SENATE CONCURRENT RESOLUTION NO. 68

WHEREAS, the cost for health care coverage continues to escalate at an ever-alarming rate; and

WHEREAS, other critical functions of state government limit the resources available to the State of Missouri to appropriately offset these costs to its employees and retirees; and

WHEREAS, it is in the best interest of the State of Missouri, as an employer, to purchase health care coverage in as efficient and cost-effective manner as possible; and

WHEREAS, Article XIII, Section 1 of the Missouri Constitution authorizes the General Assembly to provide or contract for health insurance benefits, including but not limited to hospital, chiropractic, surgical, medical, optical, and dental benefits, for officers and employees of the state and their dependents, including those employees of entities controlled by boards or commissions created by this constitution; and

WHEREAS, in order to best accomplish this objective, the State of Missouri must consider and review all possible alternatives for continuing to provide quality health care coverage at affordable prices:

NOW, THEREFORE, BE IT RESOLVED by the members of the Senate of the Ninety-first General Assembly, Second Regular Session, the House of Representatives concurring therein, that the State of Missouri wishes to analyze the potential benefits and savings of combining the health care programs of the Missouri Consolidated Health Care Plan (MCHCP), the Department of Transportation (DOT), the Department of Conservation (DOC) and the University of Missouri (UMC) and jointly purchasing and/or otherwise providing health care coverage for their members; and

BE IT FURTHER RESOLVED that in order to effectively complete the analysis, all parties shall provide MCHCP with all the necessary and appropriate data required to determine the current administrative and claims costs as well as any reserve requirement; and

BE IT FURTHER RESOLVED that this data shall cover calendar year 2001 and shall at a minimum, consist of the following:

I. Operational Cost

a. Personnel

b. Expense and equipment

c. Total

II. Claims Cost

a. Actives/dependents (dollar amount)

b. Retirees/dependents (dollar amount)

c. Total (dollar amount)

d. Reserve history (available reserve and actuarial need)

III. Demographic Data (member level file by zip code)

a. Age

b. Sex

c. Status (active, retiree, etc.)

d. Level of coverage

IV. Network

a. Provider file

b. Provider discounts (to remain confidential)

V. Premium Contribution Structure

a. Actives

b. Retirees; and

BE IT FURTHER RESOLVED that this information shall be made available for possible inclusion in the current or future request for proposals (RFPs) from the MCHCP, with every attempt being made to have it available for the current RFP scheduled for release on May 7, 2002; and

BE IT FURTHER RESOLVED that the four health care programs shall jointly strive to determine potential outcomes of this endeavor and the final impact that this group purchasing effort could have for the State of Missouri.


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