2009 - 04-06-09 Regular Meeting - Laserfiche WebLink

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BOOK 2 2 PAGE 72,3 • Establish a process to transfer records to the dentist of a patient's choice, • Establish a records retention process for a period of ten years (to include a process to scan records and place on a CD), • Give notice to the rental company that office space will be vacated (General Service will assist in the movement of any items kept by Lee County and make sure the space is cleaned and repaired per lease guidelines), • Store any equipment/supplies or sell per county policy (General Services to assist in this matter), • During the course of the next fiscal year, staff will still be involved in forwarding records per patient request, • Allow the Regional Dental Hygienist (employed by the State of North Carolina) currently housed in the dental clinic to continue to be housed at the Lee County Health Department; and • Any other action items that may arise from the closing of the clinic. The Board of Health, at their January 2009 meeting, authorized the Health Director to begin the closure process of the dental clinic. After discussion, Chairman Hayes moved to accept the above recommendations from the Health Director and proceed with the closing of the Lee County Dental Clinic effective June 30, 2009. Upon a vote, the results were as follows: Aye: Dalrymple, Hayes, Kelly, Oldham, Paschal, Reives, and Shook Nay: None The Chairman ruled the motion had been adopted unanimously. The Board considered changes to the Lee County Health Insurance Plan for the upcoming fiscal year. Human Resource Director Joyce McGehee presented a proposed health insurance plan that would change the current PPO co-pays from $20/$40 to $25/$50, a change of deductible from $500 to $1,000 and a change in pharmacy benefits from $10, $25, $40 and 75% to $10, $35, $50 and 75%. Employees and retirees that are under age sixty-five would pay $34.63 per month for participation in the PPO Plan. The new plan would also add a Health Savings Account (HSA) Plan for county employees with a $750 contribution by the County with a higher deductible of $1,500. Employees and retirees that are under the age of sixty-five will not pay a premium for the HSA Plan. The new plan would also provide a Medicare supplemental plan at no cost for retirees who are post sixty-five years of age. The plan had previously been presented to the Commissioners during their Annual Planning Retreat held in late March. Ms. McGehee stated health insurance costs will decrease by 6.5% by incorporating the above changes to the current plan and adding the new plan. The County will see a 13.5% increase in cost if the County stays with the current plan. After some discussion, Commissioner Reives moved to approve changes to the Lee County Health Plan as presented above, a copy of which is attached to these minutes and by this reference made a part hereof. Upon a vote, the results were as follows: Aye: Dalrymple, Hayes, Kelly, Oldham, Paschal, Reives, and Shook Nay: None The Chairman ruled the motion had been adopted unanimously. Finance Director Lisa Minter discussed the Medicaid Hold Harmless Refund which is a payment of funds to the North Carolina Department of Revenue for overpayment related to the Medicaid Hold Harmless payment received in FY 2007-2008. It has been determined that Lee County was overpaid