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It is the policy of the Board of County Commissioners (BOCC) to account for the County’s employee health insurance program in a separate fund known as the “Health Care Fund”. This fund shall be used to pool resources accumulated from employee contributions for the health insurance program, County contributions to for the health insurance program, investment income, and other miscellaneous resources. These combined resources in the Health Care Fund shall be used to pay health care claims, insurance premiums, consulting fees, administrative fees, and other costs related to the health insurance program.

Responsibilities:

The County Manager or his/her designee is responsible for preparing and monitoring financial projections for the Health Care Fund. The County Manager shall submit a statement of projected receipts and disbursements for the Health Care Fund as part of the proposed annual operating budget for consideration by the BOCC. This statement of projected receipts and disbursements for the Health Care Fund shall be submitted to the BOCC by June 30th of each year, and shall document the budgetary and accounting assumptions used to prepare the projections.

The Director of Budget and Financial Planning is responsible for including the final statement of projected receipts and disbursements for the Health Care Fund as part of the annual budget resolution adopted by the BOCC.

Procedure 170.1 Introduction

  1. The County Manager will appoint a Healthcare Fund Management Team (HFMT) to review healthcare utilization, identify trends, analyze data, estimate costs, recommend premiums and cost sharing, and consider plan design. This team will be comprised of the following positions:
    • County Manager or his/her designee(s)
    • Director of Financial Management or his/her designee{s)
    • Health Insurance Program Manager
    • Director of Human Resources or his/her designee(s)
    • Director of Budget and Financial Planning or his/her designee(s)
    • Director of Legal Services or his/her designee(s)
    • At-large member from the Infrastructure area (this position will rotate every two years)
    • At-large member from the Human Services area (this position will rotate every two years)
    • At-large member to represent the governing boards which includes Airport, Developmental Supports, Library, Mental Health, Park and Recreation (this position will rotate every two years)
    • At-large member to represent elected officials which includes District Attorney and Sheriff (this position will rotate every two years)
  2. The County Manager or his/her designee is responsible for providing strategic oversight of the health insurance program.
  3. The Director of Financial Management is responsible for providing oversight of day-to-day management of the health insurance program, including supervision of the Health Insurance Program Manager.
  4. The Health Insurance Program Manager is responsible for providing day-to-day management of the health insurance program, coordinating periodic meetings of the HFMT, and coordinating County interaction with external consultants.
  5. The Director of Human Resources or his/her designee{s) is responsible for assisting the Health Insurance Program Manager with health insurance plan design as it relates to the County's overall compensation philosophy.
  6. The Director of Budget and Financial Planning or his/her designee(s) is responsible for assisting the Health Insurance Program Manager with financial projections for the Health Care Fund.
  7. The Director of Legal Services or his/her designee is responsible for assisting the Health Insurance Program Manager with legal issues related to the health insurance program.
  8. The two year terms for the at-large members will be staggered so that Human Services and Infrastructure will rotate on odd-numbered years and Governing Boards and Elected Officials on even-numbered years.
  9. Upon staff recommendation, the County Manager may approve extensions of terms beyond stated term rotations if needed for the successful operation of the Health Care Fund.
Policy Number: