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From YouTube: April 26, 2017 Committee of the Whole
Description
Minneapolis Committee of the Whole Meeting
A
Good
morning,
everyone
I
am
calling
to
order
our
regularly
scheduled
meeting
of
the
committee
of
the
whole.
My
name
is
Elizabeth
Lydon
I'm,
the
chair
of
this
committee
and
I'm
joined
today
by
councilmembers
Cano
bender
yang
Quincy
were
Sami
FRA
Palmisano
right
and
we
are
also
joined
today
by
Mayor
Hodges,
so
welcome.
We
are
a
form
of
this
committee
and
we
have
three
items
on
our
agenda
for
today
all
our
discussion
items.
A
B
You,
my
name,
is
Mary
over
there
Evander
mine.
Thank
you
for
having
me
here.
It
is
a
joy
to
stand
before
you
today
and
an
honor
to
represent
and
put
forward
for
appointment
several
members
of
our
newly
created
trans
equity
Council.
As
many
of
you
know,
it
has
been
a
long
time
coming.
The
trans
issues
workgroup
was
formed
in
2014
and
since
then,
really
advanced
the
interest
and
the
voices
of
our
transgender
and
gender
non-conforming
community
in
the
city.
B
The
composition
is
looking
here
of
our
stagger
terms:
I,
don't
have
it
with
me,
but
we
have
eight
members
of
our
community
members,
two
of
which
are
mayoral
appointment,
six
of
which
are
councilmember
appointments
and
then
some
of
our
jurisdictional
partners.
But
I
will
say
that
we
had
over
71
applicants
representing
all
thirteen
wards.
It
was
extraordinary
response
and
I
really
just
applaud
the
folks
that
applied,
and
that
rose
to
the
occasion
to
be
to
be
representative
to
advance
the
issues
of
the
transgender
community
and
with
great
pleasure.
B
We
advance
those
names
or
some
of
those
names
today,
as
we
move
this
forward
and
formally
constitute
the
trans
equity
Council
today
for
approval,
our
council
appointments
to
the
city's
transgender
equity
Council.
That
begin
immediately
and
n
December
31st
of
2018
and
I
apologize.
Somehow
I
mispronounced
people's
names
as
somebody
whose
names
that
happens
too
frequently.
B
Forgive
me
if,
if
somehow
I
missed
represented
your
name
but
Nova
Bradford
from
Ward
7
seat,
one
meline
Judah,
Ward,
12
C
to
DJ
Dean
Ward,
12,
C,
3,
zeem,
quarter,
Ward
5
seat
for
Nick
butcher,
Ward
8
seat,
5,
Freya,
Richman,
Ward,
10
feet.
6
and
2
mayoral
appointments
to
the
city's
transgender
equity
council
that
also
began
immediately
and
n
December
31st
2018
natalie
Crowley
Ward
7
seat
7,
Taylor,
Royce,
Roads,
payer
Ward,
9
seat
eight.
B
We
also
put
forward
one
of
our
jurisdictional
partners
and
we're
just
formally
waiting
on
approval
for
our
other
two
and
so
hopefully
we'll
come
forward
with
that
soon.
But
at
least
Niedermayer,
who
has
been
part
of
our
transgender
issues,
work
group
for
the
past
year
or
two
and
is
a
resident
of
st.
paul,
and
so
we
request
she
has
been
the
person
that
the
park
board
has
forwarded
for
their
representative
and
as
a
resident
of
st.
Paul.
We
request
a
waiver
of
residency
as
per
our
ordinance
rules.
A
C
C
You
know,
I
know
that
I
put
investments
in
the
budget
I
know
that
there
have
been
policy
changes
that
have
been
made
as
a
result
of
the
work
that
the
group
has
done,
and
so
that
gave
I
think
a
lot
of
people
a
lot
of
face.
Moving
forward
that
good
things
are
happening
here
for
transgender
people
for
gender,
diverse
people
for
gender
non-conforming
people
that
we
in
Minneapolis,
we
we
love
our
community.
We
love
our
trans
community.
C
We
love
the
people
here
and
that
is
made
manifest
with
how
we
do
the
work
together
and
it's
made
manifest
in
how
we
make
you
know.
We
use
the
levers
we
have
at
our
disposal
to
work
together
with
the
community
to
make
positive
change,
and
so
at
a
time
when
the
national
level
is
incredibly
toxic
and
incredibly
punishing
abandoning
GLBTQ
people
in
so
many
ways.
We
as
a
city.
C
Hey
we
are
here,
we
continue
this
work,
we
move
ahead
together
and
we
have
amazing
partners
on
this
council
who
are
willing
to
do
the
work,
and
there
is
so
much
more
to
be
done
that
all
the
rest
of
the
folks
great
applicants
that
we
unfortunately
couldn't
select,
we
will
be
able
to
partner
and
work
together
moving
forward.
So
thank
you,
everybody.
This
is
just
a
great
day
for
the
city.
This
is
official
and
wonderful
and
thank
you
all.
A
Right
Thank,
You,
mayor
well
I
just
wanted
to
make
a
few
remarks
just
to
really
say
thank
you
to
those
who
made
this
possible
and
really
that's
the
community
members
I
think.
Sometimes
the
city
does
things
and
it's
you
know.
This
is
where
you
can
get
the
top-down
language
and
we
kind
of
do
something,
and
we
hope
that
it
that
it
works
that
community
embraces
it
and
I
think
this
is
a
good
example
of
where
we
really
took
a
different
approach
where
it
was
community
members
who
suggested
how
to
start
the
work.
A
I
want
to
thank
Philippe
Cunningham,
who
was
our
most
recent
chair
of
the
transgender
issues.
Workgroup
I,
see
Roxanne
Anderson
I,
believe
somewhere,
who
is
here
in
person,
is
what
acknowledge
these
folks
were
able
to
make
their
time
in
many
city
staff.
People
who
I
just
want
to
say
we're
very
devoted
to
making
sure
that
they
could
understand
how
they
could
be
part
of
the
work
and
better
support
community.
