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SEBASTIAN
HOME OF PELICAN ISLAND
SEBASTIAN CITY COUNCIL
MINUTES
REGULAR MEETING
WEDNESDAY, APRIL 27, 2011 6:30 P.M.
CITY COUNCIL CHAMBERS
1225 MAIN STREET, SEBASTIAN, FLORIDA
1. Mayor Hill called the regular meeting to order at 6:30 p.m.
2. Pastor Richard Jones of the Sebastian United Methodist Church gave the invocation.
3. Council Member Wolff led the Pledge of Allegiance.
4. ROLL CALL
City Council Present:
Mayor Jim Hill
Vice -Mayor Don Wright
Council Member Andrea Coy
Council Member Richard H. Gillmor
Council Member Eugene Wolff
Staff Present:
City Manager, Al Minner
City Attorney, Robert Ginsburg
City Clerk, Sally Maio
Deputy City Clerk, Jeanette Williams
Records Program Manager, Donna Cyr
Airport Director, Joseph Griffin
Administrative Services Director, Deb Krueger
Building Director, Wayne Eseltine
Growth Management Director, Rebecca Grohall
Growth Management Manager, Jan King
Deputy Police Chief, Greg Witt
Police Captain, Bob Lockhart
Police Officer, Paul Graves
Parks Supervisor, Chris McCarthy
MIS Systems Analyst, Rob Messersmith
5. AGENDA MODIFICATIONS
Modifications and additions require unanimous vote of City Council members
The City Manager asked that item 6D be carried forward to the May 11 meeting.
There were no objections.
6. PROCLAMATIONS, AWARDS, BRIEF ANNOUNCEMENTS
Presentations of proclamations, certificates and awards, and brief timely announcements by Council and Staff.
No public input or action under this heading.
11.056 B. Presentation of Plaque to City Employee of the 4 Quarter
Mayor Hill read and presented the plaque to Rob Messersmith, MIS Systems Analyst.
Regular City Council Meeting
April 27, 2011
Page Two
11.057 C. Presentation by the Gehring Group "Health Plan Overview and Updates"
Christian Bergstrom, Gehring Group, said with the recent changes in health care reform
and the City's claims performance he wanted to address what to expect upon renewal of
the employee's health care plan. He presented a PowerPoint presentation depicting the
claims experience, the benefit changes, renewal projections, and the impact of medical
inflation. (see attached)
Mr. Wright said since most of the last five years have been a good experience, despite
one bad year we should be able to get competitive bids; noted the Florida League of
Cities has a program and someone might consider the last year an aberration and we
shouldn't waste any time finding alternatives to the existing plan. He said we should
look into consolidating plans with other groups such as the County or School Board.
The City Manager asked Mr. Bergstrom to respond to the positives and negatives of
possibly partnering with the County and Vero Beach.
Mr. Bergstrom said the Gehring Group also represents Vero Beach, Indian River County
(IRC), and Fellsmere. He said Vero Beach did not consolidate with IRC because of
unique differences in their bargaining agreement for retiree benefits; and their Council
did not feel the clinic program was feasible for their employees. He said in Indian River
County does have multiple groups combined such as employees from the Sheriff, Tax
Collector, Property Appraiser, and Supervisor of Elections office and usually the big
members rule what goes on and the smaller groups benefit from the buying power. He
said with Sebastian's size, Sebastian would be in the middle and they have seen middle
groups run really good for several years, but when middle groups run bad, the larger
groups want them out of the consortium. He said the Gehring Group could talk to the
County and City Manager.
Mr. Wright said they should consider all the options.
Ms. Coy said one slide indicated penalties imposed for employees who do not provide
an affordable plan and asked if anyone has defined "affordable." Mr. Bergstrom said
while they are still waiting for Health and Human Services to come out with their
definition of affordable, the essential benefits plan will look similar to a health savings
account plan with a $1500 deductible for individual /$3000 for family and a 70/80/90%
coinsurance but they may adjust it based on annual income and employers will be
penalized for a worse plan.
11.058 D. Barber /Schumann Intersection Improvcment Presentation (City Manager
5 Transmittal, Conceptual Curc Plan, Schumann Drive Alignment)
11.020 A. Certificate of Appreciation to Charles Cardinale Planning Zoning Service
Mayor Hill announced Mr. Cardinale arrived and invited him to the podium. He read and
presented the certificate to Mr. Cardinale.
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Page Three
Brief Announcements
Mayor Hill introduced Southampton, Long Island Village Board of Trustee Paul Robinson
and his wife. Trustee Robinson said his friend, Charter Review Committee Member
Carolyn Sartain- Anderson, invited them down to see the space shuttle launch and a
"real" Council meeting.
Mr. Gillmor cited crime going up in Indian River County but in Sebastian it dropped 13%
as noted in today's Press Journal and suggested Sebastian's decrease should have
been the paper's headline and gave kudos to our Police Department.
Mr. Wolff reminded everyone of the May 21 Community Shredding Day to be held from
10 a.m. to 1:00 p.m. in the City Hall parking lot.
