10 Total_InternalAdmin Dollar amount of total avoidable, internal costs Required associated with administering health benefits during Fiscal Year 2011 2012. – Include only costs that your district incurs internally in administering employee health benefits AND not otherwise be incurred if your district did not perform any such employee health benefit administration. Enter 0 if none. 11 Desc_InternalAdmin Narrative describing the administration costs Required if reported in Total_InternalAdmin (above). In other words, explain how your district calculated this (above) is number. not 0 12 Total_OtherCosts Dollar amount of other costs during Fiscal Year 2011 Required 2012, where other costs are defined as those – associated with providing medical benefits to active employees, where such costs are not included in Total_Premiums above or in administrative expenses/fees reported below. Examples of other costs are the carve out’ or ‘retiree subsidy’ (fees paid on behalf of active ‘retiree employees with medical benefits for retiree medical programs). Do not include payments for non-medical benefits (e.g. Long Term Disability, Vision, Dental) or COBRA payments. Enter 0 if none. 13 Desc_OtherCosts Narrative describing the costs reported in Required if Total_OtherCosts (above). In other words, identify Total_OtherCosts the costs that are included in the Total_OtherCosts (above) is not 0 total. Rows 14 20 contain narratives describing various kinds of efforts, achievements and progress. All of these – should be in reference to calendar year 2012. For further discussion of date ranges please see the material under the sub-heading Ranges’ within the Introduction (above). ‘Date 14 Desc_Affordability Narrative describing progress by your district towards Required greater affordability for full family coverage. 15 Desc_CostSavings Narrative describing progress by your district towards Required health care cost savings. 16 Desc_ReducedAdmin Narrative describing progress by your district towards Required significantly reduced administrative
10 Total_InternalAdmin Dollar amount of total avoidable, internal costs associated with administering health benefits during Fiscal Year 2011 – 2012. Include only costs that your district incurs internally in administering employee health benefits AND not otherwise be incurred if your district did not perform any such employee health benefit administration. Enter 0 if none. Required 11 Desc_InternalAdmin Narrative describing the administration costs reported in Total_InternalAdmin (above). In other words, explain how your district calculated this number. Required if (above) is not 0 12 Total_OtherCosts Dollar amount of other costs during Fiscal Year 2011 – 2012, where other costs are defined as those associated with providing medical benefits to active employees, where such costs are not included in Total_Premiums above or in administrative expenses/fees reported below. Examples of other costs are the ‘retiree carve out’ or ‘retiree subsidy’ (fees paid on behalf of active employees with medical benefits for retiree medical programs). Do not include payments for non-medical benefits (e.g. Long Term Disability, Vision, Dental) or COBRA payments. Enter 0 if none. Required 13 Desc_OtherCosts Narrative describing the costs reported in Total_OtherCosts (above). In other words, identify the costs that are included in the Total_OtherCosts total. Required if Total_OtherCosts (above) is not 0 Rows 14 – 20 contain narratives describing various kinds of efforts, achievements and progress. All of these should be in reference to calendar year 2012. For further discussion of date ranges please see the material under the sub-heading ‘Date Ranges’ within the Introduction (above). 14 Desc_Affordability Narrative describing progress by your district towards greater affordability for full family coverage. Required 15 Desc_CostSavings Narrative describing progress by your district towards health care cost savings. Required 16 Desc_ReducedAdmin Narrative describing progress by your district towards significantly reduced administrative Required
data-call-instructions.docx