Resolution 294-2023 RESOLUTION NO. 294 -2023
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA APPROVING AND
ESTABLISHING THE CALENDAR YEAR 2024 WELLNESS
PROGRAM; REPEALING PRIOR RESOLUTION NO. 256-2022 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 for plan participants, consisting of $100,000 at execution of the agreement, $75,000
January 2016—2018; upon execution of a renewal contract between Blue Cross Shield of Florida
dated September 19, 2018, a contribution of $ 50,000 was made toward the County's wellness-
related initiatives and activities for plan participants, and $50,000 was contributed January 2019
through January 2023; upon renewal of contract execution in July 2023 Blue Cross Blue Shield
contributed$75,000.00 with an additional $75,000.00 each year beginning January 2024 and each
year through contract period of 2028, per agreement.
WHEREAS, currently, the balance of funds contributed by Florida Blue toward wellness
programs shall stand at approximately $ 362,325.24 ("Wellness Fund") for 2023; and
WHEREAS, the County has received the results from the personal health assessments
completed by the fall 2015, 2016, 2018, and 2019 health fair participants (2017 Health Fair was
canceled due to Hurricane Irma), 2020, 2021 and 2022 Virtual Events due to COVID-19), 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 2024,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 2024.
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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 10, 2025.
b. "Lunch and Learn": (Onsite or online) 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. If onsite, 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 twenty dollars ($20.00)per individual per meeting. Planned cumulative
expenditure for all Lunch and Learn events is five thousand dollars ($5,000.00),
and will be less if virtual.
c. Wellness and Exercise Classes: (Onsite or Online) 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 Wellness and
Exercise Classes during CY 2024 is fifteen thousand dollars ($15,000.00) and will
be less if virtual.
d. Annual Health & Wellness Fair: (Onsite or Online) 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.
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Health Fair and Health Assessment Participation
Year Health Fair Participants Online Health Assessment
2017 Hurricane Irma- canceled Hurricane Irma- canceled
2018 326 17
2019 340 9
2020 133-Virtual/Online 0
2021 170-Virtual/Online 0
2022 402 Virtual/Online 0
Hurricane Ian
2023 344 (In-Person) 10 (Est)
2024 will feature an in person Health & Wellness Fair in August 2024 with health
and hygiene safety precautions. Health& Wellness Fairs will feature presentations
by Monroe County Employee Benefits, Florida Blue, Capital Rx, Delta Dental,
VSP, Quantum (EAP), and Minnesota Life. Wellness Funds will be used to
purchase prizes that promote healthy living(i.e.,bicycles,fitness trackers,smoothie
makers) for participants who attend or participate virtually in annual Health &
Wellness Fairs and complete their Passport to Wellness/virtual minimal
requirements. For possible in-person events, 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),but will be less if held
virtually.
e. Staff will develop and deliver onsite or virtual Wellness Champion topics to plan
participants. Topics will address top risk factors among participants as identified
by Florida Blue.
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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: (Onsite or Online) Four hours of annual leave to Monroe
County BOCC employees and participating Constitutional Officer (Property
Appraiser, Court Administration, Land Authority, Tax Collector 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. Virtual requirements as noted
in section D. Leave (above) will be deposited the first payday in April, following
the "use-it or lose-if' (forfeiture) date each year. Florida Blue documents
participation and provides confirmation 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 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 2025. Participating employees on the High Deductible Health
Plan with Health Savings Account(HDHP/HSA) will receive $300 deposited into
their Health Savings Account in 2025. 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 Officers) 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, 2022, 415 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.
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
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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, 2023 — October 31, 2024) 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. Monroe County's prescription plan provider
also supports tobacco cessation and covers tobacco cessation products (patches,
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 Fitness Center: Up to $5000.00 annually shall be planned for
equipment maintenance, repair, and replenishment of fitness center supplies.
The Gato Building Fitness Center will be open to health plan participants, covered
spouses, and covered dependents age 18 and over.
The Gato Building Fitness Center 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 2024 Wellness Funds among categories:
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j. Employee Services may reassign funds among the wellness program categories,
based on under or over utilization, in order to meet demand and manage the needs
of the specified programs.
2. Resolution No.256-2022 is inconsistent with this resolution and is repealed on October 31,
2023.
3. This resolution shall take effect on November 1, 2023.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 18th day of October 2023.
Mayor, Craig Cates Yes
Mayor Pro Tem,Holly Merrill Raschein Yes
U,�:74 Commissioner Michelle Lincoln Yes
,-;`.?_;JA2(� �� Commissioner James Scholl Yes
¢� y .=�°.., ,r Commissioner David Rice Yes
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Approved as to form and legal sufficiency:
Monroe County Attorney's Office 10-2-2023
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