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Item B2County of Monroe BOARD OF COUNTY COMMISSIONERS l�l Mayor Heather Carruthers, District 3 The Florida Keys Mayor Pro Tem George Neugent, District 2 y Danny L. Kolhage, District 1 David Rice, District 4 Sylvia J. Murphy, District 5 County Commission Meeting September 6, 2016 Agenda Item Number: B2 Agenda Item Summary #1981 BULK ITEM: Yes DEPARTMENT: Employee Services TIME APPROXIMATE: STAFF CONTACT: Teresa Aguiar (305) 292-4458 2:00 P.M. AGENDA ITEM WORDING: Approval of FY17/18 Voluntary Wellness Program, which includes: -BIOMETRIC SCREENINGS: Four hours of annual leave to Monroe County BOCC employees and participating Constitutional Officer (Property Appraiser, Court Administration, and Land Authority) employees who participate in the annual biometric screenings performed at the health fair or visit their personal physician and complete the on-line Personal Health Assessment. - ANNUAL WELLNESS EXAM AND AGE APPROPRIATE OR DOCTOR RECOMMENDED SCREENINGS: $25 per month ($300 per year) health insurance premium discount to all (BOCC and Constitutional Officer) employees if they visit their personal physician for an annual wellness exam and obtain the required age appropriate or doctor recommended screenings AND - GYM MEMBERSHIP REIMBURSEMENT PILOT PROGRAM: Implements a new FY16/17 Gym Membership Reimbursement Pilot Program whereby the County will reimburse up to $25/month ($300/year) for up to the first 500 employees who sign up for the program ITEM BACKGROUND: On July 15, 2015 the Board approved the following Voluntary Wellness Program with two components: 1. ANNUAL BIOMETRIC SCREENINGS: Four hours of annual leave to Monroe County BOCC employees and participating Constitutional Officer (Property Appraiser, Court Administration, and Land Authority) employees who participate in the annual biometric screenings performed at the health fair or visit their personal physician and complete the on-line Personal Health Assessment. Participation has been as follows since 2012. 2. ANNUAL WELLNESS EXAM AND OBTAIN THE REQUIRED AGE APPROPRIATE OR DOCTOR RECOMMENDED SCREENINGS: $25 per month ($300 per year) health insurance premium discount to all (BOCC and Constitutional Officer) employees if they visit their personal physician for an annual wellness exam and obtain the required age appropriate or doctor recommended screenings EMPLOYER TOTAL # of EEs # OF EEs as of # of EEs who said they 8/5/16 participated plan on participating by 10/31/16 BOCC 508 59 95 LAND AUTHORITY 3 2 2 CLERK'S OFFICE 73 10 UNKNOWN COURT ADMIN 21 3 UNKNOWN PROPERTY APPR 38 5 UNKNOWN TAX COLLECTOR 52 8 UNKNOWN SUPERV OF ELECT 9 4 UNKNOWN SFIERIF'F 532 17 UNKNOWN TOTAL 1236 108 97 In July, Employee Services conducted an on-line Intranet Survey to obtain feedback on the current Wellness Program. Out of the approximate possible 500 BOCC employee responses, we received 113 (20%) individual responses to the survey. A summary of the results are as follows: # of responses Comment 18 I do not plan on participating in the Wellness Program 95 I plan on participating in the Wellness Program 4 I don't want anyone to know my personal health information 3 $25 per month is not enough money to incentivize my participation 1 I don't want to give up smoking 5 I don't want to spend time doing the preventative screenings 23 Would like paid gym memberships or free exercise programs at county buildings (such as Zumba, Yoga, etc.) A copy of the full survey results is attached (Attachment 1). A Frequently Asked Question (FAQ) document was developed and emailed to employees to address the various concerns and questions from the survey results (Attachment 2). Based on the survey results, we are now proposing a 3rd component of the Wellness Program for FY17/18 as follows: 3. GYM MEMBERSHIP REIMBURSEMENT PILOT PROGRAM: $25/month ($300/year) for up to the first 500 employees who sign up for a gym and exercise for a full year. There are a possible 1236 participants. Funding for this program will come from the County Wellness Fund, which currently has approximately $202,000. If all 500 employees participate the reimbursement costs would be $150,000. We are also investigating funding onsite Zumba, yoga, etc. at County buildings. Currently, there are some programs provided for employees for $5/employee/class. A more detailed description of the FY17/18 proposed programs follows: 1. ANNUAL BIOMETRIC SCREENINGS: BOCC and participating Constitutional Officer (Property Appraiser, Court Administration, and Land Authority employees (those covered and not covered by the County Health Insurance) who: A. Attend the annual Health Fair and participate in biometric, blood pressure, cholesterol, blood sugar level and body mass index screenings OR B. Visit their personal physician and obtain biometric, blood pressure, cholesterol, blood sugar level and body mass index screenings (on or between the dates of 11/1/16 to 10/31/17) and complete the on-line personal health assessment by 2/1/18. Will receive 4 hours of personal time. 2. ANNUAL WELLNESS EXAM AND OBTAIN THE REQUIRED AGE APPROPRIATE OR DOCTOR RECOMMENDED SCREENINGS: BOCC and Constitutional Officer employees who: A. Are covered under the health insurance who complete the Assessment Acknowledgement Form, which includes the requirement to visit their doctor between the dates of 11/1/16 to 10/31/17 for an annual wellness exam; and B. Obtain the required screenings based on age and doctor determination of need; and C. Attest to being a non -tobacco user Will obtain a $25 per month discount ($300 per year) on their health insurance premium to begin on January 1, 2018 until December 31, 2018. 3. GYM MEMBERSHIP REIMBURSEMENT PILOT PROGRAM: Beginning January 1, 2017, up to 500 BOCC and Constitutional Officer employees who: A. Obtain a 1-year gym membership contract and obtain preapproval from the Benefits office to sign up for membership; and B. Bring back the signed executed copy of the contract to the Benefits Office within 5 calendar days to confirm membership; and C. Utilize the gym, track their utilization, and attest to usage; and D. Submit receipts demonstrating 12 months of payments to the gym Will receive $300 annual reimbursement *Currently the Florida Blue 365 program has two participating gyms who offer a discounted membership fee of $25 per month (BodyZone Fitness and Forever Fit Studio — both located in Key West). We are working towards adding participating gyms in Marathon and Key Largo. PREVIOUS RELEVANT BOCC ACTION: On July 15, 2015 the Board approved the Voluntary Wellness Program with two components (Biometric Screenings and Annual Wellness Exam/Age Appropriate or Doctor Recommended Screenings). CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Attachment 1 Survey Results Attachment 2 FAQ revised Wellness Form 9 6 16 2016 AandC Preventive Care Guidelines 2016 65 MandW Preventive Guidelines FINANCIAL IMPACT: Effective Date: FY 17: