Item C15County of Monroe
A
BOARD OF COUNTY COMMISSIONERS
$5,000
2015
$100,000
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 I
Heather Carruthers, District 3
Sylvia J. Murphy, District 5
County Commission Meeting
March 15, 2017
Agenda Item Number: C.15
Agenda Item Summary #2720
BULK ITEM: Yes DEPARTMENT: Employee Services
TIME APPROXIMATE: STAFF CONTACT: Maria Fernandez- Gonzalez (305)
292 -4448
N/A
AGENDA ITEM WORDING: Approval of a resolution of the Board of County Commissioners of
Monroe County, Florida approving and establishing the 2017 Wellness Program which includes
Community Organized Event Reimbursements, Lunch and Learns, Exercise Classes, Annual Health
and Wellness Fairs, Health Designs, Inc. /Wellness Consultant, Gym Equipment purchase, and Sit
and Stand Desktop Workstation purchase; repealing prior Resolution Nos. 369 -2011 and 147 -2013;
and providing for an effective date.
ITEM BACKGROUND: Blue Cross Blue Shield (Florida Blue) has contributed funding to the
County for Wellness Programs since 2011 as follows:
2011
$40,000
2015
$5,000
2015
$100,000
2016
$75,000
2017
$75,000
TOTAL $295,000
Since 2011, the County has spent $24,003.45 on wellness initiatives. That leaves a balance of
$270,996.55 for future projects.
The County has implemented programs from 2011 to 2016, utilizing these funds to encourage health
plan enrollees to participate in wellness programs and educational opportunities as follows:
• Lunch and Learns
• Health Fairs
Community Organized Event Reimbursement of health plan enrollees' fees to participate in
community exercise events such as runs, walks, marathons, etc.
For 2017, we are seeking approval to broaden the wellness programs and to continue the three
programs listed above, and to include new programs shown underlined (estimated cost in 2017,
approximately $150,800):
• Lunch and Learns
• Health Fairs
• Increased funding for Community Organized Event Reimbursement
• Funding of Exercise classes held at government centers (YOGA, Zumba, etc.)
• Health Designs Wellness Champion
• Gym Equipment Purchase for Plantation Key Sheriff s office Gyms in exchange for employee and
retiree eligibility to use Sheriff s gyms
• Sit -Stand Desktop Workstation purchases
The goal is to decrease the occurrence of health issues and eliminate the top four at -risk areas for our
participants, which are diabetes, hypertension, cancer and obesity. Wellness programs are set up to
find or fend off illness before major medical treatment is required. They save money in the long run
and encourage enrollees to focus on their health.
Monroe County staff members are proposing programs designed to improve and promote the health
of its Plan participants through early assessments, intervention, and education. It is the County's
desire to use the funds provided by Florida Blue for wellness - related initiatives and activities as
described in this Resolution.
PREVIOUS RELEVANT BOCC ACTION:
2011 — Resolution 369 -2011 established the reimbursement of registration fees for participation and
completion of community- organized events that promote activity, such as run /walkathons,
bikeathons, etc.
2013 — Resolution 147 -2013 allowed the Benefits Office to schedule educational "Lunch and Learn"
sessions throughout the Florida Keys.
2016 — County Commissioners approved a Wellness Program in 2016 creating the opportunity for
employees to save $300 annually on their health insurance premium starting January 1, 2017, by
having the age appropriate preventive screenings and have their physician complete the Employee
Health Preventive Care — Assessment Acknowledgement Form. The program was approved by the
Board to continue into 2017.
