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About TML IEBP

TML Intergovernmental Employee Benefits Pool Mission Statement

To provide excellent service offering competitive health benefits and administrative services to eligible municipalities and other governmental entities in Texas by utilizing innovative, viable and affordable alternatives while maintaining financial integrity.

TML IEBP Milestones

2010 - 2011	Provider Electronic Payment Member EOB Electronic Option Medication Therapy Management Program Healthcare Reform Implementation International Centers of Excellence
2009 - 2010	55.3 Million in Assets Staff Count: 123 Extension and Expansion of American Recovery and Reinvestment Act of 2009 Member Report Revision Evidence Based Prescription Utilization Analysis Healthcare Reform Review Pre Sixty-five Retiree Pool Development Population Health Management Healthy Lifestyle Guides ODS ASP converted to TML IEBP Host On-Line Enrollment Improvement: EBS Data Expansion and Error Report COBAL Member Database Conversion to SQL HealthX Expansion
2008 - 2009	55.3 Million in Assets Staff Count: 118 American Recovery and Reinvestment Act of 2009 Implementation Phone Information Technology Upgrade On-Line Enrollment Upgrade Disease Management Improved Reports: Accountability Measurement of Personal Health Engagement ROI Stratification Active Participation Expansion of Return of Investment Report Evidence Based Medicine Medically Justified Non-Evidence Based Medicine Business Continuity Test Group Individual Plans/Defined Contribution Specialty Medical Management Valued Tiered Prescription Access

2007-2008	62.5 million in assets Staff Count as of February 27, 2008: 145 Service Improvements: Claim Adjudication System Upgrade to 3.3 Healthy Initiative Program D2 Hawkeye Prochaska: Healthy Lifestyle Stages of Change Claim Integration Clinical Stratification/Adjusted Risk Index Healthy Initiatives HealthPlan: Community Based Biometric Screenings/Health Risk Appraisals/Incentive Plan Multidisciplinary Medical Management Team Intake Specialist Behavior Specialist Nutritionist Nurse Medical Consultant Nutritional/Diabetic Specialist Be Well at TML IEBP/Healthy Lifestyle Management Program Web Wellness Portal Return on Investment Incentive Plan with compliance of Biometric Screenings and Health Risk Appraisal Navigating GASB Liability Risk Transition: Retiree Reimbursement Account and Access for Life Program Defined Benefit vs. Defined Contribution OON RBRVS Reasonable and Customary 100% participation requirement was updated to exclude: the requirement for employees who are on their spouses plan, TRICARE, or have retired from a previous employer, employees who access a Documented Spouse Plan, and employees who access a Retirement Plan due from prior employer Data Warehouse: Milliman Creditable Coverage Recognized to offset pre-existing limitation

2006-2007	$62.0 Million in Assets Staff Count: 140 Service Improvements: Be Well at TML IEBP Underwriting Consultant Ernst & Young Section 125 Debit Flex Card/MBI HealthX Section 125 Exante Relationship Storage Area Network Expansion D2 Claim Stratification Healthy Acute Chronic Catastrophic October 2006: United Medical Resource Alliance Partnership Options PPO Network Claim Adjudication System Transition PEBA Administrative Services: Disease Management 10/06 Pharmacy Benefit Manager 10/06 Retiree Advantage Program 1/1/07 EAP Services-Deer Oaks 10/1/07 Cancer Supplemental Benefits-Colonial 10/1/07 Critical Care Supplemental Benefits-AFLAC 10/1/07 Accidental Supplemental Benefits-Colonial 10/1/07 Life/LTD/STD Benefits-The Standard 10/1/07 Wellness Benefits-Circle of Health 10/1/07

2005-2006	$58.0 Million in Assets Staff Count: 154 Service Improvement: NHBC Claim Audit Alliance

2004-2005	$51.6 Million in Assets Staff Count: 153 Service Improvements: On-Line claim status look-up January 2005: TML IEBP and Texas Association of Counties assumed administrative services for Public Employee Benefits Alliance (PEBA). PEBA Administrative Services: PEBA@tmliebp.org Onsite wellness with external vendor Disease Management external vendor - Asthma Supplemental Secondary Repricing Network at Out of Network Benefit Percentage Patient Advocacy Program

2003-2004	$45.7 Million in Assets Staff Count: 156 Service Improvements: In-House professional negotiations Onsite wellness with local providers Specialty claims adjudication procedure Health Reimbursement Account plan designs Health Saving Account plan design Contribution/Non Contribution Medicare Supplement Option

2002-2003	$42.5 Million in Assets Staff Count: 153 Service Improvements: In-House professional negotiations Automated Pre/Post-duplicate Identifier Wellness program implementation HIPAA Title II Compliance Loss prevention analysis expansion Out of Network Hospital usual & customary fee schedules Provision of Chapter 172 Trustee training for self-funded members External professional negotiations

2001-2002	$37.4 Million in Assets Staff Count: 153 Service Improvements: Claims Cost Management Disease Management New organizational goals & objectives Auto-Audit, contract compliance, nurse claims liaison personnel FastStart mail service reminder program Three-tiered prescription copay plan Access PHCS out of state network

2000-2001	$33.5 Million in Assets Staff Count: 161 Service Improvements: Full-time Collection Specialist Part-time Medical Director Increased electronic claim adjudication process Enrollment online services Website update with benefits online Operational Guidelines: TML Group Benefits Risk Pool transferred all of its assets and obligations to TML Intergovernmental Employee Benefits Pool (TML IEBP), a successor Trust with identical purposes to the original Trust, April 1, 2000.

1999-2000	$33.0 Million in Assets Staff Count: 141 Service Improvements: In-House Right of Recovery Website enhancement Continued relationship development with reinsurance carriers

1998	$30.3 Million in Assets Staff Count: 133 New Benefit: Nurse On-Call Service Improvements: Administrative Manual Design infrastructure of workflow processes Expansion of Preferred Provider Network Out-of-State Network Expanded administrative services to self funded Independent School Districts

1993-1995	By 1995: $22.5 Million in Assets Staff Count: 117 Service Improvements: Purchased building Improved technology with imaging/OCR and electronic claims URN/TML Transplant Centers Leased Preferred Provider Network, transitioned to TML IEBP Statewide Preferred Provider Network Operational Guidelines: Trust terms were incorporated into the Interlocal Agreement, April 22, 1993.

1989-1991	$1.2 Million in Assets Staff Count: 37 In-House Services: Marketing Underwriting Claims Adjudication Utilization Management Large Case Management Service Improvements: Pool becomes self-funded Opened field offices throughout the state All Indemnity plans Added 2 Vision plans Operational Guidelines: Pool ("TMLGBRP") and became a partially self-funded pool under the Texas Political Subdivision Employees Uniform Group Benefits Act, Texas Local Government Code Chapter 172. The Pool purchases both Individual and Aggregate Stop loss. The Act calls for the Pool to be governed by a Board of Trustees (�172.006) and gives them investment authority under the Public Funds Investment Act and the Texas Trust Code (�172.009).

1984-1986	$3.1 Million in Assets Staff Count: 6 Service Improvements: Hired Billing & Eligibility personnel Purchased computer Developed Board Vision Marketing Plans were in initial phases of development Operational Guidelines: Separated Risk Pool Boards between TML, IEBP, and IRP

May 1, 1979	Health Benefits Trust, under Texas Municipal League Insurance Trust Fund ("the 1979 Trust"), was created and accepted by the Board of Trustees, May 1979 $0 in Assets Staff Count: 2