Continue the 4 hours incentive for BOCC and participating Constitutional Officer employees who participate in the Health Fair and obtain biometric, blood pressure, cholesterol, blood sugar level and body mass index screenings or visit their personal physician and obtain the screenings and complete the on-line personal health assessment. FY 18: Continue the $25 per month health insurance premium discount for covered employees who complete the Assessment Acknowledgement Form which includes the requirement to visit their physician for a wellness exam and any required age appropriate screenings based on age and doctor determination in addition to attesting to being a non -tobacco user. Expiration Date: October 31, 2017 Total Dollar Value of Contract: $150,000 for Gym/Wellness Initiative Total Cost to County: $0 — Fully funded from Florida Blue donated Wellness Funds Current Year Portion: Budgeted: Yes Source of Funds: Internal Service Funds CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: No Grant: None County Match: None Insurance Required: None Additional Details: REVIEWED BY: If yes, amount: Teresa Aguiar Completed Assistant County Administrator Christine Hurley 08/29/2016 1:15 PM Cynthia Hall Completed Budget and Finance Completed Maria Slavik Completed Kathy Peters Completed Board of County Commissioners Pending 08/25/2016 11:58 AM Completed 08/29/2016 7:18 PM 08/30/2016 12:14 PM 08/30/2016 1:33 PM 08/30/2016 1:48 PM 09/06/2016 2:00 PM ID Submission Date Do you plan on. Ifyou answered yes, what canthe County data help Ifyou answered no, If you have nother reason you won't be 8rieflydescnbewha[ you thinkthe County Please provide any; additional comments JULY26 SURVEY HOW MANY pa(tldipating mthe you get your screenings? , pleasetell uswhy, particiipatingpleaseexplan, should offer or require as part oftheftwelines STILL PLAN ON PARTICIPATING? '. Wellness Program in program'. 2016? 1416 6/27/20167:00 No $25 per month/$300 They should of left our insurance the way it was. per year premium wings is not enough money 1506 7/20/20169:47 No $25 per month/$300 ,. per year premium IIIPPt ,late iltn vo,1ilisl h£sroiy wings is not enough could be private money 1507 7/20/20169:59 No $25 per month/$300 The County has not given us an adequate per year premium raise for cost of living in Key West. wings is not enough money 1412 6/24/201613:15 No IdonaC"t want it isn't monetarily worth it, I uo,.tern.iy Offer graduated benefits depending on which iheg :;her I'd ro. iv, Ilk, t,no, ss. Why don't rnrn u �e anyone to know my e , hr, Isir,zrdio t 3. 1 oFow screenings person participates in. ;.��.�. scree you deal with the people that are really costingthe plan money the personal health .,_ii, Ida 1111 r1, 11'Illy .. _, ;s people who are extremely overweight, smokers, chronically information of yoo hu"l illO�g Hhe., u y then �r .. 1446 7/11/201610:03 No IdonaC"t want ','.', , oia I, like many others, tookthis job even though the pay was poor, but anyone to know my ,.. .., the beneftswere good No, you find Ay, 10 coc .0 c erIP10,rees personal health 1, n,ly do i't t ,t ,our "N's1 .v Ill oti t e If ilh gving, p It, no>r" t atr ur vac'y or get screwed out information i, I—c Itt,Ifor o. is", of more money. but rather another way for the County plan to screw lt';s employees. Enough is enough. This is in-c,,e non,ens 1484 7/19/201610:08 No IdonaC"t want anyone to know my personal health information 1493 7/20/20168:39 No Idon€'"t want anyone to know my personal health information 1386 6/22/201610:22 No Idon€'"t want to I have tried everything and still cant quit give up smoking 1366 6/16/201615:23 No Idon€'"t want Par hails==: to. could be done at the Approximately 60 responded YES spend time doingthe eceld-swin €a. ould br.—we mrknol so preventative da,ddpac,0, it doc'.t ed10 ed an screening .. k den ;gc k I would be nomad appointments to porn waiv. But as it stands, the program is nor art racties to .. _ participate ia. 1411 6/24/201612:05 No Idon€'"t want to ionic is costly. I can understand making people pay extraforsmaking especially that: spend time doingthe I know we have insurance bu: is does not by now everyone knows it will cause major health pmblems but i preventive screening cover 100% even if you say it deer if does everyone else is paying an extra fee just bermsethey don't do the appointments not there is a:wayss me hidden fee etc so test which l had nojdeayou have to do in order to save money. Iam at times when its either pay for a test that sure I am not the only person who lU not know this and a feels may be good for you or pay your rent you the same way abort this. I really don't know why fhis is beingsent have a piece to line what do you think is out but I'm sure it will only ra sethe ratesof employees payingfor Ding to get paid. This may not seem like the insurance. .net should be done but tests a fact of life wing here in Monroe County. We do not get pay increases most county employees work two job on a regular basis but the cost .finally continues o rise ate steady pace so in having to make choices of paying your bills or taking care of your heath by having test that may sound good but you can't afford the extra cost all I personally don't need an extra bill. 00 r Uc C M O a W W 1415 6/27/20166:55 No 1469 1 7/14/20169:55 1 No 1497 1 7/20/20168:42 1 No I dona€'"twant to spend time doingthe preventive screening appointments I dona€'"t want to spend time doingthe preventive screening appointments I dona€'"t want to spend time doingthe preventive screening appointments not 1374 6/20/201616:43 No Turning 65 years old, will most likely change n/a to Medicare HMO medical plan 1392 6/22/201613:29 No "€e:es;aeazt:ztgs[t:e notoflere;i :tz H: r..+✓[t.d GI'k & live, 1397 6/23/20168:39 No no doctor, no time. 1500 1 7/20/2016 8:45 1 No I n/a 1376 6/22/2016 8:32 yes 1377 6/22/20168:56 yes more information on nutrition and health, and obesity regarding health diabetes, high blood pressure etd yes Nothngfurther, I completed the physical and am _following Dr: s recommendations for colesteml yes Sending out the reminders asyou do worked for me yes None. Its easy 1378 6/22/20169:00 1379 6/22/20169:08 1380 6/22/20169:17 1381 6 22 2016926 Yes „ 1382 6/22/20169:26 Yes 1383 6/22/20169:26 yes 1HAVE NEVER HAD A. PRO111M GETTING NM RESULTS'. FROM THE SCREENIGS 1384 6 22 20169:43 yes Nothing I am glad the County has preventive programs. DE practical info keep up the goon work of my reasons are all of the above choices IVYdnt to is ltrysincereappret anon for the Employee Benefits' „ .:. eptfor the "quit smokng choice; I do not , ,. �,, gals and all they do. They area hard-working group ofwomen and ake. .... delight to lasevrith. .. .. Keep up the great worki. I think more should be offered to aroole s, people to exercise, eat healthy, etc. I make it a hoot. to attend the Health Fairs every year and i take to heart what I Team there. I also take advantage of the Quantum seminarsrahich helps me to "get