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A CT 10 G R I E VAN CE P R OCE D U R E S 2 0 12 / 2 0 13 H E ALTH I N S U R AN CE C H AN GE S N ON -U N I ON W AGE E QU I TY I N CR E AS E 2 0 12 N ON -U N I ON W AGE I N CR E AS E Sept. 20, 2011 Grievance


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SLIDE 1

 A CT 10 G R I E VAN CE P R OCE D U R E S   2 0 12 / 2 0 13 H E ALTH I N S U R AN CE CH AN GE S   N ON -U N I ON W AGE E QU I TY I N CR E AS E   2 0 12 N ON -U N I ON W AGE I N CR E AS E 

  • Sept. 20, 2011
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SLIDE 2

S TA TU TO R Y R E Q U I R E M E N TS & P O LI CY H I G H LI G H TS

Grievance Procedure

  • Sept. 20, 2011
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SLIDE 3

 Employers Must Establish A Grievance Procedure(s) That

Addresses:

 Employee Discipline  Employee Terminations  Workplace Safety.

 The Grievance Procedure Must:

 Be A Written Document  Specify The Process That A Grievant And Employer Must Follow  Provide For A Hearing Before An Impartial Hearing Officer  Provide For An Appeal To The Governing Body Of The Local

Governmental Unit

 Applies to ALL Employees (Including Non-Union Employees)

 Statutory/ Contractual Exceptions

  • Sept. 20, 2011
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SLIDE 4

 Act 10 Leaves Room For Interpretation And

Discretion:

 Parties/ Persons Responsible for Grievance Process  The Specific Process and Steps to be Followed  Definition of Disciplinary Actions That May Be Grieved  Identification/ Selection of the Impartial Hearing Officer  Identification of the Legal Standards That Apply

Preponderance

  • f the Evidence

Clear and Convincing Evidence Beyond a Reasonable Doubt

  • Sept. 20, 2011
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SLIDE 5

Event Causing Grievance Written Grievance Administrative Review Administrative Response Request for Hearing Hearing Before Impartial Hearing Officer Impartial Hearing Officer’s Written Decision Appeal to County Board of Supervisors Final Decision

  • f the County

Board

  • Sept. 20, 2011
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SLIDE 6

 No Formal Pre‐hearing Discovery.

 Witness Lists, Documents, and Exhibits to be Used at Hearing Must

Be Shared.

 Written Pre-Hearing Statement Allowed.

 Employee Presents Case First Followed By The County.  “Rules Of Evidence” Aren’t Required, But May Be

Applied At The Discretion Of The Impartial Hearing Officer.

 The Impartial Hearing Officer May Not Base Any Finding or

Conclusion Based Solely On Hearsay Evidence  Hearing Closed After the Parties Have Finished

Introducing Evidence.

 No Post-hearing Briefs or Position Statements Allowed.

  • Sept. 20, 2011
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SLIDE 7

 Impartial Hearing Officer may NOT consider:

 Other Employees’ Situations  Standards Between Departments  Consistency Of Past Enforcement  Prior Policies Or Practices; Etc.

 Impartial Hearing Officer may not use “progressive

discipline” or “just cause” as part of their decision.

 Impartial Hearing Officer must recognize all County

policies, rules, procedures and regulations.

  • Sept. 20, 2011
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SLIDE 8

Hearing Officer Decision Sustain Grievance Reinstatement Back Pay (≤75 Days) COBRA Suspension in Lieu of Termination Reduction of Suspension Other Lesser Discipline Deny Grievance

  • Sept. 20, 2011
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SLIDE 9

 Appeal heard during the next regular meeting of the Board or within sixty

(60) business days, at the Chair’s discretion.

 The Board shall not take testimony, accept additional evidence, accept

briefing, accept oral argument or otherwise conduct a hearing of any sort in relation to an appeal.

 The Board may …

Review the Written Decision of the Impartial Hearing Officer.

Listen To Any Portion of the Audio Recording of the Hearing Before the Impartial Hearing Officer.

