HomeMy WebLinkAboutAgenda - 03-15-2012 - 1ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: March 15, 2012
Action Agenda
Item No. 1
SUBJECT: OPC Local Management Entity (LME) - Transition Management and Retiree
Health Insurance Planning
DEPARTMENT: County Manager/OPC PUBLIC HEARING: (Y/N) No
ATTACHMENT(S): INFORMATION CONTACT:
Gwen Harvey, Assistant County
Materials Addressing Two Discussion Manager, 245-2307
Topics including Proposed Resolution Judy Truitt, OPC Area Program
Director, 913-4000
PURPOSE: OPC (Orange, Person and Chatham Mental Health LME) is effecting elements
of an agreed upon merger with PBH (Piedmont Behavioral Health) effective April 1, 2012.
The BOCC is asked to review two management proposals pertinent to the merger - First,
creation of an advisory and governance structure; and Second, a transition plan that
provides continuation of healthcare benefits for OPC retirees. Details are presented in
the following narrative and attachments.
BACKGROUND: Considerable analysis and negotiation between OPC and PBH - guided and
directed by their appointed boards - has taken place over many months to reach this point in
accomplishing a formal merger. The various attachments contain specific details on the history,
evolution, and current status of OPC in relation to PBH.
The work session setting allows the BOCC dedicated opportunity to discuss concerns in an
informal setting. Judy Truitt, OPC LME Director, will guide the BOCC through the proposed
measures and summarizing collective efforts.
Commissioner Steve Yuhasz is the current BOCC liaison to the OPC Board. Commission Chair
Bernadette Pelissier preceded him in this role.
Contingent upon work session discussion, the Board of Commissioners is tentatively scheduled
to formally consider the attached resolution approving the proposal at the March 22, 2012
regular Board meeting.
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FINANCIAL IMPACT: There is no financial impact associated with discussion of the two issues
related to the Orange Person-Chatham Area Program (OPC).
RECOMMENDATION(S): The Manager recommends that the Board discuss both issues as
outlined above and in the attachments and provide any direction to staff. Contingent upon
discussion, staff will move forward with scheduling the resolution for consideration at the March
22, 2012 regular Board meeting.
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AGENDA ABSTRACT BACKGROUND
Meeting Date: March 15, 2012
Agenda Title: OPC Mental Health, Developmental Disabilities & Substance
Abuse Authority - Transition Management
Item 1- Resolution Regarding Governance for Consolidated
Public Mental Health Entity Operating as a Managed Care
Organization
Item 2- Healthcare Benefits for OPC Area Authority Retirees
Summary of information - Item 1: In February 2011 the Norfh Carolina General
Assembly passed legislation which required both implementation of a statewide
Medicaid waiver for the public mental health system, as well as consolidation of
existing area authorities based on total population.
On May 17, 201 1 the Orange County Board of Commissioners voted unanimously to
move forward in merger negotiations with PBH, the area authority serving Cabarrus,
Davidson, Rowan, Stanly and Union Counties. Since that time Alamance, Caswell,
Franklin, Granville, Warren, Vance & Halifax have joined with PBH. On April 1, 2012
the Medicaid waiver will be opened in Orange, Person and Chatham counties,
creating what will be at that time a service area of fifteen (15) counties, with a total
covered population of 1,442,989. OPC will then move forward in a due diligence
process that is expected to lead to the dissolution and subsequent consolidation of
OPC into the PBH system on June 30, 2012.
In October 2011 PBH hosted a work session with representatives from OPC,
Alamance Caswell and Five County to review existing statute regarding
governance of public mental health authorities and to consider possible
governance options for the new consolidated entity that would be operating as a
managed care organization.
Under current North Carolina General Statute § 122C-1 18.1 area mental health
authorities are governed by Area Boards established by the Boards of
Commissioners in each catchment area (see attached). 122C-118.1 indicates that
"an area board shall have no fewer than l 1 and no more
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than 25 members. However, the area board for a mvlticounty
area authority consisting of eight or more counties may have
up to 30 members... appointments shall take into account sufficient
citizen participation, representation of the disabilifiy groups,
and equitable representation of the parficipating covnties."
Area authorities across the state are concerned that the existing governance
model will not adequately supporf operations in a managed care environment
from the perspective of both board size and subject specific expertise on the
board. On the other hand there are also concerns about the role of the
participating counties in the management of behavioral healthcare in the future.