my head screwed an straight . Positive, healthy emotions - healthy bodies. nutrition and iso rese program to prevent illness, incentives for same The discounted insurance ratesa great incentive. Wellness doesn't work forthosewhoneed'Rmostbecause it .., ., .., requires lifestyle changes. When an individual is confronted with wellness issuessuch as smoking, exercise or obesity ect they are 2. Sincewe have successfully banned smoking at goingto shrugtheirshoulders and say " that's what lhave health he county and in the privacy of our homesfor insurance for" health cost reasons why not have maximum BMl to ll new hires and promotional Cardin- Our health care structure puts the responsibility of an individuals scular related illness it ue to obesity and lack of health onto the County. Wellness won't be successful until the cost much more healthcare dollarsthan responsibilityforan individuals health is shifted backtothe cooking. Thiswould incentivrze personal individual. healthcare responsibility. People would take advantage of wellness opportunitiesto help them get promotions. 1385 6/22/20169:47 yes .. _. First and foremost the County should not be sing this offering of compensat on' from costs ., that should not have been forced upon us in the first place To now use said money as pawn should be considered by all county employees as grossly mischievous. If "Wellness" were the actual goal the programs reward would actually promote wellness not just offset costs that were forced upon us ,. Imagine a wellness program that actually resulted in employee wellness. 1387 6/22/201610:50 yes ... ... .. ,; .. Maybea pa.�tial i-ebre-amen for participating in an organized ran, bike, ter other event. 1390 6/22/2016 12:16 yes 1391 6/22/2016 12:50 yes 1 1-4 1 e/«/Znle r4:1r 1 as 1395 6/22/2016 14:56 yes 1396 6/22/2016 16:06 yes 1398 6/23/20169:59 yes 1399 6/23/2016 10:09 Ves Maybe put the formsthat need to be completed in a ent and prominent place on the county's we bate or send them around n mails from time to time. Otherthat that, I don't need any helpto get the screenings. Ijust need to make the appoint ment, which I can do myself. nothing I have it covered. I think you guys do great is sending out minders... maybe just increase frequency as due date gets closer. 1400 6/23/201610:12 yes nothing at thistime 1402 6/23/201612:4s Ves 1403 6/23/2016 13:29 yes 1404 6/23/201615:03 yes Have everything in one place and at one time and vide PRIMLY.._.. The 5300 savings isa good idea. Add id itionally, the County could walking running races, znmba/dancre yega classes, peel membership at FKCC, etc. I th nkthe County is on the right track helping reduce the cost ktake. Life ',.a Laeii—s Cerne,swinible. The discount program that Blue Cross offers doesn't have anything in KIT. r<sU rJ<.a a<,£bra<,<., Leadership must participate and be engaged i.e., you need more concrete structure program... constant ROMAIN, BOCC, Directors and they must communication with simple consistent messages.... have silly emphasize the primary importancefor health is response like Mark does with the safety program so people will get inthe best interest ofthe employee and engaged..... i.e., factoid emails.... secondary is cost to BOCC and BOCC cost is tax have CONFIDENTIAL surveys..... payer money that we all pay for regardless of home ownership. Use REAL examples, overweight cent ributes to a knee operation that cost $$$ and employee out of pocket would be $$$ put dollar figures -the current program has bad rap because it wasn't done professionally ...current Hi,erswith ALL CAPS READS AS IT THE READER IS BEIN6 SHOUTED AT .... focus must be positive not pun itive....getreal, no one likesto be sick, it doesn'tfeel good and no one likes to workwhen they don't feel good and no one wantsto work With someone who doesn't feel good..... 00 r U- E O a W W oo CD v NN� r c� C t C) a+ Q c� C t ci Q have already completed all of my screenings 1409 6/24/20169:37 Ves 1410 6/24/20169:38 yes I it o not have a p ro b lem gett i ng them, they: it o not nee, to do anything it iffereof for me 1413 6/24/20162120 Ves pay the it ad ucta b In 1414 6/25/20162: 13 yes nothing 1417 6/27/2016 9:2 1 yes Have not had cha nce to go to a tra i n ing sessio n.When 1418 6/27/201612:24 yes 1421 6/28/201614:24 yes 1437 7/11/20169:26 yes 1438 7/11/20169:29 yes 1440 7/11/20169:40 Yes 1441 7/11/20169:43 yes 1442 7/11/20169:46 yes 1443 7/11/20169:54 yes 1444 1 7/11/20169:59 I yes I have already completed all needed screenings The County should require some level of _ exercise as a part of the wellness oroomm. I am happy that they do offer the program. I hope they continue, :The program gave me incentive to actually go to the doctor for a wellness: check I have not been to one yet so I am not sure what they could add. offered everyth ngthat i am interested in More P ras(s on Pr talb, Y11asruuhl Maybe o,x cookingclasses i.e. added costs to be paid to the insurance provider for staff to travel down for screening days, processing of added wellness documentation, etc. .. through incentives such as insurance discounts. As a female, we have additional screenmgsthat men are not required to do and this can involve more than one doctor, such as a general physician and a separate ob/gyn. It would be very helpful to be able I turn in required paperworkto our benefits office when we have ompleted whatever exam we have had done instead of havingto hold onto completed paperwork until everything is done. For instance, I had part of my required exams/tests done in October 201` and had to retain the paperwork for these exams until May 2016, when I completed the rest of the required exams/testsH had to wait until May to complete blood tests as I had done so in May 2014). So, had the original, signed paperwork from my doctors office for months before I was able to turn it all in, during which time it could easily have been misplaced. That could be a problem for some people if they also have a time difference between when they can have their tests done. 1445 7/11/201610:01 yes 1447 7/11/201610:03 yes MAYBE HAVE MORE THEN ONE DAY IN EACH LOCATION WISH YOU COULD TAKE THE DIFFERENT FORMS FROM THE DOCTORS MORE THEN ONCE EVERY COUPLE MONTHS. SOME OF WHEN WE GET THEM INSTEAD OF ALL AT ONE TIME BEFORE US CAN'T GET TO THESE MEETINGS AS WE HAVE COURT OCTOBER. I HAVE ALREADY MISPLACED ONE: ) AND ONLY OF FEW OF US TO COVERTHE OFFICE/PHONES AND EACH OTHER. 1448 7/11/201610:07 Yes Provided with alist of screening providers. .. ,.. .,. Provide discounted opportunitlesfor employees to purchases f6t bit". Have a fit bit dub" where daily step>are recorded on a .. bulletin board, this provides motivation to make the American Seminars/workshops on exercising and risen Association's recommended"lOK" steps per day... small stretching that can be performed during norrmai prizes or drawings for prizes could be offered to persons that hit the daily activities. 