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>> All right,

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I've got 4:30. If everyone

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would turn

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on their microphone.

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Is the recording going?

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>> Yes.

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>> All right, well,

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welcome you all to the

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Regular Finance Personnel

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Insurance Committee meeting.

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Today is Tuesday, August

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11, 2026. Are we

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in compliance

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with the open meeting?

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>> Yes, you are.

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>> Thank you. Number 2, we

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have an agenda. Someone like

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to move.

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>> Move to approve the

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agenda, please.

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>> Second.

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>> Any changes, questions?

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All right, so I'll put

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into a vote to approve the

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agenda as presented. All

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those in favor signify

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by saying aye.

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>> Aye.

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>> Opposed, same sign.

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That passes.

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Number 3, we have two former

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minutes to approve. Do we do

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those together or separately?

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>> Do it together.

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>> Thank you. So we have the

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draft minutes from the July

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14 meeting and the July 21

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meeting to approve.

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>> I make a motion.

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>> Thank you. Any changes,

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corrections, typos?

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All those in favor

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of approving the Draft

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minutes from July 14 and

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July 21, 2026 meetings

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signify by saying aye.

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>> Aye.

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>> Those opposed,

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same sign. It's passed. All

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right, number 4, public

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comment.

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>> None here.

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>> So, no public here. So, we

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won't have any public

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comment. Number 5,

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communications.

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>> No communications either.

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>> Thank you, Stephanie. No

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communications. We'll move

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on to number 6, business

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items, starting

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with the presentation

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of the Sauk county medical

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Plan options by M3

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Insurance.

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>> Yeah, so I'll kick it

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off ever so briefly. So M3

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was here last month,

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the month before,

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presented information

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on kind of where we were at

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with medical plan options,

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looking for 2027 and

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beyond. So, I've done some

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work with the M3 team,

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have some more numbers,

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information,

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some pieces where we're at.

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As of today,

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nothing is finalized yet. As

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we go

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through the budget process,

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Lisa and I will continue

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to work through plan design

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and what makes the most

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sense. But wanted to update

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the committee because this

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will ultimately be coming

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back through a resolution

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for 2027 plans next month

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in September. So that way

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we're not hopefully

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surprising you. We won't be

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with too much here. So, I'm

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just going

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to get them plugged.

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>> Technology.

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>> Thank you.

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>> Nice

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to see you all again. Ryan

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Pels with M3 Clayton

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executive work closely with

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Lisa and MJ. As we presented

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last month, we kind of laid

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out the roadmap

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of what it looks like

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for the county,

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what we're doing together

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in terms of marketing. So

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what you have in front of you

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is really an illustration

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of what's up here. So, this

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is. We'll walk

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through the presentation

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on the TV as well, but this

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is the executive summary. So

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we did receive the renewal

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from Dean, the health

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insurance renewal from

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Dean, and it came out

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at 14.9%. And if you

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remember, for those

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of you that were

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in the room last month,

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we went

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through how you're running

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in terms

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of medical loss ratio, your

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experience, the high cost

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claimants,

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probably not surprised based

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on that presentation a month

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ago.

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Right.

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So, 14.9 weren't super

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excited about that. I worked

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with Anna, went back to Dean

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and was able to

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at least get 1 percentage

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point off. So that is

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depicted

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on this screen here. The

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other items that we talked

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about last month were

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strategic planning that we've

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been working together on

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in terms of rounding

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out the benefit options

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within the county. So we've

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always had the traditional

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low deductible option for

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employees and it's always

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been the desire to add to

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that a high deductible health

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plan that can be paired

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with an HSA. So, we will show

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you what that means

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to the district, excuse me,

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to the county as we walk

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through here.

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But any questions

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on the executive summary

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before we dive into the high

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deductible health plan

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options and what that looks

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like in terms of modeling? I

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know this is small. I

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apologize.

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>> So after the meeting,

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I didn't want

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to give you too much

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in advance, but

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after the meeting,

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this is on. Everything

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they're going to present is a

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link via the website. So, we

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will send this out

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to the committee. So, you will

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have all this information.

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So don't take crazy notes.

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We'll give this to you. We

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just didn't want

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to get you too far

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on the leads before we could

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give you a high level and run

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through it first.

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>> Yeah.

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And I would say there's a

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lot of information

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on this link that will be

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sent out to you. So, if you

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have any questions,

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feel free to reach out to

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Hannah and the team. We're

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happy to answer that. We'll

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summarize all the information

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here. And as I'm going fast,

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I apologize. We will talk

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about quickly. The dental

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renewal came in at plus 6%.

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And just as a reminder,

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that is a voluntary plan. So

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that's no financial impact

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to the county, but we want

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to at least let you know it's

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a 6%. And I would say that's

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very common right now

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in the dental. We

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talked a little bit about

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that. I think last month,

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dental,

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we're seeing anywhere from 8

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to 10% increases just based

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on marketplace and inflation,

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etc. So the voluntary dental

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plan came in at 6%. Your

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vision plan all the way

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to the right is 0%. That is

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in rate guarantee until 2030.

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So those lines I just wanted

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to chat about quick

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before we move into,

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obviously, the high end here,

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the medical modeling and the

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renewal.

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>> And if you have additional

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questions or you want

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additional details on the

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dental and vision renewals,

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there are tabs

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at the top that you can see.

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When you get this,

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you can read

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through it all. There is a

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ton of information on there

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about how those plans are

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running and whatnot. So

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that's available to you

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to review. But we know we

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only have a short amount

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of time, so we want to focus

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on the medical today.

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Okay.

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So, we'll just really

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quickly jump to this tab. We

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kind of already talked

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about it. Initial renewal is

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a 14.9. Ryan was able to go

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back and get a 13.9%

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increase. Right here

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in this box right there, you

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can see the calculated

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increase. So M3,

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our actuarial analysis, our

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risk management team puts

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together an actuarial

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analysis. So, we have what

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your prior year renewal

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calculated

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at that means what Dean said,

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00:07:49,100 --> 00:07:50,100
hey,

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00:07:50,100 --> 00:07:52,100
this is what they deserve

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00:07:52,100 --> 00:07:53,100
for an increase. So, if you'll

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00:07:53,100 --> 00:07:55,100
remember, you got a 9.9 last

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year. Dean really should have

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given you a 27.84 just

267
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because

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of how you were running,

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how the county was running,

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I should say. So, they gave

271
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you initial rate relief.

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Same thing this year. 32.5 is

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actually what was warranted.

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They came out at the 14

275
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point,

276
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or they gave you 17.6% of

277
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rate relief is what we call

278
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it. And then the recommended

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increase was what they put

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out with the 14.9. We have

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now gotten it down to 13.9.

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And then this side right here

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is what our risk management

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actuaries calculated. We

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would have said based

286
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on how you're running,

287
00:08:34,100 --> 00:08:35,100
it would be a 34.45. And then

288
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the rate relief we would have

289
00:08:38,100 --> 00:08:40,401
given you was a 9.43

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for various factors,

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00:08:42,100 --> 00:08:43,100
credibility, things

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like that. But then our final

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renewal that,

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like our actuary team

295
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Sundays was a 25. So that

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13.9 might seem like a lot,

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but it's actually better than

298
00:08:54,100 --> 00:08:56,100
what M3 would have calculated

299
00:08:56,100 --> 00:08:58,100
as well. So we felt it was

300
00:08:58,100 --> 00:09:00,401
fair for the market.

301
00:09:01,100 --> 00:09:03,401
Any questions on that?

302
00:09:04,100 --> 00:09:05,100
>> I have a question.

303
00:09:05,100 --> 00:09:06,100
I know there's a lot

304
00:09:06,100 --> 00:09:08,100
to that,

305
00:09:08,100 --> 00:09:09,100
but how do they come up

306
00:09:09,100 --> 00:09:10,100
with those figures? And how

307
00:09:10,100 --> 00:09:11,100
did you come up

308
00:09:11,100 --> 00:09:12,100
with your figures

309
00:09:12,100 --> 00:09:13,100
before them?

310
00:09:13,100 --> 00:09:14,100
>> Sure.

311
00:09:14,100 --> 00:09:15,100
Great question.

312
00:09:15,100 --> 00:09:16,100
>> That's a lot.

313
00:09:16,100 --> 00:09:17,100
>> Yeah, it is a lot. So, and

314
00:09:17,100 --> 00:09:19,100
we touched on this, I think,

315
00:09:19,100 --> 00:09:20,100
last month, too. How carriers

316
00:09:20,100 --> 00:09:21,100
look at this and evaluate

317
00:09:21,100 --> 00:09:22,100
specific claims. So, they're

318
00:09:22,100 --> 00:09:24,100
going

319
00:09:24,100 --> 00:09:26,100
to calculate that based

320
00:09:26,100 --> 00:09:28,100
on prior experience, based

321
00:09:28,100 --> 00:09:29,100
on current experience. And

322
00:09:29,100 --> 00:09:31,100
they can see when we chatted

323
00:09:31,100 --> 00:09:32,100
about high cost claims and

324
00:09:32,100 --> 00:09:34,100
known risk. Right. They know

325
00:09:34,100 --> 00:09:35,100
what the prognosis

326
00:09:35,100 --> 00:09:37,100
of that is. So, there's a lot

327
00:09:37,100 --> 00:09:39,100
of variables going forward,

328
00:09:39,100 --> 00:09:41,100
including the fact that they

329
00:09:41,100 --> 00:09:44,100
have a hospital here. So, we

330
00:09:44,100 --> 00:09:45,100
chatted about that as well.

331
00:09:45,100 --> 00:09:47,100
Sauk county is an important

332
00:09:47,100 --> 00:09:48,100
client to them. So, they're

333
00:09:48,100 --> 00:09:50,100
not going

334
00:09:50,100 --> 00:09:51,100
to release a 27.84%. They

335
00:09:51,100 --> 00:09:52,100
know it's not viable

336
00:09:52,100 --> 00:09:54,100
for you. But when they look

337
00:09:54,100 --> 00:09:55,100
at that prior period,

338
00:09:55,100 --> 00:09:57,100
current period,

339
00:09:58,100 --> 00:09:59,100
and they walk that down,

340
00:09:59,100 --> 00:10:00,100
they will come

341
00:10:00,100 --> 00:10:01,100
to a business adjustment,

342
00:10:01,100 --> 00:10:03,100
which is that rate relief

343
00:10:03,100 --> 00:10:06,100
to get to that 14.9%. So

344
00:10:06,100 --> 00:10:07,100
there's also the look

345
00:10:07,100 --> 00:10:09,100
at their manual rates. So, if

346
00:10:09,100 --> 00:10:11,100
it was just that plan design,

347
00:10:11,100 --> 00:10:12,100
that $500 deductible plan

348
00:10:12,100 --> 00:10:14,100
design that you currently

349
00:10:14,100 --> 00:10:16,100
have here at the county,

350
00:10:16,100 --> 00:10:17,100
what would that be manually?

351
00:10:17,100 --> 00:10:18,100
And they'll compare that to

352
00:10:18,100 --> 00:10:20,100
your actual experience as

353
00:10:20,100 --> 00:10:21,100
well. There's a lot that goes

354
00:10:21,100 --> 00:10:22,100
in there from an actuarial

355
00:10:22,100 --> 00:10:24,100
standpoint.

356
00:10:24,100 --> 00:10:25,100
>> I thought I heard you say

357
00:10:25,100 --> 00:10:26,100
that they're going back

358
00:10:26,100 --> 00:10:27,100
at what the county has

359
00:10:27,100 --> 00:10:29,100
in the past.

360
00:10:29,100 --> 00:10:30,100
Correct?

361
00:10:30,100 --> 00:10:32,100
Are they also doing

362
00:10:32,100 --> 00:10:33,100
comparison to other counties

363
00:10:33,100 --> 00:10:34,100
and other organizations

364
00:10:34,100 --> 00:10:36,100
similar size or is it mostly

365
00:10:36,100 --> 00:10:37,100
just based on what Sauk

366
00:10:37,100 --> 00:10:38,100
county is?

367
00:10:38,100 --> 00:10:40,100
>> No, they'll look at their

368
00:10:40,100 --> 00:10:41,100
pool performance as well.

369
00:10:41,100 --> 00:10:43,100
So, you're in a pool

370
00:10:43,100 --> 00:10:44,100
at deemed powered by

371
00:10:44,100 --> 00:10:45,100
Medica.

372
00:10:45,100 --> 00:10:46,100
Right.

373
00:10:46,100 --> 00:10:47,100
And how is that pool

374
00:10:47,100 --> 00:10:48,100
performing?

375
00:10:48,100 --> 00:10:50,100
And the larger you are and

376
00:10:50,100 --> 00:10:51,100
the longer you are

377
00:10:51,100 --> 00:10:52,100
with a carrier, the more

378
00:10:52,100 --> 00:10:54,100
credibility you have.

379
00:10:54,100 --> 00:10:55,100
So, you're a fairly large

380
00:10:55,100 --> 00:10:56,100
district and I don't have it

381
00:10:56,100 --> 00:10:57,100
in front of me. The actual

382
00:10:57,100 --> 00:10:59,100
exhibit. They'll give you

383
00:10:59,100 --> 00:11:00,100
credibility to what Lex said

384
00:11:00,100 --> 00:11:02,100
earlier. You're not

385
00:11:02,100 --> 00:11:04,100
necessarily 100% credible,

386
00:11:04,100 --> 00:11:05,100
or maybe you are,

387
00:11:05,100 --> 00:11:07,100
I can't recall. And then they

388
00:11:07,100 --> 00:11:09,401
would hunt. Your experience

389
00:11:10,100 --> 00:11:11,100
is what they will go

390
00:11:11,100 --> 00:11:13,100
off of. They won't compare

391
00:11:13,100 --> 00:11:15,100
you to anything else because

392
00:11:15,100 --> 00:11:16,100
they know you have enough

393
00:11:16,100 --> 00:11:18,100
lives and they can trend that

394
00:11:18,100 --> 00:11:19,100
forward

395
00:11:19,100 --> 00:11:20,100
to how your performance is

396
00:11:20,100 --> 00:11:21,100
with them,

397
00:11:21,100 --> 00:11:22,100
if that makes sense. Okay, so

398
00:11:22,100 --> 00:11:25,601
all the way to the right.

399
00:11:26,100 --> 00:11:28,100
Lex mentioned the 34.45, the

400
00:11:28,100 --> 00:11:29,100
9.43 initial rate relief and

401
00:11:29,100 --> 00:11:31,100
the 25.02. How we come up

402
00:11:31,100 --> 00:11:33,100
with that is we have about

403
00:11:33,100 --> 00:11:35,100
1300 clients,

404
00:11:36,100 --> 00:11:38,100
employee benefit clients

405
00:11:38,100 --> 00:11:39,100
with health insurance

406
00:11:39,100 --> 00:11:41,100
within the M3 family. So

407
00:11:41,100 --> 00:11:42,100
that's all the benchmarking

408
00:11:42,100 --> 00:11:45,100
in our data, if you will. So

409
00:11:45,100 --> 00:11:46,100
that's aggregated and

410
00:11:46,100 --> 00:11:48,100
averaged out and then the

411
00:11:48,100 --> 00:11:50,100
actuaries do their math and

412
00:11:50,100 --> 00:11:52,100
that's how they come up

413
00:11:52,100 --> 00:11:55,100
with that. It's not perfect,

414
00:11:55,100 --> 00:11:57,100
but it's generally speaking

415
00:11:57,100 --> 00:11:58,100
client your size based

416
00:11:58,100 --> 00:12:00,100
on your geography.

417
00:12:01,100 --> 00:12:02,100
What are we seeing overall

418
00:12:02,100 --> 00:12:04,100
in the book of business

419
00:12:04,100 --> 00:12:05,100
for the most current period,

420
00:12:05,100 --> 00:12:07,100
if you will.

