Lancaster County
Board of Commissioners
Board of Commissioners
STAFF MEETING AGENDA Lancaster County Board of Commissioners Thursday, June 4, 1998 - 8:00 a.m. County-City Building - Meeting Room #113 AGENDA ITEM 1 APPROVAL OF STAFF MEETING MINUTES OF MAY 26 and 28, 1998, AND BUDGET HEARINGS ON MAY 21 AND 26, 1998 2 ADDITIONS TO AGENDA 3 8:00am COMMISSIONER'S MEETING REPORTS - See Item #13 4 8:30am HEALTH INSURANCE REPORT - Scott Blackard and Lori Nipp, Arthur Andersen, LLP; VISION PLAN - Bill Kostner, City Risk Management 5 9:30am LITTER EDUCATION PROGRAM - Scott Holmes, Chief Environmental Director of Health Department; Harry Heafer and Joyce Jensen, Health Department 6 9:45am HANDICAP RAMP AT ADAMS STREET CENTER - George Hanigan, Community Mental Health Center Director 7 10:00am PENDING LITIGATION; SALE OF REAL PROPERTY (EXECUTIVE SESSION) Mike Thew, Chief Deputy County Attorney; Doug Cyr, Deputy County Attorney; Sue Eckley, Workers' Compensation and Risk Manager 8 10:30am PENSION REVIEW COMMITTEE RECOMMENDATIONS 9 ACTION ITEMS a. Reimbursement of Jim Hille for Tour of Juvenile Detention Facilities ($946.58) 10 CONSENT ITEMS 11 ADMINISTRATIVE OFFICER REPORT a. Regulatory Improvement Act of 1997 b. Service Awards for Part-Time Employees 12 PENDING 13 DISCUSSION OF BOARD MEMBER MEETINGS a. Lancaster Manor Advisory Committee - Campbell b. Joint Budget Committee - Campbell, Steinman c. Ecological Advisory Committee - Tussing 14 SCHEDULE OF BOARD MEMBER MEETINGS a. Chamber Infrastructure Committee - Thursday, June 4, 1998, at 7:30 a.m., at the Chamber of Commerce Board Room - Hudkins b. Air Pollution Control Advisory Committee - Monday, June 8, 1998, at 3:00 p.m., at the Health Department - Hudkins c. Growth at the Fringe - Tuesday, June 9, 1998, at 7:30 a.m., at the County-City Building, Mayor's Conference Room - Campbell d. Department Budget Hearings - Tuesday, June 9, 1998, at 8:00 a.m., at the County-City Building, Room #106 - All Commissioners e. Public Building Commission - Tuesday, June 9, 1998, at 12:00 p.m., at the County-City Building, Room #113 - Campbell, Hudkins f. Board of Health - Tuesday, June 9, 1998, at 7:30 p.m., at 3119 "O" Street - Hudkins 15 INVITATIONS TO BOARD MEMBERS a. Early Head Start Celebration - Tuesday, June 9, 1998, at 7:30 a.m., at the Garden Cafe, 70th & "A" Street b. Lincoln Medical Education Foundation Celebration for Graduates of Family Practice Residency - Thursday, June 25, 1998, at 6:30 p.m., at the Cornhusker Hotel 16 CORRESPONDENCE TO THE COUNTY BOARD 17 CORRESPONDENCE FROM THE COUNTY BOARD 18 AGENDA ITEMS FOR COUNTY BOARD MEETING OF JUNE 9, 1998 19 EMERGENCY ITEMS AND OTHER BUSINESS
MINUTES Lancaster County Board of Commissioners County-city Building Meeting Room #113 Thursday, June 4, 1998 8:00 a.m. Commissioners Present: Linda Steinman, Chair Kathy Campbell Darlene Tussing Larry Hudkins Commissioners Absent: Steve Svoboda Others Present: Kerry Eagan, Chief Administrative Officer Dave Kroeker, Budget & Fiscal Officer Diane Staab, Deputy County Attorney Ann Taylor, County Clerk's Office AGENDA ITEM 1 APPROVAL OF MINUTES OF THE COUNTY BOARD OF COMMISSIONERS MEETINGS OF MAY 26TH AND MAY 28TH AND BUDGET HEARINGS OF MAY 21ST AND MAY 26TH, 1998. MOTION: Hudkins moved and Tussing seconded approval of the minutes of the County Board of Commissioners meetings of May 26th and May 28th and Budget Hearings of May 21st and May 26th, 1998. On call Hudkins, Tussing, Campbell and Steinman voted aye. Motion carried. 2 ADDITIONS TO THE AGENDA a. Joint Budget Committee (JBC) Recommendation to Award a Bid for the Community-Based Human Services Needs Assessment and Comprehensive Plan for Lancaster County, City of Lincoln & United Way b. Letter of Support for the Nebraska Commission on Public Advocacy Application for Byrne Memorial Grant Funds c. Request from Don McGinley, Selective Service Director, to use City Council/County Commissioners Hearing Room for a Hispanic Community Event MOTION: Hudkins moved and Tussing seconded to approve the additions to the agenda. On call Hudkins, Tussing, Campbell and Steinman voted aye. Motion carried. 