A placeholder bill was introduced in the 201 1 long session of the North Carolina
General Assembly that opened the door for discussions related to possible changes
in the governance model, with the hope that either new or revised legislation could
be considered in the 2012 shorf session.
To respond to all aspects of this issue and to prepare ourcommunities forsuccessful
implementation of the Medicaid waiver, PBH and their participating partners have
created the attached proposal related to governance. In summary this proposal
creates a Community Oversight Board that is appointed by local Commissioners; is
responsible for oversight of the local service system; and has input at the
governance level. A new Governance Board would be created with
representation from each of the local advisory boards; requires appointment of two
Commissioners from within the catchment area; has a voting seat for a Consumer 8~
Family Advisory Committee representative; and has representation from subject
specific experts in the field.
The proposed model could be adopted under NCGS § 122C-1 18.1 which reads
"The boards of county commissioners within the multicounty area
shall have the option to appoint the members of the area board in a
manner other than as required under this section by adopting a
resolution to that effect."
Recommended Action:
PBH and their participating parfners would ask that the Orange County Board of
Commissioners pass the attached resolution. The OPC Area Board met on February
13th and all members in attendance agreed to supporf the model as presented.
Summary of information - Item 2: OPC Area Authority is considered a local
political subdivision of the state and as such our employees have been eligible to
participate in the state employees' retirement system. At the time of retirement
healthccire coverage for eligible retirees was defined by policy established by the
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OPC Area Board (see attached). In summary an individual who was enrolled in the
agency's health care plan during their employment would be eligible to continue
healthcare coverage as a retiree under specific criteria defined by agency policy.
OPC currently has seven retirees who qualified for healthcare coverage, with five
additional employees who will be retiring at the end of March. Of the seven
current retirees, one will reach will reach the age of 65 at the end of June and
would no longer be eligible for the healthcare benefit. A basic profile of the other
retirees is attached.
When OPC dissolves on June 30, 2012 the agency's current health plan will
terminate, including coverage for eligible retirees. As parf of our due diligence
process OPC has been exploring options regarding continued coverage for
retirees, as well as identifying potential funding to do so. . A workgroup was
established that included Commissioners and county management
representatives, as well as management staff and legal counsel for OPC. One of
the options discussed by the workgroup was for OPC retirees to be covered under
a county health plan. Investigation of this option is currently underway.
Recommended Action: The OPC Area Board and senior management would ask
that the Orange County Board of Commissioners approve identified OPC retirees
being included under the county healthcare plan until such time as they are
eligible for Medicare coverage. OPC Area Authority will provide funds for #he
purpose of funding the post-retirement health insurance benefits for qualified OPC
employees.
Submitted By: Judy R. Truitt, OPC Area Director/CEO'
' Please note that PBH will be changing the name of the new fifteen county area
authority from PBH to Cardinal Innovations Healthcare Solutions. Local community
operations centers will continue under their current names, i.e. Orange, Person 8~
Chatham counties will be known as OPC Community Operations Center.
GS 122C-I18.1
Page 1 of 2 6
§ 122C-118.1. Structure of area board.
(a) An area board sha11 have no fewer than 11 and no more than 25 members. However, the area
board for a multicounty area authority consisting of eight or more counties may have up to 30 members.
In a single-county area authorify, the members shall be appointed by the board of county
comrnissioners. Except as otherwise provided, in areas consisting of more than one county, each board
of county commissioners withui the area shall appoint one commissioner as a member of the area board.
These inembers shall appoint the other members. The boards of county commissioners within the
multicounty area shall have the option to appoint the members of the azea board in a manner other tha.u
as required under this sectioi~ by adopting a resolution to that effect. The boards of county
commissioners in a multicounty area authority sha11 indicate in the business pla.n each board's method of
appointment of the area board members in accordance with G.S. 122C-115.2(b). These appointn7ents
shall take into account sufficient citizen participation, representation of the disability groups, and
equitable representation of participating counties. Individuals appointed to the board shall include two
individuals with financial eapertise, an individual with expertise in management or business, and a~i
individual representing the interests of children. A member of the board may be removed with or
without cause by the initial appointing authority. Vacancies on the board shall be filled by the initial
appointing authority before the end of the term of the vacated seat or within 90 days of the vacailcy;
whichever occurs first, and the appouitments shall be for the remainder of the unexpired tern1.