Mayor Hill said Indian River County held their Mighty Mu Math competition today and
Osceola Magnet School's fourth and fifth grade Explorers took first place overall, which
is special to him because his daughter, Kendra Hill, is on the fourth grade team.
7 CONSENT AGENDA
All items on the consent agenda are considered routine and will be enacted by one motion. There will be no
separate discussion of consent agenda items unless a member City Council so requests; in which event, the
item will be removed and acted upon separately. If a member of the public wishes to provide input on a
consent agenda item, he /she should request a Council Member to remove the item for discussion prior to
start of the meeting or by raising his /her hand to be recognized.
9 -21 A. Approval of Minutes April 13, 2011
11.059 B. Approve Craft Club of Sebastian Show Dates and Rain Dates for 2011 -2012 at
23 -31 Riverview Park and Authorize 50% Reduction of Applicable Fees (Parks
Transmittal, Application, Letter)
11.060 C. Award Bid to Maxwell and Son, Inc. to Design and Install a Lift Station at
33 -96 Riverview Park in the Amount of $53,700.00 and Authorizes City Manager to
Execute Contract (Growth Management Transmittal, Bid Tabulation, Pre -Bid
Meeting Attendance Sheet, Agreement)
11.009 D. Authorize City Manager to Execute Modified Powerline Road Agreement with
97 -156 Timothy Rose Construction (City Manager Transmittal, Agreement)
11.061 E. Approve and Accept the Florida Fish and Wildlife Conservation Commission
157 -207 Boating Improvement Grant Agreement for the Sebastian Mooring Field (City
Manager Transmittal, (City Manager Transmittal, Agreement)
Mr. Wright asked to pull item E.
MOTION by Ms. Coy and SECOND by Mr. Gillmor to approve items A -D.
Result of the roll call
AYES: All
NAYS: None
Passed 5 -0
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Page Four
Item E
Mr. Wright said typically grants provide a high percentage of money with a low City
participation and this one provides $21,000 with a $57,500 City contribution. He cited
the grant agreement with scope of service, inspection, dedication, reporting
requirements and questioned whether, with the additional documentation and everything
else, it made sense to accept the grant or if the City could do something with our own
funds.
Mayor Hill said he had the same reaction; and he asked the City Manager how much it
would cost to comply, and how restrictive the grant would be in going forward.
The City Manager said the grant is slightly problematic but Council wanted staff to move
forward with the improvements and staff did anticipate the funds were designed based
so the $21,000 would apply to professional services and he hoped other jurisdictions
could put together a match for the dock costs.
He said if Council would like to move forward they could make due, or look to the
recreation impact fees to cover the design (with the derivative giving up a grant) but
gaining time and coming up with a project that they want.
Mr. Gillmor asked if the $21,000 would have to be used for engineering anyway. The
City Manager said yes, but it is not a simple project, it is in the estuary area, there are
protected grasses, a lot of engineering work would have to be done so staff thought to
acquire a professional design and use recreational impact fees or another grant to build
the dock.
Mr. Gillmor reiterated the professional fees would be $21,000 and asked what would be
the time table if the grant is accepted. The City Manager said it must be completed by
September 2012.
Mr. Wolff confirmed the grant would affect the construction aspects and asked if it wasn't
a risk to put it on the consent agenda. The City Manager said with all due respect the
grant was driven by Council.
MOTION by Mayor Hill and SECOND by Ms. Coy to reject the FFWC boating grant
agreement.
Public Comment
Damien Gilliams, 1623 US Highway 1, thanked the Council member who pulled it off the
consent agenda, the City should maintain full control of the moorings, he recommended
a "no" vote and readdressing the project with recreation fee money.
Ben Hocker, Sebastian, thanked Mr. Wright, noting we already have a mooring area in
front of Capt. Hiram's and Capt. Butchers, with piers at the Park with boat slips but he
has never seen them utilized. He asked if the slips can be utilized, and if there will be
time limits, otherwise it turns into a Key West.
Result of the roll call
AYES: All
NAYS: None
The motion to reject the grant passed 5 -0
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8. COMMITTEE REPORTS APPOINTMENTS
City committee reports and Council Member regional committee reports. No public input or action except for
City committee member nominations and appointments under this heading.
11.020 A. Planning Zoning Commission
209 -224 i. Fill Two Regular and One Alternate Member Positions (City Clerk
Transmittal, Four Applications, Press Release, Board List)
Mayor Hill said Mr. Hansen has withdrawn his application from consideration.
Mr. Carter said he has been an alternate member for several months and would like to
be a regular member.
Mr. Kayser said he has been a resident for five years and he would like to do his civic
duty.
Mr. Qizilbash said "Bash" is his nickname, he is a professional civil engineer, and
general contractor, is mostly retired, and would like to give back to the City.
MOTION by Ms. Coy and SECOND by Mr. Gillmor to have Mr. Carter and Mr. Qizilbash
serve in the permanent positions and Mr. Kayser in the alternate position. There were
no objections, therefore they were appointed as recommended.
