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An Educated
      Reopening
Considerations for Returning to
  School During a Pandemic
               PART 2

        Hosted by Brown & Brown Insurance
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Discussion Topics

   1                                        2                                                             3
 Clinical and Medical                      A Child-Centered Approach                                     Building Your Safety Net
 Response Update

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How We Can Support
  Resource Center
  • Find more information on other insurance implications
    at bbinsurance.com/covid19
  • Resource Links:
         • WHO - www.who.int/health-topics/coronavirus
         • CDC - www.cdc.gov/coronavirus/2019-ncov/index.html
         • National Business Group on Health -
           https://www.businessgrouphealth.org/topics/blog/the-evolving-
           situation-of-coronavirus-what-we-know-and-what-we-dont
         • OSHA – www.osha.gov
  Q&A
  • Please submit any questions in the Live Chat feature of this webinar
    or direct them directly to your service team.

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Brown & Brown Relief Center
Available to Anyone in Need

             Online Portal with Access to Discounts On:
             • Health & Behavioral Health Services
             • Family Care & Child Learning
             • Financial Wellness offered by Prudential
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                           Questions or Issues? Email the Brown & Brown Employee Benefits Technology Center at bbreliefsupport@bbebtech.com.

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COVID-19 Return to the Workplace Toolkit
Contact Your Service Team for Access

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Employment Law Helpline
Available to Current Customers at Deeply Discounted Rate

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                                                           Contact Your Service Team for Additional Information

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Disclaimer
The information in this program is based upon the very dynamic and evolving outbreak of                               seeking legal, tax, or medical advice from a professional in your area. Only your individual
respiratory disease caused by a novel (new) coronavirus that was first detected in China                              attorney, tax advisor, or health care professional can provide assurances that the
and which has now been detected in more than 100 locations internationally, including in                              information contained herein – and your interpretation of it – is applicable or appropriate to
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should act or refrain from acting on the basis of information in this program without first

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Today’s Presenters

                               Nick Karls                                                                            Louise J. Short, MD, MSc
                               Vice President,                                                                       National Clinical Leader
                               Regulatory & Legislative Strategy

                               Dr. Deborah Kerr                                                                       Stuart Sutley
                               President & CEO                                                                        Corporate On-Site Health Director
                               Lead Greatly, LLC                                                                      Johns Hopkins HealthCare Solutions

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Clinical and Medical
          Response Update

                        With Dr. Louise Short

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Q&A
with Dr. Louise Short

                  Which metrics and sources can be used by
                  school districts and higher education
                  institutions to guide reopening strategies?

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Q&A
Trusted Sources of Data

            dsd.c19hcc.org                 rt.live   covidexitstrategy.org                               cdc.gov/covid-data-tracker/index.html#cases

                           arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6

                                  nytimes.com/interactive/2020/us/coronavirus-us-cases.html?action=click&
                                                module=Top%20Stories&pgtype=Homepage

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Q&A
Epidemiological Indicators

 Background: School A’s                                                           State                                                          County
 catchment area is County A.               Indicator                                    ---                                    A                                                B
 Various work and social
 networks connect County A                 Percent positivity                        11%                                     3%                                                2%
 to County B.                              Case Counts                                                                                                          Decreasing for >13%
                                                                Decreasing for 7-13 days                            Decreasing for >13%

                                           Deaths               Decreasing for 7-13 days                            Decreasing for >13%                         Decreasing for >13%

                                           Interpretation: At the state level, the percent positivity indicator is in the red zone,
                                           while the other two indicators are in the yellow zone. In contrast, at the county level,
                                           for both counties, all indicators are in the green zone. This would suggest that in
                                           Counties A and B, the virus spread is being well controlled with the prevention and
                                           control measures being implemented.

                                                                                                                          Source: https://c19hcc.org/static/catalog-resources/k12-guidance.pdf

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Q&A
with Dr. Louise Short

                  What scientific information do we have to
                  date regarding the transmission of COVID-19
                  by children?

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Q&A
Transmission of COVID-19 by Children

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Q&A
with Dr. Louise Short

                  What is pooled testing and how could it be
                  used by schools?

