UJU2’i
COUNTY COMMISSION-CALLED SESSION
OCTOBER 12, 2015
HF IT REMEMBERED THAT:
COUNTY COM~UNIONME] PLJRS[J \NT TO ADJOURNMENT IN CALLLJ)
SESSION OF TUE SLi WAN COUNTY HO\Rl) (~i~
COMMISSIONERS THIS
MONDAY MORNIN OCTOBER 12. 2015, ~):UO
A .1. L\ BLOUN IVILLE,
TENNESSEE. PRESENI’ AND PRESIDING WAS I ft)NOItABLE RICHARD
VENABLE, COUNTY ChAIRMAN, JEANJE GAMMON, COUNTY CLERK OF
SAID I3OAR[) OF COMM SSIONERS,
TO WIT:
The Commission was called to order by County Chairman Richard Venable.
Sheriff Wayne Anderson opened the commission and Comm. Matthew Johnson
gave the invocation. The pledge to the flag was led by Sheriff Wayne Anderson.
COMMISSIONERS PRESENT AND ANSWERING ROLL WERE AS FOLLOWS:
MARK BOWERY
MIChAEL B COLE
JOHN GARDNER
MACK HARR
BAXTER HOOD
MATTHEW JOHNSON
BOB NEAL
CHERYL RUSSELL
BOB WIHTE
ShERRY GREENE CRUBU
TERRY IIARKLEROAJ)
DENNIS L HOUSER
BILL KJLGORE
RANI)Y MORRELL
BOBBY RUSSELL, JR.
PATRICK \V SHIJLL
MARK VANCE
EDDIE WILLIAMS
18 PRESENT 6 ABSENT (AI3SENT~CA] JON, CRAWFORD. HARE. IIERRON,
MCGLOTIII IN, SIANLEY)
The following pages indicates the action taken by the Commission on re-zoning
requests, approval of notary applications and personal surety bonds, motions,
resolutions and other matters subject to the approval of the Board of
(:omIIliss ion ers.
.i )
)á.d .JKI
113
RFSOLUTIONS ON DOCKET FOR OCTOBER 12, 2015
Iu:soIxTIoNs
#1 TO CONSOLIDATE 11W RETIREE (OVER 65) IIEALIJI
INSURANCE F3ENEFITS [N1O ONE PLAN
_____________
_____________________
•~
nfl]
,-
L~ i’~)
L_-._
AcT. QI
APPROVED
10-12-15
________
AUTHOEL stLiAVANCi)UNf~ oENu~RINmA
MEMORANDUM OF UNDFRSTANDL’ BETWEEN TIlE STATE
OF TN FOR EMPLOYEE I LAIFH 1~LH~ANCE AND AN
ADDITIONAL CONTRACT FOR THE EUPPORlING (lAP PLAN
1~ROV1DEDWITH TI-IF LIMITED PLAN BEGINNING JANUARY I.
U U J~~iJ
-
APPROVED
10-12-15
U U 2 ~i
Sullivan County
Board of County Commissioners
235th Annual Session
Item I
No. 20 15-09-64
To the Honorable Richard Venable, Mayor of Sullivan County, and the Board of Sullivan
County Commissioners meeting in Regular Session this 21th day of September, 2015.
RESOLUTION To Consolidate The Retiree (over 65) Health Insurance Benefits Into One
Plan
WHEREAS, Sullivan County in 2010 began providing all newly enrolling retirees (over 65) a
Medicare Advantage (Medicare Part C) Plan to comply with current Medicare requirements;
and,
WHEREAS, those retirees enrolled in the Medicare supplemental plan before January 1, 2010
were allowed to continue in the plan they were originally enrolled in; and,
WHEREAS, Medicare supplemental plan was/is a self-insured plan managed through
BlueCross BlueShield that does not meet the creditable coverage test for Medicare Part D
prescription drug coverage due to a maximum prescription drug benefit of $5,000 per year with
no additional coverage for prescription drugs beyond that amount; and,
WHEREAS, retirees who are in the Medicare supplemental plan will incur a Medicare Part D
late enrollment penalty that increases each year that the prescription drug coverage is not
creditable; and,
WHEREAS, the Medicare Advanta2e plan which retirees have been enrolled in since January 1,
2010 includes creditable Medicare Part D prescription drug coverage without an annual
maximum benefit; and,
WHEREAS, with the supplemental plan the retiree’s must pay the cost of their prescriptions
and file for reimbursements from Blue Cross / Blue Shield which creates an additional temporary
financial drain on the finances of the retiree with limited income.
