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the medical and pharmacy benefit is within budgeted premiums. No additional funding is projected for the FY2022/23 plan year. Fiscal Year End Fund Balance History September 30, 2018 September K, 2019 September 30, 2021 September 30, 2021; $13,14.8,724 $12,197,911 $12,807,209 $15,0013,116 Fund Balance Change Through 2nd Quarter FY 21/22 September 30, 2021* March 31, 2022*" lncJDec. °d Inc./Dec. $15,003,116 $17,525,289 $2,522,173 16.81°.a *On November 16, 2021, the Board of County Commissioners approved a $1.2¢x+9 transfer from the CARES Act Fund into the Health Insurance Fund to cover a portion of the $2.8M in COVID-19 related claims incurred by employees, spouses, and their dependents. **On March 1, 2022, the Board of County Commissioners approved a $1.9M transfer from the CARES Act Fund into the Health Insurance Fund to cover the remaining unreimbursed COVID-19 related claims incurred by employees, spouses, and their dependents which had increased to a balance of $3.1M. For the medical plan, the ASO recommended renewal with Florida Blue will result in approximately $100K savings in the first year with an additional $75K in wellness funds from Florida Blue. For the life insurance program, the Option 3 renewal recommendation with MOO would result in an overall increase of approximately $38K in Basic Life insurance premiums. This is $30K less than renewing without the addition of voluntary STD and Worksite benefits as reflected in Option 1. The overall impact is a reduction in costs of approximately $62K for the upcoming 2022/23 plan year and a current year increase in wellness funds of $75K. RECOMMENDATION Staff recommends and respectfully requests the Board of County Commissioners approve, effective with the plan year beginning October 1, 2022, the ASO fee proposal from Florida Blue for a four (4) year agreement through September 30, 2026 resulting in a reduced ASO fee of $49.55 per member per month to include the Telemedicine (Teledoc) benefit, a $75K wellness contribution upon approval of the agreement, a $50K wellness contribution annually each October; Option 3 renewal with Mutual of Omaha for Life Insurance, Voluntary Long Term Disability (LTD), the addition of Voluntary Short Term Disability (STD) and Worksite Benefits (Accident and Critical Illness Plans) in place of future offerings of AFLAC individual benefits, and continuation of other benefit offerings to include Medical, Pharmacy, Health Advocacy, Dental, Vision, Flexible Spending, Employee Assistance Program, and Diabetes Management Program; and authorizing the Board Chair to execute necessary documents after review and approval by the County Attorney for legal sufficiency. 287