421
00:12:13,100 --> 00:12:14,100
>> So, we won't go through,

422
00:12:14,100 --> 00:12:15,100
you know, the high cost

423
00:12:15,100 --> 00:12:17,100
claims and stuff. We did that

424
00:12:17,100 --> 00:12:18,100
last time for those

425
00:12:18,100 --> 00:12:19,100
of you that were here. But

426
00:12:19,100 --> 00:12:21,100
again you'll have that

427
00:12:21,100 --> 00:12:22,100
information that you can kind

428
00:12:22,100 --> 00:12:23,100
of look at when we talk

429
00:12:23,100 --> 00:12:25,100
about that. Last time we were

430
00:12:25,100 --> 00:12:26,100
here we talked

431
00:12:26,100 --> 00:12:28,100
about how we were going

432
00:12:28,100 --> 00:12:30,100
to go to market the different

433
00:12:30,100 --> 00:12:31,100
options we had. Self funding,

434
00:12:31,100 --> 00:12:32,100
ICHRA,

435
00:12:32,100 --> 00:12:33,100
all those fun things. We

436
00:12:33,100 --> 00:12:34,100
determined let's just stick

437
00:12:34,100 --> 00:12:36,100
with fully insured because

438
00:12:36,100 --> 00:12:37,100
that's what made sense

439
00:12:37,100 --> 00:12:38,100
for your group

440
00:12:38,100 --> 00:12:39,100
in the county. And so we did

441
00:12:39,100 --> 00:12:41,100
and unfortunately all

442
00:12:41,100 --> 00:12:43,100
of the plans or all

443
00:12:43,100 --> 00:12:44,100
of the carriers that we went

444
00:12:44,100 --> 00:12:46,100
to market for so Group

445
00:12:46,100 --> 00:12:47,100
Health Cooperative, GHC,

446
00:12:47,100 --> 00:12:49,100
WPS Health Solutions, WCAGHT

447
00:12:49,100 --> 00:12:50,100
with is Wisconsin Counties

448
00:12:50,100 --> 00:12:52,100
Association, Group Health

449
00:12:53,100 --> 00:12:55,100
Trust and courts,

450
00:12:55,100 --> 00:12:56,100
they all denied. Now courts,

451
00:12:56,100 --> 00:12:58,100
I will say they really dated

452
00:12:58,100 --> 00:13:00,100
a lot of back and forth

453
00:13:00,100 --> 00:13:01,100
with us. We're really diving

454
00:13:01,100 --> 00:13:03,100
into some things. We gave

455
00:13:03,100 --> 00:13:04,100
them a lot of, you know,

456
00:13:04,100 --> 00:13:06,100
we had a lot

457
00:13:06,100 --> 00:13:07,100
of conversations

458
00:13:07,100 --> 00:13:08,100
but ultimately none

459
00:13:08,100 --> 00:13:09,100
of the carriers were able to

460
00:13:09,100 --> 00:13:10,100
provide more competitive

461
00:13:10,100 --> 00:13:12,100
rates than you have than your

462
00:13:12,100 --> 00:13:14,100
renewal would be. So that's

463
00:13:14,100 --> 00:13:16,100
why they declined quote.

464
00:13:16,100 --> 00:13:18,100
>> Any questions

465
00:13:19,100 --> 00:13:20,100
on the marketing

466
00:13:20,100 --> 00:13:22,100
at all?

467
00:13:30,100 --> 00:13:32,100
>> All right, I know there's

468
00:13:32,100 --> 00:13:35,100
a ton of stuff on here,

469
00:13:35,100 --> 00:13:36,100
but we'll walk you

470
00:13:36,100 --> 00:13:38,100
through it and then

471
00:13:38,100 --> 00:13:39,100
like I said, you guys will

472
00:13:39,100 --> 00:13:40,100
get this and you can review

473
00:13:40,100 --> 00:13:41,100
it on your own. Do you want

474
00:13:41,100 --> 00:13:43,100
to start?

475
00:13:43,100 --> 00:13:44,100
>> Yeah, sure.

476
00:13:44,100 --> 00:13:45,100
So the table up top here

477
00:13:45,100 --> 00:13:46,100
shows your current HMO spend.

478
00:13:46,100 --> 00:13:47,100
That dark blue bar. Lex will

479
00:13:47,100 --> 00:13:49,100
scroll over that and then

480
00:13:49,100 --> 00:13:50,100
your renewal. So total

481
00:13:50,100 --> 00:13:51,100
premium,

482
00:13:51,100 --> 00:13:53,100
what that 13.9% results in.

483
00:13:53,100 --> 00:13:56,100
And then what we did was we

484
00:13:56,100 --> 00:13:58,100
asked Dean for some alternate

485
00:13:58,100 --> 00:14:01,100
plan options knowing that we

486
00:14:01,100 --> 00:14:03,100
would really like to offer

487
00:14:03,100 --> 00:14:05,401
high deductible health plan

488
00:14:06,100 --> 00:14:08,100
that could be paired

489
00:14:08,100 --> 00:14:09,100
with an HSA. And so this

490
00:14:09,100 --> 00:14:10,100
shows total premium at the

491
00:14:10,100 --> 00:14:12,100
1700 53,500 single family

492
00:14:13,100 --> 00:14:14,100
deductible HSA option, the

493
00:14:14,100 --> 00:14:15,100
2000, 4000 option, 357 option

494
00:14:15,100 --> 00:14:17,100
and then the 48 option

495
00:14:17,100 --> 00:14:18,100
in a couple,

496
00:14:18,100 --> 00:14:20,100
just a couple pieces

497
00:14:20,100 --> 00:14:22,100
of information here. Option

498
00:14:22,100 --> 00:14:24,100
117 53,500. That is the

499
00:14:24,100 --> 00:14:27,100
minimum the IRS will allow

500
00:14:27,100 --> 00:14:29,401
for deductibles that qualify

501
00:14:31,100 --> 00:14:33,100
for HSAs. 2000, 4000. Very

502
00:14:39,100 --> 00:14:41,100
common plan design if you

503
00:14:41,100 --> 00:14:43,100
will, especially if you're

504
00:14:43,100 --> 00:14:45,100
just thinking

505
00:14:45,100 --> 00:14:46,100
about implementing an HSA.

506
00:14:46,100 --> 00:14:48,100
And the reason for that is

507
00:14:48,100 --> 00:14:50,100
every year the IRS will up

508
00:14:50,100 --> 00:14:51,100
that minimum. So last year I

509
00:14:51,100 --> 00:14:53,100
think it was $1,700 34. They

510
00:14:53,100 --> 00:14:56,100
always up it like $50 a

511
00:14:56,100 --> 00:14:58,100
single, $100 a family every

512
00:14:58,100 --> 00:15:01,100
year. That happens when we

513
00:15:01,100 --> 00:15:02,100
have clients

514
00:15:02,100 --> 00:15:04,401
with more minimums. The

515
00:15:05,100 --> 00:15:06,100
employees say, why are you

516
00:15:06,100 --> 00:15:08,100
upping my deductible? It's

517
00:15:08,100 --> 00:15:10,100
not us, it's the IRS. So our

518
00:15:10,100 --> 00:15:12,100
strategy is always

519
00:15:12,100 --> 00:15:14,100
to increase that a little bit

520
00:15:14,100 --> 00:15:15,100
to 2,000, 4,000, so we get

521
00:15:15,100 --> 00:15:17,100
away

522
00:15:17,100 --> 00:15:19,100
from that minimum increase

523
00:15:19,100 --> 00:15:20,100
from the IRS. So we really

524
00:15:20,100 --> 00:15:22,100
focused on this 2000, $4,000

525
00:15:22,100 --> 00:15:23,100
plan with Dean, if that makes

526
00:15:23,100 --> 00:15:26,100
sense. So go ahead, Lex.

527
00:15:28,100 --> 00:15:29,100
>> I was just going to say,

528
00:15:29,100 --> 00:15:31,100
this chart right here,

529
00:15:31,100 --> 00:15:32,100
all this is,

530
00:15:32,100 --> 00:15:33,100
is it's just a chart version

531
00:15:33,100 --> 00:15:34,100
of what's above. So we've

532
00:15:34,100 --> 00:15:36,100
shown a lot

533
00:15:36,100 --> 00:15:37,100
of it multiple ways

534
00:15:37,100 --> 00:15:38,100
for people that like

535
00:15:38,100 --> 00:15:39,100
to see it different ways.

536
00:15:39,100 --> 00:15:41,100
Same thing with the point

537
00:15:41,100 --> 00:15:42,100
of service plan. Exactly what

538
00:15:42,100 --> 00:15:43,100
Ryan talked about. You have

539
00:15:43,100 --> 00:15:45,100
10 people on the point

540
00:15:45,100 --> 00:15:46,100
of service plan

541
00:15:46,100 --> 00:15:48,100
with the county. So we,

542
00:15:48,100 --> 00:15:49,100
for the purpose of this,

543
00:15:49,100 --> 00:15:50,100
we really won't focus much

544
00:15:50,100 --> 00:15:51,100
on the point

545
00:15:51,100 --> 00:15:52,100
of service plan,

546
00:15:52,100 --> 00:15:53,100
but that will continue

547
00:15:53,100 --> 00:15:55,100
to be offered. That's not

548
00:15:55,100 --> 00:15:56,100
going away way. It's just

549
00:15:56,100 --> 00:15:57,100
there's only 10 people. So

550
00:15:57,100 --> 00:15:58,100
it's minimal spend and it's

551
00:15:58,100 --> 00:16:01,100
minimal. We'll talk about it.

552
00:16:02,100 --> 00:16:03,100
>> I have a question.

553
00:16:03,100 --> 00:16:04,100
>> Yeah, go ahead.

554
00:16:04,100 --> 00:16:05,100
>> Thank you. I couldn't

555
00:16:05,100 --> 00:16:07,401
actually see the numbers

556
00:16:08,100 --> 00:16:09,100
of how much we'd be spending

557
00:16:09,100 --> 00:16:11,100
for each of those plans,

558
00:16:11,100 --> 00:16:13,100
but is that based on the

559
00:16:13,100 --> 00:16:14,100
people who are currently

560
00:16:14,100 --> 00:16:16,100
enrolled?

561
00:16:16,100 --> 00:16:17,100
>> Yep.

562
00:16:17,100 --> 00:16:18,100
So that's current

563
00:16:18,100 --> 00:16:19,100
elections as of today,

564
00:16:19,100 --> 00:16:20,100
or when we sent this over,

565
00:16:20,100 --> 00:16:21,100
that your team provided us a

566
00:16:21,100 --> 00:16:22,100
census and we sent that over.

567
00:16:22,100 --> 00:16:23,100
And keep in mind,

568
00:16:23,100 --> 00:16:24,100
on this tab, we're looking

569
00:16:24,100 --> 00:16:27,601
at the total as a whole.

570
00:16:28,100 --> 00:16:29,100
That's not just the county

571
00:16:29,100 --> 00:16:30,100
spend. So the county pays 88%

572
00:16:30,100 --> 00:16:32,401
of the HMO and 83

573
00:16:33,100 --> 00:16:36,601
of the point of service. So

574
00:16:38,100 --> 00:16:40,100
that breakdown is a little

575
00:16:40,100 --> 00:16:41,100
bit further

576
00:16:41,100 --> 00:16:43,100
in the presentation,

577
00:16:43,100 --> 00:16:44,100
but this is looking at the

578
00:16:44,100 --> 00:16:46,100
just the total premiums as a

579
00:16:46,100 --> 00:16:47,100
whole. And on that,

580
00:16:47,100 --> 00:16:49,100
on this page, this total

581
00:16:49,100 --> 00:16:51,401
renewal annual and total

582
00:16:52,100 --> 00:16:53,100
current annual, those numbers

583
00:16:53,100 --> 00:16:55,100
include both employee and

584
00:16:55,100 --> 00:16:57,100
employer contributions. So

585
00:16:59,100 --> 00:17:01,100
that's a total combined

586
00:17:01,100 --> 00:17:02,100
blended. But we'll get

587
00:17:02,100 --> 00:17:04,100
to the breakdown here.

588
00:17:04,100 --> 00:17:06,100
>> Yeah.

589
00:17:08,100 --> 00:17:10,100
>> Okay, so this screen here,

590
00:17:10,100 --> 00:17:12,100
what we did is very

591
00:17:12,100 --> 00:17:13,100
conservative adoption

592
00:17:13,100 --> 00:17:15,100
of the HSA. We don't think

593
00:17:15,100 --> 00:17:17,100
that half

594
00:17:17,100 --> 00:17:18,100
of your staff is going

595
00:17:18,100 --> 00:17:20,100
to elect the HSA. It's just,

596
00:17:20,100 --> 00:17:22,100
it's a different plan design.

597
00:17:22,100 --> 00:17:24,100
You know, it's got different

598
00:17:24,100 --> 00:17:26,100
nuances, if you will. So we

599
00:17:26,100 --> 00:17:27,100
like

600
00:17:27,100 --> 00:17:28,100
to be very conservative. If

601
00:17:28,100 --> 00:17:30,100
we do implement an HDHP,

602
00:17:30,100 --> 00:17:32,100
what does that mean? How does

603
00:17:32,100 --> 00:17:34,100
it look? So on the left here

604
00:17:34,100 --> 00:17:36,100
you can see 10% adoption.

605
00:17:36,100 --> 00:17:38,100
What does that mean?

606
00:17:38,100 --> 00:17:39,100
To your question, before we

607
00:17:39,100 --> 00:17:41,100
showed that minus 7.04%

608
00:17:41,100 --> 00:17:43,100
of that 2000, 4000. That's if

609
00:17:43,100 --> 00:17:44,100
everybody goes

610
00:17:44,100 --> 00:17:46,100
into that plan design,

611
00:17:46,100 --> 00:17:48,100
it's not going to happen. So

612
00:17:48,100 --> 00:17:49,100
10%, what is the result

613
00:17:49,100 --> 00:17:51,100
for 10%?

614
00:17:51,100 --> 00:17:52,100
You can see basically it is

615
00:17:52,100 --> 00:17:54,100
$110,000 savings

616
00:17:54,100 --> 00:17:56,100
to the county. And how we

617
00:17:56,100 --> 00:17:59,100
derived at that is the

618
00:17:59,100 --> 00:18:00,100
premium differential that

619
00:18:00,100 --> 00:18:02,100
minus 7.04%.

620
00:18:03,100 --> 00:18:04,100
But then we're going

621
00:18:04,100 --> 00:18:05,100
to give the

622
00:18:05,100 --> 00:18:06,100
employees an incentive

623
00:18:06,100 --> 00:18:08,100
to enroll in this. Right.

624
00:18:08,100 --> 00:18:10,100
It's an HSA qualified plan.

625
00:18:10,100 --> 00:18:12,100
1500 per single, 2000 per

626
00:18:12,100 --> 00:18:14,100
family, excuse me, 3000 per

627
00:18:14,100 --> 00:18:15,100
family would go

628
00:18:15,100 --> 00:18:16,100
into an HSA. The county would

629
00:18:16,100 --> 00:18:18,100
contribute that to

630
00:18:18,100 --> 00:18:19,100
their account. When you roll

631
00:18:19,100 --> 00:18:20,100
all that up,

632
00:18:20,100 --> 00:18:22,100
there still is a savings of

633
00:18:22,100 --> 00:18:24,100
$110,000 to the county.

634
00:18:26,100 --> 00:18:27,100
>> And keep in mind,

635
00:18:27,100 --> 00:18:28,100
this modeling

636
00:18:28,100 --> 00:18:29,100
on this page is based off

637
00:18:29,100 --> 00:18:31,100
of 2000, $4,000 deductible

638
00:18:31,100 --> 00:18:32,100
plan. And the we were kind

639
00:18:32,100 --> 00:18:34,100
of our idea

640
00:18:35,100 --> 00:18:37,100
behind why we decided

641
00:18:37,100 --> 00:18:39,100
to do a $1500, $3000

642
00:18:39,100 --> 00:18:41,100
contribution to the HSA is so

643
00:18:41,100 --> 00:18:43,100
that the HSA plan would still

644
00:18:43,100 --> 00:18:45,401
feel like your $500,000 plan.

645
00:18:48,100 --> 00:18:50,100
Right.

646
00:18:50,100 --> 00:18:51,100
So your deductible minus

647
00:18:51,100 --> 00:18:52,100
the HRA contributions would

648
00:18:52,100 --> 00:18:55,100
be about that. So we wanted

649
00:18:55,100 --> 00:18:56,100
to keep it equitable.

650
00:18:56,100 --> 00:18:57,100
But that said,

651
00:18:57,100 --> 00:18:58,100
this is not set in stone

652
00:18:58,100 --> 00:19:00,100
like Anna said. None

653
00:19:00,100 --> 00:19:01,100
of this is set in stone.

654
00:19:01,100 --> 00:19:02,100
This is just what we model

655
00:19:02,100 --> 00:19:04,100
because that's what we're

656
00:19:04,100 --> 00:19:05,100
seeing as far as

657
00:19:05,100 --> 00:19:07,100
benchmarking. And that's what

658
00:19:07,100 --> 00:19:08,100
people typically do first

659
00:19:08,100 --> 00:19:10,100
year. Again, if we decide

660
00:19:10,100 --> 00:19:11,100
to go down this route,

661
00:19:11,100 --> 00:19:12,100
we can talk a lot more

662
00:19:12,100 --> 00:19:13,100
about it, but we wouldn't

663
00:19:13,100 --> 00:19:14,100
necessarily say that every

664
00:19:14,100 --> 00:19:17,100
single year the county would

665
00:19:17,100 --> 00:19:19,100
give 1500, 3000. It might just

666
00:19:19,100 --> 00:19:20,100
be a first year. You give

667
00:19:20,100 --> 00:19:22,100
that and then, you know,

668
00:19:22,100 --> 00:19:23,100
going forward it's a little

669
00:19:23,100 --> 00:19:25,100
bit less to adjustment.

