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4 <br /> ➢ No increase in premium equivalent for medical coverage or increase in dental or vision <br /> premiums. <br /> Overview of Recommended Actions FY2017/2018 <br /> • Carve Out Pharmacy Coverage — Savings of$141,000 <br /> O The County participated in a Pharmacy Benefit Manager (PBM) Bid Comparison <br /> to "carve out" pharmacy coverage with another PBM for July 1, 2017 coverage. <br /> Current coverage with UHC-Optum Rx. <br /> O The Manager is recommending contracting with Envision Rx for pharmacy <br /> benefits. <br /> • Add Trans-Inclusive Coverage to Benefit Plan <br /> O Trans-inclusive health coverage includes benefit coverage for the treatment of <br /> gender dysphoria, a condition when a person's gender at birth is contrary to the <br /> one with which they identify. <br /> • No increase in premium equivalent for medical coverage or increase in dental or vision <br /> premiums <br /> Request of BOCC Approval <br /> A motion was made by Commissioner Jacobs, seconded by Commissioner Marcoplos <br /> to: <br /> • Approve including in the current plan design trans-inclusive health care coverage <br /> effective July 1, 2017 <br /> • Approve increasing the funding for the FY2017/2018 Health Insurance appropriation <br /> $524,433 and maintaining current premium equivalent rates for health insurance, <br /> dental and vision coverage for employees and pre-65 retirees. <br /> • Approve contracting with Envision Rx as the County's Pharmacy Benefit Manager for <br /> pharmacy services for employees and participating pre-65 retirees and approve the <br /> County Manager to sign contract following the County Attorney's review. <br /> Commissioner Jacobs asked if there were any limitations on which pharmacy <br /> employees are able to use. <br /> Brenda Bartholomew said no. <br /> Commissioner Burroughs asked if these prices could be compared to former years. <br /> Brenda Bartholomew said there has been little increase last year with health insurance, <br /> and the year prior to that had a minimum increase. She said the increases are not being <br /> passed onto employees. <br /> Chair Dorosin asked if the coverage for gender dysphoria had not already been <br /> approved. <br /> Brenda Bartholomew said the actual surgery to change genders had not been <br /> approved, and that is being added this year. <br /> Commissioner Rich said she will vote against this, as in the past, because of her <br /> opposition to UHC. She said it is a protest vote, and she is happy that cost increases are not <br /> being passed on to the employees. <br /> VOTE: Ayes, 5; Nays, 1 (Commissioner Rich) <br /> 1. Discussion of Manager's Recommended FY 2017-22 Capital Investment Plan (CIP) <br /> Travis Myren made the following PowerPoint presentation: <br />