031612ssmHARNETT COUNTY BOARD OF COMMISSIONERS
Minutes of Special Session
March 16, 2012
The Harnett County Board of Commissioners met in special session on Friday, March 16, 2012,
in the Commissioners Meeting Room, County Administration Building, 102 East Front Street,
Lillington, North Carolina.
Members present:
Staff present:
Timothy B. McNeill, Chairman
Beatrice B. Hill, Vice Chairman
Dan B. Andrews, Commissioner
Gary House, Commissioner
Jim Burgin, Commissioner
Scott Sauer, County Manager
Tony Wilder, Deputy County Manager
Dwight Snow, County Attorney
Sylvia Blinson, Finance Officer
Margaret Regina Wheeler, Clerk to the Board
Chairman McNeill called the meeting to order at 1:00 pm and led the pledge of allegiance and
invocation.
Mr. John Rouse, Director of Harnett County Public Health Department, presented his plan for
administering a proposed employee health clinic in -house for Harnett County with a total
program cost of $231,010.04. Mr. Rouse proposed hiring a part-time Family Nurse Practitioner
and contracting out all other needs for the clinic which includes: 1) part-time Health Educator,
part-time Practical Nurse II, Medical Director, medical supplies and pharmacy program. Mr.
Rouse noted the malpractice insurance for the clinic would be covered under the Harnett County
Public Health Department's coverage.
Mr. Rouse envisioned the clinic opening part-time in the morning hours and is proposing
converting the kitchen/break area of the commons area in the Social Services Building to
accommodate the clinic. Mr. Rouse and Trinity Faucett, Director of Harnett County Human
Resources, noted the clinic would initially open for employees only, who would visit the clinic
while "on the clock ", but hopefully would be able to add dependent care later. It is the belief
that this clinic would overall decrease the cost of the county's health benefits which would cover
the cost of the clinic.
March 16, 2012 Special Session Meeting Minutes
Harnett County Board of Commissioners
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Commissioner Burgin suggested paying lump sums for an agreed number of visits per month to
First Choice, local urgent care offices and/or doctor offices stating the estimated total program
cost of $231,010 could support the local economy. Staff responded they had researched that
option but listed "wait times" and fees for "no shows" as issues.
Mrs. Faucett announced her recommendation of CIGNA for the FY 2012/2013 Employee Health
Insurance coverage for Harnett County. Mrs. Faucett noted she did not complete the RFP
process but presented a comparison of proposals received by CIGNA and BCBS,
Representatives for CIGNA presented a proposal for health insurance and other services.
Representatives for BCBS presented a proposal for health insurance and other services.
Human Resources and Payroll staff voiced frustrations with recent experiences with BCBS
regarding membership and billing. Staff also noted they feel there are too many options for
employee benefits which causes confusion. Staff also alerted commissioners that many
employees are eligible but have yet to file for their $2,000 HSA reimbursement. Commissioners
asked staff and BCBS representatives to work together to ensure employees get their
reimbursements as soon as possible.
Commissioner Burgin proposed a $2,700 HRA plan for employees.
Commissioners agreed to meet again on Tuesday, March 20, 2012, at 9:00 am to continue
insurance coverage discussions. CIGNA and BCBS representatives were encouraged to work on
proposals based on discussions.
Commissioner Andrews moved to adjourn the meeting at 3:36 pm. Vice Chairman Hill
seconded the motion which passed.
$‘ 0
Timothy cNeill, Chairman �,6 *' et Regina
eeler, Clerk
March 16, 2012 Special Session Meeting Minutes
Harnett County Board of Commissioners
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