All right, at six o'clock we're going to call the meeting to order.

Oh, prayer. Does anybody want to do prayer?

I'll take care of you.

Thank you.

Heavenly Father, thank you for allowing us to get together tonight to talk about the county's finance.

Please help us to be good stewards of the county's money.

Thank you, Lord, for all the dedicated people that we have here at Stevenson County.

In Jesus' name, amen.

Amen.

All right. 3.0 approval of tonight's agenda. Do I have a motion to approve? Motion to approve. By Mr. Didens. Do I have a second? By Mr. Jogerst. Any discussion?

All those in favor say aye. Opposed? Motion carries. All right. Review and approval of leading minutes from May 18. Do I have a motion to approve?

approved? Approved. Mr. Diddens seconded by Cindy. Any discussion on meeting minutes?

Seeing none, all those in favor say aye. Aye. Motion carries. 5.0 approval of claims and the amount of cash requirements and manuals $1,263,778.32. Done. Motion to approve. So All those in favor or any discussion? All right. All those in favor say aye. Motion carries.

All right. 9.5.1 is the health department's plan and the amount of cash requirements and manuals of $83,325.12. Do I have a motion to vote? So moved. By Mr. Brandt in a second.

DeMeester, Diddens, any discussion on the health department's claims?

Yes.

We just came this month because we did not have a quorum last week for finance for the health department.

Okay.

All those in favor say aye.

Aye.

Aye.

Opposed?

Well, she carries.

Six point zero public comment.

Seeing none, moving on, reports to the committee.

Um, 7.1 is Simon Brothers.

Carrie McWright should be calling in on the phone.

Hi Kathy, how are you? I'm okay, how are you? Good. So you have the floor. Oh wow, okay.

Good evening everyone. I assume you have the documents in front of you?

Yep. Okay, I'm going to skip through your first few pages here quickly. I am on page two. We're We're just going to talk about property capacity work really quick and then talk about some claims.

So page three and go to page four, says PNC slash work WC claims.

Kind of changed up the format a little bit for this meeting.

This is the claims history claims in each category.

And I highlighted the most recent is current policy years.

I'm going to focus on that.

There are two larger work comp claims.

One is a tree cutting accident for 60,000 and one is a slip and fall on ice for 80,000.

That makes up the bulk of that 142,000.

A physical damage amount for 76,000 is there was a sheriff's bar that was involved in a collision collision and we had five or six cars damaged in the hail storm a couple months back.

Any questions on these?

Does it look like it?

Okay, hearing none, I'll move to the next one.

Page five for when we get into benefits.

One thing I want to highlight, right now the employee benefits administered via open enrollment and changes via an online system called EASE. Employee Navigator bought EASE two years ago and they have been telling us for two years that there will be a migration from the EASE platform onto the Employee Navigator platform that is coming to fruition we think into this year, most likely 2027, early 2027. We are going to recommend to move and migrate to get off of EASE into employee navigator here this year for the upcoming open enrollment towards the end of this year.

I have an estimated price to do that, $2,500.

I think that's going to be higher.

So just a mention that as soon as I get numbers, we'll talk about putting that in the budget, but that could be anywhere between $2,000 and $5,000 anything.

Until now the E-System has been free to use, but when somebody buys out a system and then charges you for it, we kind of get stuck.

Employee Navigator is the preeminent employee benefits platform out there. We recommend staying with Employee Navigator.

It's just a matter of costing and we'll talk about that now. I just wanted to mention that that's coming.

Any questions on that?

All right, I also want to talk about the plans real quick.

We'll talk through the year to date claims and then I want to give an RxMapper campaign update.

So next page, page six.

Again, you all have seen this many times before.

The bottom square there are the 2026 plan designs and the number of employees that are in each plan, give or take, the number fluctuates monthly, but you can see that the number of employees in each plan is not available.

The next page, page seven, this is the top set of numbers is an annual, rolling annual medical and prescription claims the last 12 months, so May 25th through April 26th.

At the bottom is the summary.

So the total premiums paid over the last 12 months is $4.4 million, and the total claims paid out is 4.3 million, so we're running at about a 97.5% The loss ratio, that also fluctuates.

You can see the rightmost column, the fluctuation between damage and items paid out over items paid.

This is nothing new.

We talk about it every time I present to the Board.

It kind of is what it is.

And then the bottom is just a, the bottom graph there is just a graphical representation The last point at the bottom of that is the high cost claim at the total point this year, year to date is now over $1,000,000.

High cost claims really drive a lot of the costs, same with the specialty drug claims.

Next page, we'll get into the high cost specialty drugs, you can see on page, I will work to your page to see if your top 10 specialty drugs are listed there.

A lot of those you see, I always make the comment that any drug you see advertised on TV or during a Super Bowl commercial is a very high cost drug.