9. PUBLIC HEARINGS
10.031 A. Public Hearing and Final Adoption of Ordinance No. 0 -10 -06 Providing for an
225 -268 Economic Development Element in the Comprehensive Plan (Growth
Management Transmittal, 0- 10 -06, DCA ORC Report w /Agency Comments)
AN ORDINANCE OF THE CITY OF SEBASTIAN, FLORIDA, AMENDING THE
COMPREHENSIVE PLAN TO PROVIDE AN ECONOMIC DEVELOPMENT ELEMENT;
PROVIDING FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND PROVIDING FOR
EFFECTIVE DATE. (PJ ad 4/12/11)
The City Attorney read Ordinance 0 -10 -08 by title and Mayor Hill opened the public
hearing at 7:24 p.m.
The Growth Management Manager said this element was before Council in
September last year; staff received the ORC report from DCA with no objections, and
actually received some very nice comments that commended the City for
memorializing economic policies. She said if adopted, it will be transmitted to the
State for compliance review.
MOTION by Mr. Wright and SECOND by Mr. Wolff to adopt 0 -10 -06 and transmit it
to the Florida Department of Community Affairs.
Damien Gilliams, 1623 US Highway 1, said the Governor is looking to curtail how
cities send comp plans to the State and he wasn't sure if staff is aware of these new
rules.
The City Manager said staff recommended adoption, and staff hoped Governor
Scott's proposed changes become law, as they will give municipalities more
autonomy and be more responsive to the public.
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Page Six
Ms. Coy commended staff for the nice comments from DCA, noting we are a step
ahead and this is right thing to do. Mr. Wolff agreed, this element is optional and we
are doing our own thing very well. Mayor Hill added they have been working on this
for four years now.
Result of the roll call
AYES: All
NAYS: None
Passed 5 -0
Mayor Hill called for a recess at 7:30 p.m. and reconvened the meeting at 7:43 p.m.,
all members were present.
11.062 B. Quasi Judicial Public Hearing of Resolution No. R -11 -11 Sebastian Charter
269 -300 Junior High School Site Plan Modification (Growth Management Transmittal,
R- 11 -11, Staff Report, P Z Minutes, R- 00 -32, Application, Colored
Elevation, Aerial, Site Plan, Architectural Plans, Lighting Plan)
A RESOLUTION OF THE CITY OF SEBASTIAN, INDIAN RIVER COUNTY, FLORIDA,
APPROVING A SITE PLAN MODIFICATION FOR THE SEBASTIAN CHARTER JUNIOR HIGH
SCHOOL WITHIN THE CHESSER'S GAP PUD; PROVIDING FOR CONFLICTS HEREWITH;
PROVIDING FOR EFFECTIVE DATE. (PJ ad 4/12/11)
The City Attorney read Resolution No. R -11 -11 by title and Mayor Hill opened the public
hearing at 7:43 p.m.
Ex Parte Communications
Ms. Coy said she had informal discussions on site and spoke to the principal in
general terms. Mayor Hill said he had discussions with representatives from the
school and has a child who is a student at the school. The City Attorney asked Ms.
Coy and Mayor Hill if there was anything that would prevent them from considering
this application on its merits and only what is presented tonight. Ms. Coy and Mayor
Hill said there was not.
The City Clerk swore in all those who intended to offer testimony.
John Rivera, Chair of the Board of Directors and President of the Sebastian Charter
Junior High recognized his mother, history teacher Susan Boyd; his high school
mentor Jerome Martin; Resource Specialist Joy Curtz who has a sign that says, "All
jobs begin with education and Principal Dr. Martha McAdams.
He asked for permission to build the new teaching facility and they will take care of
the rest. He described the school's history and curriculum.
Amy Banov, Architect with Banov Architects, displayed a PowerPoint presentation
depicting the current modulars with replaced buildings that will provide an attractive
building enhancing the community. (see attached)
Todd Howder, PE with MVB Engineering, said the school is already a great asset and
there were future business leaders over his shoulder in the audience. He briefly
described the drainage plan depicted on the drawings in the agenda packet.
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The Growth Management Director said staff finds the School's request to modify the site
plan met all code requirements and recommended approval pursuant to conditions on
circle page 271 of the agenda packet.
Ms. Coy pointed out the multi purpose room called the cafegymatorium planned for
phase II.
Mr. Wolff asked if they anticipated using the new building as a shelter for weather
emergencies. Ms. Banov said it is not currently designed for hurricane standards.
Mr. Wright said there is a condo development under consideration on other side and
asked if the traffic was considered so there isn't congestion.
Brian Goode, P.E. said they did do a traffic impact analysis, looked at peak season,
actual traffic on the road, added in the vested traffic (to be built) noting he did do the
study for the multi family unit because it was not vested. He said he found the analysis
met all the standards, there has been queuing wrapping around Wave Street, but quickly
dissipates.
In favor
Martha McAdams, Principal, said they plan to have the cafegymatoriuim used by the
community, and they were working on a grant to offer intergenerational opportunities to
the community and thanked Council for their support in the past.
Jaya Dong, 411 Kumquat Avenue said she used to worry where her daughter,
Cheyenne, would go and at the time, she thought the school was just going to be a
school but found they became part of a family. She asked that the school be allowed to
become truly amazing.