(b) Except as otherwise provided in this subsection, not more than fifty percent (50%) of the
members of the. area board shall represent the following:
(1) A physician licensed under Chapter 90 of the General Statutes to practice medicine in
North Carolin~ who; when possible, is certified as having complefed a residency in
psychiahy. . .
(2) A clinical professional from the fields of inental health, developmental disabilities, or
substance abuse.
(3) At least one family member or individual froin a citizens' organization composed
prixnarily of consumers or their family members, representing the interests. of
individuals:
a. With mental illness;
b. In recovery from addiction; or ~
c. With develo~mental disabilities.
(4) At least one openly declared consumer:
a• With mental illness;
b. With developmental disabilities; or
c. In recovery from addiction.
An individual that contracts with a local management entity (LME) for the delivery of inental health,
developmental disabilities, and substance abuse services may not serve on the board of the LME for the
period during which the contract for services is ui effect.
(c). The board of county corrunissioners may elect to appoint a member of the area authority
board to fill concurrently no more than two categories of inembersl-up if the member has the
qualifications or attributes of the two categories of inembership.
(d) Any member of an area board who is a county commissioner serves on the board in a.i~ e~:
officio capacity at die pleasure of the initial appointing authority, for a term not to exceed the member's
service as a county commissioner. Any member of an area board who is a county nlanager serves on the
board at the pleasure of the initial appointing authority, for a term not to exceed the duration of the
member's employment as a county manager. The terms of the other members on the area board shall be
for three years, except that upon die initial formation of an area board one-flzird shall be appointed for
one year, one-third for two years, and all remaining members for three years. MemUers, other than
county commissioners and county inanagers, shall not be appointed for more than two consecutive
http://www.ncleg.netlEnactedLegislation/Statutes/HTML/BySection/Chapter_122GGS 1... 2/20/2012
GS 122C-118.1
Page 2 of Z ~
terins. Board members serving as of July 1, 2006, may remain on the board for one additional tern1.
This subsection applies to all area authority board members regazdless of the procedure used to appoint
members under subsection (a) of tlus section.
(e) Upon request, the board shall provide information pertaining to the membership of the board
that is a public record under Chapter 132 of the General Statutes. (2001-437, s. 1.11(b); 2002-159, s.
40(a); 2006-142, s. 4(e); 2007-504, s: 1.4; 2010-31, s. 10.7.)
llttp://www.ncleg.netlEnactedLegislation/Statutes/HTMLBySection/Chapter_122GGS 1... 2/20/2012
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~~~~~~~~ ~~~~~~~~t ~~~~d~
• 1 CFAC Chair or designee
• 3 members from each county,
appointed by the County Commission
- County Commissioner or designee
- Consumer or family member
- Other citizen or stakeholder
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~Qmn~~nit~ ~~r~r~i~ht ~r~ard
~~~~c~n~~~it~~~~~~
- Advise the CEO on the evaluation and hirin~ of the
Community Operations Center Executive D~rector
- Recommend priorities for expenditure of state/county
funds for development of the annual budget
- Determine local priorities for inclusion in the area wide
strategic plan, as possible
- Identify community needs and concerns, monitor
resolution of issues
- Monitor perFormance at the local (COC) level:
• Access to care
• Financial status and expenditures
• Service delivery
• Provider Network size and composition
• Outcomes
• Consumer satisfaction
~t~~~t`11~ Ct~; ~t~~ C'~
i~ M~mt~~r~
Terms of office: max two four year terms; as long as the individual remains a
member of the Community Operations Center Board, regional CFAC, and
County Commission.
• One representative from each Community Oversight Board (Chair or other
elected member)
• Two at large County Commissioners from among the counties. Governing
Board asks for interested parties among commissioners serving on the
Community Operations Center Boards. Goveming Board elects two.
• One representative from the regional CFAC, elected by the regional CFAC.
• Six members with special expertise in healthcare, insurance, finance, and
health/behavioral health physician or other professional ; no more than 2
from any specialty area; from constituent counties if at all possible.
(Initially appointed by the Secretary of DHHS. Board committee recruits
for vacancies and recommends replacement to the full Board. Vacancies to
be elected by the board. )
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Governance Board
Responsible for:
-Policies
-Strategic plan
-Budget
-Hire, fire and evaluate CEO
-Monitor deliverables (e.g., pertormance, financial
management)
-Political advocacy
-Strategic planning, including consideration of local priorities
brought forward by the COC Boards
-Accountable for organizational performance
-Responsible for the overall health of the organization
-Reporting to the constituent counties
-Responsible for responding to concerns and feedback from
COC Boards.
