Loading...
Resolution 027-2018RESOLUTION NO. 027 - 2018 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA APPROVING AND ESTABLISHING THE CALENDAR YEAR 2018 WELLNESS PROGRAM; REPEALING PRIOR RESOLUTION NOS. 049 -2017 AND 173 -2017; 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 Administrative Services Only administrator (ASO) 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 $179,095.70 ( "Wellness Fund "); and WHEREAS, the County has received the results from the personal health assessments completed by the fall 2015 and 2016 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 WHEREAS, the County desires to use the Wellness Fund on the activities described below. NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA that: 1. In calendar year 2018, 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 and the existing Wellness Fund. All such purchases must be finalized within calendar year 2018. 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 Page 1 of 6 presentation of proof that the individual has registered for and has completed community organized foot, bicycle, or swimming race that takes place in the Florida Keys, including but not limited to marathons, 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 one thousand dollars ($2,000.00). All request for reimbursements must be submitted to the Employee Benefits Department no later than January 11, 2019. b. "Lunch and Learn ": The County's Benefits office will schedule education "lunch and learn" activities throughout the Florida Keys, twice per year, offering presentations on a variety of wellness topics. Staff will purchase healthy food items for consumption by active employees 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. Wellness and Exercise Classes: Wellness Funds will be used to provide free wellness, exercise, and nutrition classes for employees and their dependents over age 18 covered under the County's health insurance plan. The classes and events will consist of different types of wellness and exercise, including but not limited to Yoga, Zumba and Pilates, and nutrition/healthy cooking classes. These classes will be held at various County buildings with external 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 2018 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 of any of the employers participating in the Plan 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 & Wellness Fair; an additional 32 employees filled out the on -line preventive health assessment. In 2016, 369 employees attended the Annual Health & Wellness Fair; an additional 29 employees filled out the on -line preventive health assessment. Even though the 2017 Annual Health & Wellness Fairs were cancelled due to the impact of Hurricane Irma, as of September 4, 2017 (3 weeks prior to events), the reservations to attend the events were over 50% filled; indicating that participation was on track for its highest level to date. The Annual Health & Wellness Fair is a great opportunity to obtain basic diagnostic tests at no cost, as well as to obtain a flu vaccine and other health and wellness information from the County's health plan vendors. Wellness Funds will be used to purchase prizes that promote healthy living (i.e., bicycles, fitness trackers, 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 also be Page 2 of 6 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). Health Designs, Inc./ Wellness Champion: '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 50 locations at which the employees are employed, in Upper, Middle and Lower Keys, on at least a quarterly basis. In calendar year 2018, approximately $ 19,998.00 in Wellness Funds will be spent on Health Designs. The program and contract for this program ends June 30, 2018, and will be reviewed by Employee Benefits staff for renewal or bid. An amount of $20,000 shall be allocated for this item in the CY 2018 Wellness Program. Employee Participation in Wellness Events: f. To the extent that business operation allows, employees will be allowed to participate in Health & Wellness events, including but not limited to Annual Employee Health & Wellness Fairs and Lunch & Learns that are held during scheduled work hours without the use of vacation, sick or comp time. Employees should attend during normal scheduled work time /hours. Employees voluntarily choosing to attend prior to or after scheduled work hours is not compensable. Health & Wellness Rewards: g. Biometric Screenings: Four hours of annual leave to Monroe County BOCC employees and participating Constitutional Officer (Property Appraiser, Court Administration, Land Authority and Clerk of Court) employees who participate in the annual Health & Wellness Fair (minimum participation of biometrics and health coach visit) or visit their personal physician and complete the online Personal Health Assessment. Leave will be deposited the first payday in April, following the use -it or lose -it date each year. Participation in the Monroe County Health & Wellness Program is voluntary. h. Annual Wellness Exam and Age Appropriate Screenings: Participating employees on the traditional Health Plan will receive $ 25.00 per month ($ 300 per year) premium discount in 2019. Participating employees on the High Deductible Health Plan with Health Savings Account (HDHP/HSA) will receive $300 deposited into their Health Savings Account in 2019. To be eligible for the discount (BOCC and participating Constitutional Officer) employees must visit their personal physician for an annual wellness exam and obtain the required age appropriate preventive screenings, determined by staff and specified on the Employee Health Preventive Care — Assessment