Once
again,
I
feel
like
we
are
relying
on
cities
to
get
the
job
done
when
other
levels
of
government
won't
do
it.
A
We
are
wanting
to
make
this
work
sustainable.
We
are
wanting
to
make
sure
that
we
are
a
trusted
place
for
a
community
and
I.
Think
and
I
hope
that
this
is
what
will
happen
with
this
inaugural
group.
I
just
want
to
say
the
work
isn't
going
to
be
easy
because
you're
the
first
one
and
don't
be
afraid
to
make
this,
what
you
think
it
should
be.
A
That's
my
advice
to
the
new
appointees
and
I
just
want
to
say
again,
I
appreciate
you
stepping
up
for
this
first
for
this
first
job
and
a
big
signal
that
we
want
to
send.
We
support
all
of
our
committee
members.
We
support
transgender
and
non
gender.
Conforming
community
members
and
I
hope
that
we
are
trusted
for
being
part
of
the
work
with
you.
So
with
that
I'm
not
seeing
any
other
comment
requests.
So
all
in
approval
of
this
item
please
say:
aye
aye
opposed
that
I'm
approved.
Thank
you
very
much.
A
And
to
folks
who
were
here
for
this
particular
item,
I
want
to
say,
feel
free
to
get
up
and
leave,
because
we
have
two
other
major
items,
some
with
community
members
as
well,
and
we
have
a
reception
if
you'd
like
to
finish
out
your
time
socially
together
or
you're.
Welcome
to
stay
next,
we
have
our
American
Indian
Memorandum
of
Understanding,
a
refresh
for
2017
and
we'll
wait
just
a
second
to
allow
folks
to
excess.
E
Kara
Clinton
and
committee
members
good
morning,
I
am
David
Roberto
rector
of
the
neighborhood
and
community
relations
department,
with
the
city
of
Minneapolis,
and
this
morning,
I'm
going
to
be
presenting
an
update
of
the
American
Indian
Memorandum
of
Understanding
I'm,
going
to
be
co-presenting.
This
with
Joe
Hoba,
dr.
Jill
robot
from
who
is
the
president
and
CEO
of
the
American
Indian.
Oh
I,
see
and
is
also
the
chair
of
the
Metropolitan
Indian
directors
group.
So
Joe
was
going
me
up
is
the
podium.
E
That
would
be
great,
so
we
also
joined
by
a
number
of
community
members
and
community
leaders
that
are
in
the
audience
as
well.
This
is
a
very
historic
document
for
the
city
of
Minneapolis
and
there
has
been
a
significant
community
process.
That's
been
underway
over
the
last
year
for
council
Vice
President
Clinton's
comments
earlier
that
this
was
driven
by
the
community
and
how
the
community
would
like
that
have
the
relationship
with
the
city.
E
So
the
revision
that
we're
going
to
be
discussing
today
really
was
led
through
a
community
process
for
your
consideration
so
for
its
directly.
What
we're
requesting
today
is
approval
of
the
MOU,
the
draft
or
the
revised
Memorandum
of
Understanding,
as
well
as
appointments
to
the
formal
workgroup
that
will
be
taking
the
work
in
moving
it
forward.
E
The
original
MOU
was
signed
really
with
the
basis
of
building
a
better
and
stronger
relationship
between
American,
Indian,
community
and
the
city
and
has
been
the
basis
for
just
an
ongoing
relationship
with
the
community
in
the
city.
It
was
originally
signed
in
2003,
led
by
the
metropolitan
urban
Indian
directors
group
and
also
the
city
of
Minneapolis,
and
for
a
little
while
effort
was
adopted.
It
started
to
languish
a
bit
in
2011
when
the
NCR
department
was
established,
neighborhood
and
community
relations.
E
We
really
had
the
opportunity
that
they
accelerate
this
work
and
bring
this
memorandum
back
to
life
and
with
the
council's
approval
in
2011,
we
re-established
the
work
group
and
the
work
began
to
get
underway.
We
knew
at
that
time
that
we
needed
to
do
a
significant
revision
of
the
MOU.
It
was
already
dated,
but
we
also
wanted
to
get
the
work
underway,
and
so
we
started
in
continue
to
move
forward
with
it.
E
In
that,
the
we've
seen
significant
changes
in
leadership
both
within
the
committee
organizations
that
were
original
with
the
MOU,
as
well
as
within
the
city.
We're
also
seeing
a
pretty
significant
change
that
has
been
occurring
in
the
American,
Indian
community
and
I.
Think
dr.
E
robot
will
speak
to
that,
although
more,
what
we're
seeing
a
much
greater
collaboration
between
organizations
within
the
American
Indian
community,
as
well
as
new
leadership
around
the
metropolitan
urban
Indians
directors
group,
and
so
this
really
provided
an
opportune
time
to
really
revisit
this
work
and
to
bring
the
memorandum
up
to
a
current
current
situation.
So,
in
June
of
last
year,
the
committee
of
the
whole
set
this
working
forward
with
approval
of
a
process
really
to
do
an
engagement
with
American
Indian
communities
to
revise
the
MOU,
and
that
is
what
is
before
us
today.
E
I
did
want
to
point
out
on
the
original
MOU
that
the
entire
council,
all
13
council
members,
had
signed
it.
It
was
a
rather
historic
event
and
that
the
community
has
held
this
amaura
Memorandum
of
Understanding
in
high
regard.
As
you
could
see
on
the
list
here,
some
of
the
current
council
members
were
original.
Signers.
I
will
also
point
out.
E
They
counsel
a
former
council
member
Robert
Laurent,
who
was
in
the
audience,
was
also
a
big
champion
of
this
work
and
continues
to
be
and
was
actually
a
significant
part
of
the
revision
that
you
see
before
you
today.
I
also
wanted
to
highlight
this
a
little
bit
on
the
community
itself.
The
American
Indian
community
makes
up
about
2%
of
the
city's
population,
which
accounts
for
about
7700
people
in
our
city.
It
is
a
mostly
calm,
mostly
located
in
words
9
6
and
12,
albeit
American
Indians
lived
throughout
our
entire
city.