Damien Gilliams, 1623 US Hwy 1, said he had the opportunity to walk through the
school and watch it grow; it's an A rated school and more are needed in the community;
he hoped Council would give them what they need.
There was no one in opposition of the request.
Mr. Rivera reminded them that all jobs begin with education
The Growth Management Director said staff recommended approval.
Mr. Wolff asked about the time line for the project. Ms. Banov said they will go into
Building Department review as soon as possible, do the parking lot this summer, phase I
to be done by mid -year, and phase II completed in August 2012, if all goes well.
Mayor Hill recognized the high school students present and noted they were not bribed
with volunteer hours.
MOTION by Mr. Gillmor and SECOND by Ms. Coy to approve Resolution R- 11 -11.
Ms. Coy said people should see the school change periods —the cafegymatorium can be
transformed in minutes and Dr. McAdams alluding to the possibility of using the building
for community use will be good partnership opportunities.
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Page Eight
Result of the roll call:
AYES: All
NAYS: None
Passed 5 -0.
10. UNFINISHED BUSINESS
11.054 A. Commercial District Signs (CM /GMD Transmittal, Chamber Memo, Draft
301 -309 Ordinance, Sign Illustrations)
The City Manager said the issue at hand was how they will extend or consider additional
signage for the business district, he did get in touch with Beth Mitchell, Executive
Director of the Chamber who took the issue to the Business Develop Committee which
provided a list of recommendations on circle page 303 of the packet. He said staff
provided a draft ordinance and he asked Council to note that changes would have to be
considered by the Planning and Zoning Commission (P Z).
He said the recommendation included that sandwich type and feather type signs be
permitted; it was important to marry ambience and attractiveness of the community and
achieve that middle ground, no fee permits should be required to give code enforcement
officers the opportunity to remove those without permit, allow grand opening signs to be
increased from 30 to 60 days, and not change any requirements for the monument type
signs.
Public Input
Damien Gilliams, 1623 Highway 1, said there are more violations than you can shake a
stick at, any time you start with more permit bureaucracy -it starts out at free, then $5,
$10, $20 and so forth; maybe the City could sell A -frame signs to control conformity; his
other concern was storm season, sometimes its better to let the market dictate what
kinds of sign comes in, he hated to see Council rush this ordinance because businesses
are suffering big time, they want to make it easy for businesses to put their signs up and
should probably provide an A -frame when people open up a business, was glad to see
the Chamber here, less government regulation and the businesses will flourish.
Delmont Oquist, a local barber who moved here 30 years ago from Wisconsin, described
the hard time he had opening his business because of sign regulations and ended up
with a shop at 1413 North Central Avenue and received a compliment from City on the
building change. He said he loved Sebastian, took down his non conforming signs, but
was put out when he sees all kinds of signs that are dirty, falling down, propped up on
bumpers, which all make a beautiful drive in Sebastian ugly.
Brad White, local realtor, said his business moves from site to site and asked if he
needed a permit to put up a feather sign at each site or just one permit. He said they are
attractive and he would like to use something like that.
Ben Hocker said he was in agreement with everything except for feather signs, they are
distracting, don't fit with the decor of the town and said Council might want to eliminate
them.
Donna Keys, 725 Layport Drive, commercial property owner on US1, said this Council
has been extremely sensitive to the business community, citing the CRA grants of
thousands of dollars to make signage look nice.
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8:43 pm
In the new ordinance, she asked that grand opening signs be allowed up to 60 days,
special events be allowed for two weeks and not more than four times a year, and
establish more control for feather signs such as only at grand openings or special
events.
Mr. Gillmor said at the last meeting there was consensus of doing what was already
done in the temporary ordinance, just extending it, concerned the draft ordinance would
go farther than what people want, he asked when does it stop, has received calls about
hand -made unattractive signs on CR512, is against anything that moves, and if
businesses are allowed feather signs that is not the Sebastian he wants to live in.
Mayor Hill said Council is trying to reduce creep and through the permit process it will
eliminate what Mr. Gillmor is talking about it, he said doing business on CR512 is very
difficult because of lack of visibility. He said the issue that better signs are needed
warrants discussion, he would not want to see permanent feather signs, the A -frame is
important, and the potential ordinance will go towards hand drawn and other things
people are doing to attract customers.
Ms. Coy said the sandwich board sign was intended to go in at night and be something
special and not say the same thing everything day, a special event could be advertised
on a sandwich board, and she could envision a couple of people having special events
once a week. She said she was conflicted on feather flags, did not favor putting them in
the residential area, and she asked that the ordinance apply to the CR512 and CRA
overlay districts, as well as US1 in City limits and outside with the County's compliance
to get a more uniform look on US1. She noted this would exclude Roseland Road.
Mr. Wright said he was concerned with getting too restrictive, suggested limitations on
height or size of feather signs which are visible and do attract customers. He said some
businesses don't have a monument sign such as the Villages who feel they don't have
enough exposure to attract customers and the purpose of the ordinance is to allow
business to be recognized when someone drives past a business. He said it would be
appropriate to send the ordinance to P &Z, and limit special events to a week.
