HomeMy WebLinkAboutResolutions - 1986.11.20 - 10930Miscellaneous Resolution # 86313 November 6, 1986
BY: PERSONNEL COMMITTEE - John J. McDonald, Chairperson
IN RE: PERSONNEL DEPARTMENT - REQUESTED CHANGES TO EMPLOYEE BENEFIT PROGRAM
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS the County continues to review and evaluate the overall
benefit program provided to County employees with the goal of maintaining
the quality of current benefits in the most cost effective manner and of
improving benefits where warranted within existing benefit expenditures;
and
WHEREAS our present traditional health care coverage can be more
closely monitored by the programs of PREVENT (PREcertification to VErify
Necessary Treatment) and MSO (Mandatory Second Opinion) offered by our current
traditional health care carrier while at the same time offering employees
the option of paid second opinions for non-emergency surgical procedures
beyond those second opinions required by the MSO program; and
WHEREAS within existing benefit dollars it is possible to provide
employees with a new vision care program and to increase the level of ortho-
dontia benefits in the dental program when combined with an increase in the
Master Medical deductible requirement and Drug Rider Co-Pay amount; and
WHEREAS deductible and co-pay levels for these benefits have never
been increased while salaries have increased significantly since these pro-
grams were added to the employee benefit package; and
WHEREAS implementation of all these changes will improve the overall -
quality of benefit services while reducing the benefit costs to the County,
and identical changes have been negotiated with the County's largest repre-
sented employee groups;
NOW THEREFORE BE IT RESOLVED that the following benefit changes
be authorized for all non-represented active employees who are eligible for
fringe benefits and for retired employees where applicable, effective on
or as soon after December 31, 1986 as is practicable:
1. Add a vision care program for eligible active employees
who have completed six months service, with benefit provisions
as described on the attachment;
,
/7
2. Increase the current maximum level of orthodontia reimbursement
for dependent children under age 19 from $500 to $750;
3. Add a Second Surgical Opinion Program as offered by the current
traditional health care carrier;
4. Add a PREVENT (PREcertification to VErify Necessary Treatment)
Program as offered by the current traditional health care
carrier;
5. Change the present Master Medical Option 4 program to Master
Medical Option 2 which will increase the deductible level from
$50/person and $100/family per year to $100/person and $200/
family per year;
6. Change the present Drug Rider Co-Pay requirement from $2.00
per prescription to $3.00 per prescription.
BE IT FURTHER RESOLVED that the Vision Care Program be provided
at no expense to full time eligible employees and that the program be made
available to part-time eligible employees who elect the coverage and agree
to pay one-half the premium cost.
Mr. Chairperson, on behalf of the Personnel Committee, I move the
adoption of the foregoing resolution.
PERSONNEL COMMITTEE
RECOMMENDED 1987
FRINGE BENEFIT PACKAGE REVISIONS
Overview of Recommendation
The Personnel Department is recommending extending a number of health
care related changes for 1987 to the non-represented employee group identical
to those contained in the negotiated labor agreements with several represented
employee groups. Certain of the changes are also being recommended to be
extended to retirees. These changes were instituted in part in July 1986
with remaining changes scheduled for January 1987 for the two Sheriff Depart-
ment ibargaining units. They are also scheduled for implementation in January
with the OCEU and Public Health Nurses bargaining units. A tentative agree-
ment has been reached in the area of fringe benefit changes only with the
AFSC&ME group representing Children's Village, Camp Oakland and Probate Court
employees. This tentative agreement contains identical benefit revisions
to those negotiated with the other groups. Union groups agreeing to these
changes, including the AFSC&ME group, cover 1,306 of the 1,351 represented
positions in the County.
The recommended changes briefly are as follows:
1. Add a vision care program for eligible employees who have completed
six Months service;
2. Increase the current maximum level of orthodontia reimbursement
for dependent children under age 19 from $500 to $750;
3. Add a Second Surgical Opinion Program as offered by the current
traditional health care carrier;
4. Add a PREVENT (PREcertification to VErify Necessary Treatment) Pro-
gram as offered by the current traditional health care carrier;
5. Change the present Master Medical Option 4 program to Master Medical
Option 2 which will increase the deductible level from $50/person
and $100/family per year to $100/person and $200/family per year;
6. Change the present Drug Rider Co-Pay requirement from $2.00 per
prescription to $3.00 per prescription.
