File Name: BLUECROSS BLUESHIELD LOW COST COMPREHENSIVE HEALTH INS.
Final Action: 5/20/2008
Agenda Date: 5/20/2008
Agenda Item Number: 14A12
THIS IS FINAL VERSION AS ADOPTED. (also see 081556)
RESOLUTION APPROVING THE MIAMI-DADE COUNTY - BLUECROSS BLUESHIELD OF FLORIDA, INC. CO-DESIGNED INSURANCE PRODUCT FOR THE UNINSURED RESIDENTS OF MIAMI-DADE COUNTY, AND AUTHORIZING THE COUNTY MAYOR OR DESIGNEE TO FINALIZE A NO-COST CONTRACT FOR A THREE-YEAR PILOT IMPLEMENTATION [SEE ORIGINAL ITEM UNDER FILE NO. 081556]
Joe A. Martinez, Prime Sponsor
Jose "Pepe" Diaz, Co-Sponsor
Audrey M. Edmonson, Co-Sponsor
Carlos A. Gimenez, Co-Sponsor
Sally A. Heyman, Co-Sponsor
Barbara J. Jordan, Co-Sponsor
Dennis C. Moss, Co-Sponsor
Dorrin D. Rolle, Co-Sponsor
Rebeca Sosa, Co-Sponsor
Board of County Commissioners
Adopted as amended
Commissioner Martinez noted the County Commission established the Health Care Task Force that sought a private health care service provider to help uninsured County residents, as well as the indigent care at County hospitals. He noted Mr. Marvin O’Quinn, President/CEO, Public Health Trust, had provided a letter expressing support for this proposed resolution. Commissioner Martinez pointed out this proposal would have no fiscal impact on the County; the County would work in conjunction with Blue Cross Blue Shield. He explained this proposed health care program would insure individuals with comprehensive and wellness care for approximately $90 per month or $150 per month for a family. Commissioner Martinez noted this proposal was a preliminary item that included basic coverage and options. He further explained the County had an oversight role in this proposed program, which was a pilot study for three years. He pointed out availability of this proposed program could go nationwide after the three year pilot study. Commissioner Martinez emphasized the County would neither receive money, nor contribute money for this program, except for providing staff oversight. He pointed out a domestic partners provision was included in this proposed program.
Commissioner Sosa asked that she be listed as a co-sponsor.
In response to Commissioner Sorenson’s request for clarification on the domestic partners provision, Ms. Lisa Matthews, Blue Cross Blue Shield, clarified normally small group reform did not recognize domestic partners as dependents eligible for health care. She pointed out the small group employer would define the information required for the employee to validate a domestic partner as a dependent of an employee. She noted Blue Cross Blue Shield provided in the contract that small group employers should recognize domestic partners as an eligible dependent.
Responding to Commissioner Sorenson’s inquiry regarding the County ensuring that domestic partners were recognized by small businesses participating in this proposed program, Assistant County Attorney Hugo Benitez advised this proposed program was not the County’s health care plan, however, the County could include an expression of intent that the County wished for dependent coverage for domestic partners that was consistent with the County’s recently adopted plan.
Ms. Matthews clarified Blue Cross Blue Shield could not ensure that the small group employers were providing coverage to domestic partners.
Assistant County Attorney Benitez advised a contract was coming back to the Commission that detailed the terms that the County would provide oversight support. He noted the County could consider Commissioner Sorenson’s concern to ensure small group employers were providing coverage to domestic partners during negotiations of that contract.
Commissioner Martinez explained this proposed resolution was not the County’s health care plan, which made it very difficult to dictate to Blue Cross Blue Shield and to the small businesses that they had to recognize domestic partners.
Commissioner Gimenez asked that he be listed as a co-sponsor. He questioned whether Jackson Memorial Hospital fully participated in this proposal.
Commissioner Sosa noted the County could not place a mandate on businesses to provide coverage to domestic partners, and the County needed to respect small businesses. She pointed out the County would be financially liable for this proposed program if the County imposed conditions on it.
Commissioners Diaz and Jordan asked that they be listed as co-sponsors.
Commissioner Martinez clarified, for the record, this proposed resolution was a result of the County Commission Health Care Task Force.
Commissioners Moss, Heyman, Edmonson, and Rolle asked that they be listed as co-sponsors.
It was moved by Commissioner Martinez that this proposed resolution be adopted. This motion was seconded by Commissioner Sosa, and upon being put to a vote, passed by a vote of 12-0 (Commissioner Souto was absent).
Commissioner Martinez emphasized each Commissioner needed to distribute pamphlets and to promote this program whenever they met with a Community Based Organization (CBO), and a Mom and Pop company.
Commissioner Diaz suggested commissioners mention the availability of this health plan when they were on the radio and television, as well as publicize it through public service announcements.
Following Assistant County Attorney Benitez advised the Commission this proposed resolution should be amended to add a provision that the proposed health care plan be filed with the Florida Office of Insurance Regulation within 30 days of the effective date of this proposed resolution, the Commission proceeded to vote on this proposed resolution, as amended.
RESOLUTION APPROVING THE MIAMI-DADE COUNTY - BLUECROSS BLUESHIELD OF FLORIDA, INC. CO-DESIGNED INSURANCE PRODUCT FOR THE UNINSURED RESIDENTS OF MIAMI-DADE COUNTY, AND AUTHORIZING THE COUNTY MAYOR OR DESIGNEE TO FINALIZE A NO-COST CONTRACT FOR A THREE-YEAR PILOT IMPLEMENTATION
WHEREAS, this Board desires to accomplish the purposes outlined in the accompanying memorandum, a copy of which is incorporated herein by reference,
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MIAMI-DADE COUNTY, FLORIDA, that this Board approves the Miami-Dade County - BlueCross BlueShield of Florida, Inc. co-designed insurance product for uninsured residents of Miami-Dade County including specified benefits, premiums, co-payments, coinsurance, and deductibles; authorizes the County Mayor or designee to finalize a contract with BlueCross BlueShield of Florida, Inc. for a three-year pilot implementation of the co-designed product in substantially the form attached hereto and made a part hereof, and to submit the same for approval by this Board, and directs the Public Health Trust, through its Jackson Health System, to participate in the outreach and education efforts related to the new product. The appropriate form(s) related to the product shall be filed with the Office of Insurance Regulation of the Financial Services Commission not later than thirty (30) days following the effective date of this resolution.