And you can probably recognize a lot of them.

That being said, We implemented RxMapper this year and I'll get into the status of that in a couple of slides.

If you skip to the next slide, if you can slide nine, we are making headway, which is really good news.

This slide talks about last year's cost versus this year's cost and we are down with great, great news.

and that brings me to page 10.

You can actually go to page 11, that will help us.

On page 11, the board approved up to 10 people getting into the RxMapper program.

If 10, all 10 people are enrolled and use the RxMapper program, it will cost the county around $13,000, almost $14,000 and the IOA is potential of 206,000 claims voided using the program. So it could be from the first part of January when it was implemented to last week, we have eight people responded. So six meet the criteria.

so to reiterate program is they have a campaign to employees that goes out to every employee probably every other week maybe monthly asking them hey do you struggle with your medications do you feel like they're not working you know call this number and the number is a clinician from the Mayo Clinic that goes through a health history and the nurse or the clinician will and I'll determine if the candidate who calls in is a good candidate to go.

who calls in is a good candidate to go through the sequencing.

So members have called, based on method criteria and two did not.

So on the six who met the criteria and are going through the programs, five have done the DNA sequencing, gone through the analysis and are going through recommendations.

One is starting the progress through the journey.

And I'm happy to report that the annualized drug and medical savings just for those six people was projected to be around $62,000.

So again, here today, RXMAPR has invoiced the county, $6,100 for these six people, and that has generated $62,000 savings on the drug spend.

So that's really, really good news.

I will direct your attention to the conditions among the participating members.

So those bulleted points That is really all I have. I kind of succeeded that pretty quickly. That's just the update that I have. Anything on anyone's mind and I can answer any other questions that I didn't Do you have any questions?

Sign up for RxMapper.

Revere Tronsky, employee or dependent on the medical plan? Yes.

Chairman?

I will say, in addition to the RxMapper, they have DxMapper that is cost of $250 that anyone can pay.

If you are interested in that, I can put you in touch with them.

And DXMapper, I apologize if I don't have that with me, I can send it to you.

DXMapper is also DNA sequencing where there are 12 or 13 largest causes of early death or disease in the United States.

And that's cancers, diabetes, hypertension, et cetera, et cetera, et cetera.

this mapping DNA sequencing mapping can help identify earlier that you have a predisposition to say colon cancer or breast cancer and you can start interventions earlier and it has been shown to really help first of all stay alive if you you know are predisposed to any cancer and you get after it early and often then your chances of survival are much higher as well as are much, much lower, again, available to all of the employees on the planet, that is an employee profit of $50, but it is a one-time DNA sequencing, where you have it in the system and as they get more and more technology and there's more and more diseases that they can predict, and then you always have access.

In your estimation, what could we do better to get more employees to use the Meeper program?

Are you seeing other entities offering incentives or I don't really remember how many people people are on the plan, 200 maybe, I don't know, but.

Close amount of 60 to 170 employees are on the plan plus dependents.

So it's about 400 people.

The MAPR folks do a really great job at reach out and emails.

I would say internally, the best thing to do would be at the public head meetings, you know, I'm happy to present, I'm happy to send information to employment heads.

I'm happy to present again and really encourage them to manage.

Now, our xMapper, which is the prescription mapping DNA sequencing, you have to qualify.

You know, it's one of the things where you, if you have specifically targeted Fords folks that have chronic conditions, answers, excuse me, and or are on the serious specialty offensive drug.

So it's not for everyone.

That's why we only approved up to 10 people.

And if say, let's say, you know, well, 14 people qualify, we certainly can get that approved and paid for, you know, through this committee.

So that's one side of it.

The DXMAPR side, again, I'll send it to you all.

The MAPR folks do send out communications very, very regularly based to all employees about it.

So that is coming from the MAPR side internally.

That's kind of, you know, I leave that up to, to the department heads and what they know motivates their employees best.

I don't have the magic wand for that.

It is really goes back to early engagement and communication, which we do a lot of.

It goes back to wellness and taking control and ownership of your health.

You certainly can offer incentives, every employee group is different, I don't have the magic number for that.

To answer your question, it's up to you. I've seen a lot of different things where, yes, you can offer some as, hey, there's a $10, $20, $30 gift card.

I think we've tried that with the wellness programming.

It's going to work for folks that really are engaged and want them to know more about their health.

It's not going to work for people who don't really care to be the one to do it.

I'm not going to answer your question.

Thank you.

As far as the claims, is it spread out pretty evenly or is it like it has been previously where it's just a small percentage of the census?

Not sure I understand your question.

Wow, is it four or five people that are driving the majority of the cost of the claims or is it?

Yes, yes.

There is a small, let's see if I can have that data.

