EXECUTIVE & FINANCE COMMITTEES 1. CALL TO ORDER

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1 MINUTES FINANCE COMMITTEE JOINT SPECIAL MEETING MONDAY, OCTOBER 31, :00 PM ADMINISTRATION CENTER - ROOM A W. MAIN STREET, PORT WASHINGTON, WI EXECUTIVE & FINANCE COMMITTEES 1. CALL TO ORDER A special meeting of the Executive and Finance Committees was held in room A-200 at the Administration Center. Attendee Name Title Status Arrived L. Schlenvogt Chairperson Present P. Melotik Vice-Chairperson Present J. Rothstein Supervisor District 26 Present D. Becker Supervisor District 7 Present K. Geracie Supervisor District 15 Present K. Hertz Supervisor District 22 Present R. Nelson Supervisor District 6 Present G. Wirth Supervisor District 18 Present J. Strom Supervisor District 21 Present D. Gall Supervisor District 16 Present Staff present: County Administrator Meaux, Assistant CA Dzwinel, Assistant to the CA/Budget Manager Balke, Budget Analyst Schoenemann, Finance Director Lamb and County Clerk Winkelhorst. Others present: Supervisors Richart and Dohrwardt (6:42pm); Tom Ross, Ansay & Associates; and Patty Jehn, Wisconsin Physicians Service Insurance Corporation (WPS). 2. PROPER NOTICE/ADOPTION OF AGENDA Executive Committee Chairperson Schlenvogt called the joint meeting to order at 6:03PM. The meeting was properly noticed. Motion made by Supervisor Nelson, seconded by Supervisor Melotik to adopt the agenda as presented. Motion carried. (10-0) 3. PUBLIC COMMENT There was none. 4. ACTION ITEM: a. Review/Approve RES.16-31: Resolution Authorizing the County Administrator to Enter into a Contractual Relationship for Health Insurance Benefits Effective January 1, 2017 Mr. Ross distributed a report which included a comparison of the 2017 proposed rates for Group Health Trust (GHT) with Aurora as the clinic provider and Wisconsin Physicians Service Insurance Corporation (WPS) with QuadMed as the clinic provider. In addition, the report included Ozaukee County 2017 Health Insurance renewal points; Clinic

2 Strategy, Health Insurance Strategy and Service strategy; WPS co-pay benefits; a list of WPS providers and hospitals; and WPS client references. The recommendation from Mr. Ross is to award the health insurance plan to WPS with QuadMed as the employee clinic provider and to maintain PopSpring (HCIactive) as the wellness vendor. Mr. Ross cited the following reasons for the change: 1) lower total cost of approximately $143,000; 2) maintains clinic philosophy; and 3) service strategy - ongoing claims analysis. The startup fee shown of $25,000 for QuadMed would be from an Information Technology standpoint; the setup and other changes that would need to be made that would be different than current vendor, MedCor. The exact amount would not be known until a walk through is done, but it would be a cost not to exceed $25,000. Mr. Ross explained that the clinic philosophy is keeping members out of the health care system and changing healthcare delivery as well as changing member expectations. The problem with the clinic was utilization, not that the clinic did not work. There were some issues with MedCor not meeting their goals. The loss ratio (claims vs premium) has gone down from 89% in 2014 to 81% so far in Mr. Ross reviewed the Clinic Strategy, Health Insurance Strategy and Service Strategy outlined in the report. QuadMed has proposed performance guarantees that the penalty for not reaching performance guarantees, which would be 25% of management fee, would be paid to the county. The goal is to align all participants to make the clinic work, to keep claims down, and for the loss ratio to be lower than 81%. The second year rate guarantee from WPS is not to exceed 9% (this was changed from the 9.9% noted in the report). In comparison, GHT is not to exceed 8%; however, if the loss ratio is over 101%, GHT can add 1% for each point over up to 15%. If the county wants to go self-insured, we will need to get more data which has been an issue with GHT. Mr. Ross asked in writing, from both participants, for a plan on how often the provider and the county will meet on claims data. WPS will meet quarterly, GHT did not provide a plan in writing as requested. Responding to a question on the change for employees, Mr. Dzwinel explained that it is a large undertaking with enrollment and informational meetings, but is doable and WPS will assist with the process. A question was raised as to whether the Preferred Provider Organization would be the same as the current provider UMR. Mr. Ross responded that the PPO would be the same in the state as we currently have. QuadMed will allow reciprocity between their clinics in Washington and Ozaukee