It is recommended that the Vision Care Program be provided at no expense
to full time eligible employees and that the program be made available to
part-time eligible employees who elect the coverage and agree to pay one-half
the premium cost. Recommended changes #2 - 6 would be placed into effect
for retirees where applicable.
Cost savings from the four hospitalization/medical changes represent
a 6.1% reduction of the 1986 amount budgeted for hospitalization/medical
coverage for active employees and a 9.0% reduction for retirees. Offsetting
these savings with the two improvements for active employees, adding optical
and increasing orthodontia benefits, still results in a 4.0% reduction of
the total 1986 amount budgeted for hospitalization/medical and dental insur-
ance coverages. Dollar savings from the four hospitalization/medical changes
is projected at $524,164. Net savings after considering the areas of improve-
ment are estimated to be $368,766. Financial impact sheets are included
as Attachment A (pages 4 and 4a of this package).
Brief Description of Benefit Changes
1. Vision Care Program
Provides for vision testing examinations once every 24 months with
a $5/member co-pay; testing is by optometrist or opthamologist at
the providers choice with additional examination by an opthamologist
if recommended by an optometrist.
Provides for corrective lenses and frames once every 24 months with
a $7.50/member co-pay; standard daily wear contact lenses generally
are covered; standard lenses and frames are covered; dispensing
fee and fees for selecting, fitting and adjusting of frames are
covered.
More detail is included as an attachment to the suggested Board
Resolution (page 11 of this package).
2. Orthodontia Reimbursement Limit
The present lifetime limit of $500 per eligible dependent would
be increased to $750.
This limit has not been increased since dental benefits were provided
to County employees.
3. Second Surgical Opinion Program
Employees must obtain an employer paid second opinion for 10 of
the more common non-emergency surgeries; failure to obtain the
opinion would generally require the employee to pay 20% of the
approved physician payment;
An employee may request an employer paid third opinion if the First
two opinions disagree; the insurance carrier will make the full
normal approved payment for surgery without regard to the second
or third opinion if the employee has obtained the opinion(s) and
elects to proceed with the surgery;
For most non-emergency surgeries, other than the ten required, em-
ployees may obtain an employer paid second opinion;
Appointments for second or third opinions must be made from the
list of physicians supplied through the carrier referral center.
Members covered by an HMO and individuals covered by "Complementary"
to Medicare coverage are not covered by this program;
A copy of the carrier pamphlet describing the program is included
as Attachment B (page 5 and 6 of this package).
-2--
4. PREVENT (PREcertification to VErify Necessary Treatment)
Requires a doctor to request approval for all elective inpatient
admissions to hospitals; maternity admissions do not require advance
approval but the doctor must notify before the expected admission
date; the doctor must notify the carrier within one working day
of emergency admissions;
Written notice is sent to the member, doctor and hospital; employees
entering the hospital without having received written pre-approval
where required or staying beyond the authorized number of days,
once written notice has been received, may have to pay hospital
and doctor costs for unapproved days.
Members covered by an HMO and individuals covered by "Complementary"
to Medicare coverage are not covered by this program;
A copy of the carrier pamphlet describing the program is included
as Attachment C (page 7 and 8 of this package).
5. Increase the Master Medical Deductible
Self-explanatory; the current deductible to be increased from $50/
perSon and $100/family per year to S100/person and $200 per family;
The deductible amount has not been raised since the Master Medical
program was initially provided to employees.
6. Increase the Drug Rider Co-Pay
Self-explanatory; the current co -pay amount required per prescription
to be increased from $2 to $3;
The co-pay amount has not been raised since the drug rider was initi-
ally provided to employees.
Summary
The recommended changes have been reviewed with the Fringe Benefit Study
Group comprised of the Directors of Personnel, Management & Budget and Central
Services, the Chief Deputy Treasurer and Manager of Employee Relations.
