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Costs would vary based on the model selected to include, clinic buildout number of locations, hours of operation, staffing level, services provided, supplies, etc. Indian River County School Board's clinic model is funded at $1.654M in the current budget year and they contract with a third party to staff the clinic and manage the delivery of services. Lockton has provided a proposal to provide consulting services for an on-site clinic project if the Board chooses to proceed in that direction. The consulting fee would be $75,000 (attached). Telemedicine Proposal At the June 2, 2020 BOCC meeting, staff referenced a telemedicine proposal. An updated telemedicine proposal is attached for consideration. Covered members would have access to 24/7 care by web, phone or mobile app. Services are provided by U.S. board certified adult and pediatric doctors and dermatologists. The telemedicine benefit would be provided by Teladoc Health under our agreement with Florida Blue and the annual cost is approximately $30,600 per year ($1.50 per employee per month PEPM). In addition to the annual cost of $30,600, the cost to the plan of the general medicine or pediatric visit is $42 and the cost of the dermatology visit is $75. It is unknown how many telemedicine visits would be made. During the first 7 months of the plan year (October through April), urgent care and convenient care visits totaled 656. There is no breakdown of the how many visits were dermatology related that could be addressed via telemedicine. The value of a telemedicine benefit would be realized without a large capital investment and would provide members convenient and affordable access to care. The Board could establish the associated member copay for the telemedicine visit. Funding Options Current Plan Year 19/20 Funding $21,751,680 Anticipated Shortfall FY 19/20 $961,346 Plan Design Options Required $ FY20/21 Funding No Plan Design Changes $24,821,358 Current $3,069,678 FY20/21 Funding $550K Plan Design Changes $24,271,358 Option A $2,519,678 FY20/21 Funding $213K Plan Design Changes $24,608,358 Option B $2,856,678 FY20/21 Funding for Teledoc Health Telemedicine + $30,600 Premium Contribution Options: Employer Increased Contribution for Both Silver & Gold - $40/$80 $1,256,160 Option 1 Employee Increased Contribution Gold & Silver* - $25/$50 $785,100 *Silver plan is performing well Option 1 $2,041,260 Employer Increased Contribution for Both Silver & Gold - $40/$80 $1,256,160 Option 2 Employee Increased Contribution Gold Only - $25/$50 $658,800 Option 2 $1,914,960 70