Meeting Information
6:35 p.m. Convene
CONSENT AGENDA
(1) (a) Consider approval of Commission Orders; and
(b) Acknowledge fee reports for February and March 2010.
REGULAR AGENDA
(2) Consider approval of 2010 health insurance proposals (Pam Madl)
(3) Other Business
(a) Consider approval of Accounts Payable (if necessary)
(b) Appointments
(c) Miscellaneous
(d) Public Comment
(4) Adjourn
Flory called the regular session meeting to order at 6:35 p.m. on Wednesday, April 28, 2010 with two members present. Thellman was absent.
MINUTES 04-28-10
Gaughan moved to amend the minutes dated 03-24-10 (originally approved as amended on 04-10-10) with new amended wording. Motion was seconded by Flory and carried 2-0.
CONSENT AGENDA 04-28-10
Gaughan moved approval of the following Consent Agenda:
► Commission Order No. 10-014 (on file in the office of the Clerk);
► Acknowledge of fee reports for February and March 2010.
Motion was seconded by Flory and carried 2-0.
MISCELLANEOUS/PUBLIC COMMENT 04-28-10
Harold Shephard, 435 Elm Street, stated he owns property on E 1800 Road in the county. The Public Works Department has initiated a request to acquire a right-of-way easement near a culvert located on E 1950 Road (Project No. 06.57N-19.50E). Shephard d s not feel it is necessary to repair the bridge on this culvert stating there are better ways the County could spend the money set aside for this repair. He is willing to sell the easement to the County for the sum of $2,750.
PURCHASING/SHERIFF 04-28-10
Pam Madl, Assistant County Administrator, asked the Board to consider the approval to purchase vehicles for the Sheriff's Office. Last year the County participated in a regional cooperative bidding process through Mid America Council of Public Purchasing (MACPP) for the acquisition of 2010 vehicles. We can continue to purchase from the current contract until the manufacture's production cutoff date. The Sheriff's Office seeks approval to purchase five patrol cars, two full-size sedans, and one SUV from Shawnee Mission Ford in the amount of $183,224. Ken McGovern, Sheriff, was present for questions.
Flory opened the item for public comment. No comment was received.
Flory moved to approve the purchase of five 2010 Ford Crown Police Interceptors, two 2011 Ford Taurus vehicles, and one 2010 Ford Expedition XLT from Shawnee Mission Ford in the amount of $183,244. Motion was seconded by Gaughan and carried 2-0.
PURCHASING/EMERGENCY COMMUNICATIONS 04-28-10
Pam Madl, Assistant County Administrator, asked the Board to approve an increase in the County equipment lease for multi-function copiers to purchase a desktop multi-function unit for the 911 dispatch center. The current unit is not meeting the department's needs. The cost of a new model is $3,878.00.
Flory opened the item for public comment. No comment was received.
Flory moved to increase the copier equipment lease by $3,878. Motion was seconded by Gaughan and carried 2-0.
PURCHASING/YOUTH SERVICES 04-28-10
Pam Madl, Assistant County Administrator, asked the Board to consider the approval to purchase a portable classroom located on the Youth Services property. Due to budget cuts for USD 497, the school board will discontinue its lease of the portable classroom on May 11, 2010. Youth Services has come to rely on the use of half of this building for storage and training space. The cost to purchase the portable is $34,821.00 or $720.00 per month to lease.
Flory opened the item for public comment. No comment was received.
After discussion, Gaughan moved to authorize staff to enter into a contract with ModSpace to purchase the portable in the amount of $34,821.00 using Youth Services equipment reserve funds. Motion was seconded by Flory and carried 2-0.
