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  County Administrator's Report     13. 7.    
BCC Regular Meeting Budget & Finance Consent  
Meeting Date: 09/24/2015  
Issue:    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. Approve the employee and retiree health insurance premiums.  Active employees will have a 14% reduction in their costs to parallel the total expected reduction in health care costs resulting from the change to self funding.  Attachment 1 shows premiums reflecting a $20 discount for employees that do not use tobacco.  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;    

B. Authorize the County to deposit $600 into the Health Savings Account (HSA), 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 would include a $2.25 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; and  

C. Authorize the County Administrator to sign the Blue Medicare Master Agreement, Administrative Service Agreement/Business Associate Agreement and ASO Grandfather Certificate Form upon Legal review.         

[Funding Source:  Fund 501, Internal Service Fund, Cost Center 140609, Object Code 54501]
BACKGROUND:
On August 20. 2015, the Board approved a Contract with Florida Blue, for three years, from January 1, 2016 to December 31, 2018, to provide self-funded health insurance coverage.  Attached is the suggested funding cost for the County and employees to fund our plan for the 2016 calendar year. Our plans and suggested funding costs will be reviewed on an annual basis and approved by the Board.
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.
POLICY/REQUIREMENT FOR BOARD ACTION:
BCC Regular Meeting, County Administrator Report II.19 of August 20, 2015
IMPLEMENTATION/COORDINATION:
A Purchase Order will be the instrument utilized for making payment against the Contract. The Human Resources Division will coordinate with Legal, the Office of Purchasing, and the other appointing authorities to ensure all changes are made.

Attachments
2016 Employee Health Insurance Premiums
2016 Retiree Health Insurance Premiums

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