3 COMMISSIONERS' MEETING REPORTS (See Item 12) a. Lancaster Manor Advisory Committee - Campbell Campbell reported that members of the Committee toured the facility and viewed Renewal/Replacement items and the 2nd floor screened porch addition. b. Joint Budget Committee (JBC) - Campbell, Steinman Campbell reported that this year's budget requests were reviewed. She noted that the Joint Budget Committee (JBC) plans to meet after the Commons meeting is held on June 19th to make final funding recommendations. Campbell also reported that $5,000 was added to the County side to provide technical assistance to the Human Service Federation for them to administer the insurance pool. 4 HEALTH INSURANCE REPORT - Scott Blackard and Lori Nipp, Arthur Andersen, LLP; Bill Kostner, City Risk Management; Ron Todd, Personnel Director Lori Nipp, Arthur Andersen, LLP, reviewed a report, Lancaster County, Nebraska, 1998/99 Renewal, June 4, 1998 (Exhibit A), prepared in response to a request from the Board for a self-funded quote from Mutual of Omaha, for employee health and dental plans, with renewal options for 12 months or 16 months. She stated that the 16 month option would allow the County to move to a calendar, rather than fiscal year, plan. Nipp noted that Mutual of Omaha has indicated that there will be two changes to the plan, regardless of whether it is funded or self-funded: Pharmacy Change from co-payments of $5.00 for generic and $10.00 for brand name to co-payments of $8.00 for formulary and $18.00 for non-formulary NOTE: Nipp stated that formulary referred to a list of available drugs frequently prescribed by physicians. These could include generic and brand name drugs. COBRA Administration Charge $0.50 per month for each employee enrolled in the medical plan In response to a question from Hudkins, Nipp stated that Arthur Andersen, LLP, could seek further negotiation with Mutual of Omaha with regards to the change in pharmacy charges. Nipp also indicated that Mutual of Omaha plans to expand its network of pharmacies, including contracts with chain drugstores. Scott Blackard, Arthur Andersen, LLP, reviewed a handout of cost revisions for Insured or Self-Funded, Twelve or Sixteen Month Renewal (Shaded areas indicate changes) and Savings as a Result of the Negotiations (Exhibit B), noting that Mutual of Omaha reduced rates by 2% to make funding of the plan more attractive. (NOTE: These revisions replace tables on Pages 12, 13 and 20 of Exhibit A.) In response to a question from Kroeker, Blackard stated that rates for a 16 month renewal plan will be set by October 1st. Kroeker remarked that the 12 month renewal plan identifies the rates before the County's budget is set for tax levying purposes. Blackard noted that deductibles start over at the beginning of the year. He stated that most employers, including the State of Nebraska, offer calendar year plans and moving to a calendar year plan would make decision making easier for two income families. Nipp noted that the current plan requires a loss ratio of 85% before any funds are returned to the County. She stated that Mutual of Omaha is offering the County a participating contract for the coming year in which the County would be eligible for dividends. Blackard stated that the funded plan Mutual of Omaha is offering has many of the advantages of a self-funded plan. He stated that, at the end of the year, claims and expenses will be deducted from the premium paid in to calculate the profit margin. Excess funds will be return to the County, which can in turn be used to buy-down the rates. Nipp noted that self-funding of the plan this past year would have resulted in $6,364 in additional cost than the insured plan. She stated that the projected figure of $98,253 (Page 11) for increased cost of self-funding the plan for 1998/99 should be increased to $168,174 