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County Administrator's Report 11. 17.
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| BCC Regular Meeting |
Budget & Finance Consent |
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| RECOMMENDATION: |
Recommendation Concerning Group Medical Insurance - Thomas G. Turner, Human Resources Department Director
That the Board take the following action concerning Group Medical Insurance, PD 14-15.069:
A. Approve and authorize the County Administrator to sign the Audit Activities - Medical and Pharmacy document, Wellness Initiative Sponsorship document, Wellness/Pre-Implementation Audit Credit document, and the Stop Loss Proposal for Escambia County;
B. Approve, subject to Legal review and sign-off, the Authorization to Receive Stop Loss Policy Payments and the Application for Stop Loss Insurance; and
C. Authorize the County Administrator to sign, subject to Legal review and sign-off, the Authorization to Receive Stop Loss Policy Payments and the Application for Stop Loss Insurance.
[Funding Source: Fund 501, Internal Service Fund, Cost Center 140609, Object Code 54501] |
| BACKGROUND: |
On August 20, 2015, the County approved a three year Contract with Florida Blue to provide self-funded health insurance coverage (January 1, 2016 to December 31, 2018). Part of the health care proposal was the Stop Loss Insurance component, which is a paid insurance to pay any claims that exceed $250,000. The County is responsible for claims up to $250,000 and once the claim reaches this level, the Stop Loss Insurance starts paying the claim. Attached are the proposed rates for 2016. The County will be responsible for administrative service premiums, stop loss premiums, and claims under the self funding platform.
Another component of the bid proposal is three forms of monies that Florida Blue provided to support BCC wellness programs and audit functions of self funding. Florida Blue provided a one-time $50,000 for Wellness and/or Pre-Implementation/Implement-
tation Audit Credit. They also provided $25,000 per year for three years for a total of $75,000 to cover audit activities for both medical and/or pharmacy costs. Finally, the Florida Blue provided a three year wellness funding of $75,000 in 2016 and $50,000 for each year in 2017 and 2018 for a total of $175,000.
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| 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 is in accordance with Florida Statutes 112.09 and 122.0801. |
| 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 Systems), and will work with Florida Blue to ensure changes are made in the respected systems. |
| POLICY/REQUIREMENT FOR BOARD ACTION: |
| BCC Regular Meeting, County Administrator Report II-19 of August 20, 2015 and BCC Regular Meeting, County Administrator Report CAR II-7 of September 24, 2015. |
| 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. |
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