10K steps each day within the month! Offers opportunity for bravaina riahti Makebainafitford 1449 7/11/201610:24 yes Continueto conduct the health fairs and provide Regular screenings and to follow through with ersto questions when asked physician recommendations 1450 7/11/201610:28 yes No Comment No Comment I No Comment 1451 7/11/201611:04 yes yes Nothing. yes Nothing, thankyou A MORE THOROUGH, STOP -SMOKING PROGRAM. Existing program. 1452 7/11/20161108 None additional. 1453 7/11/201611:23 I am very exdted+hat+he County provides a wellness program and incentives be complete cre the senings. i would be very interested in additional wellness incentives similar to let6lue's healthy rewards program (http://Iifelsbetterinblue, tom/keyword/hea€thy- 1 1 1 1 1 1: 1459 7/11/2016 18:04 yes 1 am receiving good service 1460 7/12/201612: 16 yes Enlarge the number of providers in the network. 1461 7/12/2016 12:57 yes 1462 7/12/201613:06 yes Nothing. Ellmake appointments with my various: physicians, 1463 7/12/2016 13:06 yes 1464 7/12/2016 14:31 yes 1466 7/13/20168:54 yes 1467 7/13/20169:48 yes 1470 7/14/2016 14:29 yes 1472 7/14/2016 16:11 yes 1474 7/15/2016 14: 11 yes 1475 7/15/20 16 22:39 Yes 1482 1486 /IIYl1/IIYfiT.WlI Yes nothing E1:05 yes The county has done a lot: to make this possible. 8:28 yes .. A deatth} I zg Scooki a. «,uld be appre, d"d. 11 may beP aspe-es, or too difikull to; you I appreciate the one time reimbursement for health enhancement 0: do a,, nole ei,o, rod i g emon'ba"nomga (smoking cessation; ,',etc.). _. at¢h .—senwradrste at on, 1—b.. irl-em Task r€,ice orfl-1 sevemi years ago. € found =t ta;tE.p£u£ .zszd eraiiF''�U—mg, She headhn: e tze€=.ra ra gnrat. discount on medical cost for participation. additional datesthroughout county, lasttimeI why do some county employees receive compensation (vacation had to come in on my vacation in orderto hours) when others do not, how isthat fair (equal treatment) to all participate; employees does the wellness events apply to dependents? wellness program that I attended seemed like just a fill out the paperwork versus actually getting worthwhile information, couldn't get a a orrnstaken care of in regardsto medical/dental claims -would be better to have computer access there to go over problems instead of just leavingcontact information (basically because no one returned call about concerns/questions) .. Thankyouforallyou dol. 1488 7/20/2016 8:29 yes .. 1489 7/20/2016 8:32 yes 1490 //20/2016 8:3 3 Yes 1491 7/20/20168:33 yes reminders of deadlines about a month in advance 1492 7/20/20168:38 yes No need forassstance in my obtannganyand all required screenings. I'm a new employee lust started three months ago, this is all new to me and hope to offer more feed back next year once I'm us ngthe program offered and have a better understand ngof the wellness .program Thankyoul on or ompatitied, or other appropriate health focused activity or me mbership. The current req ire meatsappear clear. The The staffs doing a very good job of promoting many health -related. CouMyd oas a commendable lob of left ng events. employees know the importance of regolar screenings and additional screenmgstor those with increased risks. 1494 7/20/20168:39 Yes .. .. ....„ I suffer from a Binge eating it isorder. My doctor prescribed Vyvanse. ,. .. ... It is the only know drug known that works on Binge eating disorder in .... ..:: .. ........ ... ... .. ....� :... �: ad uIts On-nsurance does not cover ft. This med ication cost me out of pocket over$200.a month. There is nothing else l can take. It would be nice if this was covered under our prescription plan. Other ....::....... :�. .. .... .e wise l would be extremely overweght and can sufferfro or High _ .. ..... .. ., Blood Pressure, Heart Attack, Stroke and Diabetes, which in turn would raise the cost of my medical expenses and would cost the insurance more. 1495 7/20/20168:40 yes .. .. _. It Id to, .. is ft my had rnmthly or qu-1c i,, atthr mok e,, „c.>fo euip! ? 11, n,ir time 1—ge a .c,. id get to eat what you wok, 1496 7/20/2016 8:42 yes 1498 7/20/20168:44 yes. 1499 7/20/2016 8:45 Yes 1501 7/20/2016 8:48 yes I feel that maybe people need to reached out to on an I feed the county should promote more exercise. individual basis, and walked through the paperwork.)encourage working believe non of my coworkers, 5 of them are out together, participating. One forgot to bring their form with them to the doctor and feels it istoo late/doesn't want to ., ouId n,u-, euki ces disturb the doctor. I feel like people don't know what a I.owant tk.."utsr t inclass, or the paperwork entails so therefore they think it is too o rinng< .Ftrip your. If tha'. rking I;sses much hassle so they won't do it. Another one is nd be it unly cc Ii hedule cla,ses procrastinating on making an appointment/doesn't see"Al I.rom I<,, 'I"t In relp peoPie prticlpate doctors.They need the push ofwhythis is important (n healthy eat"u?"I nug. orthem. 1502 7/20/20168:56 yes Idiscounts on health ins. Sofarit seemsjust enough info is required 1503 7/20/20169:20 yes Iuse my doctor, butthe health fairsare ahvays helpful N/A tool yes Ithnkyou've already done a lot to help people Maybe blood workannually. Maybe thnkabout Great job justthe begmmngto making ustake responsibility for our 1504 7/20/20169:29 rememberto get it done,. age groupsand what each age group should be own health andunderstand the impact on our health msumncewheu. doing. Likethe 20 35year old ifthey don't have we don't. health issue, may not even have primary doctor... require that for discount??? the35 45 they probably have children issues so maybe if they have children let active care w/doctorw/a child quakily??? Dental and Eye are just as important aswell Maybe allow additional $5 if both are done nualry??? 1505 7/20/2016 9:3 1 yes 1508 7/20/2016 10:17 yes 1509 7/20/2016 11:06 yes Ceep communicating about it stherea list of physicians availableto usthat accept insurance? Thiswould help me exponentially since or look ngfor one up the Keys. 1510 I 7/20/201611:08 I yes County started program and its up to me to do my part, the discount as an incentive which is already in , place ,; Also l thinkthat the Doctors in the community should be �aware of the program and support it with their patients asan advocate of wellness is mere any way that ur can participate in healthy a:.taides to bring monthlyour fees down enen lowers Eyercise classes, percent body fat lost, etc.? I have no additions to the existing program, 00 r Uc C L O a w W oo CD r v r C N t ci Q c� C t ci Q 1512 7/20/2016 13:03 Yes 1, re �_ NO t o, o, 'Rhy q, A-1 0 op, 111 ho . ,, yok b, Al M A�W n, Ah� W -10 �Jl JH M� �o h, i i Give so met hingfort hose unhealthy folks to work toward. -ud to dw,jv raiJ 1" 1513 7/20/2016 13:17 Yes 1514 7/20/2016 14 20 Yes Monroe 1515 7/20/2016 15 40 Yes 1516 7/20/2016 17:34 Yes Just keep reminding people how important health I really like the Health Fairthat isoffered each screem gsare and the savings to their overall health year. lus[ continue to grow and enhance the and insurance costs. Health Fair. Maybe develope a Health Savings Card with discounts to local drugs stores, health food stores... etc. 1517 7/21/2016 10:11 Yes 1456 7/11/2016 15:01 I'm not sure Just need to make the time to take care of ft. Will there be a copay for the visit with the Doctor 00 Lc 0 L- (L U) U) T- oo CD r� U) U) 2016 PASSPORT TO WELLNESS FREQUENTLY ASKED QUESTIONS & TIPS 1. What is the time frame for completing the wellness program requirements/preventive care screenings? All services/screenings must be completed between October 1, 2015 and October 31, 2016. 