Item F06 F6
BOARD OF COUNTY COMMISSIONERS
COUNTY of MONROE i Mayor Holly Merrill Raschein,District 5
The Florida Keys Mayor Pro Tern James K.Scholl,District 3
Craig Cates,District 1
Michelle Lincoln,District 2
' David Rice,District 4
Board of County Commissioners Meeting
November 19, 2024
Agenda Item Number: F6
2023-3209
BULK ITEM: Yes DEPARTMENT: Employee Services
TIME APPROXIMATE: STAFF CONTACT: Natalie Maddox
N/A
AGENDA ITEM WORDING: Approval to rescind and replace Resolution 297-2024 regarding the
annual Employee Wellness Program, which was approved at the October 16, 2024 Board meeting, to
correct a Scrivener's Error.
ITEM BACKGROUND:
The proposed annual Wellness Program resolution(Res. 297-2024)was presented to the Board as Item
C6, however a scrivener's error was discovered on page 3 of 6:
The planned cumulative expenditure for Wellness Funds used on the Annual Health& Wellness Fair
shall be fifteen thousand dollars ($20,000), but will be less if held virtually.
The corrected version is: The planned cumulative expenditure for Wellness Funds used on the Annual
Health& Wellness Fair shall be twen1y thousand dollars ($20,000), but will be less if held virtually.
Staff is requesting that the scrivener's error be corrected through the proposed resolution. All other
proposed details remain the same.
PREVIOUS RELEVANT BOCC ACTION:
On October 16, 2024 the BOCC approved the proposed Wellness Program resolution in Bulk as Item
C6 to be effective on November 1, 2024.
INSURANCE REQUIRED:
No
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
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DOCUMENTATION:
Wellness—Resolution.FINAL.pdf
FINANCIAL IMPACT:
N/A
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RESOLUTION NO. -2024
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA APPROVING AND
ESTABLISHING THE ANNUAL WELLNESS PROGRAM;
REPEALING PRIOR RESOLUTION NO.294-2023 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 $ 426,173.72 ("Wellness Fund")for 2024; and
WHEREAS, the County has received the results from the personal health assessments
completed by the fall 2015 through 2023 (including virtual events and excluding events cancelled
due to COVID and hurricanes)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 2025,and annually through 2028 for the remainder of the current agreement with Florida Blue,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.
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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, of each year. Virtual events do not qualify (only Monroe County In-Person
participation).
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 each calendar year, 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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Annually, the event will feature an in-person Health & Wellness Fair in August
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, and other relevant
vendors. 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 twenty thousand
dollars ($20,000),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 in Year 2
(second calendar year following approval of this resolution), following the "use-it
or lose-it" (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 $50.00 per month ($600 per year)
premium discount annually in the calendar year following submittal of a completed
wellness form (due October 31 of each year). Participating employees on the High
Deductible Health Plan with Health Savings Account(HDHP/HSA)will receive
$600 deposited into their Health Savings Account in the calendar year following
submittal of a completed wellness form (due October 31 of each year). 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.
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 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
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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 Wellness Funds among categories:
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.
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2. Resolution No.294-2023 is inconsistent with this resolution and is repealed on
October 31, 2024.
3. This resolution shall take effect on November 1, 2024, and becomes the annual program for
the remainder of the current agreement with Florida Blue through 2028, or as amended by
subsequent resolution.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at
a regular meeting held on the 19th day of November,2024.
Mayor
Mayor Pro Tern
Commissioner
Commissioner
Commissioner
(SEAL) BOARD OF COUNTY COMMISSIONERS
Attest: KEVIN MADOK,CLERK OF MONROE COUNTY,FLORIDA
BY: BY:
As Deputy Clerk Mayor
Approved as to form and legal sufficiency:
Monroe County Attorney's Office
Date: October 31, 2024
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