If you go back to page eight, this is a very good representation.

Actually, if you go to page eight in the bottom right corner, that number, specialty claimants, eight folks are driving 169,000 year-to-date of FOT drugs, 27 prescriptions, about 30 people. So a very small amount, yes.

That's how effective these drugs are. Thank you. The other thing I will mention, and again I can get with charging the department heads, we have seen in other groups that we should focus on is, is, let's say, second one down, Tramfya or Skyrizy, if I'm on that, you can search on the internet and get manufacturer's coupon that make that drug really cheap.

But again, going back to, if you look at the employee deductibles, they're pretty low.

So employee benefit plan structures drives behavior.

The employee knows that there's only $1,500 out of pocket.

They're not going to be shopping around for Trump Fire because they know they're only on the hope of $1,500.

So it kind of goes hand in hand.

Do the best you can and also give them rules to help.

When it hits in the pocketbook, again, being very blunt here, there's going to be more of an onus to buy a two or four or five or $6,000 deductible.

It'd be more apt to buy a manufacturer's coupon Thank you all. Again, I've always read you both. If you have any questions outside, feel free to call me or email me. I'll be happy to help. I'll send the direct message when it's ready.

Okay. Thank you, Carrie. Thank you. Have a good night. You too. Bye. Bye-bye.

All right. 7.2, County Administrator, Ms. Newman-Commer asked for a link in her report to the agendas.

So if anybody has any questions, reach out to her. 7.3, Vice Director.

Okay. The Revenue and Expense Budget Comparison Report, there's nothing really noteworthy, I guess, unless anyone has any questions for kind of status quo questions.

So I'll move on to the audit update. We did get an email from Lindsey Fish at Sickitch that she did request an extension from the Illinois Comptroller's Office.

from the Illinois Comptroller's Office.

So the revised due date is August 28th of 2026.

So we are still missing a lot of information from the nursing center.

That's what the holdup is.

So she's requesting that information by June 30th.

And ideally they would schedule another week of fieldwork once they gather that information to kind of complete the remaining audit procedures and kind of the backup work that they have to do after getting that documentation.

And then after that point, the report has to go through their internal quality control review process, which could take a few weeks.

So that's the reason for the June 30th kind of deadline for the nursing center.

I know they've been working on the cost report.

So hopefully a lot of that information kind of can be supplied to the auditors and help them out with what they need.

We'll review the budget policy later and then the team's worksheet is going out to the departments.

It'll be available on the 24th of this month so they can start inputting numbers if they so choose.

Great. Any questions for Adrienne? Great. Seeing none, 7.4 Treasurer reports.

So I think everybody's had a chance to review this and set it out on the 6th, kind of as with the revenue expense report, we're kind of in a holding steady pattern.

So sales and income tax receipts are steady, monthly report shows you that they were up over $70,000 over the previous months.

So far through May, sales and income taxes total over $4 million, which is a good place to be in.

As of the end of May, the total county funds were only down 1.79%, like $442,000 compared to April's month-end, which is, as with our last several preceding months, really good in a month where you don't have money coming in from property taxes.

so it's well below what we would normally see with our situation.

And on the investment side, four investments matured, almost $19,000 in paid interest earnings.

As of the end of the month, there are 17 investments in place across nine different funds, maturity dates between this month and next April.

Have to make the first entry on page four regarding bond payments, which I think this audit approved last month, a payment that we made, it was just interest on each of the two mill race crossing bonds.

So there's almost $32,000 after that payment, which is about 46% of the total amount that was refinanced in 2020 has now been repaid, both between principal and interest.

Recall that Debt Certificate A matures very soon, actually relatively speaking, 2028.

And B, which is the one we're currently only paying interest on, that one matures in 2031.

Does anyone have any questions on anything you've seen?

Moving to the collector's side, pretty busy right now. We're kind of and I have a great next week, especially on Mondays with tax collections.

So the traffic's been constant, phone, email, in-person a lot today.

So we've had, I mentioned this in admin, we've had really good response.

If you had a chance to take a look at your own tax bill, the redesign that we did this year, this bigger, better color fall has a lot more information.

We've had some really good feedback.

So although we did have one situation today where a gentleman actually had to call me back because he wanted to, I won't say argue, but tell us that he was right about who he makes his check payable to.

So technically you pay your taxes to the county collector. We've always said that if people write treasure, we don't care. It doesn't matter. We're going to take your money no matter what.

but because it specifically said that on his bill and he'd never seen that before he was very irate about that and then called me back later to tell me he was right so this is the kind of thing that we're dealing with but other than that the response to the tax bill design has been great so and people have been as someone asked earlier in another meeting people have been by and large very very civil this year so the need for the kitty condos has really dropped off although we still might revisit that given the population and animal control.