In response to Ms. Coy, Mr. Wright described special events. Mayor Hill pointed out the
idea is to limit businesses going out of business for five years.
Mr. Wright said the business community is severely challenged, the stability is not there
yet, so Council should be careful about restricting their business.
Mr. Wolff thanked everyone who came to speak to Council, commercial enterprises are
always going to promote, over years towns have asked them to mute their colors, and
with regard to feather flags, he didn't think they worked in trying to promote a
spontaneous purchase, noting not every business is conducive to spontaneous
business. He said he found it far fetched that a previous speaker said he needed his
sign to be visible to rent a U -Haul truck.
He said if you didn't know what Metro was, the big purple feather sign becomes invisible,
and there are some instances that spontaneous purchases are part of a plan, but the
key component does not lie with having a feather flag outside.
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9:17 pm
He said Indian River Realty has a thousand members, so there is the potential to have
thousands of feathers flags, the hope of us keeping the flags respectable is slim, the
cluttered look is not scarce in Florida, what Sebastian has can't be found, visitors won't
come if its look like SR192, they need to maintain the charm and feel of the town.
Mayor Hill said he couldn't see how they could allow the permanent use of feather flags,
did agree there is a place, and finding that place, is Council's job.
Mr. Wright said that might be grand openings and special events.
Mayor Hill said the idea of everyone having the option to use the flags is very scary and
would easily transform the community into something that it isn't, discussion is leading
us in the right direction, and it will help formulate the ordinance, then send it to P Z.
Mr. Gillmor said he hoped they would look at this and ask "what if" we allow this
everywhere, allow every business to have one; if feather flags are allowed, every
business will have one. He said a business advertising they are "new" with a banner for
60 days could attract customers.
The City Manager said the LDR doesn't permit a feather flag in the residential area for a
house sale, not even for open houses.
Mr. Wolff asked about commercial property for sale. Mr. Wright said special events
would control that. Ms. Coy said she didn't believe there are special events and when
you open a business its tough, and we have been blind to the signage and been good to
the businesses. She said there is a happy middle noting when you open a business and
have a plan that is dependent on the size of your sign, you didn't do your homework.
Mr. Wright said people are talking about cardboard signs, and have gone way beyond
what our code allows.
Ms. Coy asked what a special event sign look like. Mr. Wright said it typically a banner,
and certain businesses depend on them.
Mayor Hill said they are all agreeing in the direction they want to go, get cleaned up,
special event signs need to continue but we need to define what is a special event sign,
the compromise could be a time limit and how many businesses do it, noting it will go to
P &Z and suggested having a definition of a special event.
The Growth Management Director said a special event defined in the LDA is for 10 days
such as Earth Day, Pelican Island Wildlife Festival, or a florist shop's valentine special.
The City Manager said staff will tweak the ordinance with the changes discussed tonight
such as sandwich board size, how feather flags will be displayed, it will go before P Z,
and come back to Council in July and August; and in the interim he will work with Code
Enforcement in removing some of the nuisance signs and work with businesses.
11.063 B. Ocean Concrete Update (City Manager Transmittal)
311
9:23 The City Manager stated he was seeking direction to prepare an appeal for Council
approval even though the County Attorney has not made a decision on Ocean Concrete.
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Mr. Wright said he has followed this closely, Council has been consistently against the
project, it would be nice if we didn't have to pursue it, however, we need to be prepared.
Mayor Hill agreed. There was no public input. Mayor Hill said the direction should be to
prepare ourselves for an appeal. There was no objection.
11. PUBLIC INPUT
Damien Gilliams, 1623 US Highway 1, asked when the City will have commercial
recycling, said events using Riverview Park should use Waste Management; and there
should be bins at home with wheels.
He commended the Police Volunteers for saving the City money, said the Mayor forgot
to congratulate his son who was also on the Mighty Mu team; said we need to organize
the Treasure Coast health care system for all employees to save money; the auditor
RFP should be advertised in Martin County, Palm Beach County; we need to get a siren
system for emergency warnings; allow golf carts on roads to save money and gas; and
get real estate values and assessments up.
12. NEW BUSINESS none.
13. CITY ATTORNEY MATTERS
11.064 A. Proposal Indian River County "Pill Mill" Ordinance (County Attorney Memo
313 -330 dated 4/4/11, Proposed County Ordinance)
The City Attorney wanted to let Council know that IRC has been working on this for the
past year with the staff's assistance, the State has reversed its policy, and we don't
know if something will be enacted there. He said it is possible session will end without
action; and the federal government is giving attention to the problem as well. He said
our provisions are in the County's proposal and this is really an FYI for Council.
11.065 B. Litigation Memo (City Attorney Memo dated 4/20/11) Like to provide
331
He said his litigation memo is provided for Council.
He said the political sign ordinance will need an amendment to be effective and that will
be going to the Planning and Zoning Commission and then on to Council.
14. CITY MANAGER MATTERS
The City Manager said the Hurricane Harbor rehabilitation is about complete; he
has done some preliminary grand opening work with Fisherman's Landing
Sebastian and Council will be the first to know the date.
