Item C11County of Monroe
A
BOARD OF COUNTY COMMISSIONERS
send committee
Mayor George Neugent, District 2
The Florida. Key
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Mayor Pro Tem David Rice, District 4
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Danny L. Kolhage, District 1
Heather Carruthers, District 3
2/10/17
2 /24/
as facilitator for Committee)
Sylvia J. Murphy, District 5
County Commission Meeting
January 18, 2017
Agenda Item Number: C.11
Agenda Item Summary #2513
BULK ITEM: Yes
TIME APPROXIMATE:
292 -4448
N/A
DEPARTMENT: Employee Services
STAFF CONTACT: Maria Fernandez- Gonzalez (305)
AGENDA ITEM WORDING: Approval of Sheila Barker and one other individual (to be
appointed) to serve as Retiree representatives on the Health Plan Advisory Committee.
ITEM BACKGROUND: At December 14, 2016 the BOCC approved Resolution 319 -2016
creating a Health Plan Advisory Committee for one (1) year. The Committee will be composed of
thirteen (13) members: One (1) representative from each of the constitutional officers (total of 5);
two (2) retirees, each of which will be nominated by any Commissioner and confirmed at BOCC
January meeting; three (3) active employees of the BOCC, nominated by County Administrator and
one (1) representative from International Association of Firefighters, one (1) from Teamsters Local
769 and one (1) from Fraternal Order of Police.
Sheila Barker from Key West was nominated by Commissioner Rice during the BOCC meeting in
December. Further, a second retiree needs to be nominated and confirmed by the Commission.
Attached is a list of retirees.
Initial Timeline for meetings follows:
Goal of Meetings:
Maria Gonzalez
Committee meeting
send committee
packet
First Meeting
1. Rules of Procedure — Roberts Rule of Order (Staff
2/10/17
2 /24/
as facilitator for Committee)
2. Rules of Committee — Sunshine
3. Purpose of Committee: To obtain employee and
retiree input on Health Plan changes or
contributions prior to BOCC Consideration
4. Overview of Health Plan and Prescription Plan —
PPT presentation
5. Overview of large employer benefit comparison
6. Overview of Trend Analysis of Billed Charges vs.
Paid Charges to demonstrate BCBS savings
7. BCBS presentation of data (placemat)
8. Overview of what was presented in 2016 as
changes that were not adopted by BOCC with
savings included so they can see the challenges we
face
9. Request each member give input on 2016
recommendations by next meeting
10. Request by next meeting each member email their
ideas or recommended changes to plan or
contributions for Gallagher to analyze
Second Meeting
1. Committee will discuss their ideas for benefit
3/11/17
3/24/17
changes with Gallagher (each member will present
their items)
2. Overview of high and low option (new idea)
3. Overview of new hires get no dependent coverage
(this came from two BOCC members)
4. Overview of EGWP vs. RDP
Third Meeting
1. Gallagher will estimate the savings that could be
4/15/17
4/28/17
achieved based on the committee changes
recommended benefit changes
2. Committee will vote on options presented by
Gallagher on 3/24/17 and committee benefit
change recommendations
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT /AGREEMENT CHANGES:
n/a
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Board Committee Appointment Information Form. barker
Retirees 12 14 2016 by Upper- MIddle -Lower Keys within Monroe County
Resolution, Health Plan Advisory Committee rev 12 -14 -2016
HEALTH PLAN ADVISORY COMMITTEE LIST
FINANCIAL IMPACT:
Effective Date:
Expiration Date:
Total Dollar Value of Contract: N/A
Total Cost to County: N/A
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:
Christine Hurley
Cynthia Hall
Kathy Peters
Board of County Commissioners
Completed
Completed
Completed
Completed
01/03/2017 8:31 AM
01/03/2017 9:17 AM
01/03/2017 9:23 AM
01/18/2017 9:00 AM
Monroe County Boards and Committees
Appointment Information
Board or Committee:
Commissioner Appointing Member
Name of Member:
Address:
Health Plan Advisory Committee (HPAQ
David Rice
Sheila Barker
3 Arbutus Drive
Key West, FL 33040
Mailing Address:
Phone Numbers: Home: 305 - 292 -0031
Work:
Fax:
Email: sab41946Ca>aol.com
Date of Appointment: January 18, 2017
(The date of this BOCC agenda item)
Is this a Reappointment?
