# LCMS Convention Workbook_St. Louis Missouri_1983_S182 # Machine transcription, uncorrected — CHI Digital Archive (demonstration) 182 ADMINISTRATION AND PROGRAM IMPLEMENTATION To Set New Basis for Health Plan Premiums WHEREAS, At present Concordia Health Plan charges premiums for insurance on the basis of percentages of salaries which workers receive. rather than on single, married, and family rates, as most other insurance companies do; and WHEREAS, This arrangement causes an unduly high percent- age of the cost of the plan to be assessed against those who have higher salaries. rather than according to benefits pro- vided; and WHEREAS, This type of charging for health insurance creates the illusion that higher salaried persons are also receiving greater peripheral benefits in terms of insurance than lower salaried workers: therefore be it Resolved. That the Synod in convention in 1983instruct the Board of Managers of Concordia Plans to set up the Concordia Health Plan on a similar basis as other insurance companies have, namely, on a cost basis of individuals insured, rather than on the basis of salaries received. St. Paul's Lutheran Church Fairmont, Minn. LaVern Schulz, Chairman Douglas K. Janetzke, Pastor Vernon H. Harley. Pastor 4-60 To Pay Interest on Claims After 15 Days WHEREAS. Section VIII, 8.2, of the Concordia Health Plan regulations requires that Plan costs be paid in advance “on the first day of each quarter for the quarter then commencing,” and imposes an interest penalty of 8 percent, or as may be set by the Board of Managers, compounded quarterly, on pay- ments 15 or more days overdue; and WHEREAS, The Health Plan speaks of a 10-working-day target time for claim processing, but in reality has been taking a good deal more time than this over the past recent years; and WHEREAS. This slow claim processing often requires members to pay health care costs out of their own pocket, or receive repeated billings with “friendly reminders’ —and some not so friendly—on them; and WHEREAS. Simple fairness would require that the Plan lay on itself the same penalties it seeks to lay on others: therefore be it Resolved, That any legitimate, documented health care claim not paid by Concordia Health Plan within 15 days of receipt begin to draw interest, payable to the Plan member, in the same manner and rate as the Plan imposes on overdue contributions. Rollingwood Lutheran Church San Pablo. Calif. W. Gieseke, Chairman E. Mitchell. Secretary R. W. Schick. Pastor 4-61 To Determine Future Operations of Health Plan WHEREAS. One of the basic requirements of any insurance program is that it give reasonably prompt payment to documented legitimate claims; and WHEREAS, Concordia Health Plan has been plagued by continuing inability to meet this basic requirement by its own admission (Examples: Benefit Plan Bulletin of February 1980, page two. carries an article titled “We're Swamped,”’ and asks for patience on the part of Plan members seeking payments; a letter from the Plan Administrator, dated May 28, 1981, speaks of ‘unexpected large submissions,” and hopes for something like a seven-week claim process time: the Benefit Plans Bulletin of August 1981. page 3, reports problems with claim processing for the vear thus far and reports, ‘‘We are just beginning to see our way out of this backlog’: a letter tothe Plan members from the administrator. dated July 20, 1982. states, “We had hoped to resolve the problem of delayed processing of medical and dental claims by now,” and mentions that “right now we are working on mid-May claims,” a delay of approximately nine weeks: as of December 1982 only minor progress has been made in claim handling); and WHEREAS, The Board of Managers and Plan staff seem unable to bring improvements in service: and WHEREAS, The cost of the Plan and its benefits do not present any great advantage. if any at all, over commercially available plans which do provide prompt service to their members; therefore be it Resolved, That the Board of Directors of the Synod be authorized and directed to engage the services of an appro- priate consulting agency or agencies to determine whether it is cost effective for the Synod to continue to operate its own health plan; and be it further Resolved, That if it is determined to be cost effective to continue the present plan, and if the Health Plan at that time is unable to pay claims in 15 working days or less. the Board of Directors of Synod be authorized and directed to engage the services of an appropriate consulting agency or agencies for the task of bringing the Health Plan up toa reasonable level of service to its members. Rollingwood Lutheran Church San Pablo, Calif. W. Gieseke. Chairman E. Mitchell, Secretary R. W. Schick. Pastor 4-62 To Observe Centennial of Walther’s Death Preamble May 7, 1987. will mark the centennial of the death of C.F. W. Walther, the first president of The Lutheran Church—Missouri Synod. Walther is regarded as one of the two most important figures in the history of Lutheranism in America and is certainly the most commanding figure in Lutheranism in America in the 19th century. Werner Elert asserted that Walther was one of only two Lutherans in the 19th century to understand Luther’s teaching on the proper distinction between Law and Gospel. Robert Schultz asserted that all Lutheran bodies in America have been influenced by Walther in the realm of pastoral theology. Recognizing the importance of this man, both to our Synod and to Lutheranism in general. the centennial of his death should be observed properly. Such observation, to be effective. should be organized and coordi- nated by acommittee assigned sucha task. In keeping with all this, be it Resolved, That a committee be appointed by the President of the Synod in order to suggest ways in which the Synod. its agencies, and its congregations. can observe the centennial of the death of President Walther; and be it further Resolved. That the Board of Directors be directed to provide adequate funding so that this committee will have sufficient resources available to it to carry out its assigned tasks. Mount Olive Lutheran Church Norfolk. Nebr. Gavard Nygren. Chairman Arnold Krugler, Pastor 4-63 To Thank God on 20th Anniversary of Ohio District Wuereas, The Ohio District was organized by The Lutheran Church—Missouri Synod in 1963; and WuerEas, God has richly blessed the Ohio District and its