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AGENDA ITEM REVIEW FORM |
4.A.
Special Employee Benefit Trust Board Meeting
- Meeting Date:
- 12/21/2022
- Department Head:
- Maria Munoz
- Submitted By:
- Maria Barajas Gutierrez, Human Resources Coordinator, Human Resources Department
ITEM:
Discussion and possible action on any and all matters regarding results of the SIARMED audit conducted by Wolcott & Associates, Inc. (Brian Wyman, Auditor and Susan Posada, Broker and Consultant)
SUMMARY:
On October 2022, the Trustees engaged Wolcott & Associates to conduct an audit of the plan's administration at 90 Degree Benefits using the SIARMED network. This audit was performed to determine the payment accuracy of health claims processed during the period of September 1, 2021, through August 31, 2022. The data was stratified, and 300 claims were randomly selected (225 medical claims and 75 dental claims). Each selected claim was the original submission. Wolcott & Associates did not treat any correcting entries as the selected claim.
The final report is attached for the Trustees' review.
This item is informational. However, it has been put on the agenda as an action item in case there is any action the Board wishes to take.
The final report is attached for the Trustees' review.
This item is informational. However, it has been put on the agenda as an action item in case there is any action the Board wishes to take.
RECOMMENDATION / SUGGESTED MOTION:
I MOVE TO _______________________________________________
Fiscal Impact
Fiscal Impact:
N/A