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Board of County Commissioners Meeting Minutes - Final June 20, 2017 Attachments: Staff Report Proposed Medical Renewal (This Item was heard after Item 10. C.3, and placed here for continuity.) Human Resources Director Suzanne Boyll provided a PowerPoint Presentation on the proposed changes to the Health Insurance Plan for the Fiscal Year 2017-2018. She announced that the new proposal included wellness and preventative benefits that would be covered at 100% with no -out -of pocket cost to the employee, and that all deductibles, coinsurance, and prescription copayments would now count toward the annual out-of-pocket maximum. A lengthy discussion ensued amongst the Board about the use of out -of -network providers because of necessity and the projected net revenues of the health plan. Suggestions were made for future consideration of ways to reduce the burden for retirees, as well as the incorporation of incentives to encourage positive behavior with respect to wellness. The Board noted that the current cost of the health plan was extremely low compared to other jurisdictions, and that it remained an affordable policy for quality health care with limited deductibles. A motion was made by Vice Chairman O'Bryan, seconded by Commissioner Solari, to approve the proposed changes to the health plan as follows: 1) Increase the employer contribution to the plan by $30 per month for single and family coverage to provide a funding reserve; 2) Increase the employee contribution to the plan by $20 per month for both single and family coverage; 3) Modify the plan design to provide 100% wellness/preventive benefit and include all employee out of pocket costs in the out of pocket maximum; 4) Increase the cost share for advance imaging from $25 to $100; 5) Increase the out of network deductible from $400/$800 to $800/$1600 and the out of network out of pocket maximum from $3,000/$6,000 to $4,000/$8,000; and 6) Eliminate the prepayment of insurance premiums one month in advance and provide employees a premium free month in September 2017. The motion carried by the following vote: Aye: 5 - Chairman Flescher, Vice Chairman O'Bryan, Commissioner Adams, Commissioner Solari, and Commissioner Zorc E. Office of Management and Budget F. Public Works G. Utilities Services 12.G.1. 17-0652 North Sebastian Septic to Sewer (S2S) Phase 1, Resolution I (Preliminary Assessment Roll) and Resolution II (Public Hearing Date) Indian River County Florida Page 19