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Q&A
Pooled Testing

                                           300 employees = 60 pooled tests

                                                                                                           Number of Tests Performed

                                                                                                       •   30 pools of 10 tests

                                                                                                       •   3 pools positive

                                                                                                       •   30 individuals tested

                                                                                                       •   30 + 30 = 60 total

                                                                                                                                   Source: InHouse Physicians

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Q&A
with Dr. Louise Short

                  Can you update us on the decisions that
                  school districts and higher education
                  institutions have made for the Fall?

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Q&A
Reopening Plans for the Top 20 School Districts

                                                         2018-2019 Enrollment
              #            School District       State                                                       Last Verified                  Reopening Plan                          Start Date
                                                              (Students)

              1              New York City        NY           960,484                                             08/06/2020                    Hybrid/Partial                            N/A
              2          Los Angeles Unified      CA           495,255                                             08/06/2020             Remote learning only                        8/18/2020
               3      City of Chicago (SD 299)    IL           359,476                                             08/06/2020             Remote learning only                         9/8/2020

              4                Miami-Dade         FL           350,434                                             08/06/2020             Remote learning only                        8/31/2020

              5               Clark County        NV           330,225                                             08/06/2020             Remote learning only                        8/24/2020
                            Puerto Rico
               6                                  PR           307,282                                             08/06/2020             Remote learning only                       08/17/2020
                      Department Of Education
               7             Broward              FL           270,978                                             08/06/2020             Remote learning only                        8/19/2020
               8              Hillsborough        FL           220,252                                             08/06/2020             Remote learning only                        8/24/2020
               9              Houston ISD         TX           209,772                                             08/06/2020             Remote learning only                         9/8/2020

              10                  Orange          FL           208,203                                             08/06/2020             Remote learning only                        8/10/2020

                                                                                                    Source: https://www.edweek.org/ew/section/multimedia/school-districts-reopening-plans-a-snapshot.html

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Q&A
Reopening Plans for the Top 20 School Districts

                                                        2018-2019 Enrollment
              #            School District      State                                                       Last Verified                  Reopening Plan                          Start Date
                                                             (Students)

              11               Palm Beach        FL           192,533                                             08/06/2020             Remote learning only                       08/31/2020
              12             Fairfax County      VA           187,797                                             08/06/2020             Remote learning only                       09/08/2020
                          Hawaii Department
              13                                 HI           181,278                                             08/06/2020                    Hybrid/Partial                      08/17/2020
                            of Education
              14           Gwinnett County       GA           179,758                                             08/06/2020             Remote learning only                       08/12/2020
              15         Montgomery County       MD           162,680                                             08/06/2020             Remote learning only                       08/31/2020
              16              Wake County        NC           161,784                                             08/06/2020             Remote learning only                       08/17/2020
                                                                                                                                       Full in-person reopening
              17                Dallas ISD       TX           155,119                                             08/06/2020                                                        08/09/2020
                                                                                                                                       available for all students

              18        Charlotte-Mecklenburg    NC           147,638                                             08/06/2020             Remote learning only                       08/17/2020
                       Prince George's County
              19                                 MD           132,657                                             08/06/2020             Remote learning only                       08/31/2020
                           Public Schools
              20            Philadelphia City    PA           132,520                                             08/06/2020             Remote learning only                       09/02/2020

                                                                                                   Source: https://www.edweek.org/ew/section/multimedia/school-districts-reopening-plans-a-snapshot.html

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Q&A
Reopening Plans for Higher Education

                                                                                             Source: https://www.chronicle.com/article/heres-a-list-of-colleges-plans-for-reopening-in-the-fall/

bbinsurance.com/covid19 | August 7, 2020   © 2020 Brown & Brown, Inc. All rights reserved.                                                                                                         20
A Child-Centered
                     Approach
                           With Dr. Deborah Kerr

bbinsurance.com/covid19 | August 7, 2020           © 2020 Brown & Brown, Inc. All rights reserved.   21
Topics Covered:
1.   COVID-19 Update

