HomeMy WebLinkAboutResolution 136-2025 RESOLUTION NO. 136 - 2025
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA APPROVING AND
ESTABLISHING THE ANNUAL WELLNESS PROGRAM;
REPEALING PRIOR RESOLUTION NO.440-2024 AND PROVIDING
FOR AN EFFECTIVE DATE AND ESTABLISHING
EARNING/REWARD STRUCTURE.
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 towardwellness
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 thatthe 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. Purchases must be finalized within the
calendar year (health plan year).
Wellness Year,Earn Rewards and Reward Periods are structured as follows:
Wellness Activity Earning Reward Period
Period(Form &Proof of (Premium Discount or Credit,as
Wellness Year Submission) applicable)
2025 11/01/2024 - 10/31/2025 01/01/2026 - 12/31/2026
2026 11/01/2025 - 10/31/2026 01/01/2027 - 12/31/2027
2027 11/01/2026 - 10/31/2027 01/01/2028 - 12/31/2028
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 be permitted
to 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) The County's Benefits office
will be permitted to schedule wellness, exercise, and nutrition classes for
employees and their dependents over age 18 covered under the County's health
insurance plan. These classes will be free for attendees and the cost of conducting
the classes will be paid by the Wellness Fund. 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, typically 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 will be permitted to coordinate and conduct 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.
Annually, the event will feature an in-person Health & Wellness Fair, typically in
August, with health and hygiene safety precautions. Health & Wellness Fairs will
feature presentations by Monroe County Employee Benefits, the County's Benefits
Providers such as Florida Blue, Capital Rx, Delta Dental, VSP, Quantum (EAP), and
Minnesota Life, local health care providers and services, 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 be permitted to 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.
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 shall be
allotted 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. Annual Leave
allotted for this activity shall be deposited after April 1 each year. Florida Blue
documents participation and provides confirmation data to Employee Benefits for
awarding of annual leave. Employee Benefits staff then provides the list of eligible
staff to the payroll department for each employer. Annual leave is distributed by
each employer and is not funded by the Florida Blue annual contribution for
wellness initiatives. Participation in the Monroe County Health & Wellness
Program is voluntary.
Earning and Reward Structure are as follows:
Screening Onsite or Online Earned Reward (4 Hrs PTO) Deposit Reward(4 Hrs PTO)
At Fair or Missed Fair Option August 2024/September 2024 April 2025
At Fair or Missed Fair Option August 2025/September 2025 April 2026
At Fair or Missed Fair Option August 2026/September 2026 April 2027
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.
Wellness Year, Earn Rewards and Reward Periods are structured as follows:
Wellness Activity Earning Reward Period
Period(Form &Proof of (Premium Discount or Credit,as
Wellness Year Submission) applicable)
2025 11/01/2024 - 10/31/2025 01/01/2026 - 12/31/2026
2026 11/01/2025 - 10/31/2026 01/01/2027 - 12/31/2027
2027 11/01/2026 - 10/31/2027 01/01/2028 - 12/31/2028
Page 4 of 6
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 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.
Page 5 of 6
Purchases of Goods:
1. 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.
Page 6 of 6
2. Resolution No.440-2024 is inconsistent with this resolution and is repealed and
replaced on November
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 25th day of March, 2025.
Mayor James K.Scholl Yes
Mayor Pro Tern Michelle Lincoln
Yes
Commissioner Craig Cates Yes
Commissioner David Rice Yes
. ' Merrill R h i •
Commissioner Holly asc e n Yes
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Approved as to form and legal sufficiency:
Monroe County Attorney's Office.. ' , ...,1,---4,..,r- vz
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Assistant County Attorney 1:..
Date: March 11,2025
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