School districts and charter schools required to complete an annual health insurance survey, reports required, and money appropriated.

A bill for an act

relating to health insurance; requiring school districts and charter schools to

complete an annual health insurance survey; requiring reports; appropriating

money; amending Minnesota Statutes 2024, section 471.6161, by adding a

subdivision.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2024, section 471.6161, is amended by adding a subdivision

to read:

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Subd. 9.

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School districts and charter schools; reports.

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(a) For purposes of this

subdivision, an entity offering or providing group health insurance includes both health

plan companies and third-party administrators of health plans.

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(b) By July 1 of each year, the Legislative Budget Office must send an annual survey

regarding health insurance costs to all school districts and charter schools. The school district

or charter school must return the survey to the Legislative Budget Office by September 1

each year.

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(c) The annual survey must be completed by the school district or charter school using

data from the most recent fiscal year and must provide:

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(1) the total number of employees;

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(2) for individuals participating in the group health insurance offered by the school

district or charter school, the total number of people in each of the following categories:

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(i) salaried employees;

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(ii) nonsalaried or hourly employees; and

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(iii) retirees and other persons who continue to receive coverage through the school

district's or charter school's health plan after separation from employment;

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(3) the total number of employees who do not participate in the health plan;

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(4) the total number of insured persons covered by the health plan;

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(5) the total dollar amount the school district or charter school paid in health insurance

premiums on behalf of all employees, excluding employee contributions transmitted to an

entity providing group health insurance coverage or payments made on behalf of former

employees;

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(6) if a school district or charter school funds an individual coverage health reimbursement

arrangement, the total amount contributed by the school district or charter school;

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(7) the total amount employees paid in health insurance premiums;

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(8) an accounting of all forms of direct or indirect compensation, including but not

limited to fees, commissions, incentives, or rewards of any kind paid to a broker or agent,

regardless of whether the compensation was (1) billed as a flat fee or percentage of premium,

and (2) paid directly by the school district or charter school or through the entity offering

group health insurance;

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(9) the name of any entity providing group health insurance the school district or charter

school has contracted with and the contract's expiration date;

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(10) for each type of health plan offered to employees of a school district or charter

school:

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(i) the name of the plan and the plan's actuarial value, using the minimum value calculator

information required in bid proposals under section 471.6161, subdivision 8, paragraph (d),

clause (2), and described in the Code of Federal Regulations, title 45, section 156.145. The

plan data must delineate amounts for single, family, and two-party plans, if offered;

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(ii) the monthly contribution by the school district or charter school for each employee

group per plan, including contributions to individual coverage health reimbursement

arrangements;

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(iii) the amount per month an employee must pay in health insurance premiums for the

plan; and

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(iv) the plan design for each type of plan, including:

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(A) in-network deductibles;

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(B) in-network out-of-pocket limits;

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(C) out-of-network limits;

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(D) co-payment;

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(E) the employee's share of coinsurance; and

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(F) the prescription annual out-of-pocket maximum, if separate from subitem (B);

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(11) the dollar or percentage cost for all prescription levels, commonly generic or tier

1, formulary or tier 2, and nonformulary or tier 3;

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(12) the total amount of annual contributions the school district or charter school pays

on a per-employee basis to an individual coverage health reimbursement arrangement or

health savings account, excluding amounts contributed solely to a health care retirement

account; and

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(13) the total amount assessed by the entity providing group health insurance as an

administrative fee and the rate of the assessed fee.

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(d) The Legislative Budget Office must compile information from the surveys collected

under this subdivision and provide a report by December 1 each year to the chairs and

ranking minority members of the legislative committees with jurisdiction over education

and health insurance. The Legislative Budget Office must post the report, including the

executive summary and all underlying data received from school districts and charter schools,

on the Legislative Budget Office's public website. Data posted on the Legislative Budget

Office's website must be in a standardized format.

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(e) If a school district or charter school fails to complete the annual survey and provide

the information required under paragraph (c), the Legislative Budget Office or any other

person may bring an action under section 13.08, subdivision 4, or 13.085, against the school

district or charter school to compel compliance with this subdivision.

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Sec. 2.
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APPROPRIATION.
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$....... in fiscal year 2027 is appropriated from the general fund to the Legislative Budget

Office to complete the annual report required by section 1. The base for this appropriation

is $....... in fiscal year 2028 and each year thereafter.

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