2.   Top Priority of Health & Safety

3.   Guiding Principles

4.   Instructional Beliefs

5.   Social-Emotional & Mental Health
     Supports

6.   Silver Linings

7.   Final Thoughts for School Reentry

                                         22
A Different
          Ending to the
          School Year

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A Different Ending to the School Year
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A Different Ending to the School Year

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Data Changing Daily

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Top Priority: Health & Safety
bbinsurance.com/covid19 | August 7, 2020   © 2020 Brown & Brown, Inc. All rights reserved.   27
Decision Making

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Guiding Principles

                     29
CDC Guidelines
 Masks Matter
  Social Distancing
    Handwashing
        Safe At Home
                       30
Increased Costs to School Systems

                                    31
Social Emotional & Mental Health
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Meaningful Academic Engagement
   During Remote Learning
                                                                                                       Quadrant 2
           Quadrant 1
                                                                                                    Students Engaged
        Students Engaged
                                                                                                      Pre-COVID 19
          Pre-COVID 19
                                                                                                      Students NOT
     Students Engaged in
                                                                                                    Engaged in Remote
       Remote Learning
                                                                                                        Learning
                                              Parent
                                                                                                       Quadrant 4
         Quadrant 3                        Involvement
                                                                                                      Students NOT
        Students NOT
                                                                                                    Engaged Pre-COVID
     Engaged Pre-COVID
                                                                                                            19
             19
                                                                                                      Students NOT
     Students Engaged in
                                                                                                    Engaged in Remote
       Remote Learning
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                                                                                                         Learning       33
Engaging Academic Experiences

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Consistency &
                                             Stability

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Professional Learning for All

                                36
Instructional
                                              Beliefs

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Phased in Approaches - Keys to Success
    Phase 1 - (Virtual)               Phase 2 - (2-1-2)                       Phase 3 - (2-1-2)
      Starts Sept 1                    Starts Sept 21                           Starts Nov 9
●   100% Virtual for all   ●     Grades K4-5th Grades                    ●     2-1-2- Model for all
                           ●     Transition Grades - 6th & 9th
  students & staff         ●     Mon/Tues & Thurs/Friday Cohorts
                                                                             Grades & Staff
• Parents who choose           of student grade levels                   •   Parents who choose
  the 100% virtual         ●     Days a Cohort does not attend are           the 100% virtual
  option will remain in        VIrtual learning days.                        option can return
                           ●     Grades 7th-8th, 10th-12th continue
  the virtual cohort for       virtually.
                                                                             during this phase
  the first quarter.       ●     Wednesdays are Virtual Learning
                               Days for all staff and students, building
                               cleaning, professional learning,
                               planning, and student & family
                               communication.

                                                                                                      38
Better Remote Learning for ALL

 ●   Personalized and Child Centered

 ●   Based upon Needs of Students and
     their Interests

●    Engaging

                                        39
Silver
   Linings
bbinsurance.com/covid19 | August 7, 2020   © 2020 Brown & Brown, Inc. All rights reserved.   40
Final Thoughts

Resources
     ●      Center for Disease Control (CDC School Decision Tree)
     ●      CDC Planning Tools: CDC released a planning tool for schools aligned with their “considerations for schools”
            document, that can be used to assess and then monitor recommended practices.
                 ○        Readiness and Planning Tool: https://www.cdc.gov/coronavirus/2019-
                          ncov/downloads/community/School-Admin-K12-readiness-and-planning-tool.pdf
                 ○        Considerations: https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/schools.html
     ●      Social-emotional learning resources provided by (CASEL)
     ●      AASA COVID-19 Recovery Task Force Guidelines For REOPENING SCHOOLS: An Opportunity to Transform Public
            Education
     ●      COVID-19 Costing Estimates- ASBO and AASA
     ●      Pediatricians, Educators and Superintendents Urge a Safe Return to School
     ●      Chiefs for Change Report in collaboration with John Hopkins University

                                                                                                                               41
Want to Know More?
                                                                                             Contact Dr. Deborah Kerr
                                                                                               leadgreatlyllc@gmail.com
                                                                                                    (416) 236-6008

bbinsurance.com/covid19 | August 7, 2020   © 2020 Brown & Brown, Inc. All rights reserved.                                42
Building Your
                          Safety Net
                               With Stuart Sutley

bbinsurance.com/covid19 | August 7, 2020            © 2020 Brown & Brown, Inc. All rights reserved.   43
Creativity and Flexibility Rules the Day!