CONTRACT /AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Wellness Resolution January 2017
Wellness Program Funding Chart 2017
Resolution 369 -2011
Resolution 147 -2013
FINANCIAL IMPACT:
Effective Date: Immediately
Expiration Date: End of CY 2017
Total Dollar Value of Contract:
Total Cost to County: Approx. $150,800
Current Year Portion: Approx. $100,000
Budgeted: Yes
Source of Funds:
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: No
Grant: No
County Match:
Insurance Required: No
Additional Details:
If yes, amount:
03/15/17 502 -08005 - WELLNESS PROGRAM
wellness activities promoting healthy living
$125,269.54
REVIEWED BY:
Christine Hurley
Completed
03/01/2017 8:25 AM
Budget and Finance
Completed
03/01/2017 9:59 AM
Cynthia Hall
Completed
03/01/2017 11:01 AM
Maria Slavik
Completed
03/01/2017 11:20 AM
Kathy Peters
Completed
03/01/2017 12:09 PM
Board of County Commissioners
Pending
03/15/2017 9:00 AM
RESOLUTION NO. -2017
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA APPROVING AND
ESTABLISHING THE 2017 WELLNESS PROGRAM; REPEALING
PRIOR RESOLUTION NOS. 369 -2011 AND 147 -2013; AND
PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, beginning in 2015, the contract between Blue Cross Blue Shield of Florida
( "Florida Blue ") and the County, whereby Florida Blue serves as the third party administrator for
the County's self - insured health insurance plan ( "Plan ") has provided that Florida Blue will
contribute an annual amount toward the County's wellness - related initiatives and activities,
consisting of $100,000 at execution of the agreement, $75,000 on each of January 1, 2016 and
January 1, 2017, with additional contributions of $50,000 on each of January 1, 2018 and January
1, 2019 (subject to a rebate of $150,000 if the County terminates the agreement prior to January 1,
2020); and
WHEREAS, currently, the balance of funds contributed by Florida Blue toward wellness
programs stands at approximately $273,770 ( "Wellness Fund "); and
WHEREAS, the County has received the results from the personal health assessments
completed by the fall 2015 health fair participants, and the results indicate that the top four at -risk
areas for participants are diabetes, hypertension, cancer and obesity; and
WHEREAS, it is in the best interests of Plan participants and the plan that Monroe County
adopt a coordinated program designed to improve and promote the health of its Plan participants
through early assessments, intervention, education, information, and incentives, particularly
targeted against the top four at -risk areas for health fair participants; and
below.
WHEREAS, the County desires to use the Wellness Fund on the activities described
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA that:
In calendar year 2017, the Monroe County Wellness Program shall consist of the following
items, which shall be paid for from the Wellness Funds contributed by Florida Blue
pursuant to its contract with Monroe County. All such purchases must be finalized within
calendar year 2017. If the Wellness Funds are being used to reimburse the employee or
health plan participant, the request for reimbursement must be submitted no later than
January 10, 2018.
Page 1 of 4
Recurring Events:
a. Community Organized Event Reimbursement: All employees covered under the
County's health insurance plan are eligible to be reimbursed their registration fees
in an amount not to exceed one hundred dollars ($100.00) annually upon
presentation of proof that the individual has registered for and has completed
community organized foot, bicycle, and swimming races that take place in the
Florida Keys, including but not limited to triathlons, run /walkathons, and
bikeathons. Said requests for reimbursement shall be handled on a "first come first
served" basis, up to a maximum cumulative expenditure of five thousand dollars
($5,000.00). All request for reimbursements must be submitted to the Employee
Benefits Department no later than January 10, 2018.
b. "Lunch and Learn": The County's Benefits office will schedule education "lunch
and learn" activities throughout the Florida Keys. Staff will purchase healthy food
items for consumption by covered health plan participants who attend and complete
scheduled activities. The maximum cumulative expenditure of Wellness Funds
under this resolution shall not exceed thirteen dollars ($13.00) per individual per
meeting, up to a maximum cumulative expenditure for all Lunch and Learn events
of five thousand dollars ($5,000.00).
c. Exercise Classes: Wellness Funds will be used to provide free exercise classes for
individuals covered under the County's health insurance plan. The classes will
consist of different types of exercise, including but not limited to Yoga, Zumba and
Pilates. These classes will be held at various County buildings with outside
instructors. Wellness Funds will be used to compensate the instructors and
purchase supplies. The maximum cumulative expenditure for Wellness Funds used
on all Exercise Classes during CY 2017 shall be twenty thousand dollars
($20,000.00).
