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Commissioner Bird wished to know just what Health <br />Maintenance Organization (H.M.O.) is, and Commissioner Wodtke <br />advised that it is a special type of plan which offers you an <br />entire health care package, but only at a specified hospital. <br />This is a growing trend in hospital care, and some private <br />hospitals such as Humana, which has a plan called P.P.O. <br />(Preferred Provider Organization), are getting into it quite <br />heavily. Indian River Memorial is looking at various proposals <br />of this type. <br />Vice Chairman Lyons noted that this plan not only covers <br />the hospital stay; it is total medical care. <br />Commissioner Bird commented that he has no problem with the.. <br />Gulf Health Insurance coverage, but wondered how often we go out <br />to open bidding. <br />OMB Director Baird noted that presently we have a self- <br />insurance plan; it is an annual contract we are entering into, <br />and he would prefer to stay with them because the insurance plan <br />is doing well and we have adequate reserves. <br />Commissioner Wodtke wished to know if Gulf will extend for <br />another year at the present rates. <br />Nick Morisco, Regional Group Manager of Gulf Group Services <br />Corporation, noted that their terms for renewal for the coming <br />1986-87 policy year a're set out in his letter to Mr. Baird, and <br />essentially there is no change in their rate structure for the <br />coming year because there are adequate reserves; actually, there <br />has been about a 1% decrease from last year. <br />Vice Chairman Lyons believed we simply pay them for the <br />administration of our money, and this was confirmed by Mr. <br />Morisco. The Vice Chairman had a question on the coverage <br />involving retired people on Social Security and Medicare. <br />Mr. Morisco explained that how Gulf coordinates with <br />Medicare is at the direction of the policyholder. <br />Commissioner Lyons wished to know if a retired person, for <br />instance, goes to the hospital and Medicare comes up with <br />25 BOOK 64 Ft10E 802 <br />,SUN 25 1986 <br />I <br />