The Study Group supports the changes as presented in these documents. A
suggested Board resolution prepared for the Personnel Committee is included
as Attachment D (pages 9, 10 and 11 of this package). It should be noted
that we are recommending extending the Vision Care coverage to the non-repre-
sented and other represented employees through D.O.C. for 1987 under the
earlier bidding process with a review during 1987 regarding re-bidding and/or
alternate funding arrangements for 1988.
-3-
369
497
688
608
819
1,133
2,560 TOTAL 1,006 1,554 ($53,841) ($83,159) ($136,999) ATTACHMENT A OAKLAND COUNTY, MICHIGAN
PROPOSED FRINGE HENEEIT CHANGES
1987 FINANCIAL IMPACT FOR ACTIVE EMPLOYEES
I. INCREASE ORTHODONTIC BENEFIT FROM $500 TO $750
NO. OF CONTRACTS CURRENT PROPOSED ANNUAL (COST(/SAVINGS
ANNUAL ANNUAL REPRESENTED NON-REPRESENTED TOTAL RATE RATE REPRESENTED NON-REPRESENTED TOTAL
1 PERSON 239 369 608 $175.32 $176.16 ($201) 1$310) ($511)
2 PERSON 322 497 819 $274.32 $276.24 (618) (954) (1,572)
FAMILY 445 688 1,133 $508.80 $523.20 (6,412) (9,903) (16,315)
TOTAL 1,006 1,554 2,560 ($7,231) ($11,168) ($18,398)
II, ADDITION OF OPTICAL INSURANCE
1 PERSON
2 PERSON
FAMILY
0 $23.40
0 $42.00
0 $78.00
($5,591) ($8,636) ($14,227)
(13,518) (20.880) (34,398)
(34,731) (53,643) (88,374)
239
322
445
III. INCREASE DRUG RIDER CO-PAY FROM $2.00 TO $3.00*
1 PERSON 278 430 708 $139.32 $121.68 $4,908 $7,581 $12,489
2 PERSON 344 532 876 $296.04 $259.92 12,435 19,206 31,641 I
FAMILY 493 762 1,255 $296.04 $259.92 17,815 27,516 45,331 1
TOTAL 1,116 1,723 2,839 $35,158 $54,303 $89,461
IV. INCREASE MASTER MEDICAL DEDUOTABLE FROM $50/100 TO $100/200*
1 PERSON 278 430 708 $171.12 $117.36 $14,958 $23,104 $38,062
2 PERSON 344 532 876 $285.36 $195.48 30,943 47,792 78,735
FAMILY 493 762 1,255 $346.08 $237.60 53,504 82,638 136.142
TOTAL 1,116 1,723 2,839 $99,405 $153,534 $252,939
V. SECOND OPTION REQUIRED ON SURGERIES*
TOTAL 1,116 1,723 2,839 0 ($4.22) $4,708 $7,272 $11.981
VI. PRE-AUTHORIZATION ON HOSPITAL ADMISSIONS*
TOTAL 1,116 1,723 - 2,839 0 ($32.93) $36,741 $56,747 $93,488
TOTAL SAVINGS** $114,941
*The combined savings from these four modifications represents a 6.1% reduction
of the 1986 amount budgeted for Hospitalization/Medical coverage.
**The Total Savings represents a 3.5% reduction of the 1986 amount budgeted
for Hospitalization/Medical and Dental Insurance coverage.
