L. Kolhage. District I David Rice. District 4 Sylvia J. Murphy. District 5 W In response to the draft of the prior health plan agreements and run off claims, I offer the following responses to the Findings and recommendations- 1. Wells Fargo (HealthSmart) processed Fishermen's Hospital run-off claims incorrectly using the 10% Dimension discount rather than the 25% KPHA discount. Recommendation(s): 1. Group Insurance Management should pursue the refunds from the third party administrator. County Administrator Response(Eh. 1. Management will work with the County Attorney' s office and send a letter to health mart to demand the refunds. We reserve all of our contractual rights in order to recoup the monies if this becomes necessary. I An appeal approved in September'201 I was not processed until February 2012 costing the County the 10% claims paid fee totaling S13,801.64. Recommendation(s): 1. GrOLIP Insurance Management should ensure that the refund from the third party administrator is received. I Countv Administrator Respons 1. The refund was received by Group Insurance Management on December 5, 2012. 3. Wells Fargo included vendor payments when invoicing the County for the 10% administrative fee for processing run off claims. Recommendation( 1. We recommend that all future network access fees be paid as a vendor payment and not be inciuded as part of the claims paid amount. Countv Administrator Res ponse(s): 1. Management understands the recommendation and will comply to the extent possible within the parameters of our vendor agreements. In general, Network Access Fees are not part of the contractual obligations with IBSFL and are paid separately from claims as an inherent part of the Administration Fee. However, there are limited circumstances that are identified in the Administrative Services Agreement when an Access Fee is charged and is passed on to the County as a claim liability at the time a Z3 in claim is processed. The amount is contractually limited to $2,000 per claim and represents contractual payments made to out of state BC BS Affiliates for services performed. December 18, 2OL2. Health Plan Audit Response Page 2 of 3 4. The run-off claims paid claims billing for September was incorrect. Recommendation(s): 1- County Management ShOUld review all documentation to support an invoice before it is authorized for payment. I", 2. Count r Management s h o Li I d ensure that the Se pte in ber 2 012 billing is corrected. County Administrator Respons I Management understands the recommendation and will appropriately review the support documentation before it is authorized for payment. 2. The correct support documentation has been requested by both the Finance Department and Management. As soon as it is received from HealthSmart it will be sent to Finance. 5. County paid approximately SI 15,000 to KPHA providers without BOCC approval. Recommendation(s): I We recommend that the Board of County Commissioners formally approve any additional fees charged by the contractors. County Administrator Resppp 1. The $115,000 was the cost of doing business in the transition period of changing providers. The BOCC was aware of the transition and there was no mechanism in place to formally take to the BOCC for approval. When KPHA declined to extend their contract, Management consulted with the County Attorney"s office. It was discussed and decided that because the direction to third party administrator was not in the form of a contract (i.e., no signature required from Wells Fargo) it did not require BOCC approval. Due to :PHA being unwilling to extend their contract, Management had no choice other than to direct the third party administrator to process claims (for the period of 10/1/I I — 10131 A 1) without the KPHA network discount since we no longer had a contract with that provider. The direction to the third party administrator enabled the County to pick up the discount (that would have been applied) at 100% without passing the loss of the discount to the employee. By terminating contracts with the previous providers and contracting with Blue Cross Blue Shield of Florida, the County projected to save and has saved millions of dollars (See Exhibit A of the of the Review of prior Health Plan Agreements and run off claims dated November 13, 2012). Management understands the recommendation and will comply with it if any future incidents of this type occur. 6. NI Ise I a- ss I fied administrative fees charged by third party administrator without contract amendment. Recommen dation(�h': I We recommend that the Board of County Commissioners fomially approve any additional fees charged by all contractors in compliance with policies and procedures. 2 Group Insurance Management should establish a program of audits and inquiries on a periodic basis to ensure that the plan is functioning as intended. County Administrator tMon 1. When Group Insurance Management was notified that PHCS was purchased by Multiplan, Group Insurance Management had discussions with Wells Fargo and it was understood that in cases where a Provider was covered by both Multiplan and PHCS, the better discount would be applied (i.e. Multiplan at 25% versus PHCS at 20%). The check payable registers that were attached as support documentation were sent to Finance each nionth and showed the fees being paid to Well Fargo when the PHCS and Multiplan network was used. (See Exhibit A and B attached). Management understands the recommendation and will comply with it if any future incidents of this type occur. 2. Group Insurance Management will work with the Consultant to establish set guidelines to perform audits and inquiries periodically. December 18,2011 Health Plan Audit Response Page 3 of 3 7. Group Insurance Management Should Provide Employee Education on Reporting Possible Fraud or Abuse. Recommendation(§h'. I Group Insurance Jana (lernent should establish policies and procedures to educate employees on this issue cand provide procedures for the employees to report the issue to the Group Insurance Department or directly to Blue 'Toss BlueShield of Florida., Inc. County Administrator Reponse(s): 1, Group Insurance Management will comply with the recommendation and work with the Consultant and develop a Notice to employees regarding False or Fraudulent Insurance Claims. The notice will be provided with all New Hire Packets, be posted on the Benefits website and will be distributed during the annual open enrollment. 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