NOW THEREFORE BE IT RESOLVED THAT the supplemental plan for retiree’s be
cancelled and
the retirees (c rrentjy 99) be enrolled iii th~Pl~:CrcssRlucShi:ld
Blu:Adtaatazc ~
in the 2016 calendar year. All cost of
enrollment, including the late enrollment Part D penalty, shall be covered by Sullivan
County through funds in the 2015-16 FY’s budget.
WAIVER OF THE RULES
This resolution shall take effect from and after its passage. All resolutions in conflict herewith be
and the same rescinded insofar as such conflict exists.
Ui U ~ ~ji
Approved this 12th
day of
October
Attest:
2015.
App
Jc:nie
CsI:~!11,)I!.~al~:f
Clerk
Richard S V:nuHc, Cüuntv Mavoi
Sponsored fly: Corn rniss~onerEddie Williams
Prime Co-Sponsor(s): Commissioner Mark Bowery
ACTIONS: It Reading 09-21-15;
Amendment made and accepted by Sponsor strike “the Blue Cross Shield Blue Advantage plan”
in the last paragraph and replace with the words “other plans” as shown.
*Amendment #1 made by Morrcll, 2~by 1-Ian to acid the word “diamond” to “Blue Advantage
Diamond”. Amendment Ihiled by- roIl call vote.
*Motion to put Resolution on 1” Reading made by Crawford, 2°’~
by Shull
—
Motion approved by
roll call vote 09-21-15.
Amended by Sponsor Williams 10—12—15 as follows “The insurance Committee
Recommended that the Ruby Plan under the Blue Cross Plans would be the
One that they Recommend to the County Commission and that Amendment Would
Go On this Resolution”
Amendment #2 made by White and seconded by Vance to t~Rep1ace the Ruby Plan
with the Blue Advantage Diamond Plan. Amendment approved by Roll Call VOte.
(Shown in last Paragraph)
RESOLUTION APPROVED 1O—I2~1SAs Amended
17 Aye, 1 Nay, 6 Absent.
Primary Care Office Visit
Specialist Office Visit
Chiropractors
Urgent Care
$0
$0
$0
$0
$15
$40
$20
35
$30
$45
$20
$45
Inpatient
Outpatient Services
Emergency Room
$o
Days 1-4 $260/day
$260
$75
20% Afteroeductibie
20% After Deductible
$200
Ambulance
Diagnostic Tests (Xray & Lab)
Advanced Imaging & Radiology
Medical Equipment
Therapy Visits
Skilled Nursing Facility
$0
$0
$0
$0
$0
$0
20% After Deductible
$0 after Office Visit
20% After Deductible
20% After Deductible
$20
20% After Deductible
Home Health
$0
$150
$0 -$50 Per Test
$150
20%
$40
Days 1-20 $0/Day
Days 21-100 $160/day
$0
N/A
$ 4,800 (Medical
$0
$0
Annual Out of Pocket Maximum
Pharmacy Deductible
30-day Supply
Tier I - Preferred Generic
Tier Ii - NonPreferred Generic
Tier lii -Preferred Brand
Tier IV - Non-Preferred Brand
Tier v-Specialty
$250
Reimburse 90% after Deductible
Reimburse 90% after Deductibie
Reimburse 70% after Deductlbie
Reimburse 70% after Deductible
Reimburse 70% after Deductible
Only)
$0
$3 (1st $3,310)
$6 (1st $3,3100)
$30 (1st $3,310)
565 (1st $3,310)
35% (1st $3,310)
Coverage Gap (aka Doughnut Hole)
Member pays 45% of
brand and 58% ofgeneric
Catastrophic coverage
Member pays the greater
of $ 2.65 for generic or 5%
$ 1.40 for brand or 5%
.
20% After Deductible
$3300
$0
$10
$10
$30
$50
$100
Annual Maximum Benefit
$5,000
No Maximum
No Maximum
Monthly Premium Amount
$246.74
$72.00
$522.07
Current Number of Participants
Annual Premium
99
60
$293,127.12
$94,320.00
$387,447.12
Combined Annual Premium for Both Plans
Cost to Insure All Participants w/ BlueAdv -Ruby
Current Number of Participants
Monthly Premium Amount
0
$24634
Estimated Penalty for Coverage Transfer
Annuai Premium
Combined Annual Premium with Penalty
.