2. When is the deadline for submitting my health assessment form? The original health assessment form and any supporting documentation must be received by the Employee Benefits Office by October 31, 2016. 3. What is the cost of the preventive care screenings? The Monroe County medical and prescription plans cover all of the Preventive Care Services under the Affordable Care Act, therefore, age appropriate Preventive Care Services are at no cost to the plan participant. 4. What can I do to make ensure my preventive care services are at zero cost to me? A. When scheduling your physical with your physician, be sure to schedule it as your routine annual physical visit. Remind the staff that the visit is your routine annual physical visit. Only one routine annual physical visit is covered per year. When leaving the office visit, you should not pay a copay. *Diagnosis for routine annual physical visit must indicate routine annual physical in order for the claim to be processed as Preventive Care Services and paid at 100%. B. When scheduling Pap Test and Mammograms, Colorectal screening or any other Preventive Care Service you will need an order from your physician. The diagnosis used on the order must indicate that the service being ordered is "routine" (i.e., routine mammogram, routine colonoscopy, etc.) *Diagnosis must indicate routine mammogram and routine pap test, etc. in order for the claim to be processed as Preventive Care Services and paid at 100% C. Quest Diagnostics is the preferred laboratory for all testing. When tests are completed by Quest Diagnostics there is no charge to the plan participant. Remind your physician and laboratory staff that your tests must be submitted to Quest Diagnostics. D. The more you know: When claims are processed by Florida Blue the one of the first things entered into their adjudication system is the primary diagnosis. If the primary diagnosis on claims for Preventive Care Services is anything other than "routine" the claim will not be processed at 100% as a Preventive Care Service. 5. What can I do if any portion of my Preventive Care Services is not paid at 100%? If you have any of the recommended Preventive Care Services and any one of your claims is not paid at 100% by Florida Blue... Please contact the Employee Benefits Office at 305-292-4446 for assistance. 6. Where and who can complete the health assessment form? A physician of your choice can complete the health assessment form. Your medical plan does not limit you to services and providers within Monroe County. Blue Cross Blue Shield is a worldwide insurer/service provider. You may use the FloridaBlue.com website to search for in -network providers in your area. co U_ E 0 CL W U) a� co a� CY U_ N E 0 d as E 7. What happens to my health information/health assessment form and supporting documentation that I submit? The health assessment form completed by your physician contains no personal health information. The form is completed with a check mark (V) indicating that the item has been completed, discussed, required or not required at this time. Supporting documentation, explanation of benefits, medical office itemized receipt, or service provider registrations, which are acceptable proofs of completion of any required age appropriate screenings, will not contain any personal health information. These documents only provide your name, date of service, provider and screening provided. No test/screening results will be included on your health assessment form nor will results be included on any of the supporting documents noted above. However, your privacy is of the utmost importance. The receipt, review, storage, and destruction are administered and directed by the HIPAA Privacy Officer. All forms and supporting documents are registered as received/completed in order to correctly apply the reward of $25 per month discount to employee health insurance cost. The data is stored electronically and originals are destroyed. 8. Can any of the items required for the health assessment form be completed at the upcoming employee Health & Wellness Fairs? Yes, the following biometrics can be completed at the fairs: Height/Weight, Blood Pressure, Cholesterol (LDL/HDL/Triglycerides), Blood Sugar Level and Body Mass Index. A two hour fasting period prior to testing is recommended. All other preventive screenings must be completed by physician. You must use the Pick -A -Time to schedule your appointment at the Health & Wellness Fair. Pick- A -Time': httr)s://r)ickatime.com/client?ven=1 1606590&event=262685 2016 Health & Wellness Fair Schedule Marathon —Tuesday, September 27t" Appointments: 9:00 a.m. — 1:00 p.m. Marathon Government Center Key Largo — Wednesday, September 28t" Appointments: 9:00 a.m. —1:00 p.m. Murray Nelson Government Center Key West — Thursday, September 29t" Appointments: 9:00 a.m. — 1:00 p.m. Marriott Beachside Ballroom — 2"d Floor For more information visit: www.monroecounty-fl.gov/wellness View Wellness Workshop View How to Complete Wellness Form Print Wellness Form (form to be completed by physician) and Preventive Care Guidelines Or Contact Employee Benefits @ 305-292-4446 County of Monroe The Florida Keys Employee Health Preventive Care - Assessment Acknowledgment Form Effective January 1, 2018 Services provided between: 11/1/16 through 10/31/17 Employee Name: Age: (Please Print) Male: Female: EMPLOYER: Physician Name: (Please Print) (Please Print) Completion Date: Physician Acknowledgement: My signature below indicates that the following tests, assessments, clinicals indicated, pertain to the employee identified above, have been measured, if I deemed appropriate. The results of which have been reviewed with the employee in accordance with established treatment protocols. Biometrics Information: Check if completed Recommended tests (Not required) if applicable at Physician's discretion: Wellness checkup/ Phsical Vitamin D The below can be done at the County's'annual health fair or with your personal physician.