032012reconmHARNETT COUNTY BOARD OF COMMISSIONERS
Minutes of Reconvened Meeting
March 20, 2012
The Harnett County Board of Commissioners reconvened on Tuesday, March 20, 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 reconvened the meeting at 9:00 am.
Regarding the proposed employee health clinic, Commissioners Burgin and House stated they
were hearing concerns from employees regarding confidentiality of medical records. John
Rouse, Director of the Harnett County Public Health Department, and Mr. Sauer assured those
present that the clinic would be HIPAA Compliant and Harnett County Administration or staff',
other than the clinic employees, would not have any access to any patient files or records.
Commissioner Burgin made a motion for Harnett County to establish an Employee Health
Clinic. The motion also stated that the employee health clinic could be set -up and administered
by the Harnett County Public Health Department only after verifying with First Choice and
others of who could provide such services cheapest. Commissioners all agreed that services
provided must be dedicated services to employees. Commissioner House seconded the motion
and questioned if representatives from First Choice could join them at their next work session.
Mr. Rouse asked for some time to meet with First Choice, Harnett Health System and others and
report back to the Board. It was unanimously approved that Harnett County would provide an
employee health clinic for employees.
Commissioners received additional information and options from Blue Cross & Blue Shield
(BCBS) and CIGNA representatives.
Commissioners voiced concerns regarding the out of pocket expenses for employees. The group
heard from employee Jay Sikes regarding his recent emergency appendectomy and his
experience with our current insurance plan and carrier. Mr. Sikes said his main issue was the
March 20, 2012 Reconvened Meeting Minutes
Harnett County Board of Commissioners
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confusion trying to figure out how much he actually owed which he said he was still unsure of.
Department heads present all agreed the need to know what you are financially responsible for at
the time of service and requested a seamless process in whatever plan or carrier chosen. They
asked commissioners to please provide a good plan for employees noting the lowest maximum
out of pocket amount is very important.
Commissioner Burgin requested clarification regarding the CIGNA Healthcare Funding Option
of the "Shared Returns — Fully Insured arrangement provides the security of a fully insured plan
and rates based on your past claims experience and /or demographics, along with the opportunity
to participate in the overall claim experience of your plan ". CIGNA representatives explained if
the county's total claims in a given year are lower than anticipated when rates are set, the county
benefits from the favorable experience. Also, if claims come in higher than expected, the county
would benefit from having paid the fixed premiums during the year — no outstanding liability. It
was noted that 25 county employees have currently reached the maximum.
Commissioner Burgin moved that the County go with BCBS with the HSA option funded at
$1,500; allocating $750 in July of 2012 and $750 in January of 2013, which he believes would
equate to the equivalent of a 3.7% COLA for employees. Commissioner Burgin noted this
option would allow employees to keep whatever money they don't spend. He also said he
believed the $1500 amount would reduce individual deductible and mentioned the advantage of
the enhanced drug list offered by BCBS. Commissioner House seconded the motion. Chailinan
McNeill questioned where the additional $500 per employee would come from.
Mrs. Melinda Bethune with Harnett County Resources reported it remained Harnett County
Human Resource's overall recommendation to go with CIGNA with the HRA option.
Vice Chaimian Hill suggested offering both companies to employees allowing them to choose
who to enroll with.
Dal Snipes with Snipes Insurance announced he would withdraw his company's fees noting his
belief that it would allow staff to support going with BCBS which he felt was for the betterment
of employees.
Commissioner Burgin altered his original motion that the County go with BCBS with the HSA
option funded at $1000 in July of 2012 and allowing employees to earn an extra $500 based on
changes of actions which would be at the discretion of the Board. Commissioner House
seconded the motion which failed 3 to 2. Chairman McNeill stated he was not comfortable with
an HSA for employees at this time.
Commissioner Andrews moved that the county go with CIGNA and the HRA option. Vice
Chaimian Hill seconded the motion. Commissioner Burgin asked if CIGNA could offer the
enhanced list of free drugs that BCBS could and lower deductibles. CIGNA representatives
agreed to adjust benefits based on needs which included looking at the pharmacy plan.
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Harnett County Board of Commissioners
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Chaiiman McNeill questioned how changes to the plan would change the cost. Mrs. Trinity
Faucett, Human Resource Director, reminded the group that she and Mr. Rouse were also
working on offering a list of drugs free of charge through the employee health clinic.
Chairman McNeill said the preventive drug list is a key element for employees. He said CIGNA
would need to make changes to the medical deductibles and rates. Chaiiman McNeill said at the
end of the day commissioners are picking a carrier but also have to be able to fund the employee
health clinic which he did not want to do at the expense of the employees. Commissioner
Andrews called to question. Chairman McNeill moved to table the motion requesting both
companies come back with modifications on March 27, 2012. Commissioner Andrews seconded
the motion which passed unanimously.
Commissioner Burgin moved that the board go in to closed session to discuss certain personnel
matters. This motion was made pursuant to N.C. General Statute Section 143- 318.11(a)(6).
Commissioner Andrews seconded the motion which passed unanimously.
Vice Chairman Hill moved that the Board come out of closed session. Commissioner Andrews
seconded the motion which passed unanimously.
Commission Burgin noted he and Commissioner House would still like to hold a public meeting
regarding the upcoming budget and asked if they could hold that meeting in the Board of
Commissioners Meeting Room.
At 11:26 am Commissioner Andrews moved to adjourn the meeting. Vice Chairman Hill
seconded the motion which passed unanimously.
010 (41II 1'� +4
cNeill, Chairman
eeler, Clerk
March 20, 2012 Reconvened Meeting Minutes
Harnett County Board of Commissioners
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