to reflect the 2% reduction offered by Mutual of Omaha. Blackard noted that the option to self-fund the plan could be exercised if rates continue to increase, although Mutual of Omaha may not wish to administer the plan. Nipp reviewed estimated employee and County contributions for insured and self-funded plans (Exhibit C). (NOTE: This revision replaces the table on Page 13 of Exhibit A.) Blackard noted that health insurance increases for the coming year for 2/4 and Family coverage will be borne entirely by the employees, with the County sharing the cost increase in Single coverage. He stated that cost sharing is based on a 91% or dollar figure amount on Single coverage and a 75% or dollar figure amount on 2/4 or Family coverage. Dental coverage will remain a 50/50 split on contributions. Blackard compared current employee contributions to the new rates for the Insured Plan as follows: MEDICAL Current Rate New Rate Single $ 9.24 $16.50 2/4 $47.93 $68.69 Family $63.32 $91.47 DENTAL Current Rate New Rate Single $ 9.70 $10.32 2/4 $21.95 $23.35 Family $36.47 $38.81 In response to a question from Steinman, Nipp stated that a self-funded plan must conform to federal mandates, but not those of the State. Ron Todd, Personnel Director, recommended that the County proceed with the 12 month renewal option, as cost benefits appeared to be minimal. He also noted that a September renewal plan coincides with cost-of-living increases. MOTION: Campbell moved and Hudkins seconded to proceed with a contract with Mutual of Omaha for health and dental insurance on an insured basis and to proceed with a 12 month renewal. On call Campbell, Hudkins, Tussing and Steinman voted aye. Motion carried. 5 VISION PLAN - Bill Kostner, City Risk Management Bill Kostner, City Risk Management, distributed an article on vision benefits published in the January 1998 edition of Business & Health. He noted that a Vision Plan would provide employees reductions on vision exams, glasses, frames and contact lenses. Kostner noted that the City has offered a Vision Plan, funded totally by employees, for a number of years. He suggested that the County may wish to offer this as well, although there is insufficient time to develop a plan in time for this year's open enrollment. In response to a question from Steinman, Kostner estimated that premiums would run from $12 - $20 per month for Single and Family coverage. (NOTE: Kostner noted later, for the record, that the City's rates range from $17.67 for Single coverage to $62.84 for Family coverage.) He suggested that the City and County pool their respective employees for a joint Request for Proposals (RFP), with separate quotes and no co-mingling of funds. MOTION: Hudkins moved and Tussing seconded to request the Personnel Department to pursue a Vision Plan for County employees. On call Hudkins, Tussing, Campbell and Steinman voted aye. Motion carried. 6 LITTER EDUCATION PROGRAM Harry Heafer and Joyce Jensen, Health Department Harry Heafer, Health Department, reported briefly on the Litter Education Program, noting that promotion tools include billboards, road signs and bumper stickers. Heafer displayed two preliminary designs for road-side signs promoting littering/dumping awareness. He noted that the County Engineering Department has noted concern with regards to placement of the signs on the shoulder area of County roads. Heafer stated that ideal placement would be along the County line and entrance to the City or villages. Joyce Jensen, Health Department, stated that old signs remain at the entrances to many of the villages within the County and at some of the entrances into the City and could be replaced with the new signs. Campbell suggested that Heafer check to see whether the signs could be placed on the same posts as signs noting areas of road clean-up efforts. Hudkins suggested placement of a sign between the Municipal Airport and Interstate 80 on Cornhusker Highway. The Board requested Eagan to communicate the Board's support of the program to Don Thomas, County Engineer, and suggest a cooperative effort with regards to sign placement. Jensen suggested printing of litter bags for distribution, with the program's logo and the Illegal Dumping phone number. The Board requested Heafer and Jensen to work with Dave Kroeker, Budget & Fiscal Officer, regarding budgeting of printing costs and suggested that litter bags be sent to the County/City Building Information Desk for distribution to the public. 