$184,896.00
159
$72.00
$47,520.00
$137,376.00
Sullivan County Government
(2016 Medicare Retiree Options)
2016 BlueAdvantaqe Options
flMecicare Supplement
SCES Self Funded prooram
Diamond Plan
Medicare Retiree Prior to 111)2010
Medicare Retrec After 1/1/2010
Mc—ntIily Funding
pPC
ppo
-$ 24/0.74 per Retiree (Self-insured)
$139 per Retiree (Insured)
$ 72 per Retires insured)
$0 pcr Retiree (Insured)
None
None
None
None
$ 15/visit
$ 40/visit
$ 20 ‘visit
$ 35 ‘visit
$ 10/ visit
$ 40 / visit
$ 20! visit
$ 45/visit
U,—Juctible
Di, Oftice Visit
~,_ialist Visit
C :,nr actic Visit
U,yo-,t Cart Visit
$0/visit
$0) visit
$ 0 f visit
$ 0 / visit
Finspitsi —
inpatient
‘Thitpaticns
iciqency
P
-
•‘
iT
$
$0 (visit
$ 0) visit
$Ocopsy
is:’
.i
Occupational. Ph~sicaiand
Language Thcrspy
$ 0 copay
Copays
Deductible
Tier I - Preferred Generic
Tier 2 - Nonprefeired Generic
- I - Preferred Drand
- - No,pi..rer.e’JPTci
I crs- Speini
Not Applicable
Days I
-
5: $300 Copay per Day
$225 Copay
S 75 copy
$210 Copay
$275 Copy
$150 Copay
$150 Copay
5250 Copay
$0 -$50 Copay pcr Test
$0 - $50 Copay per Test
5175 Copay
$200 Copay
80/20%
33/20%
Copay per Test
$150 Copay
to
i 20 %
$ 35 copay
$ 40 copay
$ 40 copay
Days I - 20: $0 Copay / Day
Days2l -100:$leoCopayfDay
Days I - 20: $0 Copay I Day
21
Days
.100:$lSoCopay/Day
3.700 (Notwork) / $ 10000
$ 4,600 (Network) /$ 10.000
$ 6,700 (Netwoit) /$ 10,000
$0
3 (1st $ 3,310)
6(1st $ 3,310)
$ 30(1St $3,310)
$ 50(1st $3,310)
33% (let $ 3,310)
$0
$ 3 )lst$ 3,310)
$ e (1st $3,310)
$30 (1st $3,310)
$65 (1st $3,310)
33% (1st $ 3310)
$0
$ 3 1st $3,310)
$ 12(1st $3,310)
$ 45 (1st $3,310)
$ 90 list $3,310)
33% 1St 5 3,310)
Member pays 45% of brand and
56% of generic
Member pays 45% of brand and
55% of generic
Member pays 45% of brand and
581/ of generic
Member pays the greater of
$ 2.65 for generic or 5%
$ 7.40 for brand name or 5%
Member pays the greater of
$ 2.55 for generic or 5%
$ 7.40 for brand name or 5%
Member pays the greater of
$ 2.65 for genenc or 5%
$7.40 br orand name or 5%
No Maximum
No Maximum
No Maximum
$0 copay
Stiied Nursing Facility
Days 1 -4: 5260 Copay per Day
$260 Copy
$ 75 oopay
$125 Copy
$0 - $40
-
$ 0 copay
- Cliemothcra~- .ruas
5
MaTimum OCJP
-
$ 0 copy
-. •..
15/visit
301 visit
20 I visit
35 / visit
Days 1 -4: $175 Copay per Day
$175 Copy
S 75 copay
0 (visit
$0/occurance
Advanced imagi,’.
F
$
uatory Surgoy Center
Di.znostc1.
S
$
$ 0 / admission
no,n
Ant uiance
__________
aaDhre
Plan
ppO
luctType
Ci,
Ruby Plan
Days 1 - 20: $0 Copay / Day
Days 21 -100: $135 Copay ‘Day
$
Ps
$ 250 per year
Reimburses 90% after deductible
Reimburses 90% after deductible
Reimburses TO% after deductible
Reimburses 70% after deductible
Reinourses 70% after deductible
Coverage Gap (ake Ouginuc lice)
Catast:opliic Coverayc
Annual Prescription Drug Maximum
-
C
cc
$
5,000
per
year
$
$
member copays/coinsuxatlo” in the initial coverage level and the full cost of the drugs during the Coverage gap exceod
:‘-pieIrTy
Ihilketit
10/12/2015
$ 4.850
per calendar year.
friten Insurance S FinanciaL Services, Inc
Sullivan County
Board of County Commissioners
235//i Annual Session
Item 2
No. 20 14-10-66
To the Honorable Richard S. Venable, Mayor of Sullivan County, and the Board of Sullivan
County Commissioners meeting in Called Session this 31St day of October 2014.