He said the Cavcorp project has gone out to bid; the deadline is the end of May,
with recommendation to come back to Council in June /July.
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Page Twelve
He apologized to Council for placing the grant on the consent agenda noting Mr.
Gillmor will have to cut and paste a new Press Journal headline that, "City
Rejects Grant," he will accept upcoming evaluation comments that he is too
eager to please. Mr. Gillmor reminded him that the Press Journal credited Vero
Beach with receiving the grant.
15. CITY CLERK MATTERS
The City Clerk said the Charter Review Committee has wrapped up their
discussions and plan to hold public hearings on May 12 and 26; and they would
like to invite Council and the City Manager to their May 12 public hearing.
16. CITY COUNCIL MATTERS
A. Council Member Gillmor none.
B. Council Member Wolff
Mr. Wolff said we have made great efforts in improving the community during this
tough time and asked the City Manager to make inquiries as to status of fire
house on US 1 which remains an eyesore, that it would be interesting for
planning purposes, to see what is going to be done with the property, and convey
a sense of urgency to go something with it as we begin to install pavers and
landscaping on US 1.
Mayor Hill agreed. The City Manager said he would provide a report on that, the
County may have a buyer for the property and he would confirm that and provide
all the information.
C. Mayor Hill
11.066 i. Candidate Forums (No Backup)
Mayor Hill said he put this on the agenda because they will have some requests
to hold the standard forums in City Hall and it has served a great public service to
get the candidates out to the public without bringing in partisanship or favoritism;
however last year there were some individuals who had some not so good
intentions that tried to jog the system and he wanted to have something in place
to protect the integrity of what they try to do with their facility. He noted the
facility costs taxpayer money and he requested Council input on where they
should go. He said he was leaning on not spending taxpayer money on the
broadcasts.
Ms. Coy said they do have dilemma, the service has been valuable, and she
would hate to see it go away, but it almost did last year. She didn't think there
needed to be any more than the two groups that have applied and asked the City
Attorney if they could tighten it up and not leave an open door.
The City Attorney said the policy was adopted by resolution, if it was the will of
Council he would look into it; as it stands, noting Council provides the final
decision on events scheduled of that nature.
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Page Thirteen
Mayor Hill said he would like Council input and the key is that some have asked
to use the Chamber so he would like to iron this out now and have a policy going
forward. He said as the policy is written, if a non profit that doesn't show a
political bias and a plan for their forum, it is our responsibility to approve it.
Mr. Gillmor said there should be a cost factor and asked how many forums they
would need -one for each candidate which would put the City on the hook for
more.
The City Attorney advised they should tread carefully in this area, they are not
starting with a blank page, they are partially pregnant, and if it was the will of
Council, he will look at a way to tighten this up.
Ms. Coy said for fiscal reasons alone, she would hate to see it stop but it is a
possibility and said it was like using the park- everyone uses it or no one does.
Mr. Wolff asked what if the Tea Party asks for a forum, what would be the limit.
Mayor Hill said the current resolution would not allow that to take place, but the
other organizations' forums have taken place before City Hall was built and will
continue.
Mr. Gillmor suggested putting the two organizations together. Mayor Hill said
that is a fair thought, they would take place even if not at City Hall, but they are
servicing different segments of the community.
Mr. Wolff said the impetus was the way the forums were held and those
candidates requesting last year wanted to debate each other, but he didn't think
candidates would participate in such a debate.
Ms. Coy said he spoke from experience, and if he looked back to when he didn't
have experience to a televised forum, he might have shown up.
Mr. Wright said it is a shame they have gotten away from the forums sanctioned
by Council, they are non partisan, they have a history that goes back many years
with two groups that are important to the community, and they should find some
way to accommodate that.
Mayor Hill agreed, it has served us well and he would love to see something to
protect integrity and have the Attorney bring something back.
Mr. Wolff advised the groups to set their forum calendars in accordance with
early voting.
D. Vice Mayor Wright
Mr. Wright said he had been contacted by a bicycle /scooter business that
is interested in opening on the waterfront but there is an ordinance
prohibiting automobile sales and leasing which includes scooters. He
said he did not think scooters would be a bad idea and would be looking
into the ordinance.
13
Regular City Council Meeting
April 27, 2011
Page Fourteen
Approved at the May 11, 2011 Regular City Council meeting.
ATTEST:
E. Council Member Coy
Ms. Coy announced the Chamber's Concert in the Park on Friday, April 29
which is to be classical rock.
17. Being no further business, Mayor Hill adjourned the regular meeting at 9:57 p.m.
Sally A. Maio, ,MMC City Clerk
14
Health Plan Overview
Updates
City of Sebastian
City Council Meeting
Wednesday, April 27, 2011
Presented by:
Christian Bergstrom, Director Analytical Services
Items for Discussion
Health Plan Overview
Claims Experience
Benefit Changes
Renewal Projection
Impact of Medical Inflation (Trend)
1
2
Items for Discussion
Moving Forward
Healthcare Reform How will it affect Sebastian?