7 HANDICAP RAMP AT THE ADAMS STREET CENTER - George Hanigan, Community Mental Health Center Director George Hanigan, Community Mental Health Center Director, reported that bids have been received for a new ramp and basement egress at the Adams Street Center, noting that the lowest bid received was for $40,000. He stated that this amount was $12,500 more than budgeted, but could be augmented by funds set aside for roof repair in the next budget year. Dave Kroeker, Budget & Fiscal Officer, suggested that the $12,500 be allocated from the Building Fund. The Board concurred. Campbell inquired about the status of the Hanigan's research into costs related to transfer of Emergency Protective Custody (EPC) clients to the Community Mental Health Crisis Center (CMHC) from Bryan/LGH. Hanigan stated that the Bryan/LGH nurses will triage EPC clients in the Emergency Room, with immediate transfer to the Crisis Center. He noted that only those clients exhibiting complications will be held in the Emergency Room for stabilization. In response to a question from Campbell, Hanigan stated that the Community Mental Health Crisis Center (CMHC) has developed medical protocol to provide detoxification. ADDITIONS TO THE AGENDA MOTION: Campbell moved and Hudkins seconded to add discussion of detoxification in the Community Mental Health Crisis Center's Emergency Protective Custody Unit to the agenda. On call Campbell, Hudkins, Tussing and Steinman voted aye. ADDITIONS TO THE AGENDA d. Detoxification of Emergency Protective Custody (EPC) Clients in the Community Mental Health Crisis Center (CMHC) George Hanigan, Community Mental Health Center Director, reported that in the past, law enforcement officers transferred Emergency Protective Custody (EPC) clients to either Cornhusker Place or the Emergency Room. Placement will now be in either the Community Mental Health Crisis Center (CMHC) or Bryan/LGH. He noted that the change will result in approximately 180 additional bed days per year for the Crisis Center. Hanigan noted that he is working with law enforcement agencies to develop a policy on when Civil Protective Custody, rather than Emergency Protective Custody, placement should be used. Campbell remarked that if Cornhusker Place will no longer be handling EPC clients, then further consideration should be given to the County contributing funds for renovation costs. Dave Kroeker, Budget & Fiscal Officer, reported that Jim Baird, Cornhusker Place Director, had contacted him and requested direction from the Board so that Cornhusker Place can provide adequate notice to other counties that they will no longer be offering detoxification of EPC clients and can make necessary changes to the scope of renovations. Kroeker also noted that questions still remain with regards to General Assistance billings. The Board requested that Cornhusker Place submit a revised request for the renovation allocation to the Board. Eagan cautioned that a signed contract with Bryan/LGH is needed to limit the County's financial liability for the EPC clients. 