RESOLUTION To Authorize Sullivan County to enter into a Memorandum of
Understanding between the State of Tennessee for employee health insurance and an
additional contract for the supporting GAP Plan provided with the Limited Plan beginning
January 1, 2016
WFIEREAS, the Insurance Committee has reviewed proposals to renew the employee health
insurance through our current carrier CIGNA; and,
WHEREAS, a comparison of the group health insurance plans offered through the State of
Tennessee with the supporting GAP Plan provided more choices for our employees within the
funding levels provided by the 2015-2016 fiscal year budget; and,
WHEREAS, the Insurance Committee recommended the participation in the State health
insurance plan options provided by Blue Cross/Blue Shield and CIGNA in combination with a
GAP plan to complement the “Limited Plan” to our employees,
NOW THEREFORE BE IT RESOLVED that the Board of County Commissioners of
Sullivan County, Tennessee, assembled in Called Session, authorize the execution of the
Memorandum of Understanding between Sullivan County and the State of Tennessee for
group health insurance for Sullivan County employees.
BE IT FURTHER RESOLVED that a contract be entered into with a GAP plan provider
to complement the “Limited Plan” from the State forthose employees selecting the plan.
BE IT FURTHER RESOLVED that those selecting the Health Savings plan receive a
contribution equal to the cost of the GAP contributed to their health savings account.
This resolution shall take effect from and after its passage. All resolutions in conflict herewith be
and the same rescinded insofar as such conflict exists.
Hereby approved this 12th
day of
October
2. J~0u~
~
C)
2015.
Jeanie Gammon, County Clerk
Richard S. Venabie, County Mayor
Sponsored By: Commissioner Mark Bowery
Prime Co-Sponsor(s): Commissioner Bob Neal
ACTIONS: *Ciarffication asked for by County Attorney and Sponsor Identified
That the Gap Plan Would be the “Beazley Gap Plan”
Approved by- Roll Call Vote 18 Aye, 6 Absent
U ~32 J
~‘
Sullivan County Insurance Plan Comparisons
2016 State of TN
Limited Plan
2015 Sullivan County
Covered Services
CIGNA plan
‘‘.eritHae Care Office Visits
Care OWes Visit
5ecialLstOthce:lait
—
Hehavioral Hea!thand Substance
No Char ;c
No Charge
$3-i Ce~:~
.-
$35 COP,’I
______,-
100%
Allergy_Injection with OfiLue Visit
$30 I’CP Copay
$20 Copay
~
i0~f4’~
30-day Supply
$10
Preierred Brand
$30
Non-Preferred
$50
90-day Supply
Generic
~Coinsur.
$2sCopay
-~
300% after DV
3!i~Coinsurance
1O0~/’
Coinsurance
___________
30% Coinsurance
~~_,_,._—-n—.s
~
Generic
$25 Copa~________
~1ry.Coinsun,nrc
$55 specialist Copay
$35 Copay
$45 Specialist Copay
Chiropractors
Na Charge
Coi,isu:.L: cc
-
$35 Copay
100% after (IV
100%
$35 PCP Copay
100% nitcr DV
Allergy Iniections
N-~Charge
___~~_~9j35’~.i±liE2j2!Ef2 ±.__J~
-j,y
____~~.:apNy
-
Abuse
X-Ray, Lab and Interpret S Results (Standard)
~i!’ii
PartnersliipPlan
,~_s
~iwnaw~fl~fl
c~~a
-
2016 State of TN
—~.—
____________
I
2016 State of TN
Health Swings Plan
$25
PCP Cepay
$45_Specialist Coitay
1
$25 Copay
—
—~
$10
30% Coinsurance
$5
$55
30% Coinsurance
$35
$105
30% Coiissuranre
$85
$10
-~
$20
$20
30% Coinsurance
Preferred Brand
$60
$105
30% Coinsurance
$65
Non-preferred
$100
$205
30% Coinsurance
$165
$10
20% Coins-No Deductible
$5
$50
20% CoIns-No Deductible
$200
20% Coins-No Deductible
;*~-3-....:$i--—~
i~~
$35
30% Coinsurance
$30
_________
90 day Network Pharmacy or Mail-Order)
___________
Gennric
Preferred Brand
_________
N/A
N/A
:--~/,~
~.--/~-,
Convenience Clinic
-
N/A
Non-Preferred
ConvenienceclinicandUrgentCare
_____________
--S:~d:
N/A
—
—
$160
—
_________
$25
$45 Copay
$55 Copay
30%_Coinsurance
$45 Copay
$200 Copay
$165 Copay
30% Coinsurance
$125 Copay
Urgent Care
‘—S
________________________________
Hospital Emergency Room
•0n.tT~rI.fli’1r44
.
