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Internal Revenue Service (IRS) guidance. Any employee who had access to this care at no cost <br />would not qualify for a High Deductible Health Plan (HDHP) with HSA account. If the County <br />offered a HDHP with HSA account in the future, employees using the clinic for acute services <br />beyond wellness would experience a fair market value fee for those services in order to <br />maintain their HSA eligibility. <br />Estimated Start Up Costs ($100K -$150K) <br />Startup clinic costs include: <br />• Technology <br />• Implementation <br />• Supplies <br />• Equipment <br />• Clinic/wellness center space & buildout <br />• If determined to be needed, procurement of real estate can be requested during the <br />request for proposal phase. Additional real-estate costs and retrofitting the space may <br />increase the projected startup costs. <br />Estimated Annual Recurring Costs ($600K -$700K) <br />Ongoing clinic fees include: <br />• Administrative fee paid to the clinic vendor assessed as flat fee or subscriber fee (PEPM <br />or PEPY) <br />• Provider fee <br />• Pass through cost of supplies, labs, medication dispensing <br />• Technology/Electronic Medical Record <br />• Increasing clinic/wellness center services offered could increase costs <br />Supportfrom County Staff <br />Following a Request for Proposal (RFP) process, after a clinic vendor is selected the BOCC, the <br />implementation process for a health clinic/wellness center would involve support from County <br />staff which would likely include Human Resources, Public Works, Information Technology, <br />Budget, and Purchasing. <br />Funding <br />The expense for an employer health clinic/wellness center would be paid out of the Health <br />Insurance Fund. Estimated first year costs are $700K -$850K and would need to be allocated on <br />a future budget amendment utilizing Health Insurance Fund/Cash Forward Oct 1st. <br />Next Steps <br />Staff is seeking for direction from the Board of County Commissioners on whether to proceed <br />with the marketing and RFP process for an employer health clinic/wellness center. If <br />authorized, Lockton Companies will proceed with the process and will review all responses and <br />present findings and analysis to the BOCC at a future date. <br />142 <br />