8 EXECUTIVE SESSION (PENDING LITIGATION; SALE OF REAL PROPERTY) - Doug Cyr, Deputy County Attorney; Diane Staab, Deputy County Attorney; Sue Eckley, Workers' Compensation & Risk Manager MOTION: Campbell moved and Tussing seconded to enter Executive Session at 10:19 a.m. for the purpose of pending litigation and sale of real property. On call Campbell, Tussing, Hudkins and Steinman voted aye. Motion carried. MOTION: Tussing moved and Campbell seconded to exit Executive Session at 10:53 a.m. On call Tussing, Campbell, Hudkins and Steinman voted aye. Motion carried. DISCUSSION OF BOARD MEMBER MEETINGS e. Ecological Advisory Committee - Tussing Tussing reported that the Wilderness Park Study will be downsized, but data from previous studies will be incorporated. Tussing also noted that Mort Stelling, Ecological Advisory Committee Chair, presented information on Transfer of Development Rights (TDR), in which a developer purchases property from a public entity that they wish to remain protected from development. In exchange, the developer receives consideration of extra development on property deemed more suitable for development. 9 PENSION REVIEW COMMITTEE RECOMMENDATIONS - Doug Cyr, Deputy County Attorney; Terry Adams, Deputy County Treasurer Eagan briefly reviewed the Recommendations from the Pension Review Committee, June 4, 1998, noting the following recommendations: The contract with Public Employees Benefit Services Corporation (PEBSCO) should be renewed for an additional five-year period, commencing December 1, 1998 The funds set forth in Exhibit A to the report should be included in the pension plan, along with two other additional funds, Janus Twenty and Fidelity Advisor Growth Opportunities T The County Board should review its policy of requiring all employer funds to be deposited into the Nation Wide Insurance (NWI) Fixed Account Doug Cyr, Deputy County Attorney, noted that Lancaster County has the most restrictive policy in the nation with regards to investment of employer funds. Terry Adams, Deputy County Treasurer, reported that the City employees have control of their pension funds prior to vesting. He suggested that County employees be given total control of employer funds after full vesting. Brief discussion took place on whether to open up a portion of the employer funds to employee investment, with Hudkins and Steinman voicing concern that the Board has a fiduciary responsibility to see that employees have pension funds upon retirement. Adams noted that only 20% of the Fixed Account Fund can be transferred within a year, and that not all employees will exercise that option. The Board requested that Pete Dyker, Public Employees Benefit Services Corporation (PEBSCO), report to the Board on how other pension plans address the issue of employer contributions at a Thursday, County Board of Commissioners meeting. Eagan suggested a legal review of any litigation pertaining to the employer contribution issue. Eagan reported that the Pension Review Committee also discussed moving the 1.2 million in funds out of the Bankers Life account. He noted that there is a 2% surrender penalty. Campbell suggested that the Forfeiture Fund be used to pay the penalties. Eagan agreed to seek a legal opinion on whether that was permissible. MOTION: Tussing moved and Hudkins seconded to accept the recommendations of the Pension Review Committee, to proceed with Items 1 and 2 and to review Item 3 for further discussion. On call Tussing, Hudkins, Campbell and Steinman voted aye. Motion carried. 10 ACTION ITEMS a. Reimbursement of Jim Hille, Sinclair Hille & Associates Inc., for Tour of Juvenile Detention Facilities ($946.58) Eagan reported that Hille had charged a number of the expenses for lodging and car rental on his credit card, which covered other employees as well. He stated those expenses would need to be deducted. MOTION: Hudkins moved and Campbell seconded to authorize reimbursement of expenses submitted by Jim Hille, Sinclair Hille & Associates Inc., for tour of juvenile detention facilities, based on accounting research by Kerry Eagan, Chief Administrative Officer. On call Hudkins, Campbell, Tussing and Steinman voted aye. Motion carried. 