E
E
For
today,
dr.
ho
bot
is
going
to
go
over
a
little
bit
more
of
the
details
of
what's
in
the
MOU,
but
I
did
want
to
leave
you
with
before
I
hand
it
over
to
him.
The
specific
action
around
adopting,
in
addition
to
adopting
the
MOU,
is
to
appoint
the
people
that
will
be
representing
the
city
on
the
board
group.
The
way
the
MOU
is
actually
structured
is
that
there
would
be
a
minimum
of
five
people
from
the
city
of
Minneapolis,
as
well
as
five
people
from
the
community.
E
The
metropolitan
urban
Indian
directors
group
will
actually
do
the
appointments
is
doing
the
appointments.
I
should
say
on
the
community
side
on
the
city
side,
that
is
up
to
the
mirror
in
the
City
Council
we
had
as
I
stated
five
minimum
and
they're
what's
before.
You
today
is
six
actually
from
the
community,
and
also
six
from
the
city
of
Minneapolis.
I
will
say
the
work
around
the
revision
and
updating
the
MOU
has
generated
a
lot
more
interest
in
this
and
kind
of
an
eagerness
to
to
be
part
of
the
new
group.
E
So
before
you
today
is
the
appointments
that
we're
looking
at
would
be
council
member
Alondra
O'connell,
who
represents
the
9th
ward
myself
as
the
director
of
the
neighborhood
and
community
relations
department,
Kraig
Kahler,
the
director
of
c-pen
community
planning
and
economic
development.
Retro
music?
Can
the
Commissioner
of
Health
Jean,
Ranieri,
director
of
intergovernmental
relations
and
Janee
harteau,
the
Chief
of
Police
for
the
city
of
Minneapolis.
So
with
that
I
will
turn
it
over
to
dr.
ho
Bob.
Welcome.
F
To
that
end,
our
community
does
retain
some
significant
challenges
as
it
continues
to
move
forward,
but
we
also
possess
significant
strengths.
First
among
those
is
our
ability
to
recognize
our
own
culture
to
leverage
that
culture
in
a
manner
that
is
meaningful
to
our
people
and
to
move
forward
in
a
collaborative
families
valving
way
in
which
our
interests
are
supported
in
a
way
that
does
not
define
us
in
terms
of
the
challenges
we
encounter
but
defines
us
and
how
we
tackle
those
challenges
so
going
forward.
F
What
will
be
a
part
of
the
MOU
is
a
state
of
the
American
Indian
address
and
rapport
that
we'd
like
to
present
to
this
body
on
an
annual
basis.
We're
prepared
to
do
that
after
the
acceptance
of
the
MOU
by
this
body,
so
we'd
be
like
to
come
back
and
visit
with
you
later.
This
spring
present
that
report
to
enlighten
about
the
work
that
we
pursued
not
only
as
a
collective
body
but
to
the
various
subcommittees
that
comprise
the
metropolitan
urban
Indian
directors.
F
Group
I'd
like
to
take
also
a
moment
again
to
second,
the
recognition
of
Robert
Liljegren
and
the
inception.
Points
of
this
work
a
few
years
back
I
also
like
the
commandment
of
working
with
David
Rubin
door
and,
of
course,
I,
cannot
understate
the
importance
and
value
of
Christine
McDonald,
and
her
position
here
at
the
city
has
been
absolutely
integral
in
guiding
this
work
and
being
a
liaison
between
the
city
offices
and
our
community.
So
what
we'll
attack
that
the
Christine
as
well
so
going
forward?
F
F
Me
here
is
the
executive
director
of
eg
wind
Camille,
ona
developments
on
Monica,
Yello
and
plus
Robert
Liljegren
from
Mac
D.
We
have
Mary
Lagarde
from
Minneapolis
American
Indian
Center,
patina
Park,
the
executive
director
of
the
Minnesota
Indians
Resource
Center
was
also
the
vice
chair
of
mud
oil
Whitehead.
Article
clear
is
with
us
and
Don
Clark
expel
a
community
member
all
here
in
support
of
the
work
that
we
do.
The
rest
are
busy
working
right.
Oh
right.
A
Well,
thank
you.
I
just
didn't
want
to
miss
an
opportunity
to
kind
of
thank
the
folks
who
were
able
to
come
and
the
others
who've
been
part
of
what
appears
to
be
a
really
deep
period
of
work
to
produce
this
refresh
of
the
memorandum
of
understanding.
The
action
that
is
before
us
today
here
is
yep
and
I
will
just
one
second
here
is
to
approve
the
appointment
and
then
receive
and
file
the
presentation,
so
I'll
go
ahead
and
come
to
work
on.
Oh
I
know
I'd
requested
to
speak.
H
That
I
know
has
been
putting
a
lot
of
dedication
to
advance
and
elevate
the
voice
and
impact
of
indigenous
communities
in
our
nation
and
in
Minneapolis
and
I
know
that
you
are
that
national
model
that
so
many
folks
talk
about,
and
so
the
proclamation
of
indigenous
peoples
day
back
in
2014
and
the
work
that
you
all
have
continued
to
do
to
elevate.
That
and
grounded
in
community
voice
has
been
extremely
powerful
again,
not
only
for
Minneapolis
and
our
state
and
our
region.
H
But
also
nationally
so
I
just
want
to
commend
you
as
community
leaders
who
I
know,
have
to
lift
a
lot
of
heavy
burdens
to
get
our
communities
to
move
forward
that
our
municipal
work
would
not
be
half
as
impactful
without
you
as
active
partners,
who
are
also
actively
moving
these
conversations
and
convening
people
and
raising
money
and
leveraging
all
the
work
that
we
can
do
together.
So
I
just
want
to
say
that
it's
an
honor
to
be
able
to
work
with
you
on
these
efforts
and
I'm
really
excited
to
continue
to
support.
So
thank
you.
H
I
want
acknowledge,
Christine,
McDonald
who's,
a
always
at
every
meeting
that
I'm
at
with
the
community
and
that's
beautiful,
that's
exactly
the
type
of
neighborhood
and
community
relations
staff,
member
that
we
need
you're,
extremely
visible,
accessible
and
connected
and
I
think
that's
a
great
service
to
our
residents
and
our
city.