d. Annual Health & Wellness Fair: Each year, Monroe County Benefits office
coordinates the Monroe County Health & Wellness Fair. The fair is presented in
three (3) locations (Upper, Middle and Lower Keys /Key West). Any active
employees and their covered dependents over age 18, retirees and their covered
dependents over age 18 may attend. In 2015, 335 employees attended the Annual
Health Fair; an additional 32 employees filled out the on -line preventive health
assessment. The Annual Health & Wellness Fair is a wonderful opportunity to
obtain basic diagnostic tests at no cost, as well as to obtain a flu vaccine and
information about the County's health plan vendors. Wellness Funds will be used
to purchase prizes that promote healthy living (i.e., bicycles, Fit Bits, Smoothie
Makers) for participants who attend one of the Health & Wellness Fairs and
complete their Passport to Wellness. There will also be a cost for the use of the
facilities where the Health & Wellness Fairs will be held in the lower, middle and
upper keys and Wellness Funds will be used for that purpose. The maximum
cumulative expenditure for Wellness Funds used on the Annual Health & Wellness
Fair shall be fifteen thousand dollars ($15,000.00).
Page 2 of 4
e. Health Designs, Inc./ Wellness Consultant: Wellness Funds will also be
used to pay for a consultant with expertise in health benefits, to serve as a Wellness
Champion. The consultant shall serve as an extension of Monroe County Benefits
staff and shall be an advocate to explain features of the Monroe County Wellness
program, provide Wellness topic presentations, and provide health and benefit
information to employees of the BOCC and the constitutional officers who are
members of the Monroe County health plan. The consultant will be visiting at least
42 locations at which the employees are employed, in Upper, Middle and Lower
Keys, on at least a quarterly basis. In calendar year 2017, approximately $20,693
in Wellness Funds will be spent on Health Designs.
Purchases of Goods:
f. Gym Equipment: The Monroe County Sheriffs Office has proposed that the
County pay thirty -five thousand, two hundred sixty -nine dollars and fifty -four cents
($35,269.54) to purchase additional gym equipment for the Plantation Key gym. In
return, all employees and retirees of Monroe County Board of County
Commissioners (`BOCC "), Monroe County Land Authority, and the constitutional
officers (Property Appraiser, Supervisor of Elections, Clerk of Court, Tax
Collector, and Sheriff) who are participants in the Monroe County health plan
( "Employees and Retirees ") will have access to the Sheriffs gyms in all three
locations (Key West, Marathon, and Plantation Key). The Sheriff will purchase
and have ownership of the equipment. The agreement with the Sheriff will be
finalized in a separate agreement.
g. Sit -Stand Desktop Workstations: Over 80 BOCC employees have expressed an
interest in a Sit -Stand Desktop Workstation. Studies have shown that spending
more of your day standing could reduce the risk of obesity, diabetes, cardiovascular
disease and cancer. These are top health risks among our plan participants.
Wellness Funds shall be used to make a purchase of up to one hundred (100)
Workfit -TL sit -stand desktop workstations and up to one hundred (100) active
mats. The maximum cumulative expenditure of Wellness Fund to be used on this
equipment shall be fifty thousand dollars ($50,000.00).
2. Resolution Nos. 269 -2011 and 147 -2013 are inconsistent with this resolution and are
hereby repealed.
3. This resolution shall take effect upon adoption.
Page 3 of 4
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 15th day of March, 2017.