11 ADMINISTRATIVE OFFICER REPORT a. Regulatory Improvement Act of 1997 Campbell reported that the Chamber of Commerce had requested the County Board and City Council to provide letters supporting the Regulatory Improvement Act of 1998. MOTION: Campbell moved and Tussing seconded to authorize a letter to be sent from the County Board to Nebraska's U.S. Senate delegation, supporting the Regulatory Improvement Act of 1998, duplicating the language of a letter sent by the City Council. On call Campbell, Hudkins, Tussing and Steinman voted aye. Motion carried. b. Service Awards for Part-Time Employees Eagan reported that Joyce Hall, part-time employee in County Extension Service, had inquired why she did not receive a service award. He stated that Hall had received a service award five years ago, although it has been the practice to only recognize full-time employees. The Board requested Eagan to respond to Hall's inquiry, noting that it is has been the Board's policy to only issue service awards to full-time employees, although that policy will be reviewed. The Board also requested Eagan to ask Ron Todd, Personnel Director, how difficult it would be to keep track of the number of part-time employees that work 20 hours or more each week. ADDITIONS TO THE AGENDA a. Joint Budget Committee (JBC) Recommendation to Award a Bid for the Community-Based Human Services Needs Assessment and Comprehensive Plan for Lancaster County, City of Lincoln & United Way Eagan reported briefly on a Joint Budget Committee (JBC) recommendation to award a bid for the Community-Based Human Services Needs Assessment and Comprehensive Plan for Lancaster County, City of Lincoln & United Way to Hanna:Keelan Associates, P.C., in association with Ken Seeley, Colorado Foundation for Families and Children Executive Director. The Board will take action on this matter at the Tuesday, June 9th County Board of Commissioners meeting. b. Letter of Support for the Nebraska Commission on Public Advocacy's Application for Byrne Memorial Grant Funds (Exhibit I) MOTION: Campbell moved and Tussing seconded to submit a letter of support for the Nebraska Commission on Public Advocacy's application for Byrne Memorial Grant funds. On call Campbell, Tussing, Hudkins and Steinman voted aye. Motion carried. c. Request from Don McGinley, Selective Service Director, to use City Council/County Commissioners Hearing Room for a Hispanic Community Event Eagan reported that the he had referred the request to Don Killeen, County Property Manager, for recommendation. He noted that City or County involvement is required for use of the City Council/County Commissioners Hearing Room. 12 DISCUSSION OF BOARD MEMBER MEETINGS a. Lancaster Manor Advisory Committee - Campbell b. Joint Budget Committee (JBC) - Campbell, Steinman c. Ecological Advisory Committee - Tussing Items a-c were moved forward on the agenda. 13 SCHEDULE OF BOARD MEMBER MEETINGS a. Chamber Infrastructure Committee - Thursday, June 4, 1998, at 7:30 a.m., at the Chamber of Commerce Board Room - Hudkins b. Air Pollution Control Advisory Committee - Monday, June 8, 1998, at 3 p.m., at the Health Department - Hudkins c. Growth at the Fringe - Tuesday, June 9, 1998, at 7:30 a.m., at the County-City Building, Mayor's Conference Room - Campbell d. Department Budget Hearings - Tuesday, June 9, 1998, at 8 a.m., at the County-City Building, Room #106 - All Commissioners e. Public Building Commission - Tuesday, June 9, 1998, at 12 p.m., at the County-City Building, Room #113 - Campbell, Hudkins f. Board of Health - Tuesday, June 9, 1998, at 7:30 p.m., at 3119 "O" Street - Hudkins 14 INVITATIONS TO BOARD MEMBERS a. Early Head Start Celebration - Tuesday, June 9, 1998, at 7:30a.m., at the Garden Cafe, 70th & "A" Streets b. Lincoln Medical Education Foundation Celebration for Graduates of Family Practice Residency - Thursday, June 25, 1998, at 6:30 p.m., at the Cornhusker Hotel 15 CORRESPONDENCE TO THE COUNTY BOARD 16 CORRESPONDENCE FROM THE COUNTY BOARD 17 AGENDA ITEMS FOR COUNTY BOARD MEETING OF JUNE 9, 1998 18 EMERGENCY ITEMS AND OTHER BUSINESS 19 ADJOURNMENT By direction of the Chair, the meeting was adjourned. ______________________ Kandra Hahn Lancaster County Clerk