PREPARED BY BUDGET DIVISION 10/21/86
$177,530 $292,471
ATTACHMENT A
(Continued)
OAKLAND COUNTY, MICHIGAN
PROPOSED FRINGE BENEFIT CHANGES
1987 FINANCIAL IMPACT FOR RETIREES
I. INCREASE DRUG RIDER CO-PAY FROM $2.00 TO $3.00
NUMBER CURRENT PROPOSED ANNUAL
OF ANNUAL ANNUAL (COST)/
CONTRACTS RATE RATE SAVINGS
1 PERSON-REGULAR 70 $139.32 $121.68 $1,235
2 PERSON-REGULAR 83 $296.04 $259.92 2,998
FAMILY 16 $296.04 $259.92 578
1 COMPLEMENTARY 292 $283.20 $248.16 10,232
2 COMPLEMENTARY 139 $566.40 8496.32 9,741
1 COMPL, & 1 REG. 76 $422.52 $372.54 3,798
TOTAL 676 $28,582
II. INCREASE MASTER MEDICAL DEDUCTABLE FROM $50/100 TO $100/200
1 PERSON-REGULAR 70 $171.12 $117.36 $3,763
2 PERSON-REGULAR 83 $285.36 $195.48 7,460 , FAMILY 16 $346.08 8237.60 1,736
1 COMPLEMENTARY 292 $32.16 $32.16 0
2 COMPLEMENTARY 139 $64.20 $64.20 0
1 COMPL. & 1 REG. 76 $267.48 $213.72 4,086
TOTAL 676 $17,045
III. PRE-AUTHORIZATION ON HOSPITAL ADMISSIONS
TOTAL-REGULAR 169 0 ($181.47) 30,668
IV. SECOND OPINION REQUIRED FOR SURGERIES
TOTAL-REGULAR 169 0 N/A* N/A*
TOTAL SAVINGS* $76,295
*Savings estimates were not available at the time of
printing.
**The Total Savings represents a '1.0% reduction of the
1986 amount budgeted for Hospitalization Insurance
coverage for retirees.
PREPARED BY BUDGET DIVISION 10/23/86
-4a-
ATTACIIMENT
BLUE CROSS AND BLUE SHIELD
OF MICHIGAN
WHAT IF I HAVE TO STAY IN THE
HOSPITAL BEYOND THE NUMBER OF
DAYS YOU INITIALLY APPROVED?
The hospital and your doctor can request
additional days for your admission. This
must be done at least 48 hours before
the end of the days initially approved.
Again, we'll let you, your doctor,' and the
hospital know if additional days will be
covered. If we do not approve additional
days beyond the initial number, you may
have to pay for the hospital and doctor
care received beyond the days we ap-
prove.
WHAT IF MY DOCTOR DOES NOT
REQUEST APPROVAL BEFORE I'M
ADMITTED?
We will not pay for hospital or doctor care
that has not received our advance approv-
al.You may have to pay those costs.
WHA iF MY DOCTOR DOESN'T AGREE
WITH YOUR DECISION?
Your doctor can appeal our decision. Our
medical staff will review the appeal and
make a decision that is final.
-5-
CF 3708 MAR 84
1.
(PREcertification to VErify Necessary Treatment);, .
• An innovative program
to, help you
and: yourphysician
use your health benefits
in a wise and
• cost-effective way.
Blue Cross and Blue Shield of Michigan is
committed to developing programs to help
hold down health care costs.
In keeping with that commitment, we have
designed a unique program that provides a
cost-saving method for you, your doctor,
and hospitals to better manage your health
benefits.
The program is called PREVENT
(PREcertification to VErify Necessary
Treatment). The main focus of the program
is on containing costs by eliminating
unnecessary and expensive inpatient
hospital care and by establishing
appropriate inpatient lengths of stay in
advance of admission.
PREVENT allows your employer to
continue providing you the highest level of
coverage possible by simply incorporating
direct controls on how benefits are used.
The following questions and answers will
tell you more about how this program
works.
WHO IS COVERED BY PREVENT?
Everyone on your contract except individu-
als covered by ''Complementary" to Medi-
care coverage or a Health Maintenance
Organization (HMO).
MOW WILL IT HELP TIE?
PREVENT will assist in the effective use of
your health care benefits. We will let you
know, in writing, what is covered before
your hospital admission.
-6-
HOW DOES PREVENT WORK?
PREVENT requires your doctor to request
approval for all elective (non-emergency)
inpatient admissions to participating Michi-
gan hospitals. Your doctor must send us a
special form at least two weeks before
the admission.
WHAT IF A TWO-WEEK NOTICE IS
NOT POSSIBLE?
Your doctor can call us for an immediate
review of the admission request.
