The Minnesota Comprehensive Health Association (MCHA) is a nonprofit organization that administers the Premium Security Plan. This role entails selecting and managing the vendors that calculate reinsurance payments to health insurers, legal counsel, accounting and other administrative support to the PSP and the Board and timely management of the PSP.
Prior to the Affordable Care Act (ACA), MCHA played a different role in the individual health insurance market: managing the state’s high-risk pool that provided coverage to individuals with preexisting conditions or other high-cost healthcare needs. The ACA eliminated states’ high-risk pools as part of its broader elimination of coverage limits and open enrollment for those with preexisting conditions. However, people previously served by the high-risk pools still make up about 17 percent of Minnesota’s individual insurance market.
As the previous administrator of Minnesota’s high-risk pool MCHA has well developed governance, leadership and payment infrastructure capable of successfully managing the PSP from day one. MCHA’s state agency-endorsed board of directors representing health insurance, community and healthcare provider sectors offers balanced and transparent oversight of the PSP.
MCHA is governed by a board of directors comprised of 13 individuals. Six members are selected by the health insurance industry, subject to approval by the Minnesota Department of Commerce (DoC) and one must be a health actuary. Five public directors are selected by the Commerce Commissioner. At least two of these public directors must be individual plan enrollees, one must be a licensed insurance agent, and at least two must reside outside the seven-county Metro Area. Two public directors are selected by the Commissioner of Human Services; one must represent hospitals and one must represent healthcare providers.
MCHA’s current Board of Directors:
Scott Keefer (Chair) – Industry Member, Blue Cross and Blue Shield
Teresa Knoedler (Secretary) – Public Member
Kerry Koestler (Vice Chair) – Public Member
Mike Umland (Treasurer) – Industry Member, PreferredOne
Stephen Custis – Industry Member, Medica, Actuary
Teresa Knoedler – Public Member
Rahul Koranne, MD – Public Member
Dan Miesle – Public Member
Beth Monsrud – Industry Member, UCare
Brian O’Shields – Industry Member, HealthPatners
Sheryl Radle – Public Member, Licensed Insurance Broker
Sara Rohde – Public Member
Garin Strobl – Public Member
Joel Ulland – Industry Member, UCare