Sponsored by:

Jay Goebel

True Rx Health Strategists

For future sponsorships:
Contact Karleen at 201-507-0334
email: koneill@smw25.org

******** PLEASE NOTE********

APRIL MEETING DATE HAS BEEN MOVED TO 

THURSDAY, APRIL 3, 2025

Same location: 5th floor conference room, RWDSU, 330 7^TH Ave (aka 7 Penn Plaza), New York, NY.

Presentation #1

PBM Procurement: A Consultant’s Blueprint for Union Benefits

The idea that repeating the same actions leads to different results—often referred to as the ‘insanity of repetition’—has never been more relevant when it comes to procuring pharmacy benefits for self-insured plans. Navigating the PBM procurement process for union benefits requires a strategic approach that balances cost containment with member advocacy. In “PBM Procurement: A Consultant’s Blueprint for Union Benefits,” we’ll explore a step-by-step framework for selecting, negotiating, and optimizing Pharmacy Benefit Manager (PBM) contracts tailored to the unique needs of unionized workforces. Attendees will gain insights into key contract terms, transparency measures, and cost-saving strategies to ensure fiduciary compliance while enhancing member benefits. Whether you’re a fund administrator, union benefits leader, broker, or union representative, this session will equip you with the tools to drive better outcomes in PBM procurement for your union plan.

Presented by: Harsh M Shah M.P.H.B.B.S
Principal, Amwins Health and Employee Benefits Consulting™

Presentation #2

Proactive Stop Loss Management

In today’s evolving healthcare landscape, rising costs make effective claims management more critical than ever. Fund Administrators play a vital role in maintaining the financial health of their plans, a proactive approach with carriers and vendor partners can lead to substantial stop-loss savings. This session will explore strategies for communicating with carriers to leverage network discounts, influence claims negotiations, and optimize stop-loss outcomes. Attendees will gain valuable insights into best practices for early engagement, understanding cost drivers, and positioning their group for improved financial results—all while ensuring comprehensive coverage for their members.

Presented by:

Ruth S. Gillan, Director of Employee Benefits
and
Pauling Huynh, Lead Consultant
Hilb Group

Suzanne Taranto, EA MAA
Principal and Consulting Actuary
Millman

In Solidarity,

The Board of the Association of Benefit Administrators