WHA; 3APPENS MIEN YOU GET MY
DOCTOR'S ADMISSION REOLEST?
First, we'll review the request and deter-
mine whether or not your admission will be
covered. If we approve your inpatient ad-
mission, well also determine the number of
days for which benefits will be paid. Within
several days, we will send written notice of
our decision to you, your doctor, and the
hospital.
WHAT tF THERE IS Ar 7.11ERGENCY
r3MiSSION?
Emergency admissions don't need advance
approval. However, your doctor must notify
us within one working day of your ad-
mission. We will then determine the
number of days which will be covered. We
will notify you, your doctor, and the hospital
of our decision in writing.
WHAT ABOUT MATERNITY
ADMISSIONS?
Maternity admissions don't need advance
approval. But your doctor must notify us
before the expected admission date so
that we can determine the number of days
we'll cover. We will send written notice of
our decision to you, your doctor, and the
hospital.
s',:;10SS
riilV) Shield
0-Ngan
CF 6728 AUG 83 4L
consulting physician you select from the list. (The
Referral Center telephone number is: (313) 225--
0700. If you live outside of the Detroit Metropolitan
area, you may call toll-free 1-800-832-6789). You
may not arrange your own appointment under
this Program.
ARE THERE RESTRICTIONS ON
THE CHOICE OF A CONSULTANT
UNDER THE SECOND
SURGICAL OPINION PROGRAM?
Yes. You must choose a consulting physician from
the names provided by the Referral Center. These
consulting physicians have special professional
qualifications required by the Second Surgical
Opinion Program.
The following examples show how the Program
works:
EXAMPLE A
• Your physician recommends heart valve
surgery. You arrange for a second opinion
through the Referral Center. The consulting
physician recommends not having the surgery.
However, you schedule the surgery and it is
performed as first recommended.
• The Blue Cross and Blue Shield of Michigan full,
approved payment is made for the surgeon's
services. You are not required to accept the
recommendation of the consulting physician,
but you are required to have a second opinion
since this elective surgery is one of the ten (10)
procedures for which a second opinion is re-
quired under the Program.
EXAMPLE B
• Your physician recommends a tonsillectomy
and adenoidectomy for your child. You
schedule the surgery and have it performed
without obtaining a second opinion,
• The Blue Cross and Blue Shield of Michigan full,
approved payment for the surgery will be re-
duced by 20% because you did not obtain a
second opinion through the Referral Center for
this surgery, which is one of the ten (10) for
which a second opinion is required. If you did
not sign the "Patient Notification of Second
Opinion Requirement" form agreeing to pay
20% of the Blue Cross and Blue Shield of Michi-
gan app: yi p -:ernent for the surgeon' ser-
vices an tYn. A ir the 20% reduction, call
the Pete:, ,e
EXAMPLE C
• Your physician recommends that you have
surgery to correct a knee problem. You
schedule the surgery and have it performed.
• The Blue Cross and Blue Shield of Michigan full,
approved payment is made for the surgery be-
cause knee surgery is not one of the ten (10)
surgeries for which a second opinion consulta-
tion is required under the Program.
Even though you were not required to obtain a
second opinion, you could have arranged one
at no cost to you through the Referral Center.
Second opinions are also available if you
choose for inpatient surgeries other than the
ten (10) surgeries for which they are required.
Remember, a second opinion will enable you to
make a more informed decision about surgery.
EXAMPLE D
• Your physician tells you that you require
emergency surgery for a hernia and you have
the surgery without a second opinion.
• The Blue Cross and Blue Shield of Michigan full,
approved payment will be 'made for the sur-
geon's services even though it is one of the ten
(10) surgeries generally requiring a second
opinion. In this case, the surgery is considered
an emergency and the second opinion is
waived under the Program.
If you have any questions regarding the Second
Surgical Opinion Program or want to schedule an
appointment,
Call: In the Metropolitan Detroit Area .
(313) 225-0700 or
outside of Metropolitan Detroit
1-800-832-6789
Write: Blue Cross and Blue Shield of Michigan
Referral Center J713
600 Lafayette East
Detroit, Michigan 48226
SECOND SURGICAL
OPINION PROGRAM
You and your eligible dependents are covered
under a new Second Surgical Opinion Program
from Blue Cross and Blue Shield of Michigan.
