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The current expectation for renewal rates is 33%, which is not sustainable. He went through <br /> the numbers on page 11 and the renewal expectation. <br /> He explained the benefits of health savings accounts. He said that he would not recommend <br /> using a firm that does only health savings accounts. <br /> Frank Clifton said that the Board of County Commissioners has a window to review this <br /> information and there are difficult decisions to be made. Everything is set through December <br /> for the coming fiscal year, but after that, decisions will need to be made. <br /> Commissioner Gordon asked how Orange County performed poorly and Mark Browder <br /> said that the premiums that were charged did not cover the claims. This has happened in <br /> other counties too. <br /> Commissioner Jacobs said that when they are talking about change, employees start to <br /> worry about things that employees thought they had when they were hired. He wants to be <br /> clear with employees what will happen. <br /> Frank Clifton said that the issues are what the County can afford to provide. <br /> Commissioner Jacobs asked about the in-house clinic and when this would be <br /> considered. Frank Clifton said that in a self-insurance plan, there is more ability to write rules. <br /> Mark Browder said that once the insurance issue is figured out, then they will start <br /> exploring the other opportunities. <br /> Commissioner Jacobs said that he would like to see what employees would say about <br /> either increasing 401(k) or limiting the increase in the deductibles. <br /> Frank Clifton said that the reality is that the County has to do something different and it <br /> will have a negative consequence. <br /> 4. Update on Automated Aqenda Research <br /> Chief Information Officer Todd Jones summarized this item. He said that the Board's <br /> feedback has been received and is incorporated into the summary in Attachment A. There <br /> seems to be agreement that this is the format that the Board wants to use predominantly. <br /> There were differences of opinion on willingness to bring laptops to meetings versus having <br /> the equipment at the various meeting places. It would be more difficult to have equipment <br /> ready at the meetings. This is one of the pivotal issues. <br /> Frank Clifton said that hardwiring systems is better because you have to rely on <br /> wireless networking for individual laptops. <br /> Todd Jones said that there is not yet a graceful annotation package on the market now, <br /> but he is looking for something that will work. <br /> There seems to be unanimity of internet options and having the data installed locally on <br /> each machine through a flash drive or other mechanism. <br /> Todd Jones pointed out the gaps shown on Attachment B. He said that he is looking <br /> for something that would enable the County Commissioners to drop comments right on the <br /> screen associated with the items. <br /> He said that they are looking at efficiencies of the agenda preparation side when <br /> looking at this process. There will have to be training for both staff and the Board of County <br /> Commissioners. He will continue to do research of vendors, narrow it down to one or two <br /> systems, and have the vendors come and present demos to the Board. <br /> Frank Clifton said that there may still have some paper revisions of items at the <br /> meeting because of last minute revisions. <br />