670
00:19:25,100 --> 00:19:26,100
That's, that's kind

671
00:19:26,100 --> 00:19:27,100
of the strategy that we see

672
00:19:27,100 --> 00:19:29,401
with a good number

673
00:19:30,100 --> 00:19:32,100
of our clients that do roll

674
00:19:32,100 --> 00:19:33,100
out a high deductible health

675
00:19:33,100 --> 00:19:35,100
plan option is that maybe the

676
00:19:35,100 --> 00:19:37,100
first year to help them seed

677
00:19:37,100 --> 00:19:39,100
their HSA a little bit more?

678
00:19:39,100 --> 00:19:40,100
Because those people that

679
00:19:40,100 --> 00:19:41,100
don't use the doctor,

680
00:19:41,100 --> 00:19:42,100
they're going

681
00:19:42,100 --> 00:19:43,100
to have a nice slush fund

682
00:19:43,100 --> 00:19:44,100
in their HSA that rolls

683
00:19:44,100 --> 00:19:45,100
over year after year.

684
00:19:45,100 --> 00:19:46,100
Because remember, it's not

685
00:19:46,100 --> 00:19:47,100
like an FSA. It's their money

686
00:19:47,100 --> 00:19:48,100
that they get

687
00:19:48,100 --> 00:19:49,100
to keep and that will stay

688
00:19:49,100 --> 00:19:51,100
in that account.

689
00:19:51,100 --> 00:19:53,100
Yeah?

690
00:19:53,100 --> 00:19:54,100
>> So you talked

691
00:19:54,100 --> 00:19:56,100
about that 10% adoption,

692
00:19:56,100 --> 00:19:58,100
meaning 10% of the employees

693
00:19:58,100 --> 00:20:00,100
might do that. Is there a

694
00:20:00,100 --> 00:20:03,100
profile of who does that?

695
00:20:04,100 --> 00:20:05,100
>> I don't think that's

696
00:20:05,100 --> 00:20:07,100
perfect. But in general,

697
00:20:07,100 --> 00:20:08,100
I think we talked

698
00:20:08,100 --> 00:20:09,100
about this last month is,

699
00:20:09,100 --> 00:20:10,100
you know, it's individuals.

700
00:20:10,100 --> 00:20:12,100
It might be the younger

701
00:20:12,100 --> 00:20:13,100
generation that doesn't go

702
00:20:13,100 --> 00:20:15,100
to the doctor that would

703
00:20:15,100 --> 00:20:16,100
like their premiums

704
00:20:16,100 --> 00:20:17,100
to be lower, but also would

705
00:20:17,100 --> 00:20:18,100
like to save

706
00:20:18,100 --> 00:20:19,100
for retirement. It could be

707
00:20:19,100 --> 00:20:21,100
an older person that's close

708
00:20:21,100 --> 00:20:22,100
to retirement that wants to

709
00:20:22,100 --> 00:20:23,100
stock some money away as

710
00:20:23,100 --> 00:20:25,100
well. It's just a general

711
00:20:25,100 --> 00:20:26,100
rule of thumb, working

712
00:20:26,100 --> 00:20:28,100
with our actuaries and Dean

713
00:20:28,100 --> 00:20:30,100
Health plan, what they see

714
00:20:30,100 --> 00:20:32,100
when clients implement this,

715
00:20:32,100 --> 00:20:34,100
it's about 10% just across

716
00:20:34,100 --> 00:20:36,100
the board. I don't think

717
00:20:36,100 --> 00:20:37,100
there's really a profile

718
00:20:37,100 --> 00:20:39,100
there in general,

719
00:20:39,100 --> 00:20:41,100
generally speaking.

720
00:20:48,100 --> 00:20:50,100
>> Okay, so we modeled it

721
00:20:50,100 --> 00:20:51,100
10%, 20%, 30%. You can see

722
00:20:51,100 --> 00:20:53,100
the more adoption,

723
00:20:53,100 --> 00:20:54,100
the more savings.

724
00:20:54,100 --> 00:20:55,100
Right.

725
00:20:55,100 --> 00:20:57,100
That just makes sense. If

726
00:20:57,100 --> 00:20:59,100
we scroll. Actually, we want

727
00:20:59,100 --> 00:21:00,100
to go to the next page. So

728
00:21:00,100 --> 00:21:02,100
this is where I think it's

729
00:21:02,100 --> 00:21:03,100
going to answer a lot more

730
00:21:03,100 --> 00:21:05,401
questions. So the first.

731
00:21:06,100 --> 00:21:08,100
Sorry, the first over here

732
00:21:08,100 --> 00:21:09,100
on the left in the red,

733
00:21:09,100 --> 00:21:11,100
that's if nobody goes,

734
00:21:11,100 --> 00:21:12,100
right? If we have nobody

735
00:21:12,100 --> 00:21:14,100
to take you up on the offer

736
00:21:14,100 --> 00:21:16,100
of the high deductible health

737
00:21:16,100 --> 00:21:17,100
plan.

738
00:21:17,100 --> 00:21:18,100
Right.

739
00:21:18,100 --> 00:21:19,100
We know what your numbers

740
00:21:19,100 --> 00:21:20,100
are.

741
00:21:20,100 --> 00:21:22,100
Okay.

742
00:23:46,100 --> 00:23:47,100
>> I bet 10% adoption

743
00:23:47,100 --> 00:23:49,100
level, 110,000 savings is

744
00:23:50,100 --> 00:23:51,100
that after factoring

745
00:23:51,100 --> 00:23:53,100
in if we were to contribute

746
00:23:53,100 --> 00:23:54,100
to an HSA for them?

747
00:23:54,100 --> 00:23:56,100
>> That's factoring in that

748
00:23:56,100 --> 00:23:57,100
15, 3 HSA.

749
00:23:57,100 --> 00:23:59,100
>> Good question.

750
00:24:00,100 --> 00:24:02,100
>> Yeah. So then if we go

751
00:24:02,100 --> 00:24:04,100
down here, this is more ways

752
00:24:04,100 --> 00:24:07,100
to show you this same stuff.

753
00:24:07,100 --> 00:24:08,100
Right.

754
00:24:08,100 --> 00:24:09,100
It's helpful to see HMO

755
00:24:09,100 --> 00:24:12,100
point of service down here.

756
00:24:16,100 --> 00:24:17,100
The combined total. So

757
00:24:17,100 --> 00:24:18,100
assuming this is where I was

758
00:24:18,100 --> 00:24:20,100
trying to get

759
00:24:20,100 --> 00:24:22,100
to earlier was the combined.

760
00:24:22,100 --> 00:24:23,100
If HMO and point

761
00:24:23,100 --> 00:24:25,100
of service had 10%,

762
00:24:25,100 --> 00:24:26,100
you'll see the savings

763
00:24:26,100 --> 00:24:28,100
of the 110, 20%, 221 and then

764
00:24:28,100 --> 00:24:30,401
the 30% is 3 times 37. That

765
00:24:32,100 --> 00:24:34,100
was a lot.

766
00:24:45,100 --> 00:24:48,601
>> I mean that is a lot.

767
00:24:49,100 --> 00:24:50,100
>> It's a lot. And you know,

768
00:24:50,100 --> 00:24:52,100
we opened with this. This is

769
00:24:52,100 --> 00:24:53,100
a work in progress. We're

770
00:24:53,100 --> 00:24:54,100
still working with Anna and

771
00:24:54,100 --> 00:24:55,100
team, you know,

772
00:24:55,100 --> 00:24:57,100
to model some options out

773
00:24:57,100 --> 00:24:58,100
for the county.

774
00:24:58,100 --> 00:24:59,100
But this is where we are

775
00:24:59,100 --> 00:25:00,100
today with the renewal. We

776
00:25:00,100 --> 00:25:02,100
didn't have any bidders right

777
00:25:02,100 --> 00:25:04,100
from our marketing events.

778
00:25:04,100 --> 00:25:06,100
So we do have options

779
00:25:06,100 --> 00:25:07,100
within the deemed health

780
00:25:07,100 --> 00:25:08,100
plan. But we wanted to show

781
00:25:08,100 --> 00:25:10,100
you your current HMO and then

782
00:25:10,100 --> 00:25:12,100
what it would look like

783
00:25:12,100 --> 00:25:15,601
with the HSA plan as well.

784
00:25:16,100 --> 00:25:17,100
So we'll continue

785
00:25:17,100 --> 00:25:18,100
to do this based on the

786
00:25:18,100 --> 00:25:19,100
conversation you all have and

787
00:25:19,100 --> 00:25:21,100
support the county

788
00:25:21,100 --> 00:25:24,100
in any way we can.

789
00:25:25,100 --> 00:25:26,100
>> Why would there be no

790
00:25:26,100 --> 00:25:27,100
bidders? What would be the

791
00:25:27,100 --> 00:25:28,100
reasoning

792
00:25:28,100 --> 00:25:29,100
for the no bidders?

793
00:25:29,100 --> 00:25:31,100
>> They're looking at your

794
00:25:31,100 --> 00:25:33,100
most recent experience and

795
00:25:33,100 --> 00:25:34,100
then your prior experience.

796
00:25:34,100 --> 00:25:36,100
And so when they put that

797
00:25:36,100 --> 00:25:38,100
through their quoting system,

798
00:25:38,100 --> 00:25:40,100
all things equal, I think

799
00:25:40,100 --> 00:25:42,100
Lex said this, they can't

800
00:25:42,100 --> 00:25:44,100
produce a competitive bid.

801
00:25:44,100 --> 00:25:47,100
So then it's very industry

802
00:25:47,100 --> 00:25:49,100
typical that they'll just

803
00:25:49,100 --> 00:25:52,100
decline to quote. So all

804
00:25:52,100 --> 00:25:54,100
those carriers that Lex

805
00:25:54,100 --> 00:25:56,100
mentioned decline to quote,

806
00:25:56,100 --> 00:25:57,100
but they're looking at the

807
00:25:57,100 --> 00:25:59,100
county's specific experience.

808
00:26:02,100 --> 00:26:05,100
Yeah, they will. Yep. Once

809
00:26:07,100 --> 00:26:09,100
that renewal comes out,

810
00:26:09,100 --> 00:26:10,100
it's shared with them. And

811
00:26:10,100 --> 00:26:12,100
again that's industry

812
00:26:13,100 --> 00:26:15,100
standard as well.

813
00:26:15,100 --> 00:26:17,100
>> Any other questions?

814
00:26:17,100 --> 00:26:19,100
>> I guess, thoughts on the

815
00:26:19,100 --> 00:26:21,100
high deductible health plan?

816
00:26:21,100 --> 00:26:23,100
Do we want to talk

817
00:26:23,100 --> 00:26:25,100
about the ALTS to the HMO,

818
00:26:25,100 --> 00:26:28,100
not the high deductible plan?

819
00:26:29,100 --> 00:26:30,100
>> Yeah.

820
00:26:30,100 --> 00:26:32,100
So we gave you a bunch

821
00:26:32,100 --> 00:26:34,100
of information about high

822
00:26:34,100 --> 00:26:35,100
deductible health plans.

823
00:26:35,100 --> 00:26:36,100
Now, if you guys are like,

824
00:26:36,100 --> 00:26:37,100
you know what,

825
00:26:37,100 --> 00:26:38,100
we don't have the appetite

826
00:26:38,100 --> 00:26:39,100
for that right now. We do

827
00:26:39,100 --> 00:26:40,100
have other options

828
00:26:40,100 --> 00:26:42,100
to tweak your current plan.

829
00:26:42,100 --> 00:26:43,100
So that current $500,000

830
00:26:43,100 --> 00:26:46,100
plan, we do have options

831
00:26:46,100 --> 00:26:48,100
for that. So, yeah,

832
00:26:48,100 --> 00:26:49,100
if we went to this plan,

833
00:26:49,100 --> 00:26:51,100
increasing the deductible

834
00:26:51,100 --> 00:26:53,100
slightly, $750 single, $1500

835
00:26:53,100 --> 00:26:55,100
family,

836
00:26:55,100 --> 00:26:57,100
then that would get you to

837
00:26:57,100 --> 00:26:59,401
about 11.62%. So that would

838
00:27:02,100 --> 00:27:05,100
drop it a few points down.

839
00:27:05,100 --> 00:27:06,100
And then if you went

840
00:27:06,100 --> 00:27:08,100
to alternate two,

841
00:27:08,100 --> 00:27:09,100
that would be a 1,000,

842
00:27:09,100 --> 00:27:11,100
$2,000 deductible,

843
00:27:11,100 --> 00:27:12,100
which would get you

844
00:27:12,100 --> 00:27:15,100
to a 9.17% increase. So what

845
00:27:15,100 --> 00:27:17,100
we wanted to also show you is

846
00:27:17,100 --> 00:27:19,401
our benchmarking. So M3,

847
00:27:20,100 --> 00:27:22,100
we talk a lot about edge,

848
00:27:22,100 --> 00:27:23,100
right? So our education and

849
00:27:23,100 --> 00:27:24,100
government entities, we

850
00:27:24,100 --> 00:27:26,100
pulled our benchmarking just

851
00:27:26,100 --> 00:27:27,100
for that book of business.

852
00:27:27,100 --> 00:27:29,100
So we have 223 plans

853
00:27:29,100 --> 00:27:31,100
in that book of business.

854
00:27:31,100 --> 00:27:33,100
You'll notice that where

855
00:27:33,100 --> 00:27:34,100
you're at today, that $500

856
00:27:34,100 --> 00:27:36,100
deductible, you're beating

857
00:27:37,100 --> 00:27:39,100
out most of our book

858
00:27:39,100 --> 00:27:41,100
of business. Right. There's

859
00:27:41,100 --> 00:27:43,100
16% of our Edge clients

860
00:27:43,100 --> 00:27:44,100
that are within that $500

861
00:27:44,100 --> 00:27:46,100
deductible. And what we

862
00:27:46,100 --> 00:27:48,401
suggested, all those plans

863
00:27:49,100 --> 00:27:52,100
that we suggested would still

864
00:27:52,100 --> 00:27:55,100
be less than the most

865
00:27:55,100 --> 00:27:57,401
popular, if you will,

866
00:27:58,100 --> 00:28:00,100
plan offering within our

867
00:28:00,100 --> 00:28:01,100
Edge book. So typically we're

868
00:28:01,100 --> 00:28:03,401
seeing between 1501-2000. So

869
00:28:05,100 --> 00:28:06,100
you would either be at with

870
00:28:06,100 --> 00:28:07,100
that high deductible health

871
00:28:07,100 --> 00:28:09,100
plan or below with any of

872
00:28:09,100 --> 00:28:11,100
those options that we talked

873
00:28:11,100 --> 00:28:12,100
about. So Sauk county will

874
00:28:12,100 --> 00:28:13,100
still keep their amazing

875
00:28:13,100 --> 00:28:15,100
benefits that they have

876
00:28:15,100 --> 00:28:17,100
with the medical,

877
00:28:17,100 --> 00:28:18,100
but we understand that

878
00:28:18,100 --> 00:28:20,100
at some point it may not be

879
00:28:20,100 --> 00:28:21,100
affordable to the county or

880
00:28:21,100 --> 00:28:23,100
their employees anymore. So

881
00:28:23,100 --> 00:28:26,601
that's a lot to think about.

882
00:28:27,100 --> 00:28:29,100
But I wanted

883
00:28:29,100 --> 00:28:30,100
to make sure we kind

884
00:28:30,100 --> 00:28:32,100
of talked about that. You can

885
00:28:32,100 --> 00:28:34,100
see current is 500. Even if

886
00:28:34,100 --> 00:28:36,100
you jump to the 1000, you're

887
00:28:36,100 --> 00:28:37,100
still $1300

888
00:28:37,100 --> 00:28:39,401
below the average deductible,

889
00:28:40,100 --> 00:28:42,100
which is 2,300.

890
00:28:48,100 --> 00:28:50,100
>> Yeah. And we could do

891
00:28:50,100 --> 00:28:52,100
that.

892
00:28:52,100 --> 00:28:53,100
>> Yes, correct.

893
00:28:53,100 --> 00:28:55,100
>> What was the minimum

894
00:28:55,100 --> 00:28:56,100
deductible you need for the

895
00:28:56,100 --> 00:28:58,100
high deductible health plan?

896
00:28:58,100 --> 00:29:00,100
>> Yep.