3 County if included in the agreement. In response to a question regarding whether or not Ansay & Associates sells WPS to other companies, Mr. Ross indicated that yes they do; however, it is not commission based and that neither he nor Ansay & Associates receives a commission from WPS. Mr. Ross is hired as a consultant by a company and receives a consultant fee. 6:42 PM Supervisor Dohrwardt joined the meeting. Motion made by Supervisor Nelson, seconded by Supervisor Geracie to approve the recommendation from Ansay & Associates and to recommend to the County Board entering into a contractual relationship with WPS and QuadMed to provide group employee health insurance benefits per Resolution No A roll call vote was taken per Supervisor Wirth s request. This will move forward to the County Board for final approval. RESULT: APPROVED [7 TO 3] MOVER: R. Nelson, Supervisor District 6 SECONDER: K. Geracie, Supervisor District 15, Nelson NAYS: Wirth, Strom, Gall 5. ADJOURNMENT OF FINANCE COMMITTEE Motion made by Supervisor Nelson, seconded by Supervisor Becker to adjourn the Finance Committee. Motion carried. (10-0) Finance Committee excused at 6:45PM 6. APPROVAL OF MINUTES a. Executive Committee - Regular Meeting - Sep 7, :00 AM b. Executive Committee - Special Budget Meeting - Oct 5, :00 AM c. Executive Committee - Special Budget Meeting - Oct 6, :00 AM Motion to approve the September 7, October 5 and October 6, 2016 minutes as submitted. RESULT: APPROVE [UNANIMOUS] MOVER: J. Rothstein, Supervisor District 26 SECONDER: K. Hertz, Supervisor District ACTION ITEMS a. Review/Approve RES.16-28: Amending the Ozaukee County Policy and Procedure Manual Budget Wage Increases Motion to approve Resolution No as reflected in the 2017 Proposed Budget

4 recommending approval by the County Board. This will move forward to County Board for final approval. MOVER: K. Geracie, Supervisor District 15 SECONDER: P. Melotik, Vice-Chairperson b. Review/Approve RES.16-29: 2017 Budget Personnel Changes as Recommended by Executive Committee Motion to approve the personnel changes reflected in the 2017 Proposed Budget recommending approval by the County Board. This will move forward to the County Board for final approval. MOVER: K. Geracie, Supervisor District 15 SECONDER: D. Becker, Supervisor District 7 c. Review/Approve RES.16-30: 2017 Budget Motion to approve the 2017 Budget recommending approval by the County Board. This will move forward to the County Board for final approval. MOVER: D. Becker, Supervisor District 7 SECONDER: K. Geracie, Supervisor District 15 d. Review/Approve RES.16-32: 2017 Ozaukee County Tax Levy and Rate Motion to approve Resolution No , as corrected, recommending approval by the County Board. This will move forward to the County Board for final approval. MOVER: J. Rothstein, Supervisor District 26 SECONDER: D. Becker, Supervisor District 7 8. DISCUSSION ITEM: a. Schedule of County Board Meetings November 16, 2016 County Board meeting cancelled. 9. COMMITTEE REPORTS Public Works Committee Chairperson Geracie noted that the tower project has been completed.

5 10. ADJOURNMENT Motion made by Supervisor Melotik, seconded by Supervisor Hertz to adjourn. Motion carried. (6-0) Meeting adjourned at 6:52 PM. Julianne B. Winkelhorst, County Clerk