Confer with the Impartial Hearing Officer Regarding the Hearing Record and the Basis of the Impartial Hearing Officer’s Decision.

 “The Board shall not overturn or otherw ise m odify the Im partial Hearing

Officer’s decision unless the decision of the Im partial Hearing Officer is found to be arbitrary, capricious, oppressive or unreasonable or represented the Im partial Hearing Officer’s w ill and not judgm ent.”

 Remedies Are The Same As Impartial Hearing Officer’s.

  • Sept. 20, 2011
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SLIDE 10

 Wis. Admin. Code Chapter Comm 32  Report Of An Unsafe Condition  County Review & Response

 Determination That The Condition Does Not Constitute A Workplace Safety

Violation.

 Statement That County Is Taking Corrective Action In Accordance With Law  Referral The Condition To The Loss Control Committee

 Grievance Cannot Be Moved Forward During Pendency Of

Corrective Action Or Committee Review

 Grievance Can Be Moved Forward If Employee Believes A

Workplace Safety Still Exists After Corrective Action Or Committee Decision

 Must File A New Report Of An Unsafe Condition

  • Sept. 20, 2011
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SLIDE 11

H E A LTH I N S U R A N CE CH A N G E S & W E LLN E S S P R O G R A M E N H A N CE M E N TS

2012/ 2013 Health Insurance Changes

  • Sept. 20, 2011
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SLIDE 12
  • Sept. 20, 2011
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SLIDE 13
  • Sept. 20, 2011
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SLIDE 14
  • Sept. 20, 2011

 American Heart

Association Start! Fit Friendly Company – Gold Award (2008 & 2009)

 Governor's Worksite

Wellness Award – Gold Level (2011)

 TBA

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SLIDE 15

Current Plan 20 11 Rates 20 12 Status Quo Renewal 20 12 Proposed HRA/ HSA Stacked Plan 2012 Medical Premium (Employer Contribution) $2,154,392 $2,348,290 $1,818,053 HSA Contribution $454,588 $454,588 $454,588 HRA Contribution (Estimated Exposure) $0 $0 $327,303 HRA Administrative Fees ($4.25 / ee / mo.) $0 $0 $10,761 Total Health Benefit Costs $2,608,979 $2,802,878 $2,610,704 Percent Increase Over 2011 Costs n/ a 7.4% 0.7% Dollar Increase Over 2011 Costs n/ a $19,3898 $1,724

  • Sept. 20, 2011
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SLIDE 16

 Budget Repair Bill and Biennial Budget Provided

Opportunities to Design the Health Plan

 Employer’s are prohibited from bargaining over the

“d esign and selection of health care coverage plans” for public safety employees.

 “ …

benefit levels, deductibles, copayment and coinsurance requirements, exclusions, and limitations under the plan … ” [Wis.

  • Stat. § 149.14(4) ]

 The specific benefits design you select …

level of the deductible … copay amounts … lifetime medical coverage … maximum out-of- pocket limit …

  • ther health coverage …

prescription drug benefits … ” [Office of the Commissioner of Insurance - Finding the Right Coverage]

  • Sept. 20, 2011
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SLIDE 17

 Employees who contribute greater than or equal to

fifty-percent (≥50%) of the actuarially determined WRS Rate for General employees.

 All non-union employees, including that are currently part of

the Courthouse, Highway, Human Services Professionals, and Sheriff’s CCC bargaining units; AND

 Newly hired or promoted deputies who immediately be

required to contribute to the WRS

  • Sept. 20, 2011
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SLIDE 18

$0 $1,0 0 0 $2,0 0 0 $3,0 0 0 $4 ,0 0 0 $5,0 0 0 $6 ,0 0 0 Single Plan Fam ily Plan

Em ployee Deductible HSA Contribution HRA Liability

  • Sept. 20, 2011
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SLIDE 19

 Employees who contribute less than fifty-percent

(<50%) of the actuarially determined WRS Rate for General employees.

