09/19/2016 SpecialMINUTES
OF THE MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
SEPTEMBER 19, 2016
Special Meeting (County Health Insurance Plan)
Board of County Commissioners
Monday, September 19, 2016
Marathon, Florida
A Special Meeting of the Monroe County Board of County Commissioners convened at
10:00 a.m. at the Marathon Government Center. Present and answering to roll call were
Commissioner Sylvia Murphy, Commissioner David Rice, and Commissioner Danny
Kolhage, and Mayor Pro Tem George Neugent. Mayor Heather Carruthers was absent from
the meeting. Also present at the meeting were Bob Shillinger, County Attorney; Roman
Gastesi, County Administrator; Cheryl Robertson, Deputy Clerk; County staff and members
of the general public.
Roman Gastesi, County Administrator, updated the Commissioners about Tina Boan, Budget
Director, regarding her motorcycle accident.
ADDITIONS CORRECTIONS AND DELETIONS
Item A.1 Approval of agenda.
There were no Additions, Corrections, or Deletions.
RESULT:
Approved [UNANIMOUS] Agenda Item A.1
MOVER:
Sylvia Murphy, Commissioner District 5
SECONDER:
David Rice, Commissioner District 4
AYES:
Neugent, Kolhage, Murphy, Rice
CLOSED SESSION
Item C.1 An Attorney - Client Closed Session in the matter of KW Resort Utilities Rate
Application, Florida Public Service Commission Docket No. 150071 -SU. Bob
Shillinger, County Attorney, read script into the record.
Mayor Pro Tem George Neugent declared the closed meeting ended and returned to the open
session.
9/19/2016 Pagel
MINUTES
OF THE MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
SEPTEMBER 19, 2016
EMPLOYEE SERVICES
Item B.1 Discussion and direction to staff on recommended Health Insurance Plan changes
beginning January 1, 2017.
Christine Hurley, Growth Management, set the stage for discussion and direction for the
Health Insurance Plan changes. The new staff recommendations are:
• Increasing the Department Rate to $1035
• Increasing Emergency Room deductible from $100 to $300 ( #2)
• Increasing the out of pocket maximum from $6,350 to $7,150 (consistent with
Federal Affordable Care Act) ( #4)
• Increasing the amount for retail brand copay for pharmaceuticals from $35
(preferred)/ $70 (non - preferred) to $50 (preferred) /$90 (non - preferred and Increasing
the 90 day supply of retail brand from copay from $87.50 (preferred) / $175 (non -
preferred) to $125 (preferred) /$225 (non - preferred) ( #6)
• Increasing specialty pharmacy cost share to 20% with a maximum of $250 ( 0)
• Adding Teledoc ( #8)
• Ending Subsidy for Medicare Eligible Dependents of Retirees (#11)
• Charging 100% actuarial rate to spouses who have health insurance but choose to stay
on the Monroe County Health Plan ( #13)
Sheila Barker representing Retirees, Louis Latorre representing Retirees' Insurance, and
Scott Russell representing the Property Appraiser's Office addressed the Board as public
speakers.
After discussion, Roman Gastesi, County Administrator, recommended to stick with the
staff's recommendations leaving only the last two items for discussion. Commissioner
Murphy motioned to move the following numbers of staff's recommendations to be accepted
for the Insurance. #2, #4, #6, #7, #8, #11, and #13. Commissioner Kolhage seconded the
motion.
A Roll -Call was taken by the Clerk with the following results:
Commissioner Kolhage Yes
Commissioner Murphy Yes
Commissioner Rice Yes
Mayor Pro Tern Neugent No
Motion Carried.
9/19/2016 Page 2
MINUTES
OF THE MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
SEPTEMBER 19, 2016
being no further business, the meeting of the Board of County Commissioners
e Aide/Deputy Clerk
- officio Clerk to the Monroe County, FL
Board of County Commissioners
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