Preparing for Renewal
Background:
Claims Experience
Plan Changes
4
Date
MONTHLY
PREII)M
Total Hospital
Claims
Total
Physician
Claims
Other
Pharmacy
Capitation
CLAIMS
TOTAL AIMS
L oss
Ratio
Total
October -09
$102,859.37
$4,682.26
$20,707.22
$6,264.96
$14,223.00
$132.37
$46,009.81
45%
126
November -09
$101,320.60
$53,901.36
$26,276.43
$1,223.49
$12,274.19
$137.86
$93,813.33
93%
127
December -09
$102,313.04
56,037.69
540,057.65
$2,235.84
$12,179.48
$132.37
$60,643.03
59%
126
January-10
$102,349.97
$16,402.49
$31,933.54
$4,571.86
$10,229.65
$139.69
$63,277.23
62%
126
February-10
$101,294.15
$31,401.07
$31,553.94
$3,951.99
$11,565.60
$134.20
$78,606.80
78%
125
March -10
$101,822.06
$67,081.65
$24,682.73
$9,287.87
$15,272.61
$135.42
$116,460.28
114%
125
April -10
$99,710.42
$31,257.55
$20,093.70
$3,608.30
$10,371.98
$126.27
565,457.80
66%
121
May -10
$98,754.91
535,363.35
$18,494.51
$5,422.55
$9,177.16
$123.83
$68,581.40
69%
120
June -10
$99,777.66
$20,994.64
$20,230.78
$5,130.02
$10,549.09
$119.56
557,024.09
57%
120
July -10
594,004.40
525,546.19
$19,646.84
$3,653.91
$12,754.81
$113.46
561,715.21
66%
117
2009 -2010 Total
$1,190,689.05
5292,668.25
5253,677.34
545,350.79
5118,597.57
51,295.03
711,588.9
854%
1233
Date
MONTHLY
PREMIUM
Total Hospital
Claims
Total
Physician
CLaIms
Other
Pharmacy
Capitation
T[3TALQ,AIMS
L oss
Ratio
Total
Members
August -10
$91,622.92
$162,064.67
$28,607.12
55,667.14
$11,102.14
$119.56
$207,560.63
227%
118
September -10
$94,331.64
$42,302.11
$25,386.18
$7,882.06
$22,508.23
$131.15
$98,209.73
104%
118
October -10
$93,241.72
$48,204.75
$22,272.03
56,345.03
$28,503.01
$128.71
$105,453.53
113%
117
November -10
$89,723.92
$142,227.14
$27,439.22
$3,518.09
$16,719.27
$127.49
$190,031.21
212%
113
December -10
$89,713.92
$61,367.14
536,922.12
$5,223.52
$17,088.94
$128.10
$120,729.82
135%
113
January-11
$89,723.92
$39,857.47
$18,466.44
$11,821.58
$19,632.12
$123.22
$89,900.83
100%
113
February-11
$89,222.81
$60,085.13
$21,255.17
$5,256.73
$9,157.53
$125.05
$95,879.61
107%
112
March -11
$90,520.69
$37,711.96
517,357.33
$16,624.98
$17,770.77
$125.66
$89,590.70
99%
112
2010-2011 Total
$728,101.54
5593,820.37
$197,705.61
$62,339.13
5142,482.01
51,008.94
$997,356.06
137.0%
$1,088.82
2009 -2010 Claims Experience
2010 -2011 Claims Experience
5
6
Claim Payment Range
Claimants
$25,000 $49,999
7
$49,999 $99,999
5
$100,000 $199,999
0
$200,000+
2
Claims Per Employee per Month
Catastrophic Claims (12- months)
()r rr} fil rri 2rnr >rilfip r
pt :1 2 .If
r
8
Benefit
2009 -2010 Benefit
2010 -2011 Benefit
Calendar Year Deductible (CYD)
(In- Network /Out -of- Network)
Single: $0 $500
Family: $0 $1,500
Single: $500 $1,500
Family: $1,500 $4,500
Coinsurance Out of Network
Member pays: 40%
Member pays: 50%
Primary Care Physician Office Visit
$15 Copay
$20 Copay
Specialist Office Visit
$25 Copay
$35 Copay
Maternity Initial Visit
$25 Copay
$35 Copay
Adult Wellness (PCP)
$15 $25 Copay
No Charge
Adult Wellness Annual Benefit Max
$250 Maximum
No Maximum
Emergency Room Visit
$100 Copay
$150 Copay
Urgent Care Facility
$25 Copay
$40 Copay
Inpatient Hospital (Option 1 2)
$300 $600 Copay
$600 $900 Copay
Outpatient Hospital (Option 1 2)
$100 $200 Copay
$250 $350 Copay
Ambulatory Surgical Center
$75 Copay
5100 Copay
X -rays at Independent Facility
$75 Copay
$50 Copay
Advanced Imaging (MRI, PET, CT)
$75 Copay
$150 Copay
Prescription Drug Mail Order Program
2x Retail Copay
2.5x Retail Copay
Total Lifetime Maximum Benefits
$5,000,000
Unlimited
Benefit Changes: 2010 -2011
2010 -2011 Employee Contributions
9
1 0
2009 -2010
Employee
Contributions
Employee
2010- 2011
Employee
Contributions
Employee
Employee
$0.00
0%
$0.00
0%
Employee
Spouse
$282.42
26%
$268.10
25%
Employee
Children)
$232.26
23%
$220.49
22%
Employee
Family
$574.10
34/0
34%
$544.96
33%
33/0
Benefit Changes: 2010 -2011
2010 -2011 Employee Contributions
9
1 0
Question:
What is Florida trend projected to be for 2011?