- Vitamin B Height/Weight CBC Blood Pressure: 'Systolic/ Diastolic CMP Cholesterol : LDL/HDL/Tri I cerides TSH Blood Sugar Level Bilirubin screening Body Mass Index BMII HBAic if diagnosed diabetic Required Preventive Screenings discussed with Physician. If screening is recommended and done at a different office (such as a hospital), proof of procedure/visit with name of patient and date of procedure must be attached to this form. M Mammogram: Annually at ages 40+ Not required at this time (age, screening given within past year, etc.) Pap Test/Pelvic Exam: Women age 21-65 every 3 years or women age 30-65 Pap Test/HPV combined every 5 years; Ages 65+: Once every 2 years; more frequently if at risk. Discuss with doctor OR Not required at this time Screening for Colorectal Cancer and Counseling: Ages 50-75 Colonoscopy or fecal occult blood test or sigmoidoscopy OR Not required at this time Page 1 of 2 Approved BOCC 9/6/16 LL E 0 �a oo c Abdominal Aortic Aneurysm Check: One-time men ages 65-75 who have ever smoked or have a family history of AAA OR Not required at this time Lung Cancer Screening and Counseling: Ages 55-80; 30 pack smoker history, current smoker/quit within past 1 F years OR Not required at this time Bone Mineral Density Screening and prescribed medication for osteoporosis: Women beginning 65+ and in younger women who have increased risk OR Not required at this time Prostate Cancer Screening: Discuss with doctor Skin Cancer Screening: Discuss with doctor Doctor complete below: have given the patient the results of these tests and the employee has been counseled on the results and necessary follow up to prevent further health issues: Physician Signature: Physician Address: Physician Phone #: Date: Please give patient a copy of this form, completed by physician and mail completed, signed form to: Monroe County Employee Benefits Office Gato Building, 2"d Floor, Room 268 1100 Simonton Street Key West, FL 33040 EMPLOYEE SIGN BELOW: I hereby certify that I do not currently use tobacco products and agree to remain tobacco free while participating in the Wellness Program. Tobacco products are defined as cigarettes, cigars, pipe tobacco, chewing tobacco, snuff, dip, electronic or e-cigarettes that contain nicotine or any other product that contains tobacco or nicotine. Nicotine replacement products such as gum and patches are also considered tobacco products. I further understand that I may be subject to testing to verify non-use of tobacco products. A refusal to submit to a test is considered "positive" for tobacco use and I will not be eligible to participate in the Wellness Program. Employee Name Submitted to County on: Date Employee Signature Date Received by Employee Services Employee Name/Signature: Date: Page 2 of 2 Approved BOCC 9/6/16 LL F 0 0 CL �a oo (g� A=l Wea6oad ssaullaM : MO 9� 9 6 WJO=l ssaullaM paslnaa :;UOWt43e;;V .. ... . .. Be sure to verify your benefits for preventive services. *Some immunizations are contraindicated for certain conditions, discuss with your doctor. Florida Blue Pharmacy benefits cover Shingles (Zostavax) and Pneumonia (Pneumovax) vaccine under Preventive Service benefit when services are rendered by an in -network pharmacy which administers these vaccines. 84879 0915 Gen P revG uide(Adu ItChild).indd 1 Wellness Exam and Autism/Development Behavioral Assessment Newborn up to age 3: Frequent Wellness Check-ups; Age 318: Annual Wellness Checkup Body Mass Index (BMI): Height and Weight Every visit, BMI beginning at age 2,' Blood Pressure Annually, beginning at age 3 Hearing/Dental/Vision Screenings (Theseserviceslmay notbecovered byyour medical benefitsplan. Checkyourplan documents.) Hearing: Newborn then annually beginning,'atAge 4;,IDental: Regularly„',' beginning at age 1; Vision: Annually, beginning at age 3 Cholesterol Screening Annually, beginning at age 2 Lead test,TB;',SickleCeil and Blood Sugar As indicated by history and/or symptoms HIVand other Sexually Transmitted Infections (STIs) Screening and Counseling,/ Discuss with your physician behavioral risks' Skin Cancer Screening Discuss with your doctor Injury/Violence Prevention Annually, more often if indicated by your doctor Diet/Physical Activity/Emotional Well Being Counseling Every visit Tobacco/Alcohol/Substance Abuse/Depression/Pregnancy Screening and Counseling Every visit starting at age 11, earlier if indicated by your doctor Hepatltls A 2 dose series,12-23 months Hepatitis lstdose 2nd dose 3rddose Diphtheria, Tetanus, Pertussis(DTaP) lstdose 2nd dose 3rddose 4thdose 5thdose Tetanus, Diphtheria, Pertussis(Tdap) 1st dose HaemophiluslnfluenzaeType b(Hib) lstdose 2nd dose 3rd'or4thdose, see footnote** Inactivated Poliovirus'' lstdose 2nd dose 3rddose 4thdose Measles, Mumps, Rubella (MMIR) lstdose 2nd dose Varicella lstdose 2nd dose Pneumococcal PCV13;.and PPSV23 lstdose 2nddose Adose 4thdose Flu (Influenza) b months through' 8 years 1 or 2 doses; 9 years and older 1 dose only Rotavirus lstdose 3rd dose, 2nd dose see footnote ** Meningococcal lstdose booster'; Human Papiillom 3 doseavirus(HPV) series' * These are routine immunizations based upon cdc.gov recommendations. Range of recommended ages for catch-up or certain high -risk groups is at the doctor's discretion based on the member'sfamily history and personal risk factors. ** Dosages determined by doctor with the type of brand vaccine used. 848790915 Gen P revG uide(Adu ltChild).indd 2 Be sure to verify your benefits for preventive services covered by Medicare. Annual Wellness and Routine Check -Up Annually Obesity Screening: Diet/PhysicalActivity/BMI Counseling Annually Vision Exam, Glaucoma Screening, and Dental Exam Annually Abdominal AorticAneurysm (AAA) Check One-time screening for ages 65 to 75 who have ever smoked or have a family history of AAA** Lung Cancer Screening and Counseling ' Ages 55-80; 30 pack smoker history,c,urrentsmoker/' quit within past 15 years Diabetic Screening - Blood sugar,Hemoglobin AlC, LDL Cholesterol, Retinal Eye Exam, Kidney Function and Blood Pressure Annually Colorectal Cancer' Screening and Counseling* Ages 50-75; Either a colonoscopy, fecal occult blood test or sigmoidoscopy HIVand other Sexua I ly Transmitted Infections (STIs) Screening & Counseling Annually: Discuss with your doctor Cholesterol Screening Once every 5 years; more frequently if at risk Prostate Cancer Screening Discuss with your doctor Skin Cancer Screening. Early detection of cutaneous melanoma, basal cell cancer, or squamous cell skin cancer in the adult general population. Discuss with your doctor Hearing Test Discuss with your doctor Screen/Counseling: Depression, Obesity, Tobacco Alcohol and Substance Abuse ' Every visit, or as indicated byyourdoctor Fall Risk/Unintentional Injury/Domestic Violence Prevention/Uri nary Problems Every visit, or as indicated byyourdoctor Medication List(includingover-the-counter&vitamins) for potential interactions' Every visit, or as indicated byyourdoctor Advance Directives: Living Will Tetanus, Diphtheria, Pertussis (Td/Tdap) Annually Tdap vaccine once, then a Td booster every 10 years Flu (Influenza) Annually Pneumococcal - PCV13 and PPSV23 Ages 65+:1-2 doses ;Discuss with your doctor Shingles (Zoster) Ages 60+:1 dose Hepatitis B, Hepatitis CVirus(HCV) Infection Screening and Varicella (Chickenpox) Discuss with your doctor 