06/20/2017 SpecialMINUTES
OF THE MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
Special Meeting
Board of County Commissioners
Tuesday, June 20, 2017
Marathon, Florida
A special meeting of the Monroe County Board of County Commissioners convened at
1:30 P.M., at the Marathon Government Center. Present and answering to roll call were
Commissioner Heather Carruthers, Commissioner Danny Kolhage, Commissioner Sylvia
Murphy, Commissioner David Rice and Mayor George Neugent. Also present at the meeting
were Roman Gastesi, County Administrator; Cynthia Hall, Assistant County Attorney; Bob
Shillinger, County Attorney; Kevin Madok, Clerk; Pamela Hancock, Deputy Clerk; county staff,
members of the press and radio; and the general public.
ADDITIONS, CORRECTIONS, DELETIONS
A There were no Additions, Corrections or Deletions to the agenda.
EMPLOYEE SERVICES
B1 Christine Hurley, Assistant County Administrator, addressed the Board concerning
direction on recommended changes, from the May 10, 2017 meeting, to the County's Group
Health & Prescription Plan for 2018. The following individual addressed the Board: Lora
Albritton. Glenn Volk, representing Gallagher Bassett, made a Power Point Presentation on the
Fiscal Year 2018 Health Plan Options (HPO). Roman Gastesi, County Administrator; Cynthia
Hall, Assistant County Attorney; Christine Hurley, Assistant County Administrator; and, Maria
Fernandez - Gonzalez, Sr. Benefits Administrator, addressed the Board during the discussion of
the HPO.
The Board voted on the following Benefit and Contribution Changes Recommended for
Fiscal Year 2018:
#13 Dual Option HSA with low option (employees and retirees paying $0); (dependents pay
less) high option (employees and retirees pay more monthly to stay on rich plan). Motion was
made by Commissioner Carruthers and seconded by Commissioner Murphy to approve the item.
Roll call vote was taken with the following results:
Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
Motion carried.
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#29 Change Primary Care Physician, Behavioral Health and Pre/Post Natal Care from $25.00
to $30.00. Motion was made by Commissioner Murphy and seconded by Commissioner Rice to
approve the item. Roll call vote was taken with the following results:
Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
Motion carried.
#2A Increase Urgent Care copay from $25.00 to $50.00. Motion was made by Commissioner
Murphy and seconded by Commissioner Carruthers to approve the item. Roll call vote was
taken with the following results:
Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
Motion carried.
#30 Add $10.00 copay for Independent Clinical Lab (Quest). Motion was made by
Commissioner Murphy and seconded by Commissioner Rice to approve the item. Roll call vote
was taken with the following results:
Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
Motion carried.
#3A Add $100.00 pharmacy deductible limited to $200.00 per family. Motion was made by
Commissioner Carruthers and seconded by Commissioner Murphy to approve the item. Roll call
vote was taken with the following results:
Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
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Motion carried.
#31 Increase generic drug copay to $15.00. Motion was made by Commissioner Murphy and
seconded by Commissioner Carruthers to approve the item. Roll call vote was taken with the
following results:
Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
Motion carried.
#28 Add $150.00 per month smoker surcharge. After discussion, motion was made by
Commissioner Murphy and seconded by Commissioner Carruthers to add $75.00 per month
smoker surcharge. Roll vote carried unanimously.
#22 Increase brand drug copays from $50.00/$90.00 to $60.00/$100.00 (30 day) and
$150.00/$250.00 (90 day). Motion was made by Commissioner Murphy and seconded by
Commissioner Rice to approve the item. Roll call vote was taken with the following results:
Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
Motion carried.
#6 No subsidy for dependents of any retirees. The following individual addressed the
Board: Louis LaTorre. After discussion, motion was made by Commissioner Carruthers and
seconded by Commissioner Murphy to reduce the subsidy by 35% next year (1 year); reduce it
by 70% the following year (2" d year); and eliminate it the following year (3 year). After further
discussion, the motion was withdrawn by the maker. This item was reconsidered later in the
meeting.
#18A All spouses of employees or retirees who have access to coverage through his /her own
employer are ineligible for county insurance. Motion was made by Commissioner Murphy and
seconded by Commissioner Carruthers to approve the item. Roll vote carried unanimously.
#7 No subsidy for pre -65 retirees. The following individual addressed the Board: Louis
LaTorre. Motion was made by Commissioner Murphy and seconded by Commissioner
Carruthers to fully phase out the subsidy within five (5) years with a 20% reduction in subsidy
per year (subsidy for pre -65 retirees hired prior to 2001). Roll call vote was taken with the
following results:
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Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
Motion carried.
#4A Provide a flat $250.00 subsidy to Medicare eligible retirees ($697.00 - $250.00 =
$447.00). The following individual addressed the Board: Louis LaTorre. Motion was made by
Commissioner Murphy and seconded by Commissioner Rice to approve the item. Roll call vote
carried unanimously.
#19 Conduct dependent eligibility audit (estimated 4% dependent claims). Motion was made
by Commissioner Carruthers and seconded by Commissioner Rice to approve the item. Roll call
vote carried unanimously.
#34 Adopt Envision Select Formulary. Motion was made by Commissioner Murphy and
seconded by Commissioner Carruthers to approve the item. Roll call vote was taken with the
following results:
Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
Motion carried.
#36 Exclude drugs available over the counter (OTC). Motion was made by Commissioner
Murphy and seconded by Commissioner Carruthers to approve the item. Roll call vote carried
unanimously.
#39 Request Clerk audit claims processing. Motion was made by Commissioner Rice and
seconded by Commissioner Murphy to approve the item. Roll call vote carried unanimously.
#40 Exclude CVS from network for all prescriptions. Motion was made by Commissioner
Murphy and seconded by Commissioner Carruthers to approve the item. Roll call vote was
taken with the following results:
Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
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Motion carried.
#6 No subsidy for dependents of any retirees. Motion was made by Commissioner
Carruthers and seconded by Commissioner Murphy to phase out the subsidy over a three (3) year
period at 35% the 1s year; 70% the 2nd year; and, 100% the 3r year. Roll call vote was taken
with the following results:
Commissioner Carruthers
Yes
Commissioner Kolhage
No
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Neugent
Yes
Motion carried.
#15 Change Medicare retiree drug coverage from RDS to EGWP. Motion was made by
Commissioner Murphy and seconded by Commissioner Carruthers to consider the item. Roll
call vote carried unanimously.
There being no further business, the meeting of the Board of County Commissioners was
adj ourned.
Kevin Madok, CPA, Clerk
and ex- officio Clerk to the
Board of County Commissioners
Monroe County, Florida
e& � 4, D. C.
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