Item C09'
CM
ounty of onroe
BOARD OF COUNTY COMMISSIONERS
Mayor George Neugent, District 2
Mayor Pro Tem David Rice, District 4
TheFloridaKeys
Danny L. Kolhage, District 1
Heather Carruthers, District 3
Sylvia J. Murphy, District 5
County Commission Meeting
December 14, 2016
Agenda Item Number: C.9
Agenda Item Summary #2442
BULK ITEM: DEPARTMENT:
Yes Employee Services
TIME APPROXIMATE:STAFF CONTACT:
Maria Fernandez-Gonzalez (305)
292-4448
N/A
AGENDA ITEM WORDING:
Adopt resolution creating a Health Plan Advisory Committee
(HPAC) for 1 (one) year to advise the County Commission on recommended changes to the health
insurance or prescription insurance benefits.
ITEM BACKGROUND:
The County Commission typically reviews the Health Insurance Fund
and recommended benefit changes for active employees, employee dependents, retirees, and retiree
dependents each year, as part of the budget process.
County staff develops recommended changes based on many considerations primarily to save money
in the fund and provide the best benefits as possible.
This past year, retirees requested the BOCC consider establishing a committee to increase employee
and retiree knowledge of the health insurance fund and to provide a mechanism for formal
recommendation to the Board for the FY 17/18 budget.
Senior staff have been consulted and have developed recommended duties and membership criteria.
Membership would include:
One appointee from each Constitutional Office (Clerk of the Court, Property Appraiser,
Sheriff, Supervisor of Elections, and Tax Collector). Names should be provided by
Constitutional Officers by January 1, 2017.
One Retiree appointment to be nominated by any BOCC member individually and
confirmed by the BOCC at the January 19, 2017 BOCC meeting.
Three active employee appointees (one from Key Largo, one from Marathon and one from
Key West)
One appointee from each of the two unions representing active BOCC employees and one
appointee from the Fraternal Order of Police, whose names should be provided by January 1,
2017.
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All appointees must be:
1.Active members in the health insurance program
2.Knowledgeable of health insurance and employee benefits
3.Willing to vote on recommendations for changes to the health and prescription benefits to the
BOCC
4.Willing to attend meetings and hold briefings with those covered by health insurance from their
respective groups (i.e. Key Largo; Marathon, Key West, Unions, Retirees)
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
n/a
STAFF RECOMMENDATION:
Approval.
DOCUMENTATION:
Resolution, Health Plan Advisory Committee rev
FINANCIAL IMPACT:
Effective Date: January 1, 2017
Expiration Date: December 31, 2017
Total Dollar Value of Contract: N/A
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: If yes, amount:
Grant:
County Match
:
Insurance Required:
Additional Details:
REVIEWED BY:
Christine Hurley Completed 11/29/2016 1:48 PM
Budget and Finance Completed 11/29/2016 1:52 PM
Cynthia Hall Completed 11/29/2016 2:19 PM
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Maria Slavik Completed 11/29/2016 2:24 PM
Kathy Peters Completed 11/29/2016 3:10 PM
Board of County Commissioners Pending 12/14/2016 9:00 AM
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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,
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.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 twelve (12) 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.One (1) retiree, to 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
, and all records of the HPAC shall be public records as defined in and governed
by Chapter 119
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 _____
Commissioner Heather Carruthers _____
Commissioner Danny L. Kolhage _____
Commissioner Sylvia J. Murphy _____
(SEAL)
ATTEST: BOARD OF COUNTY COMMISSIONERS
Clerk
AMY HEAVILIN, OF MONROE COUNTY, FLORIDA
By: ______________________________ By:_________________________________
Deputy Clerk Mayor
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