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  County Administrator's Report     16. 15.    
BCC Regular Meeting Budget & Finance Consent  
Meeting Date: 07/25/2013  
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 concerning the County’s Group Medical Insurance, (PD 08-09.042, Group Medical, Life, and Disability Insurances):

A. Approve the employee and retiree health insurance premiums; the provided Attachment "1" shows premiums reflecting no increase for employees and a $20 discount for employees who do not use tobacco; the provided Attachment "2" shows the health insurance premiums for the County’s retirees; retirees will be responsible for paying their full premium, whether they are Medicare-eligible or not; and

B. Authorize staff to deposit $600 into the HSA (health savings account) of each employee who elects the HSA coverage; this will assist the employee in paying the higher deductible ($2,100 or $4,200); the deposit will be reviewed each year at renewal time; the cost will include a $2.50 monthly fee for each employee, along with a one-time start-up fee of $22 for each new employee who enrolls; the cost is included in the total cost estimate.

[Funding Source:  Fund 501, Internal Service Fund, Cost Center 140609, (Medical) 150110]
BACKGROUND:
Based on our demographic data and claims versus premiums experience, Blue Cross and Blue Shield of Florida offered a 4% increase to our health insurance cost, as approved by the Board on June 10, 2013. The estimated cost, including the increase, is $15,369,876.67. This includes the retiree options for which the retirees pay the full premium. The County will offer the other existing plans and will provide individual supplement options during open enrollment for retirees that are Medicare eligible.
BUDGETARY IMPACT:
Funds are available in Fund 501, Internal Service Fund, Cost Center 140609, Object Code 54501.
LEGAL CONSIDERATIONS/SIGN-OFF:
This is 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 work with Blue Cross Blue Shield of Florida to ensure changes are made in the respected systems.
POLICY/REQUIREMENT FOR BOARD ACTION:
BCC Regular Meeting, County Administrator Report 14.24 of June 10, 2013
IMPLEMENTATION/COORDINATION:
A voucher/purchase order will be the instrument utilized for making payment against the Contract.  The Human Resources Department will coordinate with Legal, the Office of Purchasing, FRS and the other appointing authorities to ensure all changes are made.

Attachments
Attachments 1 and 2 for Health Ins Rec 072513.pdf
06-10-2013 Meeting Minutes

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