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  County Administrator's Report     11. 19.    
BCC Regular Meeting Budget & Finance Consent  
Meeting Date: 08/20/2015  
Issue:    Recommendation Concerning Group Medical Insurance
From: Thomas Turner
Department: Human Resources  
CAO Approval:

RECOMMENDATION:
Recommendation Concerning Group Medical Insurance - Thomas G. "Tom" Turner - Human Resources Department Director

That the Board take the following action regarding the County’s Group Medical Insurance (PD 14-15.069, Group Medical Insurance):

A. Award a Contract to Florida Blue, for three years, from January 1, 2016, to December 31, 2018, to provide self-funded health insurance coverage in the form of plans Blue Option 1352, Blue Option 1552, Health Savings Account (HSA), and Blue Medicare PPO and Group Medicare Supplement Plan “F” for retirees that are Medicare-eligible.      

B. Authorize the County Administrator and/or his designated person to negotiate the terms of the Contract to be approved by the Board on a later date.         

[Funding Source:  Fund 501, Internal Service Fund, Cost Center 140609, Object Code 54501]
BACKGROUND:
On April 15, 2015, the Benefits Committee convened in an open meeting as required by law and were advised about the requirements of the Sunshine Laws and what the Benefits Committee could and could not do under the law. Aon Hewitt provided a draft questionnaire for the healthcare RFP and the Benefits Committee was presented the background about the RFP process and went through the questionnaire by section. On May 15, 2015, Aon Hewitt briefed the Benefits Committee on the differences between Fully versus Self-funded products. The Benefits Committee went through the recommended changes and advised Aon Hewitt to finalize the Request for Proposal (RFP) and asked the Office of Purchasing to solicit an RFP.

On July 10, 2015, proposals for both fully-insured and self-insured products were received from the following:

Florida Blue (Fully-Insured and Self-Insured)
United Health Care (Fully-Insured and Self-Insured)

On August 7, 2015, Aon Hewitt provided an overview of proposals to the Benefits Committee. The Benefits Committee voted to recommend that the County go to a self-funded health insurance program and they requested further clarification from the vendors on self-funded premiums and confirmation on several questions.

On August 12, 2015, the Benefits Committee reconvened and Aon Hewitt provided the self-funded premium equivalents from both providers and the confirmation on the additional questions. The Benefits Committee voted to recommend awarding the Contract to Florida Blue under a self-funded platform.


 
BUDGETARY IMPACT:
Funds are available in Fund 501, Internal Service Fund, Cost Center 140609, Object Code 54501. Final funding will be provided to the Board upon completion of Contract negotiations.
LEGAL CONSIDERATIONS/SIGN-OFF:
This in accordance with Florida Statutes 112.09 and 112.0801.
PERSONNEL:
The Human Resources Department and all appointing authorities (payrolls) will have to make the appropriate adjustments to their payroll systems, HRIS (Human Resources Information System) and will work with Florida Blue to ensure changes are made in the respected systems.
POLICY/REQUIREMENT FOR BOARD ACTION:
N/A
IMPLEMENTATION/COORDINATION:
A Purchase Order will be the instrument utilized for making payment against the Contract once approved by the Board. The Human Resources Department will coordinate with Legal, the Office of Purchasing, and the other appointing authorities to ensure all changes are made.

Attachments
BCC Executive Summary 080715
BCC Executive Summary 081215

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