The Brownsville Independent School District’s self-funded health plan has a rich history going back years. Now, as we enter yet another episode of “As The World Turns” a BISD board member with a little help from his friends is on the warpath. You don’t want to miss this episode……………….
September 8, 2026 at 5:30 PM – Employee Benefits, Insurance and Risk Management Committee Meeting
| Agenda |
| I. Employee Benefits, Insurance and Risk Management Committee Meeting Called to Order |
| II. Pledge of the Allegiance/s |
| III. Roll Call: |
| IV. Review of Third Party Administrators Insurance Providers |
| V. Independent Review Scope – Employee Benefits Department & Self-Funded Health Plan Governance |
| V.A. Objective: |
| 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. |
| V.B. Scope Areas: |
| V.B.1. Meeting Governance |
| V.B.1.a. Attendance logs and minutes for Employee Benefits Department meetings (prior 12–24 months) |
| V.B.1.b. Identification of all non-district personnel present (brokers, TPA/carrier reps, consultants) and their stated role/authorization |
| V.B.1.c. Review against any existing district policy on vendor participation in internal deliberations |
| V.B.2. Conflict of Interest |
| V.B.2.a. Disclosure records for any district staff, board members, or committee participants with financial ties to current or prospective vendors/carriers |
| 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) |
| V.B.3. Vendor/Carrier Relationship History |
| V.B.3.a. Timeline of TPA and carrier selection/renewal decisions, and the stated rationale (RFP results, cost comparisons, board minutes) |
| 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 |
| V.B.4. Financial Performance of the Self-Funded Plan |
| V.B.4.a. Claims experience, loss ratio, and stop-loss performance over the review period |
| V.B.4.b. Trend in employee premium contributions relative to plan cost drivers |
| V.B.4.c. Comparison of current TPA/carrier fees and service levels against market benchmarks |
| V.B.5. Network/Access Decisions |
| V.B.5.a. Documentation supporting any proposed or executed changes to provider network access (e.g., facility or service-area changes) |
| V.B.5.b. Employee utilization data supporting or contradicting the stated rationale for those changes |
| V.C. Methodology: |
| V.C.1. Document request and review (minutes, contracts, disclosure forms, claims/financial reports) |
| V.C.2. Confidential staff interviews, conducted by the reviewer without department leadership present |
| V.C.3. Benchmarking against comparable self-funded district plans in the region |
| V.D. Deliverables: |
| V.D.1. Written findings report with specific factual observations (not recommendations on personnel) |
| V.D.2. Recommended policy language for vendor participation in internal meetings |
| V.D.3. Recommended conflict-of-interest disclosure process going forward |
| V.E. Independence Requirement: |
| V.E.1. Reviewer should have no current or prior contractual relationship with any carrier, TPA, or broker involved in the districts plan |
| V.F. Presentation of our current, Workers Compensation contracted services, status and claims pending |
| VI. Public Input |
| VII. Adjournment |