Yes No X
New Term Expiration Date:
Name of Person Being Replaced:
Fulfilling Term of:
CAD Fonn/09/06/12
Petty
Lynne _
Big Pine Key 2
Kostic
Harry
Big Pine Key 2
McDil)
James
Big Pine Key 2
Gordon _
William
Big Pine Key 2
Vargas
Lionel _
Big Pine Key 2
Fatora
Linda
Big Pine Key 2
Lund
Ed
Big Pine Key 2
Bruce
James _
Big Pine Key 2
McDil)
Linda
Big Pine Key 2
Kufnowski
Patricia
Big Pine Key 2
Snider
Robert
Big Pine Key 2
Maynard
Roger
Marathon 2
Holmes
Beverly
Marathon 2
Kelly
William
Marathon 2
Rees
Marianne
Marathon 2
Stickney
Joseph
Marathon 2
Saunders
Michael
Marathon 2
Goodman
Gloria
Marathon 2
Liu
Raye
Marathon 2
Wilson
Dale
Marathon 2
Anson
Barbara
Marathon 2
Williams
Estelle
Marathon 2
Norman
Ronda
Marathon 2
Paros
James _
Marathon 2
Brown
Linda _
Marathon 2
Stelli
John
Marathon 2
Paskalik
Joseph
_
Marathon 2
Kohout
Linda
Marathon 2
Pabon
Antonio
_
Marathon 2
McKinney
John
Marathon 2
Clynes
Jacqueline
Cudjoe Key 3
Reid
Isabel
Cudjoe Key 3
Varela
Jose
Cudjoe Key 3
Tucker
Mary
Cudjoe Key 3
Gouldy
Ralph
Cudjoe Key 3
Green
Marva
Key West 3
Caron
Ellen
Key West 3
Squires
Phyllis
Key West 3
Healy
Edward
Key West 3
Botelho
William
Key West 3
Tobin
Thomas
Key West 3
Whitley
Leonard
Key West 3
Heiter
Elizabeth
Key West 3
Ellis
Robert
Key West 3
Penunia
Concorde
Key West 3
Dominguez
Ruben
Key West: 3
Simonet'
Linda
Key West? 3
Frederick
Carl
Key West 3
Hawxhurst
Susan
Key West 3
Latorre
Donna
Key West 3
Carlile
Sandra
Key West 3
Markham
Terry ';
Key West' 3
Layne
Judith
Key West 3
Hambright
Lynda
Key West 3
Brown
John
Key West 3
Gonzalez
Onelio
Key West 3
Watler
Randel
Key West 3
Limbert
Eva
Key West 3
Avila
John
Key West 3
Mira
Anola
Key West 3
Filer
Janet
Key West 3
Frederick
Sheila'
Key West 3
Chancey
Gloria
Key West 3
Allen
Emerson
Key West 3
Sweeting
Phyllis
Key West 3
Anderson
Robert
Key West 3
Curry
Gay
Key West 3
Pierce
Charles
Key West 3
Cotton
Karol
Key West 3
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Musser _ Christopher Cutler Bay
Suggested by Rice at 12-14-16
BOCC
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RESOLUTION NO. -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:
Page 1 of 3
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
Page 2 of 3
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 Tern David Rice
Commissioner Heather Carruthers
Commissioner Danny L. Kolhage
Commissioner Sylvia J. Murphy
(SEAL)
ATTEST: BOARD OF COUNTY COMMISSIONERS
AMY HEAVILIN, Clerk OF MONROE COUNTY, FLORIDA
Deputy Clerk
Page 3 of 3
Mayor
DYAI'fy V'* f I' V
K to 0 V 3 ) 5 1
EmploVee — Upper KeVs
Jorge Swaby
1261 SE 27 Ih Street, Unit 203
Homestead, FL 33035
'H
Clerk:
Pam Radloff, Finance Director
1901 S. Roosevelt Blvd., #104 East
Key West, FL 33040
305-292-3560
pradloff@monroe-clerk.com
Tax Collector:
Cathy Crane
625 US Hwy 1 Suite 202
Key West, FL 33040
305-295-5042
ccrane@monroetaxcolletor.com
(CC: Danise Henriquez: dhenriquez@monroetaxcollector.com)
Property Appraiser:
Dee Dee Harnish
414 Balido Terrace
Key West, FL 33040
DHarnish@mcpafl.org
(305) 292-3521
Teamsters (Local 769):
Rebecca (Becky) Roberts
15 El Monte Ln
Key West, Fl 33040
305-393-5433
bbeck7986@aol.com (personal)
robertsr@keysso.net. (Work)
FOP:
Kim E. Trullender
(ITYX]
10B West Circle Drive
Key West, Fl. 33040
Cell Phone: 305 304-3131
Preferred email: tronman.kim51@gmail.com
The International Association of Firefighters - IAFF Local 3909, Professional Firefighters of Monroe
County
Battalion Chief Mark Thompson
108 Avenue G
Marathon, FL 33050
305-395-0361
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