00 M 0 ILL_ U) U) a� oo CD TMM U) a) E c� a� IL c LO to to 0 N r E a ... .... Be sure to verify your benefits for preventive services covered by Medicare. Annual Wellness and Routine Check -Up Annually Obesity Screening Diet/Physical Activity/BMI Counseling Annually Vision Exam, Glaucoma Screening, and Dental Exam ------------------------------------------------------------------------------------------- Annually Lung Cancer Screening and Counseling Ages 55-80; 30 packsmoker history, current smoker/q uit within past 15 years Bone Mineral Density Screening and prescribed medication for Osteoporosis Women beginning at age 65 or older; and in younger women who have an increased risk Diabetic Screening - Blood sugar, Hemoglobin Al C, LDL Cholesterol, Retinal Eye Exam, Kidney Function and Blood Pressure Annually Colorectal Cancer Screening* Ages 50-75; Either a colonoscopy, fecal occult blood test or sigmoidoscopy Mammogram Annually until age 75; After age 75, discuss with yourcloctor Pap Test/Pelvic Exam Age 65+: Once every 2 years; more frequently if at Annually: Discuss with your doctor Once every years; more frequently if at risk Annually: Discuss with your doctor Discuss with your doctor Every visit, or as indicated byyourcloctor Every visit, or as indicated byyourcloctor - Every visit, or as indicated byyourcloctor Annually Tdap vaccine once, then a Tcl booster every 10 years Annually Ages 65+: 1- 2 doses; Discuss with your doctor Ages 60+: 1 dose Discuss with your doctor risk. Discuss with your doctor. Take the time to talk with your doctor to develop a plan to take control of your health. Be sure to get your preventive screenings and flu vaccine. *Florida Blue plans cover Routine Preventive Colonoscopy. Refer to Prevention &VVellness Benefits. These guidelines are recommendations by the organizations listed below and wen not developed by Florida Blue. Sources: www.ahrqgov www.med icare.gov www.cdc._qov www. uspreventiveservicestaskforce.orc HIVand other Sexua I ly Transmitted Infections (STIs) Screening & Counseling Cholesterol Screening Skin Cancer Screening. Early detection of cutaneous melanoma, basal cell cancer, or squamous cell skin cancer in the ad ult general population. Hearing Test Screen/Cou nseling: Depression,Obesity, Tobacco, Alcohol &Substance Abuse Fall Risk/Unintentional Injury /Domestic Violence Prevention/Uri nary Problems Medication list(including over-the-counter &vitamins) for potential interactions Advance Directives: Living Will Tetanus, Diphtheria, Pertussis (Td/Tdap) Flu (Influenza) Pneumococcal - PCV1 3 and PPSV23 Shingles Voster) Hepatitis B, Hepatitis C Virus (HCV) Infection Screening and Varicella (Chickenpox) U- E CD T- Y001 182533 0815R1 C: 08/2015 Y001 182533 081 f—Packet pg. sq-] � . xa f orrz- Fact Sheet Health Insurance Cost for 2015 is $14,534,322 for all Active, Retirees & families The following is the Cost breakdown for active employees & their families Employee Medical $5,601,604 Families Medical $ 3,413,053 Retiree& families RX's $2,171,002 2015 Total 11 185 659 # of Employees 1165 # of families 734 2015 Total 1899 Proposal is that Active Employees pay a $50/month insurance premium, while retired employees pay a $200/month insurance premium. Totally illegal & unfair Note: The employee & families cost to the plan is 4x (times) greater than Cost to the County than the Retiree/family group. The County employee "never" paid any insurance premiums until this past year. This cost is a violation of Florida Statutes. The premium should be the same as the Retiree & family group. The following is the breakdown for Retirees & their families cost. Retiree Medical $1,301,290 Families Medical $ 584,398 Retiree& families RX's $1,357,315 2015 Total 3 287 359 # of Retirees 314 # of families 116 2015 Total 430 # of Retirees & families (under 65 years old) - 122 # of Retirees & families (65 years and older) — 308 Note: 308 retirees & families have Medicare. Medical cost is $1,885,685. Medicare pays 800A of the cost and the County pays less than 20% of the remaining balance. In Summary: 1. The Retiree & family cost is: a. The least cost to the County in all the various services (medical & RX) b. The Retiree & Family are the least # of members to the health plan (430) c. The Retiree & families are paying the highest monthly premium to the plan which is totally unfair (since 10/01/2001, increased higher January 1, 2014). d. A violation of Florida Statutes (112.0801, 112.044, 112.043 & 112.08) e. The majority of Retirees are on a fixed income and cannot afford to pay any further increases in co -pay, deductibles, higher premiums, etc. 2. The Benefits & Contributions Changes: a. Plan Design Changes #1-7. Does this apply to ALL employees/families & retirees/family. These deductions (#1-7) are a huge impact to all in the plan. Remember, we are living in the highest cost County in the state of Florida since 1973. b. #8 - This could be a serious legal issue for the County. Need to reject the Teledoc proposal. c. #9 -This is clearly an attempt to eliminate all retiree & families from the plan as proposed in Gallagher's "Impact of Proposed Contribution Changes" page. d. #10 - Does this apply to all employees, Retirees & families e. #11-Does this equally apply to all employees, dependents & retirees dependents. f. #12 -Don't agree, but it should apply to all dependents of employee, not only retirees. g. #13 -lam puzzled by this savings proposal, plus is this legal to your employees h. #14 -This is a huge impact to the retirees i. #15 - Why? Same as #14 j. #16 -All Retirees.should be paying the same as the employees (F.S.112.0801) k. #17 - Should apply for dependents of the active employee & the retirees. I. #18 - Premiums for employee & retiree should be the same. This is a violation of Florida Statute 112.0801, 112.044 & 112.08 1w, FSA Sec. 112.0801, Group insurance; participation by retired employees Page 1 *27477 West's F.S.A. § 112.0801 WEST'S FLORIDA STATUTES ANNOTATED TITLE X. PUBLIC OFFICERS, EMPLOYEES, AND RECORDS (CHAPTERS 110-123) CHAPTER 112. PUBLIC OFFICERS AND EMPLOYEES: GENERAL PROVISIONS PART I. CONDITIONS OF EMPLOYMENT; RETIREMENT; TRAVEL EXPENSES Current with chapters in effect from the 2013 1st Reg. Sess. of the 23rd Legislature through April 2, 2013 112.0801. Group insurance; participation by retired employees (1) Any. state agency, county, municipality, special district, community college, or district school board that provides life, health, accident, hospitalization, or annuity insurance, or all of any kinds of such insurance, for its officers and employees and their dependents upon a group insurance plan or self-insurance plan shall allow all former personnel who retired before October 1, 1987, as well as those who retire on or after such date, and their eligible dependents, the option of continuing to participate in the group insurance plan or self-insurance plan. Retirees and their eligible dependents shall be offered the same