Minutes for Tuesday, October 18, 2016
This is my site Posted October 17, 2016 – 1:20 pm



The Callaway County Commission will conduct budget work sessions throughout the day.

10:00am The Callaway County Commission will meet with representatives from Wall Street Group to discuss a County health insurance renewal.

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Tuesday, October 18, 2016

 The Callaway County Commission met with the Presiding Commissioner Gary Jungermann and Western District Commissioner Donald Kritzer present. Eastern District Commissioner Randy Kleindienst was absent.

County Health Insurance Renewal

 10:00am

The Callaway County Commission met with Randy Luetkenotte and Amy Wulff, of Wall Street Group; Karen Rentschler, County Auditor; and Leah Laramore, County Human Resources Director, to discuss a health insurance renewal for 2017. Deborah Goldman was also present for this meeting to represent the County Clerk’s office.

First, Mr. Luetkenotte went over the stop loss coverage. Callaway County’s current stop loss carrier is Unimerica. For 2017, Unimerica has proposed a 5% increase of their current premiums. Mr. Luetkenotte explained that although Unimerica’s costs have increased slightly, when compared to other carriers, its rates are in line. Also, the County would lose a potential refund of about $18,000 if it chooses to switch stop loss carriers. Wall Street Group recommends staying with Unimerica for stop loss coverage.

Next, the group briefly discussed increasing premium rates for health insurance. Callaway County currently pays $460 into its health insurance fund for each full-time employee. The group thinks this premium should be increased due to the amount of claims the County has been paying out of this fund. Mr. Luetkenotte stated that he will run a four-tier estimate of increasing the employee premium, along with the various dependent premiums. Once completed, he’ll share the estimate with the Commission for review.

The group then discussed the organ transplant policy. This carrier has actually proposed to decrease the current premium slightly. Mr. Luetkenotte recommended that Callaway County remain with the current transplant carrier. Next, the Wall Street representatives recommended that the County change its prescription copays. Currently, the copays are $10 for generic medications and $50 for brand name medications. The proposed change is the greater of $10 or 25% for generic prescriptions and the greater of $50 or 25% for brand name prescriptions. This change will save the County a significant amount of money if implemented.

Ms. Wulff went over the option of adding air ambulance coverage for employees and their insured family members. One membership option that Wall Street found is $11 a year for each employee and $25 a year for a family unit. Mr. Luetkenotte then stated that Wall Street is currently working with another client on a similar coverage issue. He said he would like for Callaway County to wait before making a decision on air ambulance coverage until he has learned more about it with this other client.

Lastly, Ms. Wulff discussed the County’s ancillary coverage, which includes life, dental, and vision insurance. She presented the group with a breakdown of the current coverage and the proposals from different carriers. The current carrier for these types of coverages was priced considerably higher than the other carriers. The group discussed the various options for ancillary coverage at length.

Western District Commissioner Doc Kritzer made a motion to renew Callaway County’s stop loss plan with Unimerica for the calendar year 2017, in the amount of $65,000 per claim and to authorize Presiding Commissioner Gary Jungermann to sign any necessary documentation on behalf of the County.

Presiding Commissioner Gary Jungermann seconded the motion.

All in favor…ayes have it. Court Order #105 — signed.

The group will follow up on ancillary coverage, pharmacy copays, out-of-pocket maximums, air ambulance coverage, and insurance premium costs at a later date.

 Court Order #105 — 2017 Stop Loss Renewal with Unimerica

 Now on this day, the Callaway County Commission does hereby renew the health insurance stop loss coverage with Unimerica for the calendar year 2017, in the amount of $65,000 per claim and authorizes Presiding Commissioner Gary Jungermann to sign any necessary documentation on behalf of the County.

 RHSOC Meeting

 1:30pm

Presiding Commissioner Gary Jungermann and Western District Commissioner Doc Kritzer attended a RHSOC (Regional Homeland Security Oversight Committee) meeting in Jefferson City, Missouri.

Transportation Simulation Event

 3:00pm

Presiding Commissioner Gary Jungermann attended a Transportation Simulation event at Westminster College in Fulton, Missouri.

 

Candidate Forum

 6:30pm

Presiding Commissioner Gary Jungermann and Western District Commissioner Doc Kritzer attended a candidate forum at Fulton City Hall.

 Adjourn

 Ordered that the Commission adjourn until Wednesday, October 19, 2016.





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