Item R9BOARD OF COUNTY COMMISSIONERS
County of Monroe A
Mayor Heather Carruthers, District 3
f
T$ne Florida Keys (, S �� Mayor Pro Tem George Neugent, District 2
t� ) ��` ��
�' Danny L. Kolhage, District 1
David Rice, District 4
Sylvia J. Murphy, District 5
County Commission Meeting
November 22, 2016
Agenda Item Number: R.9
Agenda Item Summary #2405
BULK ITEM: Yes DEPARTMENT: County Clerk of Court
TIME APPROXIMATE: STAFF CONTACT: Amy Heavilin (305) 295 -3130
N/A
AGENDA ITEM WORDING: Official Approval of September 19, 2016 Special BOCC Meeting
Minutes (Health Insurance Plan)
ITEM BACKGROUND: N/A
PREVIOUS RELEVANT BOCC ACTION: N/A
CONTRACT /AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Sept 19 Health Ins Plan minutes
FINANCIAL IMPACT:
Effective Date:
Expiration Date:
Total Dollar Value of Contract:
Total Cost to County:
Current Year Portion:
Budgeted:
Source of Funds:
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing:
Grant:
County Match:
Insurance Required:
Additional Details:
If yes, amount:
REVIEWED BY:
Kathy Peters Completed
Board of County Commissioners Pending
11/14/2016 4:49 PM
11/22/2016 9:00 AM
MINUTES
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 _ _Page1
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 ( 42)
• 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 ( 47)
• Adding Teledoc ( 4)
• 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 KoIhage
Yes
Commissioner Murphy
Yes
Commissioner Rice
Yes
Mayor Pro Tern Neugent
No
Motion Carried.
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MINUTES
OF THE MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
SEPTEMBER 19, 2016
There being no further business, the meeting of the Board of County Commissioners
was adjourned.
Cheryl Robertson
Executive Aide/Deputy Clerk
Ex- officio Clerk to the Monroe County, FL
Board of County Commissioners
9/19/2016
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