Acknowledgement Form. Page 3of6 i. Traditional Health Plan: Employees paying $ 50.00 per month for premiums will be reduced to $ 25.00 and those paying $ 75.00 per month for premiums will be reduced to $50.00 per month. These discounts are administered on the employee direct deposit pay statements or pay checks. ii. High Deductible Health Plan with Health Savings Account (HDHP/HSA): Employees on this plan pay zero in premiums, so a monthly discount does not apply. Instead employees on the HDHP/HSA will receive $300 deposited into their Health Savings Account. Employees who attest to tobacco use are now included in the ability to earn the employee health insurance premium discount (Traditional Health Plan) or contribution to HSA (High Deductible Health Plan with Health Savings Account). To be eligible beginning 1/1/2019, in addition to the age appropriate screenings required for all participants, those attesting to tobacco use, must voluntarily participate and complete at least one approved tobacco cessation program (programs vary in length) during the wellness program period of the prior year (November 1, 2017 — October 31, 2018) and submit a certificate or letter of participation/completion from the facilitating program. No -cost cessation programs are offered throughout Monroe County and South Florida by various organizations. Employee Benefits Staff will maintain and regularly communicate a list of approved tobacco cessation program(s). Employees inside or outside of Monroe County who are interested in another tobacco cessation program not listed may submit the program name and contact information in writing to the Benefits Administrator or Employee Services Director for eligibility review. Employees must receive approval of other tobacco cessation programs in advance in order for participation in those programs to qualify the employee for the premium discount or HSA deposit. Envision Rx Options, Monroe County's prescription plan provider also supports tobacco cessation and covers tobacco cessation products (patch, gum, Rx). Employees are not limited in the number of attempts to become tobacco free during a calendar year. Participation in wellness and cessation programs are completely voluntary. Purchases of Goods: i. Gym Equipment - Monroe County Sheriff's Office: Close item effective 12/31/2017. Purchase completed and equipment is in use. No additional funding requested or included in CY 2018. Approximately 70 employees /retirees requested and received access to the Monroe County Sheriff's Office Gym facilities during calendar 2017. In 2017, the Monroe County Sheriff's Office 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 Page 4 of 6 ( "Employees and Retirees ") have access to the Sheriff's gyms in all three locations (Key West, Marathon, and Plantation Key). j. Sit -Stand Desktop Workstations: Over 80 BOCC employees expressed an interest in a Sit -Stand Desktop Workstations and are currently using workstations. Wellness Funds were 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 Funds allocated to be used on this equipment in calendar year 2017, was fifty thousand dollars ($50,000.00). In calendar year 2017, a total of $ 40,874.88 in wellness funds were used for the purchase Sit -Stand Workstations and mats. In addition to the original request of over 80 Sit -Stand Desktop Workstations and mats, requests for an additional 63 have been received in 2017. A total of $ 9,125.12 from calendar year 2017 will be applied in calendar year 2018. In order to fulfill requests and close the program, an additional $ 25,000 will be needed to be allocated from wellness funds in calendar year 2018. k. Gato Building Gym: In CY 2017, county staff was authorized to expend up to Ninety- thousand dollars ($ 90,000.00) in calendar year 2017 as part of the County's Wellness Program in order to create a gym in the Gato Building (Gato Building Gym). The Gato Building Gym shall be open to all employees and retirees in 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 "). The County shall purchase and have ownership of the equipment. County staff shall establish reasonable rules for use of the gym, including but not limited to hours of operation, and may condition use of the gym on execution of documents by the gym users waiving and releasing the County from any liability for the voluntary activity. As project is not yet completed, these funds shall be rolled forward into calendar year 2018 to allow for project completion. Cancellation or Modification of Wellness Program 1. In 2017 the BOCC directed staff to issue separate Requests for Proposal in 2018 for 1) a Fully Insured Health Plan and 2) a Third Party Administrator (TPA) or ASO to administer the self- funded Health Plan. The annual $50,000 budgeted for the Wellness Program is contributed by Florida Blue as part of the existing ASO agreement. Should the County's Health Plan change as a result of the RFP's, it may become necessary to cancel or modify the Wellness Program. If so, staff will bring such actions before the BOCC. 2. Resolution Nos. 049 -2017 and 173 -2017 are inconsistent with this resolution and are hereby repealed. 3. This resolution shall take effect upon adoption. Page 5 of 6 PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular meeting of said Board held on the 21st day of February 2018. Mayor David Rice Yes Mayor Pro Tern Sylvia Murphy Yes Commissioner Danny Kolhage Yes Commissioner George Neugent Yes Commissioner Heather Carruthers Yes By: IK, Clerk Deputy Clerk BOARD OF COUNTY COMMISSIONERS OF MONRO DA By: ayor MONROE COUN AS � ORM: f� nraL CHRISTINE LIMBERT- BARROWS ASSISTANT 0 A ORNEY DATE: I C3 C3 CJ .. Uj 0 C? 0 U � V tx w t 2.1 _J ct Page 6 of 6