HELLO ELCA,

HOW ARE YOU?

EMOTIONAL WELL-

BEING OF ELCA

LEADERS.

June 3, 2020

Presented by:

The Rev. Jeff Thiemann

President and CEO

Portico Benefit Services

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IN THE NEWS …

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* Data as of March 31, 2020.

**Data as of Dec. 31, 2019

MORE THAN

$7.2 BILLIONIn Assets Under

Management*

$144 MILLIONIn Annual Health

Care Claims Paid**

31 YEARS Serving the ELCA

For over 200 years, the Lutheran Church has supported the well-

being of clergy, social ministry organizations, and higher education.

EXPERIENCE YOU CAN TRUST

Portico is honored to continue that legacy by providing

comprehensive benefits that strengthen financial, emotional,

and physical well-being.

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POPULATION OVERVIEW

ELCA-Primary Health Plan

Enrolled Members

• Over 17,000 members (>8,200 subscribers) in PPO Plan

• Average subscriber age of 51.5

• 53% male and 47% female

• Well-educated (theologically trained)

• 60% ordained clergy

• Called to be part of the faith community that they serve

• Top 5 conditions diagnosed are:

▪ Hypertension

▪ Coronary artery disease

▪ Joint conditions

▪ Mood disorders

▪ Diabetes

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THE

COVID-19

PANDEMIC

IS

AFFECTING

EVERY

DIMENSION

OF WELL-

BEING

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• Health Risk Assessment self-reported

data validates behavioral health needs

• Medical claims are going up

• EAP usage is higher than average

• Clergy studies show:

‒ Rate of depression: 11.1% – double the

then national rate of 5.5%

‒ Anxiety rates among clergy were 13.5%

(no comparable U.S. rate was available)

‒ More than 7% of clergy simultaneously

experienced depression and anxiety

MENTAL HEALTH OF CLERGY / CHURCH WORKERS

Over our many years of working with the church, we know that mental health concerns are a priority with clergy and other church workers.

Source:

https://today.duke.edu/2013/08/clergydepressionnewsrelease

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TOP 5 CHRONIC ISSUES DIAGNOSED (PLAN PAID)

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TREND INCREASE IN MEDICAL CLAIMS

• Mental Disorder Medical Claims 2017-2018

Service Month

Medic

al C

laim

s

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TREND INCREASE IN MEMBER UTILIZATION

Overall

Mental

Disorder

trend was up

3.4% in 2018

compared to

2017

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IMPACT OF MEDICAL ISSUES

A cohort of our membership who had mental disorder

claims in 2018 have a total PMPM cost nearly 2.5X vs

those who did not have a mental disorder claim.

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IMPACT OF MEDICAL ISSUES

The breakdown of cost

shows total spend for

psychiatric claims to be

16% compared to the

overall spend of the

same cohort.

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CONCLUSIONS

• Clergy, deacons and other church

workers experience high levels of

burnout.

• Emotional and mental health incidents

and costs are rising.

• Emotional health diagnoses were

influencing total well-being and more

medical spend.

• The ELCA will benefit from more

solutions to support our members’

emotional well-being.

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OUR STRATEGY TO WELLNESS

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BUILD YOUR RESILIENCY WITH BEING

Examples of

Top Courses

Power 9: How to

Live the Blue

Zones Way

Beating Burnout

Stress and Your

Body

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Beating Burnout Trailer: https://vimeo.com/389285296/8d5e2c100c

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LEARN HOW TO CREATE A NEW NORMAL WITH

COVID-19 THROUGH BEYOND NORMAL PODCASTS

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• About 3% have

engaged in the

program

• 158

comprehensive

assessments

completed

• 118 enrolled in a

program

• 76 signed up for

Mindfulness

Moments

• 23 have actively

engaged in a

coaching program

GET 24/7 ONLINE COGNITIVE BEHAVIORAL THERAPY THROUGH LEARN TO LIVE

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CALL THE EMPLOYEE ASSISTANCE

PROGRAM TO TALK WITH A COUNSELOR

ELCA Primary Health Benefits offer:

• An assessment with an EAP

counselor

• Up to 6 in-person EAP

counseling sessions per

issue per year at no cost

• Connection to helpful agencies

and support groups in your area

• Assistance finding an attorney

with one no-cost 30-minute

telephone consultation

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CARE CONTINUUM OPPORTUNITY ADDRESSED

Healthy At-RiskChronic / Complex

Medical

Mental

Health

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DISCUSSION QUESTIONS

• Where do you see

emotional well-being

issues affect those you

coach?

• What barriers keep people

from accessing services

that would be beneficial to

them?

• What could we do to help

remove these barriers?