So
thank
you.
Christine
all.
A
A
So
we
have
a
motion
on
the
table,
then,
to
approve
the
appointment
to
serve
on
the
American,
Indian,
MOU,
workgroup
and
then
to
receive
and
file
the
refreshed,
American,
Indian
memory
and
understanding,
and
just
one
last
thing,
I
want
to
say,
is
I.
Actually
I
really
appreciate
the
recommendation
that
we
have
a
more
regular
contact
with
this
group
by
having
an
annual
reporting
I
think
that
will
be
very
helpful
to
make
sure
the
city
is
sane
and
touch
and
in
tune
and
understanding
kind
of
how
the
work
is
progressing.
A
A
I
Boarding
chair
Glidden
and
members
of
the
committee,
my
name
is
Rick
adenosine
and
I
am
part
of
the
human
resources
department
here
at
the
city.
Today,
we're
going
to
be
sharing
with
you,
the
history
of
health
insurance
discussions
at
the
city,
the
advantages
of
self
insurance,
our
current
renewal
with
our
current
medical
carrier,
medica
and,
finally,
our
staff
recommendations
and
timeline
for
implementation.
I
But
first
I
wanted
to
take
a
minute
to
talk
about
why
this
issue
is
important
for
the
city
at
sixty
million
dollars
annually.
The
employee
medical
plan
is
that
only
the
most
costly
benefit
that
we
offer,
but
also
the
employee
benefits
that
ranks
number
one
in
importance
to
employees,
and
that
applies
universally,
not
just
a
city.
Employees,
but
survey
after
survey
show
that
employee
health
care
benefits
ranked
as
number
one
in
importance
to
job
seekers
as
well
as
employees
and
in
the
current
job
market.
The
city
is
competing
for
top
talent.
I
J
You
mnsure
I
in
order
to
understand
how
much
to
dive
into
this,
for
me,
I
need
to
know
where
our
employees
are
on
this.
Okay,
so
I
don't
want
to
hear
a
whole
presentation,
then
here
at
the
end,
our
employees,
don't
like
it
or
they're,
not
on
board
with
it
I'd
be
thinking
about
it
differently,
depending
on
where
especially
the
people
who
rely
most
on
this
women
who
work
in
the
in
the
city
in
particular.
Where
are
our
unions
on
this
yeah.
A
And
I
might
just
say
in
addition
to
kind
of
introducing
who
here
in
the
audience
and
so
then
you
can
talk
about
the
benefits
committee.
Labor
management
benefits
committee,
but
you
might
also
say
who
else
is
here
to
kind
of
support
your
presentation.
So
we
can
have
that
contact
because
they
have
brought
a
lot
of
resources
here
so
that
if
we
do
have
questions
outside
of
asking
city
staff,
others
are
here,
including
representing
labor
and
so
Thank.
I
You,
chair,
Glidden
and
councilmember:
yes,
we
do
have
our
labor
partners
here
in
the
audience
and
I
see
several
of
them.
This
is
a
joint
presentation
by
human
resources
and
Finance.
We
also
have
colleagues
from
Hennepin
County
who
have
self-insured
their
medical
plan.
In
the
past
there's
available
to
answer
questions
I
was
planning
to
bring
up
the
labor
representative
from
our
benefits.
Labor
management
committee,
Jim
Michaels,
to
make
some
comments
and
if
you
would
prefer,
we
could
do
that
before.
We
kick
off
the
presentation,
because.
A
K
Chair
committee
members,
thank
you
very
much
for
the
opportunity
to
be
here
and
thank
you,
council,
member
Goodman,
for
inquiring
as
to
where
the
employees
are
at.
Most
of
you
have
heard
me
say
this
before,
but
I
think
it
really
merits
saying
again:
I
represent
employees
and
their
unions
throughout
the
state
of
Minnesota
and
the
work
that
is
done
by
your
benefits.
Labor
management
committee,
in
terms
of
collaborating
between
labor
and
management,
to
solve
very
complicated
and
very
expensive
problems
is
second
to
none.
K
In
fact,
it
is
a
model
that
I
have
tried
to
encourage
other
cities
and
counties
to
adopt,
and
that's
in
credit
to
both
the
labor
representatives,
but
also
to
our
partners
in
the
human
resources
and
finance
departments.
So
again,
I
just
want
to
re-emphasize
that
something
that
we
can
all
be
proud
of.
I
kind
of
dispute,
a
third
presentation
that
I
hope
we
get
some
applause
to,
because
it
feels
like
collaboration
day
in
a
city
of
Minneapolis,
which
is
wonderful.
That's.
K
Yes,
but
but
this
the
work
toward
self
insurance
is
something
that
all
three
legs
of
our
partnership
and
including
the
consultants
that
we
have
hired
to
help
the
community,
so
I
mean
labor,
finance
and
human
resources
have
been
working
on
for
five
years
literally
to
position
ourselves
both
in
terms
of
the
design
for
the
plan,
but
also
the
homework
that
we've
done
in
analyzing.
You
know
the
benefits
and,
quite
honestly,
the
risks
of
moving
forward,
and
this
is
whole
wholeheartedly
supported
by
labor.
K
We
do
believe
it
will
be
a
benefit,
a
huge
benefit
not
only
for
our
employees,
but
also
for
the
taxpayers
in
terms
of
the
savings
that
were
able
to
to
provide,
and
also
the
transparency
and
I,
don't
want
to
steal
more
from
Ricker's
presentation,
but
I
just
want
to
reassure
everyone
that
labor
does
support
this.
We
have
been
at
the
table
from
day
one,
and
we
will
continue
to
work
together
to
try
and
make
this
a
reality
and
we're
very.
A
A
Going
to
ask
that
we
hold
on
on
that,
so
that
we
can
hear
just
a
full
presentation.
I
think
this
was
a
good
just
level
setting.
So
people
know
where
different
important
stakeholders
are
at,
but
I
appreciate.