897
00:29:00,100 --> 00:29:02,100
>> And one thing I will say,

898
00:29:02,100 --> 00:29:05,000
the way the high deductible

899
00:29:05,000 --> 00:29:08,000
health plan is set up,

900
00:29:08,100 --> 00:29:10,100
the deductible and the max

901
00:29:10,100 --> 00:29:11,100
out of pocket are the same

902
00:29:11,100 --> 00:29:13,100
because there's 100%

903
00:29:13,100 --> 00:29:15,100
coinsurance in network,

904
00:29:15,100 --> 00:29:16,100
there's 100% co insurance.

905
00:29:16,100 --> 00:29:17,100
So that means if you picked a

906
00:29:17,100 --> 00:29:18,100
2, 4, right.

907
00:29:18,100 --> 00:29:19,100
Like if you went to the 2.4

908
00:29:19,100 --> 00:29:20,100
high deductible health plan,

909
00:29:20,100 --> 00:29:22,100
that would mean that your

910
00:29:22,100 --> 00:29:24,100
plan today would has a

911
00:29:24,100 --> 00:29:26,100
$1,753,500 max out

912
00:29:28,100 --> 00:29:29,100
of pocket. Your high

913
00:29:29,100 --> 00:29:30,100
deductible health plan max

914
00:29:30,100 --> 00:29:32,100
out of pocket will be

915
00:29:32,100 --> 00:29:33,100
2,000, 4,000. So you'd be

916
00:29:33,100 --> 00:29:35,100
250 and $500 more on the max

917
00:29:35,100 --> 00:29:37,100
out of pocket. So even if you

918
00:29:37,100 --> 00:29:39,100
move to the 750, 1500

919
00:29:40,100 --> 00:29:42,100
out plan, the max out

920
00:29:42,100 --> 00:29:44,100
of pocket is a 2, 4. So it

921
00:29:44,100 --> 00:29:46,100
would kind of keep things a

922
00:29:46,100 --> 00:29:47,100
little bit more

923
00:29:47,100 --> 00:29:48,100
in line if you bumped up

924
00:29:48,100 --> 00:29:50,100
to that 750, 1500. Not saying

925
00:29:50,100 --> 00:29:51,100
that you have to. Right. But

926
00:29:51,100 --> 00:29:52,100
if you were going

927
00:29:52,100 --> 00:29:54,100
to implement a 2, 4, then it

928
00:29:54,100 --> 00:29:56,100
would, you know,

929
00:29:56,100 --> 00:29:57,100
it would be easier to say the

930
00:29:57,100 --> 00:29:59,100
plans work differently.

931
00:30:01,100 --> 00:30:02,100
Right.

932
00:30:02,100 --> 00:30:03,100
On a high deductible

933
00:30:03,100 --> 00:30:04,100
health plan, there's no CO

934
00:30:04,100 --> 00:30:06,100
pays,

935
00:30:06,100 --> 00:30:07,100
you're paying everything out

936
00:30:07,100 --> 00:30:08,100
of pocket. But if you asked

937
00:30:08,100 --> 00:30:09,100
all little bit earlier

938
00:30:09,100 --> 00:30:10,100
about kind

939
00:30:10,100 --> 00:30:12,100
of what's the profile maybe

940
00:30:12,100 --> 00:30:13,100
of somebody that uses it,

941
00:30:13,100 --> 00:30:14,100
somebody that is using their

942
00:30:14,100 --> 00:30:16,100
plan and maxing

943
00:30:17,100 --> 00:30:18,100
out their plan anyway,

944
00:30:18,100 --> 00:30:20,100
they might take you up on the

945
00:30:20,100 --> 00:30:21,100
HSA or the high deductible

946
00:30:21,100 --> 00:30:22,100
plan with the HSA, because

947
00:30:22,100 --> 00:30:23,100
that HSA contribution is

948
00:30:23,100 --> 00:30:24,100
going to pay for their,

949
00:30:24,100 --> 00:30:25,100
their deductible,

950
00:30:25,100 --> 00:30:26,100
but it's also their max out

951
00:30:26,100 --> 00:30:27,100
of pocket on a high

952
00:30:27,100 --> 00:30:28,100
deductible plan.

953
00:30:28,100 --> 00:30:29,100
>> I was thinking more

954
00:30:29,100 --> 00:30:31,100
of it as compared to a weight

955
00:30:31,100 --> 00:30:32,100
scale because if you're not

956
00:30:32,100 --> 00:30:33,100
making a lot of money,

957
00:30:33,100 --> 00:30:34,100
people tend

958
00:30:34,100 --> 00:30:37,100
to take the lowest deduction.

959
00:30:37,100 --> 00:30:38,100
But there are advantages to

960
00:30:38,100 --> 00:30:40,100
the HSAs that you can take

961
00:30:40,100 --> 00:30:42,100
advantage of,

962
00:30:42,100 --> 00:30:43,100
but you also kind of need to

963
00:30:43,100 --> 00:30:44,100
have a wage where you can

964
00:30:44,100 --> 00:30:45,100
afford

965
00:30:45,100 --> 00:30:47,100
to pay that bill.

966
00:30:47,100 --> 00:30:48,100
>> Yep.

967
00:30:48,100 --> 00:30:49,100
>> I guess that's kind

968
00:30:49,100 --> 00:30:50,100
of what I was getting at. Is

969
00:30:50,100 --> 00:30:52,100
there any kind of breakdown

970
00:30:52,100 --> 00:30:54,100
in those categories?

971
00:30:54,100 --> 00:30:55,100
>> I would also say though

972
00:30:55,100 --> 00:30:56,100
that the high deductible

973
00:30:56,100 --> 00:30:57,100
health plan,

974
00:30:57,100 --> 00:30:58,100
that premium is lower. So, if

975
00:30:58,100 --> 00:30:59,100
you are savvy enough

976
00:30:59,100 --> 00:31:01,100
to say, okay. Let's say

977
00:31:01,100 --> 00:31:03,100
there's a delta of $50 a

978
00:31:03,100 --> 00:31:05,100
month,

979
00:31:05,100 --> 00:31:06,100
I don't know what it is

980
00:31:06,100 --> 00:31:07,100
off the top of my head of

981
00:31:07,100 --> 00:31:08,100
$50 a month, if I say, okay,

982
00:31:08,100 --> 00:31:10,100
I'm going to put that extra

983
00:31:10,100 --> 00:31:11,100
$50 into my HSA,

984
00:31:11,100 --> 00:31:13,100
then I save that for the

985
00:31:13,100 --> 00:31:15,100
rainy day when I do have a

986
00:31:15,100 --> 00:31:16,100
claim. If, you know, plus

987
00:31:16,100 --> 00:31:18,401
what the county contributes

988
00:31:20,100 --> 00:31:21,100
but again,

989
00:31:21,100 --> 00:31:23,100
it's consumerism.

990
00:31:23,100 --> 00:31:24,100
Right.

991
00:31:24,100 --> 00:31:25,100
So, like you have

992
00:31:25,100 --> 00:31:26,100
to be a good consumer.

993
00:31:26,100 --> 00:31:28,100
But keep in mind on the high

994
00:31:28,100 --> 00:31:29,100
deductible health plan, your

995
00:31:29,100 --> 00:31:30,100
preventive visits are covered

996
00:31:30,100 --> 00:31:34,100
at no cost as long as they're

997
00:31:34,100 --> 00:31:35,100
preventive. You know how that

998
00:31:35,100 --> 00:31:37,100
goes. So make sure they're

999
00:31:37,100 --> 00:31:38,100
coded as preventive, but that

1000
00:31:38,100 --> 00:31:40,100
annual preventive visit is

1001
00:31:40,100 --> 00:31:41,100
covered. So if that's all

1002
00:31:41,100 --> 00:31:43,100
people are going to

1003
00:31:43,100 --> 00:31:44,100
in the doctor, you know,

1004
00:31:44,100 --> 00:31:46,100
maybe an urgent care visit,

1005
00:31:46,100 --> 00:31:49,100
you can use the telehealth

1006
00:31:49,100 --> 00:31:50,100
for certain things and that

1007
00:31:50,100 --> 00:31:52,401
will help cut back

1008
00:31:53,100 --> 00:31:54,100
on costs as well. So, it's

1009
00:31:54,100 --> 00:31:56,100
education, definitely.

1010
00:31:57,100 --> 00:31:58,100
>> Yeah. And kind of asking

1011
00:31:58,100 --> 00:31:59,100
what motivates people

1012
00:31:59,100 --> 00:32:00,100
to want

1013
00:32:00,100 --> 00:32:02,100
to get what plan?

1014
00:32:02,100 --> 00:32:03,100
>> It's a great question and

1015
00:32:03,100 --> 00:32:04,100
great point. I think it does

1016
00:32:04,100 --> 00:32:05,100
come down

1017
00:32:05,100 --> 00:32:06,100
to that premium too.

1018
00:32:06,100 --> 00:32:07,100
Right.

1019
00:32:07,100 --> 00:32:08,100
So that Lex's point,

1020
00:32:08,100 --> 00:32:10,100
that HDHP is going

1021
00:32:10,100 --> 00:32:11,100
to be much cheaper. So if you

1022
00:32:11,100 --> 00:32:12,100
did save that

1023
00:32:12,100 --> 00:32:14,100
into your HSA,

1024
00:32:14,100 --> 00:32:15,100
you're no worse,

1025
00:32:15,100 --> 00:32:16,100
worse off.

1026
00:32:16,100 --> 00:32:17,100
Right.

1027
00:32:17,100 --> 00:32:18,100
I always

1028
00:32:18,100 --> 00:32:19,100
describe it this way. I feel

1029
00:32:19,100 --> 00:32:20,100
like HSA plans are like pay

1030
00:32:20,100 --> 00:32:21,100
as you go where a traditional

1031
00:32:21,100 --> 00:32:23,100
plan is a prepaid plan.

1032
00:32:23,100 --> 00:32:24,100
Right.

1033
00:32:24,100 --> 00:32:25,100
You have those co pays,

1034
00:32:25,100 --> 00:32:27,100
you can predict that,

1035
00:32:27,100 --> 00:32:28,100
what that out

1036
00:32:28,100 --> 00:32:29,100
of pocket is. But

1037
00:32:29,100 --> 00:32:30,100
for those plans,

1038
00:32:30,100 --> 00:32:31,100
they're going

1039
00:32:31,100 --> 00:32:32,100
to be much more expensive.

1040
00:32:32,100 --> 00:32:33,100
So it all depends on when,

1041
00:32:33,100 --> 00:32:35,100
how the bath shakes out.

1042
00:32:35,100 --> 00:32:37,100
>> Do you guys have a tool

1043
00:32:37,100 --> 00:32:39,100
available where the employees

1044
00:32:39,100 --> 00:32:41,100
can go in and kind

1045
00:32:41,100 --> 00:32:42,100
of do some prediction

1046
00:32:42,100 --> 00:32:43,100
against that? And the reason

1047
00:32:43,100 --> 00:32:45,100
I ask is, you know,

1048
00:32:45,100 --> 00:32:46,100
my daughter started with her

1049
00:32:46,100 --> 00:32:48,100
company and so I was really.

1050
00:32:48,100 --> 00:32:50,100
Because she's generally

1051
00:32:50,100 --> 00:32:51,100
healthy. Right. Said hey,

1052
00:32:51,100 --> 00:32:53,100
you know, tried to point

1053
00:32:53,100 --> 00:32:54,100
out the advantages for her to

1054
00:32:54,100 --> 00:32:56,100
take the high deductible plan

1055
00:32:56,100 --> 00:32:59,100
and capitalize on being able

1056
00:33:00,100 --> 00:33:02,100
to save that HSA. Because if

1057
00:33:02,100 --> 00:33:03,100
she's healthy,

1058
00:33:03,100 --> 00:33:05,100
especially if you have no,

1059
00:33:05,100 --> 00:33:07,100
she's 24 years old,

1060
00:33:07,100 --> 00:33:08,100
maybe she doesn't use it

1061
00:33:08,100 --> 00:33:10,100
for 15, 16 years. She's

1062
00:33:10,100 --> 00:33:11,100
building that nest egg that

1063
00:33:11,100 --> 00:33:12,100
has a lot of flexibility

1064
00:33:12,100 --> 00:33:14,100
for her later in life.

1065
00:33:14,100 --> 00:33:15,100
Absolutely. You know, and she

1066
00:33:15,100 --> 00:33:18,100
was getting it right and I

1067
00:33:18,100 --> 00:33:20,100
think leaning towards that.

1068
00:33:20,100 --> 00:33:21,100
Then when her package came

1069
00:33:21,100 --> 00:33:23,100
out, she was able

1070
00:33:23,100 --> 00:33:24,100
to log online and we were

1071
00:33:24,100 --> 00:33:25,100
able

1072
00:33:25,100 --> 00:33:26,100
to do some real time go.

1073
00:33:26,100 --> 00:33:27,100
Okay, so you go in

1074
00:33:27,100 --> 00:33:29,100
for your physical, you do

1075
00:33:29,100 --> 00:33:30,100
this, you do that. Let's say

1076
00:33:30,100 --> 00:33:31,100
you have an accident,

1077
00:33:31,100 --> 00:33:32,100
you got to go

1078
00:33:32,100 --> 00:33:33,100
to the emergency room,

1079
00:33:33,100 --> 00:33:35,100
you could plug that all in

1080
00:33:35,100 --> 00:33:37,100
and came back and told her

1081
00:33:37,100 --> 00:33:38,100
what her out

1082
00:33:38,100 --> 00:33:39,100
of pocket costs were going

1083
00:33:39,100 --> 00:33:40,100
to be across the board

1084
00:33:40,100 --> 00:33:42,100
on three different plans,

1085
00:33:42,100 --> 00:33:43,100
which then really kind

1086
00:33:43,100 --> 00:33:44,100
of motivated her

1087
00:33:44,100 --> 00:33:46,100
to understand, you know,

1088
00:33:46,100 --> 00:33:47,100
some of the selection options

1089
00:33:47,100 --> 00:33:48,100
she had where she wanted

1090
00:33:48,100 --> 00:33:50,100
to go.

1091
00:33:50,100 --> 00:33:51,100
>> Yeah, it sounds to me,

1092
00:33:51,100 --> 00:33:52,100
that's a decision support

1093
00:33:52,100 --> 00:33:54,100
tool that's built

1094
00:33:54,100 --> 00:33:55,100
into maybe an HRIS system.

1095
00:33:55,100 --> 00:33:57,100
Now we're going to get

1096
00:33:57,100 --> 00:33:58,100
into all of our jargon

1097
00:33:58,100 --> 00:33:59,100
over here, but that's

1098
00:33:59,100 --> 00:34:00,100
probably what that is. I

1099
00:34:00,100 --> 00:34:02,100
would tell you that we don't

1100
00:34:02,100 --> 00:34:03,100
currently have something the

1101
00:34:03,100 --> 00:34:04,100
county doesn't currently

1102
00:34:04,100 --> 00:34:06,100
have something like that.

1103
00:34:06,100 --> 00:34:07,100
It's generally probably

1104
00:34:07,100 --> 00:34:09,100
harder to do with a provider

1105
00:34:09,100 --> 00:34:11,100
owned HMO. I would say you

1106
00:34:11,100 --> 00:34:12,100
could probably do it better

1107
00:34:12,100 --> 00:34:13,100
on the pharmacy side with

1108
00:34:13,100 --> 00:34:15,100
your pharmacies because

1109
00:34:16,100 --> 00:34:18,100
that's where the biggest

1110
00:34:18,100 --> 00:34:20,100
difference is. And in the

1111
00:34:20,100 --> 00:34:21,100
self funded market that's

1112
00:34:21,100 --> 00:34:23,100
it's easier to do because you

1113
00:34:23,100 --> 00:34:25,100
have a wider array

1114
00:34:25,100 --> 00:34:27,100
of providers to access.

1115
00:34:27,100 --> 00:34:29,100
In other words, an MRI,

1116
00:34:29,100 --> 00:34:30,100
an open MRI might be $595

1117
00:34:30,100 --> 00:34:32,100
versus here in town,

1118
00:34:32,100 --> 00:34:33,100
it might be $4,200. That's

1119
00:34:33,100 --> 00:34:35,100
where the consumerism comes

1120
00:34:35,100 --> 00:34:36,100
in. But that sounds like just

1121
00:34:36,100 --> 00:34:38,100
a decision support tool

1122
00:34:38,100 --> 00:34:40,100
that's out there and they're

1123
00:34:40,100 --> 00:34:42,100
helpful, super helpful.

1124
00:34:42,100 --> 00:34:43,100
But generally speaking, no,

1125
00:34:43,100 --> 00:34:45,401
we don't have anything

1126
00:34:46,100 --> 00:34:48,100
like that. And I would say if

1127
00:34:48,100 --> 00:34:50,100
you do have medical needs,

1128
00:34:50,100 --> 00:34:51,100
you can always access your

1129
00:34:51,100 --> 00:34:53,100
EOBs and kind of figure that

1130
00:34:53,100 --> 00:34:54,100
out on your own as well. I

1131
00:34:54,100 --> 00:34:55,100
know that's not probably the

1132
00:34:55,100 --> 00:34:57,401
answer you're looking for.