So that's just to say that people have been very, very pleasant this year.

So it's been nice.

Electronic payments have really been on the rise through Friday, we had 1.32 million already submitted electronically, which is really a lot higher than it was a previous year at this time.

And we continue to increase that and people are using their bank accounts rather than credit and debit cards at a rate of about three to one, which has been a very big surprise to me this year.

So all good.

And just a reminder, the first installment due date is June 26th.

And the first distribution to the taxing districts will be July 13th.

So unless anybody has any questions, that's all I have.

I just have a question.

Is it the different payments that you can make?

Yes, you're allowing credit card payments. What happens if they default on their credit card, or if that just goes through and you've got your money?

I don't know, do you remember having an issue with that?

We've never had that be an issue, not with a credit card.

Actually, we've had a couple of accounts with EFTs that have been rejected because people enter the wrong bank account number accidentally.

So when basically if that were to happen, we just vacate their payment, they're charged $40 and then they have to resubmit payment because of the late payment and then get that hold on just because any situation that causes that payment to not be on is a $40 fee.

So if they pay after the due date, then they would have the $40 fee plus the statutory late fee as well.

And with the credit card payments, is it the 3% then on screen?

and the late fee for the first 30 days is only one and a half, so we've had that discussion with people about which is profitable, so yeah, that was never years ago being able to play.

Yeah.

App Pay, Google Pay, PayPal, Venmo, bank accounts, it's out, we take it all.

If it makes it easier for people to make their payment or have the edge to get it.

Okay, any additional questions for Stephanie?

No.

No?

Okay.

All right.

Thank you.

8-4-0 is old business.

No old business.

9-4-0 is new business.

9.1, approval of the FLI 27 Administrative Budget Policy.

Okay, so there was one suggested change made by the circuit clerk and that's on page one and just a report back to the finance committee before the next fiscal year budget process of July 31st of each calendar, current calendar year in regards to alternate service delivery The other is I highlighted in red the 3.5% COLA and those are the only two changes this year, aside from the budget calendar from the last page.

Excuse me, on page six, vehicle replacement and lease is a paragraph that I don't know that we do.

So it's an evaluation of intended use to be completed comparing benefits with a purchase for a lease.

Um, everything were practical standard size pre-owned or program vehicle be considered instead of new vehicles.

I mean, perhaps it's just boilerplate things, but I don't know if we actually are putting that into, into use.

That was put in place back in, maybe I'm remembering wrong, but it was pre-COVID, I believe, I When we looked at leasing a few vehicles, I still think it's a good idea to do the research.

I mean, this is town board's guide to department heads on what to do.

on what we would like them to do as they present their budgets to all of you.

So I personally would leave that section in.

I would leave the first section on page one in on report back finance committee before the next fiscal year of each year, July 31st, if I'm reading it correctly, report back to the finance committee before the next fiscal year budget process or July 31st on cost savings.

I mean, that was something we put in years ago.

It's on us that we haven't really followed through and required that.

But I think it's still a good process, but this is just a guide.

So the leaner you make it, the less likely things are going to occur.

But this isn't ordinance.

It's a guide.

And the issue with the, with the paragraph as a whole, really, I just wondered if we were actually doing that.

And so it seemed like we're, like the vehicles are coming through the committee, but not necessarily through finances.

Right. Well, it's up to the seven of you.

It's in the budget policy when inevitably, when department or another comes forward with wanting five or six vehicles, that's the time to reference that section.

and this is one of their, what their methodology was, how to come up with what they decided to do.

And if they didn't follow the process, you can take it back and ask them to do that.

I think there's not going to be a lot of vehicles in 2027.

Well, there's quite a few in 2026.

Yeah, in August.

So basically, that's a suggestion that she needs.

Yeah, so we can just.

I just told her that I would bring it to the committee and see what they thought.

So, yeah, we can leave it at.

OK, any other comments, questions before we take a vote and go into more discussion?

OK. Before we bring it in.

The policy as is, right?

Because if we're ever. Without the change.

Without the changes.

other than the 3.5.

Correct.

Just double checking.

Yep, nope, that's right.

Keep me on my toes.

All right, is anybody else in favor say, or do I have a motion to approve?

Motion to approve.

I missed, I didn't.

Do I have a second?

By Mr. Fricke, okay.

Any additional discussion?

So, quick question.

The day of the last county board meeting, you had IMRF, Social Security costs included, right?

Yes.

Thank you. Okay, all those in favor say aye. Aye. Opposed? Motion carries. All right, 10.0.

Adjourned. Mr. Bush, can I have it back in? Second. Mr. Vins, any discussion? Okay, all in favor say aye. Aye. Opposed? Have a good evening. Thank you.

And there is a sign.