health and hospitalization insurance coverage as is offered to active employees at a premium cost of no more than the premium cost applicable to active employees. For retired employees and their eligible dependents, the cost of continued participation may be paid by the employer or by the retired employees. To determine health and hospitalization plan costs, the employer shall commingle the claims experience of the retiree group with the claims experience of the active employees; and, for other types of coverage, the employer may commingle the claims experience of the retiree group with the claims experience of active employees. Retirees covered under Medicare may be experience -rated separately from the retirees not covered by Medicare and from active employees if the total premium does not exceed that of the active group and coverage is basically the same as for the active group. *27478 (2) For purposes of this section, "retiree" means any officer or employee who retires under a state retirement system or a state optional annuity or retirement program or is placed on disability retirement and who begins receiving retirement benefits immediately after retirement from employment. In addition to these requirements, any officer or employee who retires under the Florida Retirement System Investment Plan established under part II of chapter 121 is considered a "retired officer or employee" or "retiree" as used in this section if he or she: (a) Meets the age and service requirements to qualify for normal retirement as set forth in s. 121.021(29); or (b) Has attained the age specified by s. 72(t)(2)(A)(i) of the Internal Revenue Code [FN1] and has the years of service required for vesting as set forth in s. 121.021(45). CREDIT(S) Laws 1976, c. 76-151, § 2; Laws 1979, c. 79-88, § 1; Laws 1980, c. 80-304, § 1; Laws 1981, c. 81-103, § 5; Laws 1983, c. 83-294, § 1; Laws 1987, c. 87-373, § 1. Amended by Laws 2007, c. 2007-92, § 1, eff. July 1, 2007; Laws 2007, c. 2007-100, § 1, eff. July 1, 2007; Laws 2011, c. 2011-68, § 2, eff July 1, 2011. [FN1] 26 U.S.C.A. § 72(t)(2)(A)(i). HISTORICAL NOTES HISTORICAL AND STATUTORY NOTES Amendment Notes: Laws 1979, c. 79-88, § 1, provided for insurance to employees of community colleges. 0 2013 Thomson Reuters. No claim to original U.S. Govt. works. FSA Sec. 112.0801, Group insurance; participation by retired employees Page 2 Laws 1980, c. 80-304, § 1 substituted "paid" for "entirely paid for" preceding "by the retired employee" at the end of the first sentence, and added the second and third sentences. Laws 1981, c. 81-103, provided for self insurance and dependent coverage in the first sentence and provided for payment of the coverage and interpolated the second to fourth sentences. Laws 1983, c. 83-294, § 1, substituted "shall" for "is authorized to" preceding "allow retired former personnel" in the first sentence. Section 17 of Laws 1984, c. 84-266, provides: "Notwithstanding any previous rejection or cancellation of participation in any group insurance plan or self- insurance plan provided under s. 110.123 or s. 112.0801, Florida Statutes, participation in such insurance plan shall be offered to all former employees who retired prior to the effective date of this act [July 1, 1984], as well as those employees who retire on or after such date, and the eligible dependents of such employees and former employees. Accordingly, all employers who provide insurance coverage under s. 110.123 or s. 112.0801, Florida Statutes, shall, nqt later than January 1, 1985, notify all previously retired former personnel or their eligible dependents in writing of their eligibility to participate in the same group insurance plan or self-insurance plan, as provided in s. 110.123 or s. 112.0801. Such previously retired personnel or their eligible dependents shall have until April 1, 1985, to, in writing, accept or reject participation in their former employer's group insurance plan or self-insurance plan." © 2013 Thomson Reuters. No claim to original U.S. Govt. works. 1 4 7� M M p09 }lotion was made by Commissioner Hernandez and seconded by Commissioner Freeman to tentatively approve the proposed Budget of Management Services -Workmen's Compensation, Administration at $76,613.00, pending future actions by the Board concerning the Tentative and Final Budgets. Motion carried unanimously. After discussion with Stella Otto, motion was made by Commissioner68ernandez and seconded by Commissioner Freemdn to authorize the payment of Group Insurance Premiums to all County Retirees with the requirement of a minimum of ten years' service. Roll call vote was unanimous. Motion was made by Commissioner Hernandez and seconded by Commissioner Puto to tentatively approve the proposed Budget of Management Services -Workmen's Compensation, Operations t Claims at $565,600.00, pending future actions by the Board concerning the Tentative and Final Budgets. Motion carried unanimously. Motion was made by Commissioner Freeman and seconded by Commissioner Puto to tentatively approve the proposed Budget of Management Services -Workmen's Compensation, Safety t Loss Control at $67,596.00, pending future actions by the Board concerning the Tentative and Final Budgets. Motion carried unanimously. Motion was made by* Commissioner Frceman and seconded by Commissioner Puto to tentatively approve the proposed Budget of Safety Department/Risk Fund at $68,223.00, pending future actions by the Board concerning the and Final Dudquta. Hutiuia'c:arrieo unani— tocusly. Motion was made by Commissioner Hernandez and seconded by Coemissloner Freeman to tentatively approve the proposed Budget of Group Insurance Fund -Administrative Expenses at $74,697.00, pending future actions by the Board concerning the Tentative and Final Budgets. Notion carried unanimously. Motion was made by'Co®issioner Puto and seconded by Commissioner Freeman to tentatively approve the proposed Budget of Group Insurance Fund -Operating Expenses at $2,553,600.00, pending future actions by the Board con- cerning the Tentative and Final Budgets. Motion carried unanimously. Notion was made by Commissioner Hernandez and seconded by'Co©issioner Freeman to tentatively approve the proposed Budget of the Group Insurance Fund at $3,278,012.00, pending future actions by .the Board con- cerning the Tentative and Final Budgets.. Motion carried . unanimously. Motion was made by Coomissioner Hernandez and seconded by Co=issioner Freeman to tentatively approve the proposed Budget of the Risk Management Fund at $1,124,799.00, pending future actions by the Board con- cerning the Tentative.. and Final Budgets. :Motion carried unanimously. Motion was made by Commissigner Puto and seconded by Commissioner Freeman to tentatively approve the proposed Budget'of Office of. Management t•Budget-at $134,483.00, pending future actions by the Board. concerning the Tentative and Final Budgets. Motlon carried unanimously-. UP I i �, I Ga f a1 to:) o .1- �L9 1� gIOU