Resolution 319-2016RESOLUTION NO. 319 - 2016
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA, CREATING A HEALTH PLAN
ADVISORY COMMITTEE FOR ONE (1) YEAR TO ADVISE ON
RECOMMENDED FEATURES OF AND CHANGES TO THE
MONROE COUNTY SELF - INSURED HEALTH PLAN; PROVIDING
FOR COMPOSITION AND APPOINTMENT OF PERSONS TO
SERVE ON THE ADVISORY COMMITTEE; AND PROVIDING FOR
AN EFFECTIVE DATE.
WHEREAS, Monroe County Board of County Commissioners (BOCC) operates a self -
insured health insurance plan covering approximately 2,380 plan participants, including current
employees of the BOCC, five constitutional officers, their dependents, and retirees ( "Plan
Participants "); and
WHEREAS, the cost of health benefits in the United States in general and Monroe
County in particular has risen dramatically over the past several years, well ahead of other
consumer price indices; and
WHEREAS, in the past 12 months through September 2016, prescription drug and
medical claims to the Monroe County health plan exceeded $15.8 million, up nearly $2.0 million
from the previous year; and
WHEREAS, the cost per employee per month to the health plan has risen dramatically
each year, from $660 in FY 2013 to nearly $836 in the past 12 months; and
WHEREAS, each year, the BOCC as Plan Administrator is faced with difficult decisions
in an attempt to contain costs to the health plan while still providing the maximum amount of
coverage for its Plan Participants; and
WHEREAS, the BOCC wishes to create an advisory committee with representation from
each of the major constituent groups of Plan Participants in order to solicit input from Plan
Participants on current features and possible plan changes before the BOCC considers health
insurance changes for the FY 18 budget season; and
WHEREAS, the members of the advisory committee will meet periodically, hear and
discuss information on various plan features and relative cost, report on the various plan features
to their constituent groups, and transmit feedback and recommendations from the constituent
groups back to the Advisory Committee, County management, and the BOCC.
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA that:
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1. A Health Plan Advisory Committee ( "HPAC ") is hereby created and established for a
period of one (1) year from the effective date of this resolution. The time period for the
HPAC may be extended by subsequent resolution.
2. The HPAC shall be composed of thirteen (13) members who shall be appointed by the
BOCC, as follows:
a. One (1) representative from each of the constitutional officers whose employees
are participants of the Monroe County health plan (Clerk of the Court, Property
Appraiser, Sheriff, Supervisor of Elections, and Tax Collector), for a total of five
(5) representatives. Each constitutional officer shall notify the County
Administrator of the name of the representative nominated to serve on the HPAC
by no later than January 1, 2017.
b. Two (2) retirees, each of which will be nominated by any Commissioner and
confirmed by the BOCC at its January 2017 meeting.
c. Three (3) active employees of the BOCC, nominated by the County
Administrator. The three BOCC employees shall work in and represent the
employees of Key West /Lower Keys, Middle Keys, and Upper Keys,
respectively.
d. One (1) representative from International Association of Firefighters, one (1)
representative from Teamsters Local 769, and one (1) representative from the
Fraternal Order of Police.
3. All members of the HPAC must be current members of the Monroe County health plan.
Any member of the HPAC whose membership in the Monroe County health plan lapses
shall be replaced by an active member of the health plan.
4. The HPAC shall have the power and authority to elect among their members a
chairperson, vice - chairperson and secretary, and such other officers as they deem
advisable.
5. The members of the HPAC should be selected because of their knowledge or
understanding of health insurance and employee benefits. In selecting members of the
HPAC, an attempt should be made to obtain representation that is similar to the
composition of Plan Participants in terms of income, age, gender, and household size.
6. The HPAC shall operate under Roberts Rules of Orders, as amended. All meetings of the
HPAC shall be public meetings governed by Chapter 286, Florida Statutes ( "Sunshine
rules "), and all records of the HPAC shall be public records as defined in and governed
by Chapter 119, Florida Statutes ( "Florida Public Records Law ").
7. The HPAC will meet periodically in order to review and discuss existing features and
proposed changes to the Monroe County health plan. The HPAC shall make specific
recommendations to the County Administrator regarding proposed changes to the
Monroe County health insurance plan. All members of the HPAC must be willing to
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attend regularly scheduled meetings of the HPAC, participate in the discussions at the
meetings, brief management and employees on proposed changes, obtain feedback, and
report the feedback back to the HPAC, County management, and the BOCC.
8. This resolution shall take effect upon adoption.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe
County, Florida, at a regular meeting of said Board held on the 14th day of December, 2016.
Mayor George Neugent
Mayor Pro Tem David Rice
('nmmiceinnar "Pather Carruthers
my L. Kolhage
pia J. Murphy
Yes
Yes
Yes
Yes
Yes
BOARD OF COUNTY COMMISSIONERS
OF MO ROE COUNTY, FLORIDA
B y
Mayor
MONROE COUNTY ATTORNEY
ROVER AS TP FO M:
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XANYTCOUN. NTHIA L. HALL
ASSI YT TORNE
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Deputy Clerk
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MONROE COUNTY ATTORNEY
ROVER AS TP FO M:
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XANYTCOUN. NTHIA L. HALL
ASSI YT TORNE
Date `t - 3-0 ( —
Page 3 of 3
Deputy Clerk