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Discussion ensued on having an employee outreach program regarding the most cost-effective treatment and medication options. Director Brown provided a spreadsheet showing that many medications cost less at certain Canadian dispensaries. Christian Bergstrom, from the County's insurance broker, Gehring Group, answered the Board's questions about which medications are covered under the proposed health plan. The Chairman called a recess at 10:46 a.m., and reconvened the meeting at 10:58 a.m., with all members present. The Chairman invited public comment. John O'Connor, President of the International Association of Firefighters Local 2201, discussed the Union's commitment to employee preventive maintenance and wellness initiatives. He also spoke on the possibility of a County -run clinic or pharmacy as a cost -savings measure. Commissioners Davis and Flescher mentioned that the Indian River County School Board has reportedly had issues with its health clinic, and that the Board would need to perform due diligence before considering that option. Commissioner O'Bryan mentioned the annual County Health Fair, which provides several inexpensive tests for employees. Becky Thompson, Nationwide Retirement Solutions, discussed post -employment health insurance. Sheriff Deryl Loar commended staff and voiced support for the proposed health care initiatives. Steve Myers, Business Agent, and Chuck Kirby, Chief Steward, both of Teamsters Local 769, expressed concerns about keeping down the health care costs of current employees and retirees. Mr. Myers also encouraged the Board to move ahead with an employee wellness clinic. Director Brown stated that there would be no changes to co- payments, deductibles, or out-of-pocket maximum costs. County Insurance Broker Christian Bergstrom, Gehring Group, discussed the cost containment measures in the Blue Options Plan. Board of County Commission Minutes June 21, 2016 Page 13