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Board of County Commissioners <br />Meeting Minutes - Final June 16, 2020 <br />Human Resources Director Suzanne Boyll recapped the discussion from the <br />June 2, 2020 Board meeting regarding the funding requirements for the <br />upcoming Medical and Pharmacy Benefit Plan Year 2020/21. She projected <br />that an additional $3 million in funding would be needed to cover current <br />benefit levels. She stated that the Board directed staff to meet with employee <br />groups and receive feedback on whether plan changes or premium increases <br />were preferred, provide information regarding a high deductible health plan <br />option, an employee health clinic, and a Telemedicine proposal. She shared <br />the sentiments from the employee groups regarding the various options. <br />Ms. Boyll went over the current plan year 2019/20 funding, the anticipated <br />funding shortfall for the 2020/21 plan year, plan design options, funding for the <br />Telemedicine proposal, and the premium contribution options. Ms. Boyll <br />concluded that staff recommended Premium Contribution Option 3 with Plan <br />Design Option B with an increase employer paid monthly premium of $40 for <br />single coverage/$80 for family coverage for both the Premier Silver and <br />Premier Gold plan and increasing the monthly employee premium under the <br />Premier Gold plan by $40 for single coverage/$80 for family coverage. There <br />would be no increase in the employee contribution under the Premier Silver <br />Plan. <br />A discussion ensued among the Board and Ms. Boyll regarding the <br />Telemedicine proposal and whether there was a way the Teladoc Health web or <br />mobile app could measure the cost savings by utilizing the service versus urgent <br />care, what services and types of medications could be provided through the <br />service, as well as Martin County's employee clinic approach, and partnering <br />with a community health center with various locations within the County. <br />The following speakers addressed the Board with their concerns regarding the <br />higher benefit costs, employee retention, and a comparison of salaries and <br />benefits of other counties. <br />John O'Connor, President, International Association of Firefighters, Local 220L <br />Steve Boyle, 285 Riverway Drive <br />Joseph Karman, President of the Indian River Deputies Association <br />Katherine Gibson, Secretary and Treasurer of the Indian River Deputies <br />Association <br />Commissioner Solari sought and received clarification from County <br />Administrator Jason Brown on the financial details of Premium Contribution <br />Option 2 with Plan Design Option B (Option 2B), noting that an additional <br />$250,000 would be needed to cover the shortfall. A discussion followed on <br />funding for Option 2B, which included plan design changes. Commissioner <br />O'Bryan warned that health care costs would continue to increase and reiterated <br />that there would probably be additional increases next year. <br />Indian River County Florida <br />Page 7 <br />