1133
00:34:58,100 --> 00:34:59,100
>> No, that's like. No. I was

1134
00:34:59,100 --> 00:35:00,100
just wondering because, you

1135
00:35:00,100 --> 00:35:03,100
know, and I understand, you

1136
00:35:03,100 --> 00:35:04,100
know, Sam's concern makes a

1137
00:35:04,100 --> 00:35:05,100
lot of sense.

1138
00:35:05,100 --> 00:35:06,100
Right.

1139
00:35:06,100 --> 00:35:07,100
You don't want lower wage

1140
00:35:07,100 --> 00:35:08,100
employees taking advantage

1141
00:35:08,100 --> 00:35:10,100
of it, particularly if they

1142
00:35:10,100 --> 00:35:12,100
do have health issues. You

1143
00:35:12,100 --> 00:35:13,100
want them to get a job.

1144
00:35:13,100 --> 00:35:14,100
>> Correct.

1145
00:35:14,100 --> 00:35:15,100
Yes.

1146
00:35:15,100 --> 00:35:16,100
>> But to the other side

1147
00:35:16,100 --> 00:35:18,100
of it, you have a young

1148
00:35:18,100 --> 00:35:19,100
healthy male or female that's

1149
00:35:19,100 --> 00:35:21,100
cruising

1150
00:35:21,100 --> 00:35:22,100
along and they're not going

1151
00:35:22,100 --> 00:35:24,100
to have a medical need

1152
00:35:24,100 --> 00:35:26,401
for another 20 years. That

1153
00:35:30,100 --> 00:35:32,100
high deductible plan is

1154
00:35:32,100 --> 00:35:34,100
really a great alternative.

1155
00:35:34,100 --> 00:35:35,100
>> It is,

1156
00:35:35,100 --> 00:35:36,100
I would say too... Sorry

1157
00:35:36,100 --> 00:35:37,100
to cut you off.

1158
00:35:37,100 --> 00:35:38,100
>> As long as the HS.

1159
00:35:38,100 --> 00:35:39,100
>> I would say that was part

1160
00:35:39,100 --> 00:35:40,100
of the strategy behind how we

1161
00:35:40,100 --> 00:35:41,100
design this, right?

1162
00:35:41,100 --> 00:35:42,100
With Hannah and team is,

1163
00:35:42,100 --> 00:35:44,100
is if you think about that

1164
00:35:44,100 --> 00:35:45,100
$2000, $4000 and what that

1165
00:35:45,100 --> 00:35:47,100
seeded HSA contribution is

1166
00:35:47,100 --> 00:35:49,100
at that 1500 or $3000, it

1167
00:35:49,100 --> 00:35:51,100
still feels

1168
00:35:52,100 --> 00:35:53,100
like your current plan

1169
00:35:53,100 --> 00:35:55,100
to a certain extent. So, you

1170
00:35:55,100 --> 00:35:57,100
can anticipate that even if

1171
00:35:57,100 --> 00:35:58,100
you have the worst year

1172
00:35:58,100 --> 00:36:00,100
out there, it's going

1173
00:36:00,100 --> 00:36:02,100
to cost you that $500 out

1174
00:36:02,100 --> 00:36:04,100
of pocket or you know,

1175
00:36:04,100 --> 00:36:06,100
that thousand for a family.

1176
00:36:06,100 --> 00:36:08,100
So I mean it's not just.

1177
00:36:08,100 --> 00:36:09,100
You're right,

1178
00:36:09,100 --> 00:36:10,100
there are a lot of

1179
00:36:10,100 --> 00:36:11,100
individuals that will just

1180
00:36:11,100 --> 00:36:13,100
choose the cheapest and they

1181
00:36:13,100 --> 00:36:14,100
don't know how it works. And

1182
00:36:14,100 --> 00:36:15,100
that's a situation that we

1183
00:36:15,100 --> 00:36:16,100
don't want to be in,

1184
00:36:16,100 --> 00:36:17,100
we would want

1185
00:36:17,100 --> 00:36:18,100
to do the education up front.

1186
00:36:18,100 --> 00:36:20,100
But still having that HSA

1187
00:36:20,100 --> 00:36:21,100
contribution really does

1188
00:36:21,100 --> 00:36:23,100
support that incentive

1189
00:36:23,100 --> 00:36:25,100
to increase participation

1190
00:36:25,100 --> 00:36:27,100
in that HDHP.

1191
00:36:28,100 --> 00:36:29,100
>> We don't necessarily have

1192
00:36:29,100 --> 00:36:30,100
a support tool where they

1193
00:36:30,100 --> 00:36:32,100
could go in and say, I take

1194
00:36:32,100 --> 00:36:33,100
this, I go

1195
00:36:33,100 --> 00:36:34,100
to the doctor this many

1196
00:36:34,100 --> 00:36:35,100
times. But we do have

1197
00:36:35,100 --> 00:36:37,100
modeling that we can put

1198
00:36:37,100 --> 00:36:38,100
together that says, okay,

1199
00:36:38,100 --> 00:36:40,100
I'm a low utilizer. I go in,

1200
00:36:40,100 --> 00:36:43,100
maybe I go in for my physical

1201
00:36:43,100 --> 00:36:44,100
and I maybe have an urgent

1202
00:36:44,100 --> 00:36:47,100
care visit or an office visit

1203
00:36:47,100 --> 00:36:48,100
a year. And then we can, we

1204
00:36:48,100 --> 00:36:49,100
can show how that would look

1205
00:36:49,100 --> 00:36:51,100
or

1206
00:36:52,100 --> 00:36:53,100
like a medium utilizer.

1207
00:36:53,100 --> 00:36:54,100
Like, okay, we all go in

1208
00:36:54,100 --> 00:36:55,100
for a preventive care. We

1209
00:36:55,100 --> 00:36:58,601
maybe have one ER visit here.

1210
00:36:59,100 --> 00:37:00,100
Two office visits. I'm

1211
00:37:00,100 --> 00:37:01,100
just spitballing here. And

1212
00:37:01,100 --> 00:37:03,401
then a high utilizer,

1213
00:37:04,100 --> 00:37:06,100
I take an expensive medicine,

1214
00:37:06,100 --> 00:37:07,100
I go into the doctor.

1215
00:37:07,100 --> 00:37:09,401
>> My FSA was gone

1216
00:37:10,100 --> 00:37:12,100
by the end of January.

1217
00:37:12,100 --> 00:37:14,100
>> Yeah, exactly. So keep

1218
00:37:14,100 --> 00:37:16,100
in mind it's easy

1219
00:37:16,100 --> 00:37:18,100
on the HMO. You're gonna hit

1220
00:37:18,100 --> 00:37:19,100
your max out of pocket, you

1221
00:37:19,100 --> 00:37:21,100
know what your maximum

1222
00:37:21,100 --> 00:37:23,100
exposure is. So it's easier

1223
00:37:23,100 --> 00:37:25,100
to model that way. And then

1224
00:37:25,100 --> 00:37:26,100
we can, you know, put

1225
00:37:26,100 --> 00:37:28,100
in the, whatever the HSA

1226
00:37:28,100 --> 00:37:30,100
contributions are. So we can

1227
00:37:30,100 --> 00:37:33,100
model that. It's just not

1228
00:37:33,100 --> 00:37:34,100
able to be customized by the

1229
00:37:34,100 --> 00:37:35,100
employee that would be

1230
00:37:35,100 --> 00:37:36,100
looking at it.

1231
00:37:36,100 --> 00:37:37,100
>> Sure. No, that would be a

1232
00:37:37,100 --> 00:37:39,100
great, I think. Supplement

1233
00:37:39,100 --> 00:37:42,601
when they roll these out. So

1234
00:37:47,100 --> 00:37:49,100
employees could see. Yeah, I

1235
00:37:49,100 --> 00:37:51,100
mean that's pretty educated

1236
00:37:51,100 --> 00:37:52,100
on their choices because a

1237
00:37:52,100 --> 00:37:54,100
lot

1238
00:37:54,100 --> 00:37:56,100
of them you say you didn't

1239
00:37:56,100 --> 00:37:57,100
get through the whole world

1240
00:37:57,100 --> 00:37:58,100
insurance you got to insure

1241
00:37:58,100 --> 00:38:01,100
and their eyes glazed over.

1242
00:38:01,100 --> 00:38:02,100
I didn't understand that

1243
00:38:02,100 --> 00:38:03,100
when I went to the pharmacy

1244
00:38:03,100 --> 00:38:04,100
on HDHP that it was going

1245
00:38:04,100 --> 00:38:05,100
to cost me $300

1246
00:38:05,100 --> 00:38:06,100
for my prescription.

1247
00:38:06,100 --> 00:38:08,100
Right.

1248
00:38:08,100 --> 00:38:09,100
I mean, those are the

1249
00:38:09,100 --> 00:38:10,100
biggest challenge or changes

1250
00:38:10,100 --> 00:38:11,100
I should say. When you look,

1251
00:38:11,100 --> 00:38:13,100
think about. There's no $1

1252
00:38:13,100 --> 00:38:14,100
coverage

1253
00:38:14,100 --> 00:38:16,100
on an HSA qualified plan

1254
00:38:16,100 --> 00:38:18,401
except for preventive care.

1255
00:38:19,100 --> 00:38:20,100
That includes pharmacy. So if

1256
00:38:20,100 --> 00:38:21,100
you're on a high end

1257
00:38:21,100 --> 00:38:23,100
specialty pharmacy or

1258
00:38:24,100 --> 00:38:25,100
prescription, sometimes it's

1259
00:38:25,100 --> 00:38:27,100
beneficial because you can

1260
00:38:27,100 --> 00:38:28,100
hit that max right away.

1261
00:38:28,100 --> 00:38:29,100
Other times it might not be

1262
00:38:29,100 --> 00:38:30,100
dependent

1263
00:38:30,100 --> 00:38:32,401
on the plan design.

1264
00:38:35,100 --> 00:38:37,100
>> Any other questions?

1265
00:38:37,100 --> 00:38:38,100
>> I have a question

1266
00:38:38,100 --> 00:38:40,100
about people be allowed to

1267
00:38:40,100 --> 00:38:43,100
pick what bank or place they

1268
00:38:43,100 --> 00:38:45,100
would hold their HSA or

1269
00:38:45,100 --> 00:38:47,100
would we suggest...

1270
00:38:48,100 --> 00:38:49,100
>> That would be

1271
00:38:49,100 --> 00:38:50,100
something we work

1272
00:38:50,100 --> 00:38:51,100
with the HR team on. So it's

1273
00:38:51,100 --> 00:38:53,100
easy from the employee

1274
00:38:53,100 --> 00:38:55,401
standpoint and the county

1275
00:38:56,100 --> 00:38:58,100
in terms of payroll

1276
00:38:58,100 --> 00:38:59,100
deductions and contributions

1277
00:38:59,100 --> 00:39:01,100
from the county.

1278
00:39:03,100 --> 00:39:04,100
>> So it's just most likely

1279
00:39:04,100 --> 00:39:06,100
as one.

1280
00:39:06,100 --> 00:39:08,100
>> Yeah. There's vendors out

1281
00:39:08,100 --> 00:39:10,100
there that make it super easy

1282
00:39:10,100 --> 00:39:11,100
on the consumer and the

1283
00:39:11,100 --> 00:39:12,100
client.

1284
00:39:12,100 --> 00:39:13,100
One of the most common is

1285
00:39:13,100 --> 00:39:14,100
I don't know if you've ever

1286
00:39:14,100 --> 00:39:15,100
dealt

1287
00:39:15,100 --> 00:39:17,100
with a company called task

1288
00:39:17,100 --> 00:39:18,100
out of Madison. They offer

1289
00:39:18,100 --> 00:39:21,100
both. So, you know, so

1290
00:39:21,100 --> 00:39:23,100
from our standpoint,

1291
00:39:23,100 --> 00:39:24,100
it's a one shop stop. So I

1292
00:39:24,100 --> 00:39:26,100
don't know if that's three

1293
00:39:26,100 --> 00:39:28,100
hazards.

1294
00:39:28,100 --> 00:39:30,100
>> Today, you have FSA

1295
00:39:30,100 --> 00:39:32,100
with EVC. EVC also does HS.

1296
00:39:32,100 --> 00:39:33,100
So that would be the route we

1297
00:39:33,100 --> 00:39:34,100
would probably suggest.

1298
00:39:34,100 --> 00:39:35,100
But again,

1299
00:39:35,100 --> 00:39:36,100
we haven't gotten that far

1300
00:39:36,100 --> 00:39:37,100
with all of that. But a Task

1301
00:39:37,100 --> 00:39:39,100
does a great job. EVC does a

1302
00:39:39,100 --> 00:39:41,100
great job. They do the same

1303
00:39:41,100 --> 00:39:42,100
stuff also both randomly

1304
00:39:42,100 --> 00:39:44,100
located in Madison and

1305
00:39:44,100 --> 00:39:47,100
Middleton. So we have the two

1306
00:39:47,100 --> 00:39:48,100
largest admin administrative

1307
00:39:48,100 --> 00:39:50,100
plan offerings.

1308
00:39:56,100 --> 00:39:58,100
>> But yeah,

1309
00:39:58,100 --> 00:39:59,100
we're not holding the money.

1310
00:39:59,100 --> 00:40:01,100
It's gone

1311
00:40:01,100 --> 00:40:02,100
to a certain part.

1312
00:40:02,100 --> 00:40:04,100
>> Any question?

1313
00:40:04,100 --> 00:40:06,100
>> Okay, well,

1314
00:40:06,100 --> 00:40:08,100
thank you very much.

1315
00:40:08,100 --> 00:40:09,100
>> Thanks

1316
00:40:09,100 --> 00:40:10,100
to getting the links

1317
00:40:10,100 --> 00:40:12,100
to the data.

1318
00:40:12,100 --> 00:40:14,100
>> Okay.

1319
00:40:14,100 --> 00:40:15,100
>> Yeah. If you have any

1320
00:40:15,100 --> 00:40:16,100
questions after that,

1321
00:40:16,100 --> 00:40:18,100
let us know.

1322
00:40:24,100 --> 00:40:25,100
>> All right, we'll move on

1323
00:40:25,100 --> 00:40:26,100
to 6B. Resolution

1324
00:40:26,100 --> 00:40:27,100
to purchase vehicle for the

1325
00:40:27,100 --> 00:40:28,100
ABRC transportation program

1326
00:40:28,100 --> 00:40:30,401
and amend the 2026 budget.

1327
00:40:32,100 --> 00:40:34,100
>> All right,

1328
00:40:36,100 --> 00:40:38,100
you're good.

1329
00:40:57,100 --> 00:40:58,100
>> All right, so for those

1330
00:40:58,100 --> 00:40:59,100
of you who don't know me,

1331
00:40:59,100 --> 00:41:00,100
I'm Quinn Haas. I'm the

1332
00:41:00,100 --> 00:41:01,100
director of the ADRC. Stacey

1333
00:41:01,100 --> 00:41:03,100
is my transportation

1334
00:41:03,100 --> 00:41:06,100
supervisor for the ADRC and

1335
00:41:06,100 --> 00:41:07,100
Troy Garwood is our

1336
00:41:07,100 --> 00:41:09,100
transportation coordinator.

1337
00:41:09,100 --> 00:41:10,100
So I brought them

1338
00:41:10,100 --> 00:41:11,100
with because they know more

1339
00:41:11,100 --> 00:41:13,100
about the transportation

1340
00:41:15,100 --> 00:41:16,100
program and the resolution.

1341
00:41:16,100 --> 00:41:17,100
But as you can tell, the

1342
00:41:17,100 --> 00:41:18,100
resolution has been brought

1343
00:41:18,100 --> 00:41:20,100
to you. And basically what

1344
00:41:20,100 --> 00:41:22,100
happens is we have,

1345
00:41:22,100 --> 00:41:23,100
I guess you would say,

1346
00:41:23,100 --> 00:41:24,100
a fleet

1347
00:41:24,100 --> 00:41:26,100
of vehicles that we utilize

1348
00:41:26,100 --> 00:41:28,100
to transport individuals

1349
00:41:28,100 --> 00:41:30,100
to medical appointments.

1350
00:41:31,100 --> 00:41:32,100
They have to be 60 and

1351
00:41:32,100 --> 00:41:35,100
over or have a disability.