We
could
hear
the
presentation
and
then
we
are
able
to
ask
questions
from
stakeholders,
as
well
as
from
city
staff.
Great.
A
I
J
L
Here,
Sarah,
madam
vice
chair
and
Council.
Thank
you
so
much
for
the
opportunity
to
speak.
I,
absolutely
support
everything
that
Tim
just
said
and
I
would
just
add
that
were
to
engage
in
this
new
direction
to
take
some
control
over
the
decisions
that
we
make
on
healthcare
and
design
plans
that
work
for
our
employees
based
off
of
feedback
we
hear
directly
from
them
and
to
engage
with
our
management
partners
to
come
up
with
something
that
actually
realizes
cost
savings.
It's
a
very.
L
I
A
I
The
city
is
fully
insured
medical
plan.
Over
the
last
decade,
experienced
significant
cost
increases.
Many
of
those
years
we
had
double-digit
increases
as
high
as
16
and
a
half
percent
to
control
the
cost
of
city
and
our
labor
partners
working
along
with
the
benefits.
Labor
management
committee
took
a
number
of
actions,
including
plan
design
adjustments,
for
example,
in
2014
we
doubled
the
deductible,
and
that
was
after
receiving
a
large
increase
on
the
plan
and
having
to
negotiate
benefit
changes
in
order
to
get
our
increase
down.
I
In
2017,
we
introduced
accountable
care
organizations
which
are
the
narrow,
Network
plans,
and
we
had
very
strong
enrollment
in
those
plans
for
this
year,
we've
also
negotiated
cost
sharing
arrangements
between
the
employer
and
employees.
So
employees,
as
you
know,
share
in
the
cost
of
the
employee
benefits
in
the
medical
plan
and
therefore
they
are
very
involved
with
us
in
the
strategy
and
in
working
through
how
we
offer
our
benefits
in
keeping
our
costs
as
low
as
possible.
We
also
have
spent
a
lot
of
time
developing
the
robots
wellness
program
with
incentives.
I
The
benefits
labor
management
group
worked
very
hard
to
come
up
with
wellness
incentives
and
strategies
to
engage
city
employees
in
their
health
and
to
provide
opportunities
for
them
to
get
educated
on
health
care
and
to
make
better
choices,
and
also
to
engage
with
health
programs
that
they
may
need
to
better
manage
any
of
their
conditions.
I
We've
also
negotiated
rate
caps
with
the
current
insurance
carrier.
We've
been
with
medica
for
ten
years
now,
and
they
have
been
a
very
good
partner
for
the
city.
The
last
two
years
we
were
able
to
negotiate
a
five
percent
rate
cap
on
our
contract,
which
is
why
we
were
able
to
keep
the
cost
predictable.
I
I
So
one
way
to
look
at
a
fully
insured
plan
is
they
will
predict
what
our
healthcare
costs
are
going
to
be
and
then
charge
us
a
per
employee
premium
amount
and
we
paid
that
premium
to
them
every
month,
if
they're
paying
are
they're
paying
our
claims
and
therefore
taking
the
risk
risk
and
if,
at
the
end
of
the
year,
our
claims
have
actually
been
lower
than
what
they
predicted,
they
keep
the
excess
and
it
goes
into
their
bank
account
not
ours.
During
the
year.
We
have
no
idea
how
we're
actually
performing.
I
We
don't
know
until
we
get
at
next
year's
renewal
in
which
they
tell
us
how
much
we're
going
to
pay
next
year.
So,
basically,
we
take
their
package,
as
is
there's
that
a
lot
of
flexibility
to
design
the
benefits
you
want.
You
have
to
use
their
pharmacy
vendor
their
wellness
program,
a
lot
of
the
built-in
things
they
charge
for,
but
we
don't
have
a
say
in
being
able
to
take
them
out
or
add
them.
I
I
However,
at
that
time,
while
there
was
continued
discussions
and
work,
there
were
a
number
of
obstacles
and,
due
to
the
negotiated
rate
caps
that
we
received
from
medica
for
the
5%
two-year
guarantee
the
city
determined
to
remain
fully
insured.
So,
as
of
now
we're
in
the
best
position
since
2013
to
proceed
with
moving
to
self
insurance,
just
to
talk
a
little
bit
about
the
advantages
of
self
insurance,
the
main
one
is
cost
control.
I
Annual
cost
increases
for
self-insured
plans
have
historically
been
significantly
less
than
for
fully
insured
plans,
and
our
colleagues
at
the
county
are
here.
They
would
be
happy
to
answer
questions
about
their
experience
with
self
insurance.
We
do
collaborate
with
them
quite
often
on
benefit
plans
and
talk
about
strategy
together.
So
they've
done
excellent
resources
for
us
as
well
as
Finance.
The
city
will
also
enjoy
avoid
certain
taxes
and
fees,
including
premium
tax
and
the
Affordable
Care
Act
health
insurer
txt.
I
Shelf
insurance
also
allows
greater
flexibility
with
program,
design
and
administration.
We
can
carve
out,
for
example,
certain
services
or
programs
to
best-in-class
providers
and
vendors,
for
example,
pharmacy
benefit
management.
If
we
determine
that,
we
think
we
can
get
a
better
package
of
services
and
price
negotiated,
we
could
issue
an
RFP
for
a
new
Pharmacy
Benefit
manager
and
we
would
be
able
to
select
the
best
in
class
vendor
that
meets
our
needs.
Not
that's
just
included
with
the
carrier's
package.
I
I
So
our
2018
medical
renewal,
we
received
the
2018
renewal
earlier
this
month
from
medica
medica
used.
The
2016
city
claims
experience
to
project
what
they
think
our
2018
claims
would
be
medica
utilized.
At
eight
point,
seven
two
annual
underwriting
trend
assumption
this
is
the
trend
number
that
they
used
for
all
of
their
fully
insured
book
of
businesses.
Here
they
don't
give
us
a
lot
of
information,
how
they
come
up
with
their
trends.
