Malloy, Lynch, Bienvenue, LLP

Archive for the ‘Health Insurance’ Category

Springfield to recover investment losses

Monday, September 1st, 2008

I was interested to read in todays Boston Globe that Merrill Lynch has agreed to repay the City of Springfield for nearly $14 million in investment losses, as well as the City’s legal fees. The losses were reportedly related to “collateralized debt obligations,” which are securities linked to bonds and loans, including subprime mortgages, according to the Globe.

Interestingly, these reports are coming on the heals of several recent investment related reports and advisories that TLB has been monitoring on behalf of its clients. As well as downgrades from rating agencies on some government investment pools.

November 30, 2007, Standard & Poor’s issued a report entitled “S&P Rated Local Government Investment Pools Weathering Storm.”

On December 5, 2007, the Boston Globe ran an article with the headline “Volatile holdings part of state fund - SIV’s add risk as communities seek to increase income,” referring to the MMDT cash portfolio.

This was followed by a frequently asked questions report by S&P on December 10, 2007, related to local government investment pools and a separate question and answer piece issued by Fidelity on the MMDT cash portfolio and its perspectives on Structured Investment Vehicles. S&P also issued a separate report entitled “U.S. State and Local Government Investments and Recent Market Disruption,” on December 10, 2007.

Just recently, I received the 2007/2008 investment circular from the MMDT on the cash portfolio and the MMDT short-term bond fund.

TLB has been adding additional procedures to its municipal audits to ensure our clients are meeting the disclosure requirements of GASB 40, have an investment policy, are following and monitoring adherence to the investment policy and that city and town treasurers understand to what extent municipal investments may be at risk.

TLB will be adding future posts on a treasurers responsibility for deposits and investments under Massachusetts General Laws, and otherwise. But, in the meantime, there is no time like the present to review where your community stands. If you have any questions regarding the recent reports, on investment policies or municipal investments in general please contact Rich Bienvenue at (508) 255-2240 or via e-mail rich@tlbcpa.net

Posted by Rich Bienvenue

Are Medicare Pt. D reimbursements subject to Single Audit requirements?

Friday, October 26th, 2007

Many municipalities have applied for the employer reimbursement provided for under Medicare Part D.  Most assumed the reimbursement, administered by the federal Department of Health and Human Services (HHS), was not subject to the audit requirements provided for under the Single Audit Act.  This includes several state comptroller and revenue offices, who have been advising their cities and towns that there was no Single Audit Act requirement.  As TLB understands it this guidance is in question. (more…)

Accounting for Medicare Part D payments

Friday, October 5th, 2007

With municipalities receiving significant Medicare Part D reimbursements in fiscal year 2007 and 2008, and with the tax rate setting season upon Massachusetts municipalities, TLB has been fielding several questions regarding the proper accounting treatment of these reimbursements. The Government Accounting Standards Board (GASB) has issued a Technical Bulletin concerning these reimbursements, effective for financial statements issued after June 30, 2006. (more…)

The GIC option for Massachusetts cities and towns

Friday, July 20th, 2007

In July, 2007 Governor Patrick signed into law a bill allowing Massachusetts cities and towns to join the Commonwealth’s Group Insurance Commission (GIC). There has been pressure on municipal managers to undertake the effort needed for their community to join the GIC. TLB cautions municipalities to undertake a complete analysis of its options before joining the GIC.

A joining community is required to adopt Massachusetts General Law (MGL) Chapter 32B, Section 19, which provides for a coalition bargaining process where a local community would need to create a Public Employee Committee which is comprised of representatives of the communities labor unions and a retiree representative. The labor vote on the committee is weighted based upon the number of employees eligible for the health insurance benefit. Retirees receive 10% of the PEC vote.

In addition, joining municipalities are required to adopt MGL Ch 32B, Section 18 – a move TLB recommends every community consider regardless of whether or not it plans on joining the GIC.

In adopting Ch32B, S18, medicare eligible retirees of a municipality are required to enroll in Medicare Part A & B coverage and Medicare eligible health plans, as opposed to being enrolled in an active employee plan. This requirement results in significant savings to municipalities and retirees alike as the medical eligible health plans are typically drastically less expensive than active plans, primarily because the federal Medicare program is first in line to pay health claims and the municipal plan is a secondary payer.

Another benefit of adopting section 18 is that it will have a huge impact in reducing the municipalities OPEB liability measured under GASB 45 because of the lower cost of the retiree plans.

In evaluating whether the GIC option is good for a particular community a thorough evaluation needs to be undertaken. Currently, one attractive option of the GIC to many communities is its lower cost. However, in order to adequately compare costs a detailed analysis of plan benefits needs to be undertaken – in many instances local self-insurance programs are offering richer, more comprehensive plan benefits.

As we see it some of the positive aspects of joining the GIC are as follows (note – all of these, except the first could be undertaken without joining the GIC):

· Reduced collective bargaining burden. The GIC establishes the health insurance plan benefits, including co-pays and deductible levels unilaterally, therefore reducing a local communities obligation to bargain changes in benefit coverage as illustrated in the so-called “Dennis Decision” by the Labor Relations Commission.

· Reduced costs due to adoption of MGL Ch32B, S18 – as described above

· Reduced OPEB liability – as described above

· Potential cost savings due to benefit/plan design differences

Some of the disadvantages of joining the GIC (from the city or town perspective) are as follows:

* Public Employee Committee remains in place until 70% of the weighted vote of employee groups agree to revoke Section 19.
* The sheer number of one particular labor component over another may allow that labor union to dominate the PEC vote and allows employee groups to drive decisions at the expense of other labor groups.
* Currently, retirees are not represented as a negotiating unit - Section 19 gives retirees negotiating authority.
* Loss of local control – Currently, cities or towns with self-insurance programs or as a member of a joint purchase group can exercise control over the setting of rates, plan design, benefits – including many optional benefits and locally targeted wellness programs.
* Loss of ancillary benefits – many joint purchase groups offer their members additional services or consultation on insurance issues as part of their participation. Many JPG’s handle COBRA enrollments, notifications and payment issues through a central benefit administrator, therefore eliminating the need for the local town to handle this administrative process. How do small, local towns across the Commonwealth deal with and resolve issues with the bureaucratic GIC?
* Withdrawal issues – withdrawal from the GIC can only occur on a three year interval. With a local program, changing insurance program participation may be easier and the Town may be able to retain any financial surpluses that have accumulated.
* Are the GIC plan benefits actuarially comparable to local plan designs? In addition, not all GIC plans are offered in all geographic regions of the Commonwealth, for instance Tufts, UniCare, Fallon, Health New England and the Neighborhood Health Plans would not work for Cape Cod and Islands communities. Currently, the GIC does not offer any Blue Cross/Blue Shield type plans.

TLB cautions municipalities to undertake a serious, comprehensive evaluation of its options before opting in to the GIC. Please call us if we can be of any help! RB

Considerations in adopting Section 18 of MGL Chapter 32B

Friday, July 6th, 2007

Massachusetts municipalities have been hearing a lot lately about Section 18 of Massachusetts General Law Chapter 32B.  Due to the increasing fiscal pressure of providing employee health insurance, TLB and others have been recommending municipalities consider adopting the provisions of Section 18.  We have noted that relatively few communities have adopted this local option - here are some of the basics. (more…)

Accounting and reporting for MA municipal self-insurance plans

Thursday, April 26th, 2007

Massachusetts cities and town who choose to provide employee health insurance through a self-insured arrangement should be aware of the financial accounting and reporting requirements of doing so.  TLB has long recommended to cities and towns that self-insurance programs be accounted for in an internal service fund.  (more…)



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