PERSONNEL 04-28-10
Pam Madl, Assistant County Administrator, made a short presentation to the Board on medical insurance claims results for the 2009-2010 year. Medical claims are down 0.5% compared to last year and dental was up 9.73% over last year. Overall, the total plan claims cost were up 1.44%. Requests were made for reinsurance coverage from a number of different companies, with responses narrowed to the two best quotes coming from ING and Optum. The reinsurance quotes are as follows:
ING Current
ING Renewal
Optum
Expected Annual Claims Total
$5,586,992
$5,688,072
$5,486,416
Maximum Annual Claims Total
$6,983,721
$7,110,090
$6,858,020
Dollar Difference
$126,369
-$125,701
These numbers do not include dental claims, which average about $300,000 per year.
Under the new 2010-2011 Pharmaceutical Plan, MedTrak will continue to be the pharmaceutical third party administrator with co-pays remaining the same.
The following features are recommended to benefit the plan, as well as, individual employees:
- Starter Dose with a 180-day look back: this means that individuals who are presenting new prescriptions for a maintenance medication will only be able to obtain a 30-day supply for the first prescription. This is to save the plan money (and the individual) in the event that the medication d sn't work out. From that point on, the individual will be able to obtain a 90-day supply at a time. They will determine new prescriptions by looking at the individual's history for the past 180 days.
- Step Therapy: Individuals receiving certain maintenance medications the first time will be expected to start with generics rather than high cost brand name drugs. If the generics do not seem to achieve the results, they will then be allowed to use brand name drugs. Medications in this category are anti-inflammatory, sedatives and hypnotics, anti-hypertensives, lipid lowering, nasal steroids pump inhibitors, and anti-depressants.
- WellTrak: This is a chronic drug therapy management program designed to put selected individuals in touch with a clinical pharmacist to ensure they are getting the most out of their medications. Individuals taking several medications will be targeted. If individuals sign up for this program, the clinical pharmacists will review current mediations with them, answer any questions or concerns they may have with their medications, and possibly make recommendations for changes. These phone calls will occur approximately 4 times a year. Employees eligible and choose to participate (and continue to participate) will then receive their generic medication at no cost and brand name medication at half the co-pay (or $17.50). It has been documented that this type of consultation can benefit plans significantly enough to more than cover this co-pay incentive. The fixed cost of this program is $4.00 per member per month (about $40,000 per year).
Required plan changes will include mental health benefits paid at 80/20, the same as other medical benefits, rather than the current 50/50. This change is required by the Mental Health Parity Act. The annual cost is anticipated to be in the $70,000 range.
Premium Levels for 2010-2011 are recommended as follows:
FULL PREMIUM
EMPLOYEE PORTION
2009-2010
2010-2011
Employee Only
$543
$543
$29
Employee +1
$1,062
$1,062
$183
Family
$1,518
$1,518
$254
RETIREE'S PORTION OF THE PREMIUM:
Regular Retirement Plan
Employee Only
$299
Employee +1
$584
RETIREE'S PORTION OF THE PREMIUM:
Incentive Retirement Plan
Employee Only
$29
Employee +1
$183
Family
$254
After discussion, Flory moved to approve the Health Insurance Committee recommendations that the 2010-2011 Health Insurance Plan be renewed with the above changes; acceptance of the reinsurance proposal from ING; and renewal of the pharmaceutical contract with MedTrak. Motion was seconded by Gaughan and carried 2-0.
ACCOUNTS PAYABLE 04-28-10
Flory moved to approve accounts payable in the amount of $152,411.55 to be paid on 04/29/10. Motion was seconded by Gaughan and carried 2-0.
MISCELLANEOUS 04-28-10
Flory stated he would like staff to determine which Boards have three or more appointments by the County. He suggested that the Board designate appointments by Districts 1, 2 and 3 with the Board members taking turns making the appointments.
Flory moved to adjourn the meeting; Gaughan seconded and the motion carried 2-0.
______________________________ ____________________________
Nancy Thellman, Chair Jim Flory, Vice-Chair
ATTEST:
______________________________ _____________________________
Jamie Shew, County Clerk Mike Gaughan, Member
Time and Date