A. 10.5 12.5%
B. 12.5 15.5%
C. 8.5 10.5%
Impact of Trend
Impact of Trend
What is "Trend
Trend is the forecasted change in health plans' per capita claims cost
determined by Insurance Carriers, Managed Care Organizations,
Pharmacy Benefit Managers and Third Party Administrators.
11
Source: Gehring Group 10/11 renewals.
12
What factors influence "Trend
Price
Inflation/
Adverse
Selection PR E
14 REFORM
Government
Mandates
Advances in
Increased Technology
Rx
Costs
Escalating
Malpractice
Premiums
Source: The Segal Company- 2004 Health Plan Cost Trend Survey
Impact of Trend
HEALTH CARE
REFORM
ARRA
COBRA
Subsidy
Factors that
influence tren
RFF RE
Increased
Utilization Aging
Chronic Population
,Condition,
E
NE REFORM
Providers
Forming
Groups
Health Care Reform
Deductible/
yFq< Copy
R ry leveraging
F,c C
Labor
Shortages
(nurses
pharmacists)
Cost
Shifting
13
14
Health Care Reform
Patient Protection Affordable Care Act
signed into law on March 23, 2010
Health Care Education Reconciliation Act
signed into law on March 30, 2010
Estimated 32 million additional covered by 2019
What Was Effective In 2010 -2011?
Effective for Sebastian for 2010 -2011
Coverage for adult children until age 26 (state mandates still apply)
15
Prohibition on lifetime limits
No pre- existing condition exclusions or limitations for children under 19
Cost sharing for preventive services is prohibited
No pre- authorization requirements for emergency services
Coverage of essential benefits
Health insurers offering new plans will have to develop an appeals
process to make it easy for enrollees to dispute the denial of a medical
claim
16
What's Effective In 2010-2011?
Grandfathered status lost due to financial plan changes
Uniform coverage documents and standard definitions
developed by HHS (Dept. of Health Human Services)
Employer cost of benefits reported on employees W -2 (delayed
until 2012)
85% MLR for large group mandated
Self insured groups (pending guidance)
Medical Loss Ratio (MLR)
What is a Medical Loss Ratio?
Claims
Premium
What is a claim?
Effects of MLR regulations
Perception of government dictating how much profit a
business /industry can make
Insurers trying to work within MLR guidelines by:
Categorizing as much as possible as "claims" including
o Capitation
o Case management pre- certification
o Network access fees /Managed care fees
o Broker commissions /fees
May negatively impact smaller insurers
17
18
What's Effective In 2011?
RESULTS TO DATE
Carriers have not experienced the "huge influx" of over -age
dependents
No pre -ex for children to age 19 time will tell
New coverage mandates have impacted fully insured
premiums by about 1.7% 2.4% for:
Removal of lifetime limit
Removal of cost -share for preventive care
Extension of coverage to dependents to age 26
What's Effective In 2013?
CLASS (long term care) program implementation (delayed)
New notification requirements for employers
19
Notice to employees of State Exchange
Notice to employees of ability to opt out of long term care
Notice of material coverage changes no less than 60 days in advance of
plan effective date
20
What's Effective In 2014?
"Pay or Play" mandate
Employers with more than 50 employees who do not offer coverage
o Free Rider penalty of $2,000 per employee if even one employee receives subsidy
Employers with more than 50 employees who do offer coverage, but
coverage is not "affordable"
o $3,000 assessment per employee who receives subsidy
Employer reporting requirements to IRS
Individual coverage requirement
Penalty phased in $695 by 2016
Health insurance exchange is established
Limits on rating plans based on age
Tax credits available for individuals and small business tax
credits expanded
Essential benefit plan is created (minimum benefits defined)
What's Effective In 2014?
21
Pre existing condition exclusions are prohibited
(now applies to grandfathered plans)
CO -Ops are established
Multi -state qualified health plans are created and offered
through the Exchange
Lifetime and annual limits are prohibited for essential benefits
(now applies to grandfathered plans)
Coverage for approved clinical trials is mandated
Limits on out -of- pocket expenses and cost sharing
No waiting period over 90 days
Guaranteed issue and renewal
Additional taxes on health insurance companies
22
What's Effective In 2018?
40% excise tax on "Cadillac Plans"
$10,200 for single coverage (High Risk Employees: $11,850)
$27,500 for family coverage (High Risk Employees: $30,950)
Excludes dental and vision
Includes health plan, FSA, HSA, HRA and supplemental
Employers must calculate and report excess value and tax
Items For Consideration
Employee Benefits
Budget?
Plan Changes?
Consumer Directed Health Plan Option?
Dental, Vision, Life and Disability Programs?
Request for Proposal Process?
23
24
Question Answer