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JOINT RESOLUTION
OF THE BOARDS OF COUNTY COMI~~SSIONERS
OF ALAMANCE, CASARRUS, CASWELL, CHATHAM, DAVIDSON,
FRANKLIN, GRANVILLE, HALIFAX, ORANGE, PERSON, ROWAN,
STANLY, LTNION, VANCE AND WARREN COUNTIES
WHEREAS, the Boards of County Commissioners of Alamance, Cabarrus,
Caswell, Chatham, Davidson, Franklin, Granville, Halifax, Orange, Person, Rowan,
Stanly, Union, Vance and Warren Counties previously resolved to be separately served
by the Five County, OPC, and PBH Area Authorities;
WHEREAS, the State of North Carolina passed Session Law 2011-264, which
requires statewide expansion of the 1915(b)/(c) Medicaid Waiver to be managed by Area
Authorities operating as Managed Care Organizations;
WHEREAS, the North Carolina General Assembly is currently addressing the
governance needs of Area Authorities operating as Managed Care Organizations through
a Health and Human Services Subcommittee on LME Governance, and intends to pass
governance legislation in the 2012 legislative short session;
WHEREAS, the Boards of County Commissioners of Alamance, Cabarrus,
Caswell, Chatham, Davidson, Franklin, Granville, Halifax, Orange, Person, Rowan,
Stanly, Union, Vance and Warren Counties now desire to be served by a single Area
Authority operating as a Managed Care Organization with a governance structure that
will function under existing law, as well as under the new governance legislation;
NOW, THEREFORE, BE IT RESOLVED JOINTLY as follows:
Section 1. Resolution and Purpose
It is in the interest of the public health and welfare to create an Area Authority to
operate North Carolina's 1915(b)/(c) Medicaid Waiver as a Managed Care Organization
and to manage all public resources that may become available for mental health,
intellectual and developmental disabilities, and substance abuse services, including
federal block grant funds, federal funding for Medicaid and Health Choice, and all other
public funding sources.
Section 2. Establishment of Cardinal Innovations Healthcare Solutions
There is hereby created and established pursuant to G.S. 122C-115(c) an Area
Authority known as Cardinal Innovations Healthcare Solutions ("Cardinal Innovations").
Pursuant to the 1915(b)/(c) Medicaid Waiver and 42 C.F.R. 438.2, Cardinal Innovations
Healthcare Solutions shall operate as a Managed Care Organization and Prepaid Inpatient
Health Plan. Cardinal Innovations shall include the Alamance-Caswell, Five County,
OPC, and Piedmont Community Operations Centers.
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Section 3. Governance
There is hereby created and established pursuant to G.S. 122C-118.1 an Area
Board, which shall be the governing unit of Cardinal Innovations. The Area Board shall
be comprised of a single Governing Board and Community Oversight Boards, one for
each Community Operations Center. The appointment of inembers to the Governing
Board and Community Oversight Boards shall be in accordance with bylaws set forth for
such purpose and may be amended as necessary or convenient to comply with changes in
state or federal law or to carry out the functions, powers, duties, and responsibilities
contained in this Joint Resolution. Due to the complexity of operations, fmancial risk,
and responsibility for public funding the Governing Board must be highly functional in
order to ensure accountability to funders, the financial solvency of Cardinal Innovations,
compliance with state and federal laws and regulations including quality standards, and a
service delivery system that is customized for localities and which provides access and
choice for citizens in need of inental health, intellectual and developmental disabilities,
substance abuse and related services.
(1) Membership of the Governing Board shall be comprised of a miY of
individuals with the necessary expertise to govern large Managed Care Organizations and
individuals who represent the constituencies Cardinal Innovations serves. Membership
will be as follows:
(a) Two (2) at-large County Commissioners from among the County
Commissioners serving on Community Oversight Boards (defined below), selected by
the Governing Board, based on diversity of geographic representation;
(b) One (1) member from the Regional Consumer and Faxnily
Advisory Committee, either the Chair or other elected member;
(c) Six (6) members, selected by the Governing Board, with
professional experience and expertise in healthcare, insurance, fmance, health/behavioral
health, intellectuaUdevelopmental disabilities, and a physician or other clinical
professional, and no more than two members from any single specialty area; and
(d) One (1) member from each Community Oversight Board, either
the Chair or other elected member.