1352
00:41:35,100 --> 00:41:38,100
And the way that our

1353
00:41:38,100 --> 00:41:40,100
transportation department

1354
00:41:40,100 --> 00:41:43,100
works is that Stacy applies

1355
00:41:43,100 --> 00:41:44,100
for two different grants

1356
00:41:44,100 --> 00:41:47,601
every year. One is a state

1357
00:41:48,100 --> 00:41:50,100
grant, 8521, and then the

1358
00:41:50,100 --> 00:41:51,100
5310 is a federal grant that

1359
00:41:51,100 --> 00:41:53,100
is administered

1360
00:41:53,100 --> 00:41:55,100
by the state. And there are

1361
00:41:55,100 --> 00:41:56,100
reports that are done

1362
00:41:56,100 --> 00:41:57,100
quarterly. And so

1363
00:41:57,100 --> 00:42:00,100
with our grant, a lot of

1364
00:42:00,100 --> 00:42:02,100
times we are allowed any

1365
00:42:02,100 --> 00:42:03,100
money that is not spent

1366
00:42:03,100 --> 00:42:05,100
throughout the year

1367
00:42:05,100 --> 00:42:06,100
can go

1368
00:42:06,100 --> 00:42:08,100
into our dot trust fund. And

1369
00:42:08,100 --> 00:42:09,100
that DOT trust fund can't

1370
00:42:09,100 --> 00:42:11,100
have more than $80,000 in it

1371
00:42:11,100 --> 00:42:15,100
at any given time. And so we

1372
00:42:15,100 --> 00:42:17,100
have been fortunate enough

1373
00:42:17,100 --> 00:42:18,100
that with our fleet

1374
00:42:18,100 --> 00:42:20,100
of vehicles that we use,

1375
00:42:20,100 --> 00:42:22,100
we have been able to,

1376
00:42:22,100 --> 00:42:23,100
when they meet,

1377
00:42:23,100 --> 00:42:25,100
what do you call it?

1378
00:42:25,100 --> 00:42:27,100
>> The end of useful life.

1379
00:42:27,100 --> 00:42:29,100
>> End of useful life that

1380
00:42:29,100 --> 00:42:31,100
they are sent to auction.

1381
00:42:31,100 --> 00:42:32,100
So Troy just sent one

1382
00:42:32,100 --> 00:42:35,100
of our vans to auction

1383
00:42:35,100 --> 00:42:38,100
because it had more than the

1384
00:42:38,100 --> 00:42:39,100
mileage that is considered

1385
00:42:39,100 --> 00:42:41,100
useful life. And so that's

1386
00:42:41,100 --> 00:42:43,401
still at auction rate

1387
00:42:44,100 --> 00:42:45,100
for another week or so. And

1388
00:42:45,100 --> 00:42:47,401
so whatever we get

1389
00:42:48,100 --> 00:42:50,100
from that then goes back

1390
00:42:50,100 --> 00:42:52,100
into our program.

1391
00:42:53,100 --> 00:42:54,100
But basically we took that

1392
00:42:54,100 --> 00:42:56,100
one

1393
00:42:56,100 --> 00:42:57,100
to auction and we had money

1394
00:42:57,100 --> 00:42:59,100
in our DOT trust fund. And so

1395
00:42:59,100 --> 00:43:00,100
we are looking

1396
00:43:00,100 --> 00:43:02,100
at replacing that vehicle.

1397
00:43:02,100 --> 00:43:04,100
And so that's what this

1398
00:43:04,100 --> 00:43:05,100
resolution is about. Again,

1399
00:43:05,100 --> 00:43:06,100
there is no additional tax

1400
00:43:06,100 --> 00:43:08,100
levy that we're asking. The

1401
00:43:08,100 --> 00:43:10,100
money comes

1402
00:43:10,100 --> 00:43:12,100
from our grants that go into

1403
00:43:12,100 --> 00:43:14,100
our DOT trust fund and then

1404
00:43:14,100 --> 00:43:15,100
we utilize that money

1405
00:43:15,100 --> 00:43:17,100
to purchase a new vehicle.

1406
00:43:17,100 --> 00:43:19,100
Troy does all

1407
00:43:19,100 --> 00:43:21,100
of the checking into vehicles

1408
00:43:21,100 --> 00:43:23,100
that are handicap accessible

1409
00:43:23,100 --> 00:43:24,100
and getting bids. So he

1410
00:43:24,100 --> 00:43:26,100
worked on that prior and then

1411
00:43:26,100 --> 00:43:27,100
that went

1412
00:43:27,100 --> 00:43:29,100
to our ADRC board. And so

1413
00:43:29,100 --> 00:43:30,100
they were able to see which

1414
00:43:30,100 --> 00:43:32,100
vans were looked at.

1415
00:43:32,100 --> 00:43:34,100
But we typically

1416
00:43:34,100 --> 00:43:35,100
like these vans the best.

1417
00:43:35,100 --> 00:43:37,100
Our drivers

1418
00:43:37,100 --> 00:43:38,100
like these vans the best.

1419
00:43:38,100 --> 00:43:39,100
They came in the best price.

1420
00:43:39,100 --> 00:43:41,100
But again, we did look

1421
00:43:41,100 --> 00:43:44,100
at other options. We work

1422
00:43:44,100 --> 00:43:46,100
with AMJ Mobility, which

1423
00:43:46,100 --> 00:43:48,100
helps to retrofit the vehicle

1424
00:43:48,100 --> 00:43:50,100
so they that they're

1425
00:43:50,100 --> 00:43:52,100
wheelchair accessible. And I

1426
00:43:52,100 --> 00:43:55,100
don't know you have anything

1427
00:43:55,100 --> 00:43:57,100
to add because again,

1428
00:43:57,100 --> 00:43:58,100
it's not my program.

1429
00:43:58,100 --> 00:44:00,100
>> Any questions?

1430
00:44:02,100 --> 00:44:04,100
>> No. I think I was on the

1431
00:44:04,100 --> 00:44:07,100
board when we approved this

1432
00:44:07,100 --> 00:44:09,100
vehicle.

1433
00:44:12,100 --> 00:44:13,100
>> That might have been time

1434
00:44:13,100 --> 00:44:15,100
to retire.

1435
00:44:18,100 --> 00:44:20,401
>> Your useful life is...

1436
00:44:21,100 --> 00:44:23,100
>> All right.

1437
00:44:23,100 --> 00:44:26,100
>> We have a motion and a

1438
00:44:26,100 --> 00:44:28,100
second final offer. Any other

1439
00:44:28,100 --> 00:44:30,100
discussion?

1440
00:44:32,100 --> 00:44:33,100
>> I did have one question

1441
00:44:33,100 --> 00:44:34,100
and I know because it's

1442
00:44:34,100 --> 00:44:36,100
specially equipped,

1443
00:44:36,100 --> 00:44:38,100
it's probably not worthy.

1444
00:44:38,100 --> 00:44:39,100
Is there any thought process

1445
00:44:39,100 --> 00:44:41,100
to turning these vehicles

1446
00:44:41,100 --> 00:44:42,100
over possibly a year older,

1447
00:44:42,100 --> 00:44:43,100
25,000 miles sooner, get a

1448
00:44:43,100 --> 00:44:45,100
little higher resale value

1449
00:44:45,100 --> 00:44:48,100
maybe, or practical. I know,

1450
00:44:48,100 --> 00:44:50,100
that's what I'm saying.

1451
00:44:50,100 --> 00:44:52,100
Because it's special

1452
00:44:52,100 --> 00:44:53,100
equipped. I don't know if we

1453
00:44:53,100 --> 00:44:55,100
would.

1454
00:44:55,100 --> 00:44:56,100
>> And just so I understand

1455
00:44:56,100 --> 00:44:57,100
what you're asking, selling

1456
00:44:57,100 --> 00:44:59,100
them earlier so we get more

1457
00:44:59,100 --> 00:45:00,100
money out

1458
00:45:00,100 --> 00:45:02,000
of them or trading them back,

1459
00:45:02,000 --> 00:45:03,100
that would be fine. I don't

1460
00:45:03,100 --> 00:45:04,100
think it would increase what

1461
00:45:04,100 --> 00:45:05,100
we get out

1462
00:45:05,100 --> 00:45:06,100
of them as opposed

1463
00:45:06,100 --> 00:45:07,100
to how much we get out of

1464
00:45:07,100 --> 00:45:08,100
them as far as revenue and

1465
00:45:08,100 --> 00:45:09,100
use.

1466
00:45:09,100 --> 00:45:10,100
>> Yeah, that's what I was

1467
00:45:10,100 --> 00:45:12,100
curious because I know like

1468
00:45:12,100 --> 00:45:13,100
with our squads, if you know,

1469
00:45:13,100 --> 00:45:14,100
we can dump one at 50,000

1470
00:45:14,100 --> 00:45:16,100
miles versus 75,000 miles,

1471
00:45:16,100 --> 00:45:18,100
they're significant.

1472
00:45:18,100 --> 00:45:20,100
>> And anecdotally the last

1473
00:45:20,100 --> 00:45:22,100
van we sold was about the

1474
00:45:22,100 --> 00:45:23,100
same mileage and we got

1475
00:45:23,100 --> 00:45:25,100
about 14,

1476
00:45:25,100 --> 00:45:27,100
for this one is going about

1477
00:45:27,100 --> 00:45:29,100
the same pace as the other

1478
00:45:29,100 --> 00:45:31,100
one did. We may not get as

1479
00:45:31,100 --> 00:45:32,100
much just because times are a

1480
00:45:32,100 --> 00:45:34,100
little different, but

1481
00:45:34,100 --> 00:45:36,100
it's a decent,

1482
00:45:36,100 --> 00:45:38,401
it's a worthwhile suggestion.

1483
00:45:40,100 --> 00:45:41,100
But we get a lot of life out

1484
00:45:41,100 --> 00:45:42,100
of these vans and trying

1485
00:45:42,100 --> 00:45:45,100
to buy one every, I mean

1486
00:45:45,100 --> 00:45:47,100
50,000 miles honestly.

1487
00:45:47,100 --> 00:45:48,100
>> Oh, I would say I was

1488
00:45:48,100 --> 00:45:49,100
thinking five years versus

1489
00:45:49,100 --> 00:45:51,100
seven years for example. So

1490
00:45:51,100 --> 00:45:53,100
is there is there value

1491
00:45:53,100 --> 00:45:54,100
in that or not?

1492
00:45:54,100 --> 00:45:55,100
>> And it all depends

1493
00:45:55,100 --> 00:45:56,100
on if we have money in our

1494
00:45:56,100 --> 00:45:57,100
DOT trust fund because again,

1495
00:45:57,100 --> 00:45:59,100
you know, not every

1496
00:45:59,100 --> 00:46:00,100
year do we have and these

1497
00:46:00,100 --> 00:46:02,100
vehicles are obviously quite

1498
00:46:02,100 --> 00:46:04,100
expensive, especially

1499
00:46:05,100 --> 00:46:07,100
after they have

1500
00:46:07,100 --> 00:46:08,100
to be retrofitted and all

1501
00:46:08,100 --> 00:46:09,100
of that. So that would be the

1502
00:46:09,100 --> 00:46:11,100
only other thought. We don't

1503
00:46:11,100 --> 00:46:13,100
always have the funds in our

1504
00:46:13,100 --> 00:46:14,100
DOT trust fund and we utilize

1505
00:46:14,100 --> 00:46:15,100
that so that there is no tax

1506
00:46:15,100 --> 00:46:16,100
levy used in order

1507
00:46:16,100 --> 00:46:18,100
to purchase these.

1508
00:46:19,100 --> 00:46:21,100
>> Cool.

1509
00:46:21,100 --> 00:46:22,100
>> All right.

1510
00:46:22,100 --> 00:46:23,100
Well, we have a motion and

1511
00:46:23,100 --> 00:46:24,100
a second. I'll call for

1512
00:46:24,100 --> 00:46:25,100
to vote. All those in favor

1513
00:46:25,100 --> 00:46:27,401
of sending the resolution

1514
00:46:29,100 --> 00:46:30,100
to purchase vehicle for the

1515
00:46:30,100 --> 00:46:31,100
ADRC transportation program

1516
00:46:31,100 --> 00:46:32,100
and amend the 2026 budget

1517
00:46:32,100 --> 00:46:35,100
to the county board. Please

1518
00:46:35,100 --> 00:46:36,100
say aye.

1519
00:46:36,100 --> 00:46:38,100
>> Aye.

1520
00:46:38,100 --> 00:46:40,100
>> Any opposed, same sign.

1521
00:46:40,100 --> 00:46:41,100
That passed unanimously.

1522
00:46:41,100 --> 00:46:42,100
>> Thank you.

1523
00:46:42,100 --> 00:46:44,100
>> Thank you.

1524
00:46:47,100 --> 00:46:48,100
>> All right. 6C,

1525
00:46:48,100 --> 00:46:49,100
presentation quarterly

1526
00:46:49,100 --> 00:46:51,100
accounts receivable reports.

1527
00:46:52,100 --> 00:46:54,100
>> So, the four departments

1528
00:46:54,100 --> 00:46:55,100
that we look at their

1529
00:46:55,100 --> 00:46:56,100
quarterly accounts receivable

1530
00:46:56,100 --> 00:46:57,100
are attached and granted

1531
00:46:57,100 --> 00:46:58,100
assets for their second

1532
00:46:58,100 --> 00:47:00,100
quarter of the year ending

1533
00:47:00,100 --> 00:47:02,100
June 30, 2026.

1534
00:47:05,100 --> 00:47:07,100
>> 6D. Budget Update.

1535
00:47:07,100 --> 00:47:10,601
>> I just wanted to give an

1536
00:47:18,100 --> 00:47:19,100
update of where we're at

1537
00:47:19,100 --> 00:47:20,100
with the budget. July 31st

1538
00:47:20,100 --> 00:47:22,100
was our deadline

1539
00:47:22,100 --> 00:47:23,100
for the departments to get in

1540
00:47:23,100 --> 00:47:25,401
their initial budget requests

1541
00:47:26,100 --> 00:47:28,100
and then last week and this

1542
00:47:28,100 --> 00:47:30,100
week as an admin team. So

1543
00:47:30,100 --> 00:47:32,100
Lisa, Anna, myself, Tara and

1544
00:47:32,100 --> 00:47:34,100
then Louis from our MIS

1545
00:47:34,100 --> 00:47:35,100
department have been sitting

1546
00:47:35,100 --> 00:47:37,100
down with the departments

1547
00:47:37,100 --> 00:47:38,100
individually going

1548
00:47:38,100 --> 00:47:40,401
over what they submitted,

1549
00:47:41,100 --> 00:47:42,100
just talking to them

1550
00:47:42,100 --> 00:47:44,100
about it. The plan is then to

1551
00:47:44,100 --> 00:47:45,100
bring everything together and

1552
00:47:45,100 --> 00:47:48,100
see where we're at. I will

1553
00:47:48,100 --> 00:47:49,100
say we got estimates

1554
00:47:49,100 --> 00:47:51,100
from the Department of

1555
00:47:51,100 --> 00:47:53,100
Revenue last week and I ran

1556
00:47:53,100 --> 00:47:54,100
estimated numbers. There's

1557
00:47:54,100 --> 00:47:56,100
the more of the details

1558
00:47:56,100 --> 00:47:58,100
of the numbers are on my

1559
00:47:58,100 --> 00:48:00,100
accounting monthly report

1560
00:48:00,100 --> 00:48:01,100
later in the agenda.

1561
00:48:01,100 --> 00:48:02,100
But I won't get

1562
00:48:02,100 --> 00:48:04,100
into all of the

1563
00:48:04,100 --> 00:48:07,100
numbers and the figures. But

1564
00:48:07,100 --> 00:48:09,100
the preliminary estimates

1565
00:48:09,100 --> 00:48:10,100
that we're getting from the

1566
00:48:10,100 --> 00:48:12,100
Department of Revenue for net

1567
00:48:12,100 --> 00:48:14,100
new construction increases

1568
00:48:16,100 --> 00:48:17,100
are not looking great. It's

1569
00:48:17,100 --> 00:48:18,100
down from prior years. So

1570
00:48:18,100 --> 00:48:19,100
we're looking at our tax levy

1571
00:48:19,100 --> 00:48:20,100
that we are not going

1572
00:48:20,100 --> 00:48:21,100
to be able

1573
00:48:21,100 --> 00:48:22,100
to increase it very much.