 All public safety employees (i.e. sworn Sheriff’s Department

employees, including management) EXCEPT those required to contribute to the WRS; OR

 Public safety employees who voluntarily contribute to the WRS

  • Sept. 20, 2011
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SLIDE 20

$0 $1,0 0 0 $2,0 0 0 $3,0 0 0 $4 ,0 0 0 $5,0 0 0 $6 ,0 0 0 $7,0 0 0 $8 ,0 0 0 $9 ,0 0 0 $10 ,0 0 0 Single Plan (W) Fam ily Plan (W) Single Plan Fam ily Plan

Em ployee Deductible HSA Contribution HRA Liability

  • Sept. 20, 2011
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SLIDE 21

 We Can’t Manage Health Costs Without Managing Health.  Knowledge Isn’t Always Power

HRA’s Provide The Data Information, But Do Little To Actually Improve Health …

 Focus Needs to be Shifted to “Feet, Forks, & Fingers”  A Wellness-Based Health Plan (aka Biometric Health Plan, etc.) Makes It

Harder For Employees To Make Bad Health Related Decisions

Provide Substantial Incentives To Improve.

Leave It To The Employee’s Free Will To Make Choices And Opt Out Of Undesirable Arrangements Should They Want To Do So

 Integration Of Incentives Into Health Plan Design Has Proven to be Most

Effective

 If We’re Asking Employees To Be Actively Engaged In This Process, It

Doesn’t Make Sense To Shift Costs.

Premium Contribution Rates to be held steady—for now—but the rate of the incentive has grown from 5% to 10%.

  • Sept. 20, 2011
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SLIDE 22

Health Risk Assessm ent + Em ployee Discount [20 0 6 ] High Deductible Health Plan w/ HSA & Tobacco Cessation [20 0 7] Annual Physical [20 0 8 ] Professional Wellness Services [20 11] Wellness Scorecard [20 13]

  • Sept. 20, 2011
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SLIDE 23

Category Qualifying Standards Systolic Blood Pressure ≤ 139 mmHg Diastolic Blood Pressure ≤ 89 mmHg Body Mass Index ≤ 30.9 LDL Cholesterol ≤ 159 HDL Cholesterol ≥ 36 Tobacco Use [Employee] Non-Smoker ≥6 mos

Participants failing to meet biometric targets are allowed to earn the incentive by satisfying an alternative standard (such as coaching) that will lead to improved results in the future.

  • Sept. 20, 2011
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SLIDE 24

2011 Non-Union Wage Equity Increase

  • Sept. 20, 2011
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SLIDE 25

Non-Union Em ployees Union Em ployees

 Contributing 5.8% to WRS

Since Sept. 2, 2011

 10% Health Insurance

Contribution

 2% Wage Lift for 2011  No WRS Contribution

Until Jan. 1, 2012

 7.5% Health Insurance

Contribution

 2.5% Wage Lift for 2011

  • Sept. 20, 2011
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SLIDE 26

2012 Non-Union Wage Increase

  • Sept. 20, 2011
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SLIDE 27

$68 7,659 $58 1,292 $4,779,4 15 $4 ,8 74 ,573 $564,173 $320 ,648

$0 $50 0 ,0 0 0 $1,0 0 0 ,0 0 0 $1,50 0 ,0 0 0 $2,0 0 0 ,0 0 0 $2,50 0 ,0 0 0 $3,0 0 0 ,0 0 0 $3,50 0 ,0 0 0 $4 ,0 0 0 ,0 0 0 $4 ,50 0 ,0 0 0 $5,0 0 0 ,0 0 0 $5,50 0 ,0 0 0 $6 ,0 0 0 ,0 0 0 $6 ,50 0 ,0 0 0 $7,0 0 0 ,0 0 0

2011 2012

Worker's Com pensation FICA (SS & Medicare) Wisconsin Retirem ent System Contributions PEHP Contribution HRA Liability HSA Contribution Dental Insurance Life Insurance Health Insurance Estim ated Base Payroll

  • Sept. 20, 2011