I
You're
just
usually
told
what
trends
are
using,
so
they
also
included
the
retention
components
applicable
to
insured
plans
that
are
not
applicable
under
self
insurance
and
that
those
things
include
a
two
percent
state
premium
tax,
the
two
percent
reserve
for
medica
their
plan
reserves
and
then
a
3.4
percent
Affordable
Care
Act
health
insurer
tax.
So
those
are
examples
of
the
components
that
we
would
save
going.
Self-Insured
medica
initially
said
that
they
calculated
our
rate
increase
at
a
nine
point
four,
but
they
were
agreeable
to
giving
us
a
quote
is
a
increase
of
7.5%.
I
We
have
contracted
with
Deloitte
Consulting
for
our
benefits.
Consultants
and
Deloitte
has
a
lot
of
experience
working
on
self-insured
plans.
They
did
work
getting
Hennepin
County
set
up
initially
the
state
of
Minnesota.
They
work
with
Met
Council
and
they
work
with
Dakota
County.
Our
consultant
is
here
you
can
answer
any
questions
about
the
cost
projections
on
a
self-insured
basis.
They
have
a
team
of
Health
actuaries
that
are
very
experienced
in
this
area
and
they
all
worked
on
this
projection
along
with
HR
and
Finance,
so
the
self-insured
projection
developed
by
Deloitte.
I
We
also
use
the
2016
City
experience
to
project
our
claims,
Deloitte
use
of
7.8%
annual,
underwriting
trend,
assumption
based
on
their
survey,
data
and
market
trends
from
the
other
local
health
plans,
and
also
the
city
experience.
They
included
fees
for
medica
and
the
internal
administration
for
all
of
our
current
benefit
components.
So
everything
that
we're
offering
to
our
employees
today
is
included
in
the
self-insured
projection
for
next
year.
They
also
incorporated
a
stock
plus
insurance
premium
at
a
level
of
three
hundred
and
fifty
thousand
dollar
deductible.
I
This
level
of
stop-loss
insurance
was
reviewed
carefully
by
HR
and
Finance,
along
with
Deloitte.
We
looked
at
the
last
five
years
of
the
city's
high
claims,
experience,
meaning
claims
over
the
individual
claims
that
reached
an
amount
of
twenty
two
hundred
and
fifty
thousand
dollars
each.
So
we
looked
at
that
to
determine
the
appropriate
level
of
stop-loss
that
would
protect
the
city
against
any
unplanned
high
pass
claims
in
the
future.
We
also
included
the
Affordable
Care
Act
Kakori
fee,
which
is
required
of
self-insured
plans
and
a
reserve
margin
of
approximately
four
percent.
I
So
Deloitte
ended
up
with
the
projected
rate
increase
required
for
2018
of
five
percent,
which
is
a
savings
of
two
and
a
half
percent
over
medical
fully
insured
renewal,
and
that
amounts
to
when
you're.
Looking
at
a
60
million
dollar
benefit
program,
a
significant
savings
to
the
city,
which
is
important
for
us
as
we
look
to
develop
the
most
competitive
benefit
package
that
we
can
so
that
we
are
able
to
attract
and
retain
that
top
talent
for
the
city
and
now
I'm
going
to
hand
it
over
to
Lori
Johnson.
N
Glidden
councilmembers
thank
you
for
having
us
here
today
to
speak
about
this.
As
I
said,
this
has
been
a
definitely
a
partnership
with
the
employee,
labor
groups
of
attorney's
office,
the
consultant
that
HR
and
Finance.
It
is
a
big
decision
as
you've
referenced
earlier.
We
wanted
to
make
sure
we
go
into
this
with
an
open
mind.
Reviewing
all
of
the
information
very
carefully.
We
did
not
know
what
recommendation
we
would
end
up
with
when
we
started,
because
we
needed
to
review
the
data
determine
how
it
would
affect
the
city,
the
employees
and
long-term.
N
This
isn't
a
short-term
decision,
it's
a
long-term
decision,
so
we
took
all
of
the
data
into
consideration
and
when
we
got
that
data
after
we
found
out
what
medic
is
fully
insured
rate
would
be.
We
are
now
coming
forward
with
a
recommendation
that
we
implement
a
single
employer,
self-insured
medical
plan,
effective
January,
1,
2018
and
again.
This
is
based
on
research
of
data,
review
of
claims,
information
looking
at
the
exposure
of
reserve
requirements
and
the
full
gamut
of
how
this
will
affect
us
was
not
entered
into
lightly.
N
We
didn't
really
did
make
sure
that
we
were
very
comfortable
with
this
recommendation.
One
part
of
this,
though,
that
I
mentioned,
is:
it
is
a
single
employer
plan,
meaning
that
NBC
and
yvc
will
need
to
transition
off
of
the
city's
plan,
and
that
has
to
do
with
the
insurance
requirements
outside
of
the
city's
control.
So
we
are
working
with
both
of
those
groups
on
this
is
something
that
NBC
was
notified
of
back
in
2014
that
it
would
be
pending,
and
so
it's
nothing
new
for
them.
The
Housing
Authority
has
already
done
this.
N
They
transitioned
off
in
2015.
We
are
making
ourselves
available
to
assist
them
with
in
transition,
and
we
will
be
here
for
them
as
we
work
through
that.
So
again,
as
we
mentioned,
we
will
maintain
our
current
carrier.
Medica
will
be
the
administrator
of
this
health
insurance
plan.
The
benefits
will
not
change.
Employees
will
not
notice
a
difference
for
the
most
part
they
will
access
their
benefits
the
same.
N
They
will
use
their
insurance
coverage
the
same,
and
that
was
really
an
important
part
to
us
is
that
it
does
not
adversely
affect
the
employees
the
as
miss
Dennison
discussed.
We
did
purchase
stop-loss
insurance,
both
as
a
individual
and
an
aggregate
level.
Those
numbers
were
reviewed
carefully
to
make
sure
that
we
had
analyzed
that
risk
and,
as
she
said,
both
the
light
in
the
city
came
to
a
recommendation
that
that
individual
stop-loss
be
at
three
hundred
and
fifty
thousand
dollars.