§ About Johns Hopkins HealthCare Solutions
  – Analytics
  – Mental health and chronic condition management programs
  – Onsite clinics

§ Return to Campus/Return to Work Meetings
  – Estimated 90+ meetings with K-12, Higher Ed institutions, municipalities and corporations
  – Have heard ideas ranging from:
      • Test everybody every 3 days
      • Create cohorts and they participate together in every activity
      • Bring all students, faculty and towns people together to build herd immunity
      • One school is considering teaching classes on riverboats
      • Renting hotels for dorm use
                                                                                                44
Guidelines for Safe Reopening

§ Risks can be managed
   – Follow government and public health guidelines for infection prevention, transmission, contact
     tracing
   – Establish policies and procedures for monitoring all constituencies before and during their
     return to campus, while protecting privacy
   – Provide easy access to rapid diagnostic tests for those at high risk for COVID-19 exposure
   – Provide easy access to serological testing, when available and accurate

§ Obtain leadership buy-in
   – Workforce and student management
   – Change management
   – Required adherence to testing protocols
   – Consistent communications to faculty, staff, students, parents and the local community

                                                                                                      45
Elements for Reopening

                         46
Retooling

Retooling for the future involves a significant planning effort to manage the present environment as
well as the opportunity to envision new ways to fulfill institutional missions

§ Plans need to address the:
    – Safety of students, faculty, and staff
    – Financing of our colleges and universities
    – Preservation of equity and diversity

§ They will also need to address short- and long-term investment in academic tools that will be
  essential for education in the period of COVID-19
    –   Adding instructional and enterprise technologies
    –   Expanding the range of capabilities of faculty
    –   Improving the nature of the curriculum
    –   Strengthening the network of student support

                                                                                                       47
Retooling

     Open Smart EDU encourages institutions that choose to
     seek new pathways to begin the process with four guiding
     principles:

1.   Acknowledge that all major dimensions of higher education will benefit from being reimagined to
     address the impact of the COVID-19 pandemic and beyond
2.   The health and safety of all members of the community are paramount - special care and
     attention must be given to the needs of vulnerable populations
3.   The commitment to academic excellence must not wavier under these challenging circumstances
     - this commitment crosses all instructional modalities in-person, online, and hybrid instructional
     modes
4.   Equity and inclusion are critical components of institutional responses - it is incumbent upon
     institutions to engineer responses that serve and support the entire community

                                                                                                          48
Use Available Tools

• Medical and Rx data analytics advisory support from Brown & Brown and Hays
  population health experts
• Publically available RTW planning tools and documents:
   • https://coronavirus.jhu.edu/
   • https://www.opensmartedu.org/

                                                                               49
Build Your Safety Net

§ Mobile app symptom monitoring

§ Contact tracing

                                                             https://www.coursera.org/learn/covid-19-contact-
                                                             tracing?edocomorp=covid-19-contact-tracing

https://emocha.com/employee-remote-monitoring-service-for-
return-to-work/

                                                                                                                50
Get Specific

               51
Focus on Behavioral Health & Chronic Conditions

                              PMPY By Condition with and without Mental Health Need
           $60,000

           $50,000

           $40,000
PMPY ($)

           $30,000

           $20,000

           $10,000

               $0
                     Asthma     Hypertension                     Cancer                     Cardiovascular Disease   Diabetes

                                         No MH   Moderate MH   Serious MH   Substance Use

                                Johns Hopkins ACG Population Health data
                                                                                                                                52
Want to Know More?
                                                                                             Contact Stuart Sutley
                                                                                               ssutley1@jhmi.edu

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LIVE CHAT Questions & Answers

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Thank You For Joining Us

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