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Board of County Commissioners Meeting Minutes - Final June 4, 2019 Commissioner Flescher echoed Commissioner O'Bryan's concerns about interfering with an employees' medications. A discussion ensued, with input from Ms. Dimura, regarding ways a medication might be deceptively marketed or misused. Commissioner Zorc sought and received information on the structuring of the proposed health plan into two tiers (Employee Only and Family), and about plans offered by other jurisdictions. The following speakers voiced concerns about the affordability of the proposed increase in the premium for the Premier Gold Plan: Indian River County Sheriff Deryl Loar also noted that the Open Enrollment period for the Sheriffs staff is approaching, and that salary increases might be nullified by the premium increase. John O'Connor, President, International Association of Firefighters, Local 2201, mentioned that the County needed to be competitive in the marketplace to retain personnel. Detective Chris Lester, Indian River County Sheriffs Office, suggested that a lower-cost option be implemented for employees who seldom use the health insurance. Detective Bob Sunkel, Indian River County Sheriffs Office, commented on income versus expenses. H.R. Director Boyll noted that the County's financial contributions will also be increased in order to help keep the employees' health insurance costs down. She noted, however, that the trend for medical and pharmacy costs is to increase. Administrator Brown suggested that staff explore the alternative of phasing in the premium increases. He stressed that the County needs to take action and address the issue of rising costs proactively while balancing the needs of the employees. No Action Taken or Required E. Office of Management and Budget F. Public Works 12.F.1. 19-0450 Purchase Order for Mast Arms, Indian River Boulevard and Grand Harbor Boulevard Mast Arm, IRC -1806 Indian River County Florida Page 12