Resolution 267-2019 RESOLUTION NO. 267 -2019
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA APPROVING AND
ESTABLISHING THE CALENDAR YEAR 2020 WELLNESS
PROGRAM; REPEALING PRIOR RESOLUTION NO. 262-2018 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 $50,000 on January 1, 2018. Upon
execution of contract between Blue Cross Shield of Florida dated September 19, 2018 and the
County, a contribution of$ 50,000 was made toward the County's wellness-related initiatives and
activities, and $50,000 was contributed January 2019. $50,000 is to be contributed in January of
2020, 2021, 2022 and 2023,per agreement.
WHEREAS, currently, the balance of funds contributed by Florida Blue toward wellness
programs shall stand at approximately $ 129,633.66 ("Wellness Fund") for 2020; and
WHEREAS, the County has received the results from the personal health assessments
completed by the fall 2015, 2016 and 2018 health fair participants (2017 Health Fair canceled due
to Hurricane Irma), and the results indicate that the top four at-risk areas for participants are
diabetes, hypertension/cardio-pulmonary disease, 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 2020,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 2020.
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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, 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. Planned cumulative expenditure of two thousand dollars
($2,000.00). All request for reimbursements must be submitted to the Employee
Benefits Department no later than January 15, 2021.
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 expenditure of Wellness Funds under this resolution shall not exceed
thirteen dollars ($13.00) per individual per meeting. Planned cumulative
expenditure for all Lunch and Learn events is 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 planned
cumulative expenditure for Wellness Funds used on all Exercise Classes during CY
2020 is fifteen thousand dollars ($15,000).
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. In 2018, 326 employees attended the Annual Health
&Wellness Fair; an additional 17 employees filled out the online preventive health
assessment. As of the writing of this resolution, 321 employees have pre-registered
for the 2019 Annual Health and Wellness Fair; with the online PHA opening the
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week following the fair for those unable to attend. 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 used for that purpose. The planned cumulative expenditure for Wellness Funds
used on the Annual Health & Wellness Fair shall be fifteen thousand dollars
($15,000.00).
e. 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 2019, approximately $26,995 in Wellness Funds
will be spent on Health Designs. The program and contract for this program ends
June 30, 2020, and will be reviewed by Employee Benefits staff for renewal or bid.
An amount of $26,995 shall be allocated for this item in the CY 2020 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. Florida Blue documents participation and provides
data to employee benefits for awarding of annual leave. Annual leave is distributed
by employer and is not funded by the Florida Blue annual contribution for wellness
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initiatives. 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 2021. Participating employees on the High Deductible Health
Plan with Health Savings Account (HDHP/HSA) will receive $300 deposited into
their Health Savings Account in 2021. This award is not funded by the Florida Blue
annual contribution for wellness initiatives; but is reduction in revenue of the
internal service fund and is handled as a ledger entry. 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. In
program year ending October 31,2018;480 members completed the screenings and
received the reward.
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. These funds are direct
deposited into the employee's HSA each payday by their respective
participating employer/payroll.
Employees who attest to tobacco use are 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,
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, 2019 — October 31, 2020) 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
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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. Gato Building Gym: Up to five thousand dollars ($5000.00) annually shall be
planned for equipment maintenance, repair, and replenishment of fitness center
supplies.
Beginning November 1, 2019, the Gato Building Gym will be open to health plan
participants and covered spouses. Since inception of the gym, the facility was only
available to health plan participants. This change increases the fitness opportunities
for additional covered plan participants.
In CY 2017, county staff was authorized to expend up to Ninety-thousand dollars ($
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. The Gato Fitness Center opened on May 14, 2018.
Use of 2019 Wellness Funds among categories:
j. Employee Services may reassign 2019 funds among the wellness program
categories,based on under or over utilization,in order to manage the needs of the specified
program.
2. Resolution No.262-2018 is inconsistent with this resolution and is hereby repealed.
3. This resolution shall take effect upon adoption.
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PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 16th day of October 2019.
Mayor Sylvia Murphy Absent
Mayor Pro Tem Danny Kolhage Yes
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,4, � � Commissioner Michelle Coldiron Ira
rT �` Commissioner Heather Carruthers Yes
citifkl, m Commissioner David Rice Yes
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'''.. : BOARD OF COUNTY COMMISSIONERS
INMADOK Clerk OF ROE COUNTY,FL A
By: q By:
Deputy Clerk Mayor
APPROVED AS TO FORM:
MONROE COUNTY ATTORNEY'S OFFICE
p : Digitally signed by Cynthia L
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