Mayor George Neugent
Mayor Pro Tern David Rice
Commissioner Danny Kolhage
Commissioner Heather Carruthers _
Commissioner Sylvia Murphy
(SEAL)
ATTEST: BOARD OF COUNTY COMMISSIONERS
KEVIN MADOK, Clerk OF MONROE COUNTY, FLORIDA
By: By:
Deputy Clerk Mayor
Page 4 of 4
Wellness $ paid to date by Florida Blue based on contract
Revenue
Nov 2011 - $40
$40,000.05
June 2015 - $5,000
$5,00000
Nov 2015 - $100,000
$100,000.00
Feb 2016 - $75.000
$75,000.00
Feb 2017 - $75,000
$75,000.00
$295,000.00
Description of Expenditure
Lunch & Learns 2013
Health Designs 2014
Expenditures
$1,225.38
$1,176.00
Health Fair Snacks/Water 2014
$199.80
Health Designs added labs 2014
$432.00
Health Fair SnackslWater 2014
$90.33
Health Fair Supplies 2014
Lunch & Learns 2015
EAR Snacks/Waters
$86.99
$1,52900
$7333
Health Fair Supplies/Prizes 2015
$621,17
Health Fair SnackslWater 2015
$146.81
Snack Reimburement - Mary
Passport Checklist Printing 2015
Health Designs added labs 2015
$35.47
$680.00
$2,004.00
Grand Prize bike 2015
$306,99
Marriott Beachside Room Rental
$2,278 �96
Lunch & Learns 2016.1
Lunch & Learns 2016.2
Travel Reimbursement MM & NM
$1 , 561.96
$1,529M
$90,63
Health Fair Supplies/Prizes 2016
Pass port Pos Print&Mail
$854,99
$1,843.02
Hotel Room Health Fair 2016
Health Fair Snacks/Waters 2016
Karen Pleasant Standing Desk
$129.00
$71,24
$16673
Health Designs added labs 2016
Race Reimbursement 2012
$2,383.65
$579.70
Race Reimbursement 2013
Race Reimbursement 2014
$610.80
$260.60
Race Reimbursement 2015
$182:07
Race Reimbursement 2016
$80,00
Grand Prize Bikes (3) 2016
$760.98
Marriott Beachside Room Rental 2017
Wellness Con rats Letter Jan 2017 Postage
Sum of Expenses to date
$1,830.00
$182.85
$24,003.45
February Wellness Program Balance
$270,996.55
Planned Events: Resolution
Expenditures
Community Organized Event Reimbursement
$5,000.00
Lunch and Learn
$5000.00
Exercise Classes
Annual Health & Wellness Fair
$15,000,00
Health Designs Wellness Champion
$20,693.00
Purchase of Goods:
Gym Equipment (Sheriff Interlocal Agreement)
$35,269.5Z
Sit-Stand Desktop Workstations
$50,000.00
Expected Program Balance for 12/31/17
$120,034.01
Wellness Future Payments due from Florida Blue based on
contract
Feb 2018 - $50,000
$50,000.05
Expected Program Balance for 2018
$170,034.01
Feb 2019 - $50,000
$50,00000
2-
I
A
RESOLUTION NO. 369 —2011
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, ESTABLISHING REIMBURSEMENT OF
REGISTRATION FEES FOR ALL INDIVIDUALS COVERED UNDER
THE COUNTY'S HEALTH INSURANCE PLAN FOR PARTICIPATION
AND COMPLETION OF COMMUNITY ORGANIZED EVENTS THAT
PROMOTE ACTIVITY WHICH SHALL INCLUDE TRIATHLONS,
RUN/WALKATHONS, AND BIKEATHONS.
WHEREAS, Monroe County is eligible to receive a one -time $50,000 wellness
contribution from Blue Cross Blue Shield of Florida for wellness initiatives; and
WHEREAS, Monroe County wishes to use a portion of this wellness contribution to
promote wellness by encouraging its health plan participants to participate in events that
improve health and wellness for covered individuals, increase productivity and decrease
health care costs; and
WHEREAS, Monroe County believes that health plan participants will participate in
these events in greater numbers if the County agrees to reimburse specific costs for
participating in such events; and
WHEREAS, individuals are encouraged to participate in foot, bicycle, and sw ming
races that take place in the Florida Keys, including but not limited to7 _ trilop�,
run/walkathons, and bikeathon events; and �
WHEREAS, participation in such events is solely optional; and
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WHEREAS, the effective date of this initiative is October 1, 2011.
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BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLWON
That all individuals covered under the County's health insurance plan are eligible to be
reimbursed their registration fees in an amount not to exceed one hundred dollars
($100.00) upon presentation of proof that the individual has registered for and has
completed community organized foot, bicycle, and swimming races that take place in the
Florida Keys, including but not limited to triathlons, run/walkathons, and bikeathons. Said
requests for reimbursement shall be handled on a "first come first served" basis, up to a
maximum cumulative expenditure of $10,000.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County
Florida, at a
2011.
regular meeting of said Board held on the 19th day of October ,
Mayor Heather Carruthers
Mayor Pro Tem David Rice
Commissioner George Neugent
Commissioner Sylvia Murphy
Commissioner Kim Wigington
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PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
regular meeting • said Board held • the 15th day of 2013.
Mayor George Neugent 4
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Mayor Pro Tem Heather Carruthers- YPQ
(SEAL)
Attest: Amy Heavilir, Clerk
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