Dean Cameron

The meeting included a review of updated numbers for 2019 and the status of the 2020 survey, along with discussions about the number of children in Idaho under age 19 to insure. The board discussed COVID-19, testing problems, shortage of PPE, and potential vaccines. They also discussed a refund request from Anthem, assessment determination, and cost considerations for the 12th-grade booster dose of meningococcal conjugate vaccine.

The board discussed the operations report for the Small Employer Program and the High-Risk Pool, including financial results and enrollment numbers. They also discussed a proposal to reduce administrative fees for the Small Employer Program and evaluated options for the program's continuation or dissolution. The actuarial committee presented on premiums for the Grandfathered High Risk and Condition Based Pool, recommending a reduction in Street Rates. The board discussed reinsurance rates and plan designs for the Conditioned Based Pool and reviewed an investment report. Updates were provided on the 1332 Waiver and legislative issues.

The board discussed the operations reports for the Small Employer Program and the High-Risk Pool, including financial statements, balance sheets, income statements, and enrollment figures. The discussion covered the formal end of the Small Employer Program, the proposed engagement with Milliman for the 2022 calendar year, and the Actuarial Committee report. An investment report was presented, and the board discussed the audit due date and the election of officers. Updates were provided on the 1332 Waiver and legislative matters from the Department of Insurance.

The Board reviewed the Operations Report for the High-Risk Pool, including financial results through July 2023. They discussed the Investment Report, focusing on Treasury yields and economic pressures. The Actuarial Committee minutes were presented, covering IBNR projections. The board also discussed 2024 Condition Based Projections and Plan Design, including potential changes to deductibles and co-insurance. They reviewed the Pass-Through Funding Report and received a 1332 Grant Update. The officers were re-elected for another term. The DOI provided a Legislative Update, and the board acknowledged Kathy McGill's retirement.

The meeting addressed financial matters, including the presentation of the High-Risk Pool Operations Report, which covered the Grandfather Pool and Condition Based Pool income statements, cash positions, enrollment numbers, and the 2022 ICD-10 Report. An investment report was given, and the board discussed a review of the Small Employer Program, considering options for a compilation versus a full audit due to budget constraints. The Small Employer Plan of Operations was reviewed with proposed changes. The River 9 administration agreement for 2023 was presented and approved, along with the Actuarial Pricing Scope for Milliman for 2023. The administrative portion of the 2023 CBHRP premium was discussed and accepted. Updates were provided on the High-Risk Plan of Operation, the sub-recipient status for the 1332 Waiver administrative flow, and the 1332 Waiver itself, along with a legislative update from the DOI.