Minutes 09-17-2013 - Laserfiche WebLink

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Frank Clifton said you can change the administrator of your policy at anytime. He said that the numbers say that the County and the employees will save roughly $1 million in health insurance costs. He said this can be re-evaluated each year. He noted the disproportionately high number of female employees and said this adds to the risk factor with the health insurance industry. Commissioner Rich referred to the section on pricing premiums on page 353 of the electronic version of the agenda. She asked for the identity of the organization mentioned. Tracy McCarty said these pricing premium recommendations will be made by finance and management. Commissioner Rich referred to page 356 on the electronic version and asked for an explanation of the reference to costs of the contract getting higher over time Tracy McCarty said their self-funded clients have more control over their trend, and client data can be shared. She said there are things built into a fully-insured contract, such as state and federal tax. She said there are charges and profit margins that may not be included in a self funded arrangement. Nicole Clark noted that the dental plan is currently self-funded. Commissioner Gordon said she feels this dental plan is not well compensated, and she questioned if this will be the case with the insurance plan. Nicole Clark said there is no relationship between medical and dental plans. She said this is just the nature of the dental plan, and there is work being done on this issue. She said there are more providers being added. She said the claims in dental are typical for the business and this is completely different than health insurance. Chair Jacobs said it would be helpful to identify information from other entities about the pros and cons of the self-funding. He noted that the Community Land Trust is also on the County policy. He said this group, as well as the ABC Board may need guidance as to where to go. Tracy McCarty said she is happy to help with this, and she has dealt with similar situations in the past. A motion was made by Commissioner Pelissier, seconded by Commissioner McKee to approve Option 2, the self-insured health insurance option with an increase in the Health Savings Account contribution for employees to $118 per month effective January 1, 2014, and direct the Manager to sign the necessary documents to execute the contract. VOTE: Ayes, 6 — Nay, 1 (Commissioner Rich) b. Whitted Meeting Room Schematic Design Review The Board reviewed and commented on the schematic design of the Whitted Permanent meeting room initially presented during the September 12, 2013 work session; and authorized staff and the consultant to move forward with construction document preparation. Jeff Thompson reviewed the schedule (below) included on page 2 of the abstract: BACKGROUND: On April 4, 2013, the BOCC authorized Orange County to move forward with the design of permanent Board meeting facilities within the Whitted 2nd Floor "A" building in Hillsborough, and included this capital project within the adopted Capital Investment Plan in FY 2013-14. On June 18, 2013, the BOCC authorized the Manager to move forward with the design, award a bid, and complete the necessary site work for this project as "Phase 1" in order that the work be completed this fall during optimal outdoor weather. This site work, which will include significant paving, stormwater management, lighting, pedestrian access, handicapped access, and landscaping improvements, is currently out to bid and should be