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FEB 3 1987 BOOK UY1i d0 In addition to underwriting cost exposures for county employees, the trust fund is utilized by two non -county agencies for medical - surgical 'insurance' for their employees. Those agencies are: .. Indian River County Mosquito Control District .. Indian River County Water Management District Those agencies pay amounts into the trust fund on a per employee basis notwithstanding the county's ultimate exposure. Those pay- ments for FY85-86 were: Indian River County Mosquito Control District Premium Per Emploee Single Plan 70.00 per month Married Plan 167.50 per month Annual Premium Collected Single Plan 8,120.00 Married Plan 29,647.50 TOTAL 37,767.50 Average Number of Employees - 21 Indian River County Water Management District Premium Per Employee Single Plan 70.00 per month Married Plan 167.50 per month Annual Premium Collected Single Plan 2,450.00 Married Plan 18,257.50 TOTAL 20,707.50_ Average Number of Employees - 10 TOTAL BOTH DISTRICTS 58 475 Please note that the aggregate sum of $58,475 is not based on actuarially derived data. Notwithstanding what the county's actual costs incurred for these agencies were, the sum determined is to be collected, and in fact collected, was $58,475. Such an arrangement amounts to the county functioning as a medical - surgical insurance 'company' underwriting a program of insurance. We are not licensed to do so. Additionally, means do not exist whereby we would be able to re- cover costs incurred by these districts in excess of the determined 'premium' amount. Of greater concern to me however is the fact that neither of these districts are coterminous with the county boundaries yet the county general fund remains exposed to costs incurred for these districts above the 'premium' amount. As a result, the county's taxpayers would have been liable for costs beyond the $58,475 in FY 85- 86. Such additional costs should be incurred by either the dis- tricts or a licensed insurance company. 36