(e) Except for members appointed by the Community Oversight
Boards and the Regional Consumer and Family Advisory Committee, the initial members
of the Governing Board shall be nominated by the PBH Board, with consultation from
the Boards of Five County and OPC Area Authorities, and affirmed by the Secretary of
the North Carolina Department of Health and Human Services.
(2) The Governing Board's primary responsibilities will include determining
policy; strategic planning, including consideration of local priorities as determined by the
Community Oversight Boards; budgets; hiring and evaluations of the Chief Executive
Officer; monitoring of deliverables, including overall performance and financial
management; government affairs and advocacy; reporting to constituent counties;
responding to concerns and feedback from the Community Oversight Boards; and
ensuring the overall health of Cardinal Innovations.
(3) The bylaws of the Governing Board shall establish Community Oversight
Boards, one for each Community Operations Center, which shall ensure involvement of
local stakeholders, promote understanding and collaboration at the local level, and
monitor the performance of each Community Operations Center. Membership of the
Community Oversight Boards will be as follows:
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(a) Three (3) members from each County, appointed by each County's
Board of Commissioners, and will include a County Commissioner or designee, a
consumer or family member, and another citizen or stakeholder; and
(b) One (1) member from the Local Consumer and Family Advisory
Committee, either the Chair or other elected member.
(4) Each Community Oversight Board's primary responsibilities will include
advising the CEO on the evaluation and hiring of the Community Operations Center
Executive Director; recommending priorities for expenditure of state and county funds
for development of the annual budget; determining local priorities for inclusion in the
overall strategic plan; identifying community needs and concerns; monitoring resolution
of issues; and monitoring performance at the local level, including access to care,
expenditure of service funds, number of consumers served, services delivered, provider
network size and composition, outcomes, and consumer satisfaction.
(5) Each Community Oversight Board will establish its own bylaws based on
local needs, but in compliance with standardized requirements established by the
Governing Board for quorums, frequency of ineetings, elections of officers, duties of
members, committees and committee appointrnents, and attendance standards. Such
bylaws are subject to the approval of the Governing Board.
Section 4. Functions
Cardinal Innovations shall perform all the functions necessary to carry out the
purposes of this Joint Resolution, including, but not limited to, the following:
(1) To establish accountability for the planning, development, and
management of local systems that ensure access to care, quality of services, and the
availability and delivery of necessary services, for individuals in need of inental health,
intellectual and developmental disabilities, substance abuse, and related services;
(2) To operate the 1915(b)/(c) Medicaid Waiver, a proven system for the
management of inental health, intellectual and developmental disabilities, and substance
abuse services;
(3) To manage state funded services for mental health, intellectual and
developmental disabilities, and substance abuse services, including federal block grant
funds;
(4) To manage all other resources that are or become available for mental
health, intellectual and developmental disabilities, and substance abuse services;
(5) To use managed care strategies, including care coordination and utilization
management, to reduce the trend of escalating costs in the State Medicaid program while
ensuring medically necessary care, and to deploy a system for the allocation of resources
based on the reliable assessment of inedical necessity, functional status and intensity of
need. These strategies shall efficiently direct individuals to appropriate services and shall
ensure they receive no more and no less than the amount of services determined to be
medically necessary at the appropriate funding level;
(6) To maintain a local presence in order to respond to the unique needs and
priorities of localities;
(7) To ensure communication with consumers, families, providers, and
stakeholders regarding disability-specific and general 1915(b)/(c) Medicaid Waiver
operations by implementing a process for feedback and exchange of information and
ideas;
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(8) To establish and maintain systems for ongoing communication and
coordination regarding the care of individuals with mental illness, intellectual and
developmental disabilities, and substance abuse disorders with other organized systems
such as local Departments of Social Services, Community Care of North Carolina,
hospitals, school systems, the Deparhnent of Juvenile Justice and Delinquency
Prevention, and other community agencies;
(9) To maintain disability specific infrastructure and competency to address
the clinical, treatment, rehabilitative, habilitative, and support needs of all disabilities
served by Cardinal Innovations;
(10) To conduct administrative and clinical functions, including requirements
for customer service, quality management, due process, provider network development,
information technology systems, financial reporting, and staffing;
(11) To maintain full accountability for all aspects of 1915(b)/(c) Medicaid
Waiver operations and for meeting all contract requirements specified by the Department
of Health and Human Services; and
(12) To authorize the utilization of State psychiatric hospitals and other State
facilities.
