Minutes for Monday, July 24, 2017
This is my site Posted July 23, 2017 – 7:55 am

1:00 pm The Callaway County Commssion will meet with representatives from Wall Street Group for a County employee health insurance update.

Monday, July 24, 2017

The Callaway County Commission met with the Presiding Commissioner Gary Jungermann, Eastern District Commissioner Randy Kleindienst, and Western District Commissioner Roger Fischer present.

Fulton Medical Center Issues


The Callaway County Commission met with Leroy Benton, Fulton Mayor; Bill Johnson, Fulton City Administrator; Bruce Hackman, Callaway County Chamber of Commerce’s Economic Development Director; and Steve Hobbs, a consultant with New Point, to discuss Fulton Medical Center issues at Fulton City Hall.

Health Insurance Update


The Callaway County Commission met with Randy Luetkenotte, Wall Street Group representative; Pam Mathis, Med-Pay representative; and Leah Laramore, County Human Resources Director, to discuss a County health insurance update. Denise Hubbard, County Clerk, was also present for this meeting.

First, the group discussed Air Ambulance coverage. Mr. Luetkenotte explained that Callaway County’s current plan has measures in place to help employees with air ambulance bills. He stated that we work with a company called Sentinel to discount the air ambulance bills as much as possible so that employees are not stuck with exorbitant bills. Mr. Luetkenotte stated that he would provide the County with more information regarding the current air ambulance coverage. He further stated that he was not a fan of pre-paid air ambulance contracts because they do not always cover the ambulance ride and employees can get stuck with large bills anyway.

Next, Mr. Luetkenotte presented the Commission with a check in the amount of $19,900 from Optum, Callaway County’s stop-loss coverage provider. Ms. Mathis then went over the medical claims that Callaway County has incurred from January 1, 2017 through June 30, 2017. Since last year, Callaway County’s overall claims have decreased by 37%.

Mr. Luetkenotte then went over the pharmacy claims that Callaway County has incurred from January 1, 2017 through June 30, 2017. In 2017, Callaway County changed the pharmacy copayment amounts in order to save money in its health insurance fund. Now, employees using their pharmacy benefits have to share more of the prescription costs with the County. Thus, the County has reduced their pharmacy claims by 31% since last year.

Finally, the group discussed pharmacy plan recommendations that were suggested by MedTrak, Callaway County’s pharmacy coverage provider. The recommendations included a diabetes management program for diabetic employees, ACA modifications, mail order service, decreasing the compound medication maximum dollar amount for pre-authorization, and coverage adjustments for two types of medications.

Eastern District Commissioner Randy Kleindienst made a motion to accept MedTrak’s coverage recommendations as presented, effective August 1, 2017.

Western District Commissioner Roger Fischer seconded the motion.

All in favor… ayes have it.

The group will meet again to discuss the 2018 health insurance renewal around October, 2017.


Ordered that the Commission adjourn until Tuesday, July 25, 2017.



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