1574
00:48:22,100 --> 00:48:23,100
Maybe about 490,000. Again,

1575
00:48:23,100 --> 00:48:24,100
that's an estimate. Right now

1576
00:48:24,100 --> 00:48:25,100
we don't have the final

1577
00:48:25,100 --> 00:48:26,100
numbers, so I can't say if

1578
00:48:26,100 --> 00:48:27,100
that's the final number or

1579
00:48:27,100 --> 00:48:28,100
not yet. So just looking

1580
00:48:28,100 --> 00:48:29,100
at you know, we just heard

1581
00:48:29,100 --> 00:48:30,100
from the health insurance

1582
00:48:30,100 --> 00:48:32,100
increases there the

1583
00:48:32,100 --> 00:48:33,100
department asks that are

1584
00:48:33,100 --> 00:48:35,100
coming in. We're looking

1585
00:48:35,100 --> 00:48:37,100
at what we need to put

1586
00:48:37,100 --> 00:48:38,100
together. I think we're going

1587
00:48:38,100 --> 00:48:39,100
to start brainstorming some

1588
00:48:39,100 --> 00:48:40,100
ideas and putting it all

1589
00:48:40,100 --> 00:48:41,100
together before we bring the

1590
00:48:41,100 --> 00:48:42,100
full budget presentation

1591
00:48:42,100 --> 00:48:44,100
to you. But I just wanted

1592
00:48:44,100 --> 00:48:45,100
to let you know kind

1593
00:48:45,100 --> 00:48:46,100
of where we're

1594
00:48:46,100 --> 00:48:48,100
at right now. I don't know if

1595
00:48:48,100 --> 00:48:49,100
Lisa had anything she wanted

1596
00:48:49,100 --> 00:48:51,100
to add to it.

1597
00:48:51,100 --> 00:48:53,401
>> The bad news is?

1598
00:48:54,100 --> 00:48:55,100
>> This is the shocker

1599
00:48:55,100 --> 00:48:58,100
before the sheriff came in to

1600
00:48:58,100 --> 00:48:59,100
today because I hadn't looked

1601
00:48:59,100 --> 00:49:00,100
at the bottom line yet. We

1602
00:49:00,100 --> 00:49:02,100
have no union negotiated

1603
00:49:02,100 --> 00:49:04,100
contract yet, so to speak.

1604
00:49:04,100 --> 00:49:06,100
We are $10 million over what

1605
00:49:06,100 --> 00:49:08,100
we can actually levy right

1606
00:49:08,100 --> 00:49:10,100
now. So we are going to have

1607
00:49:10,100 --> 00:49:11,100
to make some pretty hard

1608
00:49:11,100 --> 00:49:13,100
choices, folks, going

1609
00:49:14,100 --> 00:49:15,100
into this next budget cycle.

1610
00:49:15,100 --> 00:49:17,100
Because when we look at the

1611
00:49:17,100 --> 00:49:19,100
revenues that we're allowed

1612
00:49:19,100 --> 00:49:20,100
to increase, we're talking to

1613
00:49:20,100 --> 00:49:22,100
folks that haven't touched

1614
00:49:22,100 --> 00:49:24,100
their fee schedule schedules

1615
00:49:24,100 --> 00:49:25,100
in 10 years to really start

1616
00:49:25,100 --> 00:49:26,100
to look at whether or not

1617
00:49:26,100 --> 00:49:28,100
we're covering our costs.

1618
00:49:28,100 --> 00:49:31,100
But trying to push sales tax

1619
00:49:31,100 --> 00:49:33,100
and interest investment. I

1620
00:49:33,100 --> 00:49:34,100
mean, we're getting to a

1621
00:49:34,100 --> 00:49:36,100
point where there's very

1622
00:49:36,100 --> 00:49:37,100
little we can pull out

1623
00:49:37,100 --> 00:49:40,100
of that anymore. So it is

1624
00:49:40,100 --> 00:49:42,100
going to be the departments

1625
00:49:42,100 --> 00:49:43,100
really starting to look

1626
00:49:43,100 --> 00:49:45,100
at their programs, their

1627
00:49:45,100 --> 00:49:47,100
services, us figuring

1628
00:49:47,100 --> 00:49:48,100
out if we can do some tweaks

1629
00:49:48,100 --> 00:49:50,100
with the health insurance.

1630
00:49:50,100 --> 00:49:53,100
Not really where I wanted

1631
00:49:53,100 --> 00:49:55,100
to hear we were this morning,

1632
00:49:55,100 --> 00:49:57,100
but I'm optimistic that we

1633
00:49:57,100 --> 00:49:59,100
will get there. I just think

1634
00:49:59,100 --> 00:50:00,100
we're going to have to be a

1635
00:50:00,100 --> 00:50:01,100
little creative and

1636
00:50:01,100 --> 00:50:03,100
innovative.

1637
00:50:05,100 --> 00:50:07,100
>> Any other budget update

1638
00:50:07,100 --> 00:50:09,100
questions? Thank you,

1639
00:50:11,100 --> 00:50:12,100
Stephanie.

1640
00:50:12,100 --> 00:50:14,100
>> So we've got

1641
00:50:16,100 --> 00:50:17,100
6E. Presentation of County

1642
00:50:17,100 --> 00:50:18,100
Financial Report.

1643
00:50:18,100 --> 00:50:20,100
>> Okay.

1644
00:50:20,100 --> 00:50:21,100
>> And those are attached

1645
00:50:21,100 --> 00:50:23,100
in Granicus. The first page

1646
00:50:23,100 --> 00:50:24,100
just has some notable lines

1647
00:50:24,100 --> 00:50:26,100
that we pull out. Those

1648
00:50:26,100 --> 00:50:27,100
numbers all look in line

1649
00:50:27,100 --> 00:50:28,100
with where we should be

1650
00:50:28,100 --> 00:50:29,100
at this time of the year.

1651
00:50:29,100 --> 00:50:30,100
The second page summarizes

1652
00:50:30,100 --> 00:50:31,100
sales tax. And Lisa touched

1653
00:50:31,100 --> 00:50:32,100
on a little bit. The May sales

1654
00:50:32,100 --> 00:50:34,100
tax figures we got

1655
00:50:34,100 --> 00:50:36,100
at the end of July. I was a

1656
00:50:36,100 --> 00:50:38,100
little disappointed. Those

1657
00:50:39,100 --> 00:50:42,100
didn't come in very good.

1658
00:50:42,100 --> 00:50:43,100
We're still slightly ahead

1659
00:50:43,100 --> 00:50:44,100
of where we were

1660
00:50:44,100 --> 00:50:46,100
at last year, but not much.

1661
00:50:46,100 --> 00:50:47,100
So I just don't know what

1662
00:50:47,100 --> 00:50:48,100
sales tax looks like. I mean,

1663
00:50:48,100 --> 00:50:49,100
we'll see how the rest

1664
00:50:49,100 --> 00:50:50,100
of the year goes. The sales

1665
00:50:50,100 --> 00:50:51,100
tax looks like it's kind

1666
00:50:51,100 --> 00:50:53,100
of leveling off. It's been

1667
00:50:53,100 --> 00:50:54,100
increasing quite a bit every

1668
00:50:54,100 --> 00:50:57,100
year since that Covid year.

1669
00:50:57,100 --> 00:50:58,100
That threw everything

1670
00:50:58,100 --> 00:50:59,100
in wrench and everything.

1671
00:50:59,100 --> 00:51:00,100
But I don't know,

1672
00:51:00,100 --> 00:51:01,100
sales tax right now is

1673
00:51:01,100 --> 00:51:02,100
looking

1674
00:51:02,100 --> 00:51:03,100
like it's staying kind

1675
00:51:03,100 --> 00:51:04,100
of steady with what it was

1676
00:51:04,100 --> 00:51:06,100
last year. I think interest

1677
00:51:06,100 --> 00:51:07,100
rates, this isn't

1678
00:51:07,100 --> 00:51:08,100
on this page, but I think

1679
00:51:08,100 --> 00:51:10,100
interest rates too are kind

1680
00:51:10,100 --> 00:51:11,100
of leveling off, hopefully

1681
00:51:11,100 --> 00:51:12,100
staying where they're at this

1682
00:51:12,100 --> 00:51:13,100
year and not dropping.

1683
00:51:13,100 --> 00:51:15,100
Moving on

1684
00:51:15,100 --> 00:51:17,100
to pages three and four.

1685
00:51:17,100 --> 00:51:18,100
This is looking at all the

1686
00:51:18,100 --> 00:51:20,100
revenues and expenses

1687
00:51:20,100 --> 00:51:23,100
by functional areas. Not a

1688
00:51:23,100 --> 00:51:25,100
lot outstanding here.

1689
00:51:26,100 --> 00:51:28,100
Again, our grant numbers,

1690
00:51:28,100 --> 00:51:30,100
grant revenues maybe don't

1691
00:51:30,100 --> 00:51:32,100
look so great compared

1692
00:51:32,100 --> 00:51:33,100
but that's a lot of times our

1693
00:51:33,100 --> 00:51:34,100
expense expenses are coming

1694
00:51:34,100 --> 00:51:36,100
in and then we have to apply

1695
00:51:36,100 --> 00:51:37,100
for the revenue afterwards.

1696
00:51:37,100 --> 00:51:38,100
So grants do always tend

1697
00:51:38,100 --> 00:51:39,100
to grant revenue always tends

1698
00:51:39,100 --> 00:51:40,100
to lag the expenses. And I

1699
00:51:40,100 --> 00:51:43,100
know like for example, well,

1700
00:51:51,100 --> 00:51:52,100
one thing like the license

1701
00:51:52,100 --> 00:51:54,100
and permits number for the

1702
00:51:54,100 --> 00:51:56,100
health and human service area

1703
00:51:56,100 --> 00:51:57,100
that looks ahead

1704
00:51:57,100 --> 00:51:58,100
of schedule.

1705
00:51:58,100 --> 00:51:59,100
But that's me mainly due to

1706
00:51:59,100 --> 00:52:01,100
annual food licenses are due

1707
00:52:01,100 --> 00:52:03,000
June 30th. So most of that

1708
00:52:03,000 --> 00:52:04,100
food licensing money that

1709
00:52:04,100 --> 00:52:05,100
comes in into that area has

1710
00:52:05,100 --> 00:52:06,100
already come in

1711
00:52:06,100 --> 00:52:07,100
for the year. So that's why

1712
00:52:07,100 --> 00:52:08,100
that line looks a little

1713
00:52:08,100 --> 00:52:11,100
ahead of schedule. And then

1714
00:52:12,100 --> 00:52:13,100
the last two pages is kind

1715
00:52:13,100 --> 00:52:14,100
of a breakdown more

1716
00:52:14,100 --> 00:52:15,100
by the department areas. And

1717
00:52:15,100 --> 00:52:16,100
nobody was really jumping

1718
00:52:16,100 --> 00:52:18,100
out at this point

1719
00:52:18,100 --> 00:52:21,100
of the year looking unusual.

1720
00:52:21,100 --> 00:52:22,100
So did anybody have any

1721
00:52:22,100 --> 00:52:23,100
questions

1722
00:52:23,100 --> 00:52:25,100
about financials.

1723
00:52:25,100 --> 00:52:27,100
>> Number 7. Personnel

1724
00:52:29,100 --> 00:52:31,100
Insurance Department?

1725
00:52:33,100 --> 00:52:35,401
Obviously you run with.

1726
00:52:36,100 --> 00:52:38,100
>> Sounds good.

1727
00:52:38,100 --> 00:52:40,100
>> So 7A is the safety

1728
00:52:40,100 --> 00:52:42,100
report. Busy

1729
00:52:42,100 --> 00:52:43,100
with safety. I will call out

1730
00:52:43,100 --> 00:52:45,100
that our property claims year

1731
00:52:45,100 --> 00:52:47,100
to date are a little high.

1732
00:52:47,100 --> 00:52:48,100
Seen that we've had eight

1733
00:52:48,100 --> 00:52:50,100
claims this year so far and

1734
00:52:50,100 --> 00:52:51,100
last year was nine and the

1735
00:52:51,100 --> 00:52:53,100
year before was ten. So we've

1736
00:52:53,100 --> 00:52:55,100
just had some unfortunate

1737
00:52:55,100 --> 00:52:56,100
incidents. We've hit two deer

1738
00:52:56,100 --> 00:52:58,100
with the sheriff's office.

1739
00:52:58,100 --> 00:53:00,100
So that was two

1740
00:53:00,100 --> 00:53:01,100
of the claims.

1741
00:53:01,100 --> 00:53:02,100
We had a couple plow

1742
00:53:02,100 --> 00:53:04,100
trucks that were hit.

1743
00:53:04,100 --> 00:53:05,100
Our plow trucks did not

1744
00:53:05,100 --> 00:53:06,100
hit. Our plow trucks were

1745
00:53:06,100 --> 00:53:07,100
hit. I just want

1746
00:53:07,100 --> 00:53:08,100
to very specify

1747
00:53:08,100 --> 00:53:10,100
in unfortunate circumstances.

1748
00:53:10,100 --> 00:53:11,100
That was two

1749
00:53:11,100 --> 00:53:13,100
of the highways. So we just

1750
00:53:13,100 --> 00:53:15,100
had some. The deers are kind

1751
00:53:15,100 --> 00:53:16,100
of a common thing, but the

1752
00:53:16,100 --> 00:53:17,100
highway trucks getting hit is

1753
00:53:17,100 --> 00:53:20,100
not common. So that's the

1754
00:53:20,100 --> 00:53:21,100
property claims continue

1755
00:53:21,100 --> 00:53:23,100
to work through those

1756
00:53:23,100 --> 00:53:25,100
liability claims. And then

1757
00:53:25,100 --> 00:53:26,100
the workers comp is kind

1758
00:53:26,100 --> 00:53:28,100
of trending. Not that I

1759
00:53:28,100 --> 00:53:29,100
wanted to trend, but I don't

1760
00:53:29,100 --> 00:53:31,100
see anything concerning

1761
00:53:31,100 --> 00:53:32,100
related to those numbers

1762
00:53:32,100 --> 00:53:35,601
at this point. And then 7B,

1763
00:53:36,100 --> 00:53:38,100
benefits report. Similar,

1764
00:53:38,100 --> 00:53:40,100
Just kind of trending where

1765
00:53:40,100 --> 00:53:42,100
we have been previously. We

1766
00:53:42,100 --> 00:53:43,100
did have a little jump in

1767
00:53:43,100 --> 00:53:44,100
healthcare center turnover

1768
00:53:44,100 --> 00:53:46,100
which caused

1769
00:53:46,100 --> 00:53:48,100
for our overall turnover

1770
00:53:48,100 --> 00:53:49,100
to increase a little bit.

1771
00:53:49,100 --> 00:53:50,100
But we're still sitting

1772
00:53:50,100 --> 00:53:51,100
at 10% year to date. We do

1773
00:53:51,100 --> 00:53:52,100
typically see some turnover

1774
00:53:52,100 --> 00:53:53,100
kind of

1775
00:53:53,100 --> 00:53:54,100
in the summer months. Just

1776
00:53:54,100 --> 00:53:56,401
with retirements and folks

1777
00:53:57,100 --> 00:53:58,100
changing jobs. It's a good

1778
00:53:58,100 --> 00:53:59,100
time to change jobs. I always

1779
00:53:59,100 --> 00:54:00,100
said that as a recruiter

1780
00:54:00,100 --> 00:54:01,100
because kids are out

1781
00:54:01,100 --> 00:54:02,100
of school and you can kind

1782
00:54:02,100 --> 00:54:03,100
of adjust and then get back

1783
00:54:03,100 --> 00:54:04,100
into the swing of things

1784
00:54:04,100 --> 00:54:06,100
before a kid get back

1785
00:54:06,100 --> 00:54:07,100
into school. And so summer

1786
00:54:07,100 --> 00:54:08,100
turnover,

1787
00:54:08,100 --> 00:54:09,100
there's always a little bit

1788
00:54:09,100 --> 00:54:12,100
of that that happens. And 7C

1789
00:54:12,100 --> 00:54:14,401
report is the rest

1790
00:54:15,100 --> 00:54:16,100
of the department report. So

1791
00:54:16,100 --> 00:54:17,100
recruitment numbers Working

1792
00:54:17,100 --> 00:54:18,100
through three open positions

1793
00:54:18,100 --> 00:54:20,100
right now with the county

1794
00:54:20,100 --> 00:54:22,100
excluding the health care

1795
00:54:22,100 --> 00:54:23,100
center. Page two

1796
00:54:23,100 --> 00:54:25,100
of that report. We did have a

1797
00:54:25,100 --> 00:54:26,100
little bit of health care

1798
00:54:26,100 --> 00:54:28,100
center turnover,

1799
00:54:28,100 --> 00:54:29,100
although we've had, as I

1800
00:54:29,100 --> 00:54:31,100
said, we've had some good

1801
00:54:31,100 --> 00:54:32,100
hires though too recently

1802
00:54:32,100 --> 00:54:34,401
for hires last month

1803
00:54:35,100 --> 00:54:37,100
to rehire. So busy

1804
00:54:37,100 --> 00:54:38,100
with recruitment. Busy

1805
00:54:38,100 --> 00:54:40,100
with some activities

1806
00:54:40,100 --> 00:54:41,100
for the employees. Page three

1807
00:54:41,100 --> 00:54:43,100
of that report. Have not had

1808
00:54:43,100 --> 00:54:44,100
any additional security

1809
00:54:44,100 --> 00:54:45,100
breaches and investigations

1810
00:54:45,100 --> 00:54:47,100
for this year. And our goals

1811
00:54:47,100 --> 00:54:48,100
are all

1812
00:54:48,100 --> 00:54:50,100
in progress.