Section 5. Powers, Duties and Responsibilities
Cardinal Innovations shall have the powers, duties, and responsibilities necessary
or convenient to carry out the purposes of this Joint Resolution, including but not limited
to, the following:
(1) To engage in comprehensive planning, development, and management of
local systems for the delivery of inental health, intellectual and developmental
disabilities, and substance abuse and related services;
(2) To comply with federal requirements for Medicaid, Medicare, block
grants, and other federally funded healthcare programs;
(3) To perform public relations and community advocacy functions;
(4) To maintain a 24-hour a day, seven day a week crisis response service.
Crisis response shall include telephone and face-to-face capabilities. Crisis phone
response shall include triage and referral to appropriate face-to-face crisis providers.
Crisis services do not require prior authorization, but shall be delivered in compliance
with appropriate policies and procedures. Crisis services shall be designed for
prevention, intervention, and resolution, not merely triage and transfer, and shall be
provided in the least restrictive setting possible, consistent with individual and family
need, and community safety;
(5) To accept donations or money, personal property, or real estate for the
benefit of Cardinal Innovations and to take title to the same from any person, firm,
corporation, or society;
(6) To purchase, lease, obtain options upon, or otherwise acquire any real or
personal property or any interest therein from any person, firm, corporation, city, county,
government, or society;
(7) To sell, exchange, transfer, assign, or pledge any real or personal property
or any interest therein to any person, firm, corporation, city, county, government, ar
society;
(8) To own, hold, clear, and improve property;
(9) To appoint a Chief Executive Officer and to fix his/her compensation;
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(10) To delegate to its agents or employees any powers or duties as it may
deem appropriate;
(11) To employ its own counsel and legal staff;
(12) To adopt, amend, and repeal bylaws for the conduct of its business;
(13) To enter into contracts or other arrangements for necessary supplies,
equipment, or services for the operation of its business;
(14) To appoint committees or subcommittees as it shall deem advisable, to fix
their duties and responsibilities, and to do all things necessary in connection with the
management, supervision, control, and operation of its business;
(15) To enter into any contracts or other arrangements with any municipality,
other public agency of this or any other State or of the United States, or with any
individual, private organization, corporation, or nonprofit association for the provision,
oversight or management of inental health, intellectual and developmental disabilities,
substance abuse and related services;
(16) To act as an agent for the federal, State, or local government in connection
with the management and oversight for the delivery of inental health, intellectual and
developmental disabilities, substance abuse and related services To insure its property or
operations against risks as it may deem advisable;
(17) To invest any funds held in reserves or sinking funds, or any funds not
required for immediate disbursement, in property or securities in which trustees,
guardians, executors, administrators, and others acting in a fiduciary capacity may legally
invest funds under their control;
(18) To sue and be sued;
(19) To have a seal and to alter it at pleasure;
(20) To have perpetual succession;
(21) To make and execute contracts and other instruments necessary or
convenient, including to provide services to government or private entities, including
Employee Assistance Programs;
(22) To agree to limitations upon the exercise of any powers confened upon it
by this Joint Resolution in connection with any loan;
(23) To determine the pay, expense allowances, and other compensation of its
officers and employees, and establish position classification and pay plans and incentive
compensation plans;
(24) To provide for biennial assessments of personnel plans by an independent
entity that specializes in human resources development and management to ensure that
position classifications and compensation are appropriately matched to industry standards
and local job market requirements; and
(25) To exercise any or all of the powers conferred upon it by this Joint
Resolution, either generally or directly, or through designated agents.
Section 6. Effective Date
"This Joint Resolution shall be effective as of July 1, 2012.
ADOPTED AND RATIFIED in counterparts by the Boards of County Commissioners of
Alamance, Cabarrus, Caswell, Chatham, Davidson, Franklin, Granville, Halif~, Orange,
Person, Rowan, Stanly, Union, Vance and Warren Counties.
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BOARD OF CONIlVIISSIONERS OF ALAMANCE COUNTY
Approved: , 2012.
By:
Chaurnan
This the day of 2012.
ATT'EST:
Clerk to the Board
BOARD OF COMII~SSIONER5 OF CABARRUS COUNTY
Approved: , 2012.
By:
Chairman
This the day of 2012.
ATTEST:
Clerk to the Board
BOARD OF COMMISSIONERS OF CASWELL COUNTY
Approved: , 2012.
By:
Chairman
This the day of 2012.