WHAT IS COVERED
UNDER THIS PROGRAM?
The Program offers a second surgical opinion
consultation at no cost to you when a physician
recommends and plans to perform any type of
non-emergency surgery by admitting you to a
Michigan hospital. The Program consists of two
parts:
• For most non-emergency surgeries, you may
obtain a second opinion.
• For any of the ten (10) following categories of
surgery, you must arrange a second opinion
consultation in order for Blue Cross and Blue
Shield of Michigan to make the full, approved
payment for the surgery, thus avoiding an addi-
tional liability.
1. cataract removal 7. fallopian tubes and
2.. gall bladder surgery ovaries surgery
3. hernia repair 8. nasal surgery
4. heart bypass surgery 9. tonsils and/or
5 heart valve surgery adenoids removal
hysterectomy 10. prostate surgery
In most instances, if you decide not to obtain a
nd opinion consultation through the Blue
: • . nd Blue Shield of Michigan Referral Center
:Iten (10) categories of surgery, you will be
ed to sign a form ("Patient Notification of Sec-
ond Opinion Requirement") agreeing to pay 20%
ef the Blue Cross and Blue Shield of Michigan
approved amount for the surgeon's services.
I he Program will also cover the following services,
if you choose to obtain them:
• a second surgical opinion for any of the ten
(10) surgeries listed above if these surgeries
are to be performed in the outpatient depart-
ment ol a Michigan hospital,
, a third surgical opinion for the ten (10)
.surgeries listed above when the second opin-
ion did not confirm your surgeon's recommen-
dation,
• a non-surgical (medical) consultation when
recommended by the second opinion con-
sulting physician because you have medical
complications which may ailed your having
surgery.
When the appointment is arranged through the
Blue Cross and Blue Shield of Michigan Referral
Center, the program will pay the full cost of the
consultation. Laboratory or x-ray tests which the
consultant may need to perform will be cov-
ered according to your contract benefits.
AM I REQUIRED TO HAVE
A SECOND OPINION?
Yes, but only when the ten (10) categories of
elective surgical procedures described in this
brochure are planned to be performed while
you are an inpatient in a Michigan hospital. If
you do not obtain a second opinion arranged
through the Referral Center, generally you will
be required to pay 20% of the Blue Cross and
Blue Shield of Michigan approved payment for
the surgeon's services. If you also sign the
Michigan Health Benefits C;lairn Form, you will
be responsible for an additional amount il your
physician's charge exceeds the Blue Cross and
Blue Shield of Michigan approved payment
amount for the ten (10) surgeries listed above.
WHO IS AFFECTED
BY THE PROGRAM?
Those subscribers and their eligible dependents
enrolled with Blue Cross and Blue Shield of
Michigan who have the second opinion rider are
subject to the Program. Individuals enrolled in
Medicare Part B (as primary coverage) or •
members of Health Maintenance Organiza-
tions (HMO) are not affected by this Pro-
gram.
WHAT HAPPENS IF I RESIDE
OUTSIDE OF MICHIGAN?
The Second Surgical Opinion Program only
applies to members enrolled with Blue Cross and
Blue Shield of Michigan, who are scheduled to
have surgery as an inpatient in a hospital lo-
cated in Michigan. If you have surgery performed
in a hospital located outside of Michigan, you are
not required to have a second opinion lor the ten
(10) surgeries described above.
WHAT IF THE SURGERY
IS AN EMERGENCY AND
CANNOT BE DELAYED?
The second opinion consultation will not be re-
quired for documented emergency surgery. The
full, approved payment will also be made when
a second opinion is not obtained (1) for surgery
performed while hospitalized for another condi-
tion or (2) when a consulting physician is un-
available duo to time or distance as determined
by Blue Cross and Blue Shield of Michigan.
ARE THERE ANY SPECIAL
PAYMENT PROVISIONS?