We
are
also
building
in
reserves.
N
Reserves
are
very
important
part
of
this
because
we
cannot
definitively
say
what
claims
are
going
to
be.
We
need
to
have
something
to
offset
any
large
claims
that
there
may
be
that
don't
fall
into
that
insurance
category.
The
5%
increase
allows
us
to
have
a
4%
reserve
or
that
4%
of
that
increase
is
going
to
go
into
our
reserves
this
first
here
we
want
to
continue
building
those
reserves,
we'll
go
through
more
information
on
the
components
of
the
total
of
reserve
in
just
a
little
bit.
N
The
other
part
is
that,
because
it
is
a
significant
change
and
we
want
to
make
sure
that
the
council
is
aware
of
the
financial
impacts
and
the
effectiveness
of
this,
that
we
will
be
reporting
back
to
you
over
the
first
two
years
and
periodically
thereafter,
and
if
the
council
would
prefer
something
other
than
that
sort
of
reporting.
We
can
certainly
implement
that
as
well.
N
Moving
on
to
the
self-insured
reserve
guidelines,
this
is,
as
I
said,
an
important
part
of
our
equation
and
moving
to
health,
insurance
and
I
do
want
to
say
that
those
reserves
once
we
get
them
set
up
for
self
insurance
are
for
that
purpose.
Only
so
they
will
be
segregated
to
maintain
the
reserves
needed
for
the
self
insurance
plan.
There
are
several
components
of
a
reserve
first
being
the
incurred,
but
not
paid
claims,
so
claims
lag
and
we'll
go
into
that
a
little
bit
more
in
detail
as
well:
211
they're
excusing
8
to
11
percent.
N
For
that
purpose,
the
other
is
a
contingency
reserve
for
rate
stabilization.
That's
one
of
the
main
areas
of
having
us
is
that
we
can
have
a
more
control,
as
was
mentioned
earlier,
and
also
to
cover
unexpected
poor
claims,
experience,
that's
about
15
to
20
percent
and
then
reserve
her
unpaid
retention
cost
meaning
if
we
were
to
end
this
plan,
there
there's
a
little
tail
that
comes
after
that,
and
we
need
to
be
able
to
fund
that
we
want
to
make
sure
that
that
is
there
as
well.
N
Eventually,
as
we
mentioned,
the
claims
are
about
sixty
million
dollars,
so
we
need
to
have
a
good
size
reserve
to
cover
some
of
that
and
that's
built
in
with
part
of
the
premium
that
there's
a
reserve
coming
through
self
funding
and
reserves
again,
there's
the
incurred,
but
not
paid
claims.
When
you
go
to
the
doctor,
it
takes
several
months
for
your
bill
to
come,
so
employees
will
be
paying
premiums
effective
in
January.
N
We
will
likely
not
be
paying
those
bills
until
March
or
April,
so
that
also
helps
build
up
a
reserve
for
the
payment
of
those
claims
and
then,
as
you
can
see,
there's
always
that
lag
in
payment
of
claims,
which
is
typical
with
any
insurance
company
and
in
fact
sometimes
they
come
well
after
the
fact.
So
with
that
that
is
our
recommendation.
There
are
two
items
that
we're
requesting
on
the
agenda
for
action.
N
One
is
authorizing
implementation
of
a
single
employer
self
into
medical
plan
that
should
be
effective,
January,
1,
2018
and
also
authorizing
necessary
contract
to
effectuate
the
implementation
of
the
self-insured
medical
plan,
and
with
that
I'm
going
to
call
mr.
nation
back
up
to
talk
about
our
time
line
and
then
to
open
it
up
for
questions.
I
So
our
proposed
transition
timeline,
April
28th
City
Council
approval
to
implement
a
single
employer,
self-insured
medical
plan,
effective
January,
1st
2018
in
May.
We've
already
started
some
employee
communications.
I
Just
this
week
on
City
talking
in
conjunction
with
this
meeting,
we
published
an
article
that
the
city
was
considering
a
proposal
to
self-insure
and
then
what
that
actually
means
for
employees
may
in
June.
We
would
work
on
amending
the
medica
contract
to
administration
only.
We
started
this
work
earlier
earlier
in
the
year,
so
we
have
February
through
November
transitioning,
the
MVC
and
ycb
to
their
own
benefit
programs.
I
May
through
September
we'll
be
working
closely
with
finance
to
establish
all
the
internal
financial
procedures
and
then
January
1st
of
2018
would
be
the
beginning
of
the
new
plan
year.
We
would
have
open
enrollment
as
usual
during
the
month
of
November,
and
the
plan
would
be
that
we're
not
changing
the
benefit
offering
for
2018
continue
with
medica
and
the
current
plan
design
that
we
have
today.
So
with
that,
we
will
take
any
questions.
A
O
Thank
you
very
much
in
this.
Certainly
a
lot
to
take
in
and
figure
out
and
I
commend
everybody
who's
been
working
on
it
for
so
long
and
I
know
that
we
have
been
moving
this
direction
slowly
and
carefully
and
I'm.
First
of
all,
I
want
to
be
clear
that
the
action
we
take
today
will
this
go
right
to
the
council
meeting
tomorrow
or
was
this?
Will
we
take
this
up
then,
in
two
weeks
from
I
mean
on
Friday
already
take
this
up
two
weeks
from
Friday,
so.
A
This
was
actually
a
question
I
had
looking
at
this,
because
was
it
anticipated
that
this
wasn't
touching
with
ways
and
means?
That
was
the
only
thing
that
was
a
little
bit
unusual
in
it.
It's
my
fault
that
I
didn't
kind
of
such
sad
in
touch.
Facebook
come
frequency,
so
I
think
my
understanding
staff
would
like
it
to
move
forward
just
so
they
can
stay
on
their
timeline,
but
I
wanted
to
ask
about
that.
O
O
Other
question
I
had
was:
has
there
been
any
discussion
at
all
about
moving
the
Building
Commission
or
the
ycb,
these
coordinating
board
employees
to
be
either
city
or
county
employees?