ATT'EST:
Clerk to the Board
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BOARD OF COMI~~SSIONERS OF CHATHAM COUNTY
Approved: , 2012.
By:
Chairman
This the day of 2012.
ATTEST:
Clerk to the Board
BOARD OF COMIVIISSIONERS OF DAVIDSON COUNTY
Approved: , 2012.
By:,
Chanman
This the day of 2012.
ATTEST:
Clerk to the Board
BOARD OF COMNIISSIONERS OF FRANKLIN COUNTY
Approved: , 2012.
By:
Chairman
This the day of 2012.
ATTEST:
Clerk to the Board
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BOARD OF COMIVIISSIONERS OF GRANVII.LE COUNTY
Approved: , 2012.
By:
Chauman
This the day of 2012.
ATTEST:
Clerk to the Board
BOARD OF COMIVIISSIONERS OF HALIFAX COUNTY
Approved: , 2012.
By:
Chairman
This the day of 2012.
ATTEST:
Clerk to the Board
BOARD OF COMMISSIONERS OF ORANGE COUNTY
Approved: , 2012.
By:
Chairman
This the day of 2012.
ATTEST:
Clerk to the Board
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BOARD OF COMNIISSIONERS OF PERSON COUNTY
Approved: , 2012.
By:
Chairman
This the day of 2012.
ATTEST:
Clerk to the Board
BOARD OF COIVIlVIISSIONERS OF ROWAN COUNTY
Approved: , 2012.
By:
Chairman
This the day of 2012.
ATTEST:
Clerk to the Board
BOARD OF COMMISSIONERS OF STANLY COUNTY
Approved: , 2012.
By:
Chairman
This the day of 2012.
ATTEST:
Clerk to the Board
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BOARD OF COMIVIISSIONERS OF UNION COUNTY
Approved: , 2012.
By:
Chauman
This the day of 2012.
ATT'EST:
Clerk to the Board
BOARD OF COMIVVIISSIONERS OF VANCE COUNTY
Approved: , 2012.
By:
Chauman
This the day of 2012.
ATTEST:
Clerk to the Board
BOARD OF COMMISSIONERS OF WARREN COUNTY
Approved: , 2012.
By:
Chairman
This the day of 2012.
ATTEST:
Clerk to the Board
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OPC Area Program Policy and Procedures
Subject: Health Care Benefits
For Eligibie Retirees
Policy Manual: Human Resources
Area Board Approval: October 2008
Procedures Implementation Date: 4/97
Revision Date: Nov 2000, Dec 2007
Policy:
OPC Area Program wifl provide health insurance benefits to eligible retirees as
approved by the Area Board.
An employee enrolled in an OPC healfh care plan will be eligible to confinue healthcare
coverage as a retiree until fhey are eligib(e for Medicare, provided they meet the
following criteria:
a. They are retiring from OPC, and;
b. They have 10 years of service with OPC, and;
c. They are at least 60 years old; OR ~
d. They have 30 years of service with OPC at the time of fheir retirement.
OPC will contribute one-half of the employer's portion of the health insurance premium
for an employee with 10 years of service who meets the above criteria. The
percentage wi0 increase by 5% for each additional year of employment with OPC. This,
for example, wauld resuft in OPC paying 75°/a of the employer's premium for an
employee retiring with 15 years of service with OPC. Ernployees with 20 or more years
of service at OPC and who are 60 years of age or older will receive credit fior the entire
employer premium.
OPC does not contribute to the cost of dental, life, disability or Medicare supplements
for re#irees.
Employees are responsible f~r the premiums associated writh spousal or dependent
coverage. When an employee becomes Medicare-eligible, dependents covered under
the OPC healthcare plan are eligible to continue coverage under COBRA in accordance
with specific legal requirements that govern that program.
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OPC Area Authority
Retiree Profile
As of 7/ 1 /2012
Name
DOB Months unfiil
Age 65
Projected Cost
A 1/23/48 6 4,157.16
B 7/21/48 12 4,365.02
C 8/5/48 13 9,492.18
D 3/17/50 32 25,207.63
E 3/31/51 44 36,458.43
F 11/23/51 52 44,573.76
G 1/14/52 54 ~ 46,602.60
H 4/14/53 69 63,675.22
I 4/13/54 81 78,772.7g
J 3/17/55 92 93,894.89
K 9/14/55 95 102,806.13
50~ Benefit
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GRAND TOTAL $ 510,005.80