Yes. In most instances, if you decide not to
obtain a second opinion consultation for the ten
(10) categories of elective surgical procedures
through the Referral Center, you will be asked
to sign a form ('Patient Notification of Second
Opinion Requirement"), agreeing to pay 20% of
the Blue Cross and Blue' Shield of Michigan ap-
proved payment for Ihe surgeon's services.
IF THE SECOND AND/OR THIRD .
OPINION DO NOT AGREE WITH THE
FIRST AND I STILL WANT THE
SURGERY, WILL BLUE CROSS AND
BLUE SHIELD PAY FOR IT?
Yes. Blue Cross and Blue Shield of Michigan
will make lull, approved payment for the surgery
will regard to the consulting physician's
opinion.
HOW CAN THIS HELP ME
AND MY ELIGIBLE DEPENDENTS?
Surgery is an important decision. Another physi-
ciali's opinion gives you and your dependents ad-
ditioiral information on which to base the decision
whether to have surgery. A second opinion can
help you weigh the benefits and risks of the
surgery and help you understand any alternative
treatment for your medical condition. •
HOW DO I ARRANGE
FOR A SECOND OPINION?
You must contact the Referral Center. The Refer-
ral Analyst, who is a Registered Nurse, will ask you
to choose a consulting physician from a list of
physicians available in your area, The Referral
Center will schedule your appointment with the
FISCAL NOTE
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: PERSONNEL DEPARTMENT-REQUESTED CHANGES TO EMPLOYEE BENEFIT
PROGRAM-MISCELLANEOUS RESOLUTION #86313
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
Pursuant to Rule XI-G of this Board, the Finance Committee has
reviewed Miscellaneous Resolution #86313 and finds:
1) There are no fiscal implications for the 1986 Budget,
2) The fiscal implications for 1987 are included in the 1987
Recommended Budget.
FINANCE COMMITTEE
November 20, 1986
Resolution # 86313
Moved by McDonald supported by Hassberger the resolution (with Fiscal
Note attached) be adopted.
Moved by Nelson supported by Hassberger the resolution be amended by
adding the following BE IT FURTHER RESOLVED paragraph:
BE IT FURTHER RESOLVED that these benefit changes also be applied to the
AFSCME (American Federation of State, County and Municipal Employees) represented
employees of the Probate Court, Children's Village and Camp Oakland.
A sufficient majority having voted therefor, the amendment carried.
Moved by Pernick supported by R. Kuhn the vision care portion of the
benefit program be referred back to the Personnel Committee to have it rebid
for better vision care coverage.
AYES: Page, Perinoff, Pernick, Price, Rowland, Aaron, Doyon, Fortino,
R. Kuhn, S. Kuhn, McConnell, McPherson. (12)
NAYS: Moffitt, Nelson, Olsen, Rewold, Skarritt, Webb, Wilcox, Caddell,
Calandro, Gosling, Hassberger, Hobart, Lanni, Law, McDonald. (15)
A sufficient majority not having voted therefor, the motion failed.
Vote on resolution as amended:
AYES: Nelson, Olsen, Page, Perinoff, Pernick, Price, Rewold, Rowland,
Skarritt, Webb, Wilcox, Aaron, Caddell, Calandro, Doyon, Fortino, Gosling,
Hassberger, Hobart, R. Kuhn, S. Kuhn, Lanni, Law, McConnell, McDonald, McPherson,
Moffitt. (27)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution (with Fiscal
Note attached) was adopted.
$TATE OF MiCH(GAN)_
COUNTY OF OAKLAND)
F, Lynn D. Allen, Clerk of the County of Oakland and having a
seal, do hereby certify. that I have compared the annexed copy. of
Miscellaneous Resolution adopted by the Oakland County Board of Commissioners
at their meeting held on November 20, 1986
with the original record thereof now remaining in my office,
and that it is a true and correct transcript therefrom, and
of the whole thereof.
In Testimony Whereof, I have hereunto set my hand and affixed
the seal of said County at Fontrac, Michigan
this 20th day of tictvzjaLp_r____198_§
Lynn/It Allen, Coun .y Cle
Register of Deeds