The Cost of County Health Insurance

Preble County, Ohio

Preble County Commissioners

September 14, 2011

Three Commissioners in attendance

File 1

I. OPEN MEETING

II. CALL OF ROLL

III. PLEDGE OF ALLEGIANCE

IV. PRAYER

V. APPROVAL OF MINUTES

NOTE RECEIPT OF & CONSIDER APPROVAL BY SIGNING THE JOURNALIZATION & NOTE RECEIPT OF THE CD RECORDATION BOTH AS THE OFFICIAL MINUTES FOR THE SEPTEMBER 12TH REGULAR SESSION MEETINGS

VI. PUBLIC COMMENTS

End 3.36 minute mark on CD – 846 KB

File 2

HEALTH INSURANCE RENEWAL MEETING

6 Minute mark   194 people on the plan.

Total premium for month of June was $186,000.

Medical claims for month of June were $253,000.

Year to date payout through June was 102%.  Insurer would normally like to see that around the 75% range.

For the last two years more has been paid out in claims than received in premium.

8 Minute mark  Original United Health Care increase was stated to be 21.7% increase.  United Health Care notes that county loss ratio is 112%. They looked at a full 12 month period, starting July 1, 2010.

Five claims that are considered large and of an ongoing nature. Four of those have hit the $100,000 pooling point.

10.5 Minute mark    Large claimant report. One claimant over $300,000.

One brain cancer.

One colon cancer.

One back issue.

One premature child.

Those five claims totaled over $850,000.

Listen to this audio file for a better understanding. Due to lack of time most of this file was not reviewed.

1 hr. 58.5 minute mark on cd  

1 hr.  55.13 minutes – 26.3 MB

File 3

STEVE SIMMONS & JOHN JONES – PERSONNEL

1 hr.  59.75 Minute mark   EXECUTIVE SESSION TO DISCUSS POSSIBLE EMPLOYMENT OF A COUNTY EMPLOYEE

Exit no action taken.

2 hr.  2 Minute mark   Discussion on health insurance increases. Budget letter needs to go out by the end of September.

2 hr.  3.5 Minute mark   Chad Hoke comes in room.

Commissioner Wesler on conversation with Dick Bair, they were putting in a tornado siren in Gratis Township. Permit was $77 an inspection would be another $180. NIC handles inspections.

It also boosts commander cialis obtain at shop your vitality and relieves you from stress.
Chad reviews other entities (8) since March that have paid the fees. No one else complained.

Connie – When the county builds they have to pay it.

2 hr.  10.5 Minute mark   Commissioner Wesler mentions need for a person on the Zoning Appeals Board. Lacking member from northern part of county.

AGREEMENTS & CONTRACTS

A. NOTE RECEIPT OF & CONSIDER APPROVAL BY SIGNING AN AGREEMENT

RE: ANALYSIS OF IMPEDIMENTS TO FAIR HOUSING AGREEMENT W/DONALD B. EAGER & ASSOCIATES – $3,500.00 – FY11 CDBG

 

2 hr. 11 minute mark on cd  

12.31 minutes – 2.86 MB

File 4

FINANCIAL CONSIDERATIONS

A. CONSIDER APPROVAL OF RES. #532-11-152

RE: DISTRIBUTING LOCAL GOVERNMENT FUNDS BY AN ALTERNATIVE DISTRIBUTION FORMULA – 47% to county, 39% to city and the villages and 14% to the townships.

B. CONSIDER APPROVAL OF RES. #533-11-152

RE: TRANSFER OF FUNDS – VARIOUS FUNDS

C. CONSIDER APPROVAL OF RES. #534-11-152

RE: SUPPLE. APPROP. – FY09 CDBG ($3.80)

D. CONSIDER APPROVAL OF RES. #535-11-152

RE: AUTH. PAYMENT – FELONY SUBSIDY ($6,250.00)

CORRESPONDENCE & REPORTS

A. NOTE RECEIPT OF & CONSIDER APPROVAL BY SIGNING A LETTER TO THE PAYROLL CLERK

RE: PROBATIONARY PAY RATE ADJUSTMENT – BETH WRIGHT – RECYCLING – effective August 2, 2011 rate of pay will be $11.04 per hour.

B. NOTE RECEIPT OF A REPORT FROM THE PROSECUTING ATTORNEY

RE: ANNUAL REPORT – 2010

C. CONSIDER APPROVAL OF RES. #536-11-152

RE: RESCINDING RES. #469-11-152 – REQUESTING AMENDEMENT TO THE ZONING RESOLUTION TO INCLUDE THE GOOSE CREEK OVERLAY DISTRICT

AGREEMENTS & CONTRACTS

A. NOTE RECEIPT OF & CONSIDER APPROVAL BY SIGNING AN AGREEMENT

RE: ANALYSIS OF IMPEDIMENTS TO FAIR HOUSING AGREEMENT W/DONALD B. EAGER & ASSOCIATES – $3,500.00 – FY11 CDBG

2 hr.  16 Minute mark    Commissioner Stonecash – attended the COC meeting yesterday, which had the do with the HIT Foundation and Mental Health and JFS and all this. For housing for the less fortunate I guess. Not very much to report other than everybody seems to be doing their job.

Commissioner Day – Monday the groundbreaking for the Historical Society was very well attended. I think just about everyone with a state office attended. Very nice event.

Commissioner Wesler – Yes it was. Looking forward to seeing that project continue on and watch the building of it.

Commissioner Day – It will be a great asset to the community.

Commissioner Stonecash – All three of us attended the 4H banquet to…. full house. One hundred twenty five new 4H members this year.

ADJOURN

2 hr. 17.6 minute mark on cd  

6.37 minutes – 1.51 MB

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