—
~
Hospital rirility - Inpatient
—.—..-——------—---—-—~
/ outpatient
~
~
__________________
20% Coinsurance
30% Coinsurance
30% Coinsurance
10% Coinsurance
Maternity
20% Coinsurance
30% Coinsurance
30% Coinsurance
10% Coinsurance
Home Health
20% Coinsurance
30% Coinsurance
30% Coinsurance
10% Coinsurance
$20 Copay
30% CoinsuranCe
30% Coinsurance
10% Coinsurance
20% Coinsurance
30% Coinsurance
313% CoinsLiranre
10% Coinsurance
100%
100%
100%
100%
Equipment & Supplies
20% Coinsurance
30% Coinsurance
30% Coinsurance
10% Coinsurance
Advanced X-Rays Seas & Imaging
20% Coinsurance
Rehabilitation & Therapy
Ambulance
Hospice
________
______________________________________
J
30% Coinsurance
—
.~
30% Coinsurance
.
10% Coinsurance
~,
~.
$2,500
$1,200
$1,500
$450
$5,000
$1,800
$3,000
$700
Employee + Spouse
$5,000
~2,1 00
$3,000
$900
Employee * Family
$5,000________
$2,600
$3,000
$1,150
$100 per member
$0
Employee Only
Employee
+
_______
________
Children
Separate pharmacy Deductible
ITT!1~7R
fl
5 fTP l,il’li,
$0
.~_
Ensployee only
$3,500
Employee + Childre,a
$7,000
Employte • Spouse
$7,000
Employee
$7,000
~
+ Family
3-39 AM1O/i ‘/7055
—
$6,600
$3 3,200
l~,200
$i 3,200
~t
~
Employee Only
Employee_+ Children
Employee + Spouse
Employee + ranaily
$0
______________________
$3,800
$2,300
57,600
$3,200
$7,600
$3,700
$7,600
$4,600
~C
$52207
$430.77
$40577
$99192
$667.70
$62395
$1,096.35
51,56622
J
_______
______________________
-
$67271
$1,042.69
$926.16
$672.41
$1,163.08
$109558
________
,
1
51,44630
$1,816.29
plan Corasparn2olb Insurance Cornpartson.xlna
U 0(33 JO
.\i.
.ç:~.r ~i,’.
4
‘*:\v
~.-
-
Sullivan
~SI*~~I~i
,~
~
-
.
çc~vInsuranc~Premium comparisons
L-’
-
.
2015 SullIvan County’
,,
QONA Plan
~
‘
,..~.,
-~.
,.
.2016 State of TN
Llmltedplan
..
-
.
.
-
.
-
-
-,
-
1016 State of TN
of
-
~HealtbS~vjngsPlan.
Partnership Plan
Employee Only
$522
$431
$406
5673
Employee÷Children
$992
$668
$629
$1,043
$1,096
$926
$872
$1,446
Employee+Spouse
J
GAP Premiums or HSA Contributions
Employee Only
$87
Employee + Children
$140
$140
Employee+Spouse
$187
$187
TotalMonthlyCOstperEmployee
-
-
$87
—
~
‘i,l:~i~Isi,
Employee Only
$522
$518
$493
$673
Employee + Children
$992
$808
$759
$1,043
Employee+Spouse
$1,096
$1,113
$1,059
$1,446
Employee + Family
$1,566
$1,417
$1,350
$1,316
/1’~t&&S~t~&W~
,
Emolovee Poitioñ of Premiums
‘
Employee Only
$65
$65
$40
$220
Employee + Children
$124
$101
$62
$336
Employee + Spouse
$137
$139
$85
$472
Employee + Family
$196
$177
$110
$576
Employee Only
$457
$453
$453
Employee + Children
$858
$707
Employee + spouse
$959
$974
$707
$974
$707
$974
Employee + Family
$1,370
$1,240
$1,240
$1,240
Total Monthly Cost perTier
—
____________
_________________
252
$115,116
72
$62,491
163
$156,367
Total Monthly Costto the County
—
L
$453
——
___________________
$114,159
$114,159
$50,877
$158,759
$50,877
$158,759
$50,877
$158,759
_________________
Total Monthly
$576,543
$543,301
$543,301
TotalAnnual
$6,918,512
$6,519,612
$6,519,612
$
7,906,870.44
$
7,450,985.16
$
7,093,63344
$6,519,612
$
9,621,921,96
AND ThEREUPON COUNTY COMMISSIO.N ADJOURNED UPON
MOTION MADE BY COMM. WHITE TO MEET AGAIN IN REGULAR
SESSION OCTOBER 19, 2015.
RICHARD VENABLE
COMMISSION CHAIRMAN