Insurance consultant billed the district $82,234 from January to December 2013.
“I can’t imagine why they would want to replace me. There’s no consultant that can step in immediately and do what I’m doing for the school district. ” – Glenn Hillyer, Insurance Consultant
By FERNANDO DEL VALLE Valley Morning Star Valley Morning Star
Richard Garza, whose company ISD Managed Care Services runs the clinic that helps administer the managed care plan, wants to expand weekly operations by 15 hours to care for an increase in patients, McCall said.
Hillyer said 1,165 employees enrolled in the managed care plan while officials had projected 700 would participate.
But the clinic’s proposed expansion would cost the district about $29,000 a year, McCall said. She proposed that the school board approve a payment of $1,958 to cover the clinic’s 5.21 overtime hours worked this fiscal year.
The clinic’s overtime expenses are a result of providing treatment to patients who arrive shortly before daily closing hours, Hillyer said.
The managed care plan, touted as a model of the Affordable Care Act, replaced Blue Cross Blue Shield, which was the district’s third-party administrator for five years.
Board member Anna Cruz, who voted against the managed care plan, warned it would use district employees as “guinea pigs.”
But Garza said the plan offers employees efficient, low-cost health care.
“I feel I put together a great plan and it’s working,” Hillyer said.
Editor’s Note: This is the same school district that is paying brokerage commissions of +$100,000 for stop loss insurance to “avoid risk.” – http://blog.riskmanagers.us/?p=12355