1813
00:54:54,100 --> 00:54:57,100
Those are the big reports.

1814
00:54:57,100 --> 00:54:58,100
So, I just like

1815
00:54:58,100 --> 00:55:00,100
to pause. 7D budget report.

1816
00:55:00,100 --> 00:55:01,100
We're right where we should

1817
00:55:01,100 --> 00:55:02,100
be a little more than halfway

1818
00:55:02,100 --> 00:55:03,100
through the year,

1819
00:55:03,100 --> 00:55:05,100
so I don't have any concerns

1820
00:55:05,100 --> 00:55:06,100
with where our budget sits. I

1821
00:55:06,100 --> 00:55:07,100
do have an open risk safety

1822
00:55:07,100 --> 00:55:08,100
coordinator under that risk

1823
00:55:08,100 --> 00:55:10,100
management insurance piece.

1824
00:55:10,100 --> 00:55:12,100
So that position is mostly

1825
00:55:12,100 --> 00:55:14,100
vacant. She's working a

1826
00:55:14,100 --> 00:55:16,100
little bit still for me,

1827
00:55:16,100 --> 00:55:17,100
so that will continue

1828
00:55:17,100 --> 00:55:18,100
to trend a little bit lower

1829
00:55:18,100 --> 00:55:20,100
through the end of the year

1830
00:55:20,100 --> 00:55:21,100
just because we're gonna have

1831
00:55:21,100 --> 00:55:23,100
a vacancy for a bit. And then

1832
00:55:23,100 --> 00:55:25,401
the last, 7E, invoices.

1833
00:55:26,100 --> 00:55:27,100
Looking for approval

1834
00:55:27,100 --> 00:55:29,100
of invoices of $4,313.68

1835
00:55:29,100 --> 00:55:31,100
for this month.

1836
00:55:32,100 --> 00:55:34,100
>> Motion to approve.

1837
00:55:34,100 --> 00:55:35,100
>> Second.

1838
00:55:35,100 --> 00:55:37,100
>> Any questions?

1839
00:55:50,100 --> 00:55:51,100
>> Okay. All those in favor

1840
00:55:51,100 --> 00:55:52,100
of paying the invoices of

1841
00:55:52,100 --> 00:55:54,100
$4,313.68 say aye.

1842
00:55:55,100 --> 00:55:57,100
>> Aye.

1843
00:55:57,100 --> 00:55:58,100
>> Any oppose,

1844
00:55:58,100 --> 00:56:00,100
same sign.

1845
00:56:01,100 --> 00:56:03,100
>> Thank you, Anna.

1846
00:56:07,100 --> 00:56:09,100
>> All right. First is my

1847
00:56:09,100 --> 00:56:10,100
monthly report. We've just

1848
00:56:10,100 --> 00:56:11,100
been obviously busy with tax

1849
00:56:11,100 --> 00:56:12,100
collection and still continue

1850
00:56:12,100 --> 00:56:14,100
to work on tax foreclosure.

1851
00:56:14,100 --> 00:56:15,100
And then budget. Our average

1852
00:56:15,100 --> 00:56:17,100
rate

1853
00:56:17,100 --> 00:56:19,401
for investments has gone

1854
00:56:20,100 --> 00:56:21,100
down this year. There are

1855
00:56:21,100 --> 00:56:23,401
some shorter term investments

1856
00:56:24,100 --> 00:56:26,100
that are going up above 4,

1857
00:56:26,100 --> 00:56:27,100
but those are more of the 13

1858
00:56:27,100 --> 00:56:29,100
week Zoids. That's really

1859
00:56:29,100 --> 00:56:31,401
something we've been trying

1860
00:56:32,100 --> 00:56:34,100
to look for the 2027 budget,

1861
00:56:34,100 --> 00:56:35,100
but I just. Unless someone

1862
00:56:35,100 --> 00:56:36,100
has a globe that they can

1863
00:56:36,100 --> 00:56:38,100
tell me what's going

1864
00:56:38,100 --> 00:56:40,100
to happen. Magical.

1865
00:56:40,100 --> 00:56:42,100
Currently we have 1,008

1866
00:56:42,100 --> 00:56:44,401
parcels that I turned

1867
00:56:45,100 --> 00:56:47,100
delinquent, which equals

1868
00:56:47,100 --> 00:56:49,100
about 1.9 million. So

1869
00:56:49,100 --> 00:56:51,100
hopefully that number goes

1870
00:56:51,100 --> 00:56:52,100
down a little bit

1871
00:56:52,100 --> 00:56:54,100
before I do. Tax certificates

1872
00:56:54,100 --> 00:56:56,100
end of this month. Those

1873
00:56:56,100 --> 00:56:58,100
delinquent notices went

1874
00:56:58,100 --> 00:56:59,100
out this morning. So we'll be

1875
00:56:59,100 --> 00:57:00,100
fielding calls

1876
00:57:00,100 --> 00:57:02,100
for the next couple days.

1877
00:57:02,100 --> 00:57:04,100
Budget report. Everything

1878
00:57:04,100 --> 00:57:06,100
looks normal. Investments are

1879
00:57:06,100 --> 00:57:08,100
on pace for this year,

1880
00:57:08,100 --> 00:57:09,100
so we should be good with

1881
00:57:09,100 --> 00:57:10,100
that. I have the investment

1882
00:57:10,100 --> 00:57:13,100
report attached. And then my

1883
00:57:15,100 --> 00:57:18,100
final thing is my invoices,

1884
00:57:18,100 --> 00:57:20,100
which is always a fun month.

1885
00:57:20,100 --> 00:57:22,100
$47,262,871.64.

1886
00:57:27,100 --> 00:57:28,100
>> Any questions for

1887
00:57:28,100 --> 00:57:30,100
Jessica? I'll take a motion.

1888
00:57:30,100 --> 00:57:32,100
>> I will make a motion to

1889
00:57:32,100 --> 00:57:34,100
approve.

1890
00:57:37,100 --> 00:57:39,100
>> I was just going to say

1891
00:57:39,100 --> 00:57:41,100
the majority going right

1892
00:57:41,100 --> 00:57:43,100
across the table.

1893
00:57:44,100 --> 00:57:45,100
>> You called that.

1894
00:57:45,100 --> 00:57:47,100
>> Second.

1895
00:57:47,100 --> 00:57:48,100
>> All in favor of paying the

1896
00:57:48,100 --> 00:57:50,100
invoices in the amount of

1897
00:57:50,100 --> 00:57:51,100
$47, 262, 871.64.

1898
00:57:51,100 --> 00:57:53,100
Please say aye.

1899
00:57:59,100 --> 00:58:01,100
>> Aye.

1900
00:58:02,100 --> 00:58:04,100
>> Thank you.

1901
00:58:10,100 --> 00:58:11,100
>> So, my accounting update

1902
00:58:11,100 --> 00:58:13,401
is attached in Granicus.

1903
00:58:14,100 --> 00:58:16,100
We've been having a busy

1904
00:58:16,100 --> 00:58:19,100
month in July. On July 30,

1905
00:58:19,100 --> 00:58:21,100
the auditors released a clean

1906
00:58:21,100 --> 00:58:24,100
audit opinion. It's on the

1907
00:58:24,100 --> 00:58:25,100
website and I believe it was

1908
00:58:25,100 --> 00:58:26,100
Lisa sent that out to the all

1909
00:58:26,100 --> 00:58:28,100
the county board members

1910
00:58:28,100 --> 00:58:29,100
but it's also

1911
00:58:29,100 --> 00:58:30,100
on the website if you need

1912
00:58:30,100 --> 00:58:33,100
to look at that for our

1913
00:58:33,100 --> 00:58:34,100
2025 audit statements or

1914
00:58:34,100 --> 00:58:36,100
financial statements,

1915
00:58:36,100 --> 00:58:37,100
we've also been working on

1916
00:58:37,100 --> 00:58:38,100
this is a newer audit

1917
00:58:38,100 --> 00:58:40,100
requirement. The state DHS

1918
00:58:40,100 --> 00:58:41,100
requires nursing homes

1919
00:58:41,100 --> 00:58:42,100
to have another audit. So

1920
00:58:42,100 --> 00:58:43,100
we've been working on that

1921
00:58:43,100 --> 00:58:45,100
with our independent auditors

1922
00:58:45,100 --> 00:58:46,100
and along with the health

1923
00:58:46,100 --> 00:58:48,100
care center employees. And

1924
00:58:48,100 --> 00:58:49,100
then we've also been working

1925
00:58:49,100 --> 00:58:50,100
on getting ready for the

1926
00:58:50,100 --> 00:58:52,100
single audit which gets

1927
00:58:52,100 --> 00:58:54,100
released in the fall. So

1928
00:58:54,100 --> 00:58:55,100
we've been working on that.

1929
00:58:55,100 --> 00:58:57,100
And budget,

1930
00:58:57,100 --> 00:58:59,100
we've been getting really

1931
00:58:59,100 --> 00:59:00,100
busy in budget. Capital

1932
00:59:00,100 --> 00:59:01,100
improvement plan committee

1933
00:59:01,100 --> 00:59:03,100
met in July. I already kind

1934
00:59:03,100 --> 00:59:04,100
of mentioned I won't go

1935
00:59:04,100 --> 00:59:06,100
through these numbers there

1936
00:59:06,100 --> 00:59:07,100
in the report,

1937
00:59:07,100 --> 00:59:08,100
but I included numbers

1938
00:59:08,100 --> 00:59:09,100
in here that you can read

1939
00:59:09,100 --> 00:59:10,100
in your free time

1940
00:59:10,100 --> 00:59:11,100
about where we're looking

1941
00:59:11,100 --> 00:59:12,100
at our levy for the this year

1942
00:59:12,100 --> 00:59:15,100
and then upcoming. We just

1943
00:59:16,100 --> 00:59:17,100
have a lot more budget

1944
00:59:17,100 --> 00:59:19,100
to work on. And then I've got

1945
00:59:19,100 --> 00:59:20,100
my other numbers on there.

1946
00:59:20,100 --> 00:59:22,100
Nothing's out

1947
00:59:22,100 --> 00:59:24,100
of the ordinary

1948
00:59:25,100 --> 00:59:26,100
for the county update. Also

1949
00:59:26,100 --> 00:59:28,100
attached is my year to date

1950
00:59:28,100 --> 00:59:29,100
budget report that those

1951
00:59:29,100 --> 00:59:30,100
numbers for the accounting

1952
00:59:30,100 --> 00:59:31,100
department are also in line

1953
00:59:31,100 --> 00:59:32,100
with where we should be

1954
00:59:32,100 --> 00:59:33,100
at this time of year. Then

1955
00:59:33,100 --> 00:59:35,100
item 9B. Reviewing the

1956
00:59:35,100 --> 00:59:37,100
accounting department's

1957
00:59:37,100 --> 00:59:38,100
invoices are I have invoices

1958
00:59:38,100 --> 00:59:40,100
attached for $7,699.

1959
00:59:45,100 --> 00:59:47,100
>> Question?

1960
00:59:48,100 --> 00:59:50,100
>> Second.

1961
00:59:53,100 --> 00:59:54,100
>> Any questions for Stephanie

1962
00:59:54,100 --> 00:59:55,100
on any of that?

1963
00:59:55,100 --> 00:59:57,100
>> Sorry, who seconded?

1964
01:00:01,100 --> 01:00:02,100
>> So all those in favor

1965
01:00:02,100 --> 01:00:03,100
of paying the monthly invoice

1966
01:00:03,100 --> 01:00:05,401
in the amount of $7,699.

1967
01:00:06,100 --> 01:00:07,100
Please signify

1968
01:00:07,100 --> 01:00:08,100
by saying aye.

1969
01:00:08,100 --> 01:00:10,100
>> Aye.

1970
01:00:10,100 --> 01:00:11,100
>> Opposed, same sign.

1971
01:00:11,100 --> 01:00:13,100
Passes as well.

1972
01:00:14,100 --> 01:00:15,100
>> And then we also have

1973
01:00:15,100 --> 01:00:16,100
approval for the county board

1974
01:00:16,100 --> 01:00:17,100
and committee payments

1975
01:00:17,100 --> 01:00:18,100
in the amount of

1976
01:00:18,100 --> 01:00:20,100
$16,379.28.

1977
01:00:22,100 --> 01:00:23,100
>> Move to approve.

1978
01:00:23,100 --> 01:00:25,100
>> Second.

1979
01:00:25,100 --> 01:00:26,100
>> All those in favor of

1980
01:00:26,100 --> 01:00:28,100
paying the committee

1981
01:00:29,100 --> 01:00:31,100
payments, signify

1982
01:00:31,100 --> 01:00:33,100
by saying aye?

1983
01:00:33,100 --> 01:00:35,100
>> Aye.

1984
01:00:35,100 --> 01:00:37,401
>> Opposing, same sign. All

1985
01:00:38,100 --> 01:00:40,100
right, number 10, our next

1986
01:00:40,100 --> 01:00:41,100
meeting will be September 8th

1987
01:00:41,100 --> 01:00:44,601
at 4:30pm. Now, we'll go into

1988
01:00:45,100 --> 01:00:47,100
close session.

1989
01:00:47,100 --> 01:00:48,100
>> I'll move

1990
01:00:48,100 --> 01:00:50,100
to go close session.

1991
01:00:50,100 --> 01:00:52,100
>> Thank you, Supervisor.

1992
01:00:52,100 --> 01:00:54,100
>> For the record, we have

1993
01:00:54,100 --> 01:00:56,100
to read that.

1994
01:00:56,100 --> 01:00:57,100
>> Pardon me?

1995
01:00:57,100 --> 01:00:58,100
>> You have to read.

1996
01:00:58,100 --> 01:00:59,100
>> Oh, I have

1997
01:00:59,100 --> 01:01:00,100
to read it first?

1998
01:01:00,100 --> 01:01:01,100
>> Yes.

1999
01:01:01,100 --> 01:01:02,100
>> Thank you.

2000
01:01:02,100 --> 01:01:03,100
>> Sorry about that.

2001
01:01:03,100 --> 01:01:04,100
>> I jumped the gun.

2002
01:01:04,100 --> 01:01:05,100
>> It is anticipated that the

2003
01:01:05,100 --> 01:01:06,100
Finance, Personnel and

2004
01:01:06,100 --> 01:01:07,100
Insurance Committee may enter

2005
01:01:07,100 --> 01:01:08,100
into closed session pursuant

2006
01:01:08,100 --> 01:01:09,100
to Wis. Stats. S. 19.85 (1)

2007
01:01:09,100 --> 01:01:11,100
(e) Deliberating or

2008
01:01:12,100 --> 01:01:14,100
negotiating the purchasing

2009
01:01:14,100 --> 01:01:15,100
of public properties,

2010
01:01:15,100 --> 01:01:17,100
the investing

2011
01:01:17,100 --> 01:01:18,100
of public funds, or

2012
01:01:18,100 --> 01:01:19,100
conducting other specified

2013
01:01:19,100 --> 01:01:21,100
public business, whenever

2014
01:01:21,100 --> 01:01:22,100
competitive or bargaining

2015
01:01:22,100 --> 01:01:23,100
reasons require a closed

2016
01:01:23,100 --> 01:01:25,100
session. A roll call vote

2017
01:01:25,100 --> 01:01:26,100
will be taken to go

2018
01:01:26,100 --> 01:01:27,100
into closed session and

2019
01:01:27,100 --> 01:01:28,100
to return to open session.

2020
01:01:28,100 --> 01:01:30,100
So this is on the Approval

2021
01:01:30,100 --> 01:01:31,100
to Purchase Property at 515

2022
01:01:31,100 --> 01:01:33,100
Broadway Street, Baraboo, WI

2023
01:01:33,100 --> 01:01:35,100
53913.

2024
01:01:35,100 --> 01:01:36,100
>> Move to close session.

2025
01:01:36,100 --> 01:01:37,100
>> Thank you. I have a

2026
01:01:37,100 --> 01:01:38,100
motion.

2027
01:01:38,100 --> 01:01:39,100
>> I'll second.

2028
01:01:39,100 --> 01:01:42,601
>> Thank you. And we'll do a

2029
01:01:43,100 --> 01:01:45,100
roll call.

2030
01:01:48,100 --> 01:01:50,100
>> [ CALLING ROLL ]

2031
01:02:10,000 --> 01:02:11,000
>> [ MEETING ADJOURN ]