It's
just
when
I'm
looking
at
it.
We
have
the
county,
the
Building
Commission,
for
example,
all
the
money
comes
from
either
the
city
or
the
county
for
all
of
them,
and
it's
a
shared
effort.
O
And
if
we
see
that
their
savings
that
we
get
by
being
self
in
charity
to
the
city
and
the
county,
why
don't
we
find
a
way
so
that
those
savings
could
also
go
to
pay
for
the
insurance
for
the
building
commission
and
the
same
with
youth
Coordinating
Board,
even
though
some
of
those
funds
come
from
the
schools
and
the
parks
as
well
as
they're
in
any
effort
or
discussion
to
move
in
that
direction?
And
it
chair.
I
P
With
regard
to
Municipal
Building
Commission,
we
would
need
a
change
in
the
state
statute
and
with
respect
to
the
ycv.
That
would
be
it
the
joint
powers
entity.
So
there
would
need
to
be
some
kind
of
modification
to
the
joint
powers
agreement.
I
know,
and
you
can
talk
to
us
more
there's
been
a
lot
of
support
for
those
two
entities
in
terms
of
how
to
proceed
so.
O
I'm,
chair
of
the
ycb,
and
so
that,
if
there's
some
good
information
that
might
give
us
some
guidance
in
terms
of
if
this
is
something
we
want
to
explore,
we
could
certainly
I
could
test
the
waters
in
terms
of
the
other
jurisdictions.
If
there'd
be
any
interest
in
doing
that,
I
so
I'm
not
sure,
but
I'll
put
that
out
there
and
I
don't
know
if
that
would
a
big
problem
with
your
timeline
and
everything
it
could
I'm
sure
we
could
something
to
think
about
anyway.
O
I'm
also
curious
about
when
it
says,
maintain
the
current
carrier,
benefit
plan
and
design
and
I.
Think
you
all
tried
to
talk
about
this
acting
like
they'll
be
absolutely
no
change
when
we
make
this
transition,
so
we
all
had
to
sign
up
for
a
new
clinic
plan.
Last
time
we
did
this
every
year,
it
seems
like
we
have
to
sign
up
for
something
else:
primary
in
the
clinic
and
network
and
whatever
they're
calling
it
at
the
time.
O
I
I
We
do
what
is
called
a
positive,
open
enrollment,
where
we
want
everybody
to
go
in
and
make
a
new
election,
but
the
plan
for
2018
is
to
continue
offering
the
same
networks
that
we
are
currently
offering
today,
although
we
don't
have
total
control
over
network
changes
that
may
be
made
outside
of
the
city,
so
there
could
be
some
adjustment
in,
for
example,
those
ACL
network
plans,
but
that
information
will
be
well
communicated
in
advance
and
we,
you
can
be
assured.
We
work
very
closely
with
the
labor
management
group
on
benefits.
I
O
It
sounds
like
it'll
be
just
about
as
disruptive
as
it
is
every
other
year
or
are
not
disruptive.
So
another
question
is
about
purchasing
this
stop-loss
insurance
and
it
says
we're
going
to
be
purchasing
individual
stop-loss
insurance
and
so
the
city
then
on
individual
employees
behalf
will
be
buying
a
separate
insurance
paying
for
a
separate
insurance
policy
for
catastrophic
problems.
And
what
does
that
mean?
I
guess,
chair.
I
Glidden
councilmember
Gordon
I
am
NOT
staff
last
expert,
but
it
may
be
I
should
ask
our
Deloitte
consulted,
come
up
and
talk
about
purchasing
stock.
Last.
Let's.
G
Good
Nansen,
thank
you
come
from
record
stop-loss.
Insurance
is
a
group
policy,
so
what
the
city
would
be
purchasing
the
individual
stop-loss
is
a
group
policy
with
an
individual
deductible
of
in
this
case,
$350,000
per
person.
So
for
each
person,
that's
on
the
plan
that
would
exceed
that
level
they
would
be.
The
city
would
be
reimbursed
and
from
the
one
group
policy
up
Nana.
G
O
Like
that,
okay,
thank
you
very
much.
Then
I
just
had
one
last
question
about
paying
claims.
So
the
way
it
would
work
when
we're
self-insured
is
somebody
in
the
finance
department
would
be
writing
a
check
to
various
clinics,
doctors
and
hospitals
to
pay
all
our
claims.
Are
we
still
going
to
be
working
through
a
big
insurance
entity
and
and
they
will
be
doing,
distributing
the
funds
Tara.
I
Clayton
councilmember
Gordon,
we
would
not
be
writing
checks
directly.
We
would
be
hiring
medica
as
a
third
party
administrator
and
they
would
be
playing
paying
the
claims
as
they
do
today.
So
we
would
have
our
fund
set
up
and
they'd
be
pulling
money
from
us
to
pay
those
claims,
but
they
would
be
administering
just
as
they
do
today.
Okay,.
J
Have
just
a
good
question:
yeah
we've
been
talking
about
this
in
the
city
for
a
long
time,
but
I'll
just
put
myself
in
the
shoes
of
a
employee
working
as
an
administrative
assistant
in
a
department
somewhere
in
the
city.
What
they
want
to
know
is
not
about
stop-loss
insurance.
They
want
to
know.
How
will
this
affect
me?
So
perhaps
you
can
touch
on.
How
will
this
affect
me?
I
Good
good
councilmember
Goodman,
yes,
that
we
have
heard
that
concern
from
employees.
It's
a
very
hard
concept
for
employees
to
understand
it's
not
something,
that's
typically
discussed,
but
for
the
most
part,
this
change
would
be
invisible
to
employees.
If
you
were
to
ask
an
employee
at
Hennepin
County,
if
they
know,
if
their
plan
is
fully
insured
or
self-insured,
they
would
have
no
idea.
I
It's
simply
the
financial
arrangement
that
happens
behind
the
scenes.
However,
most
people
are
asking
already
about
2018
and
for
2018.
For
that
reason,
we
have
worked
very
hard
to
make
a
plan
to
transition
without
any
changes
to
our
current
arrangement,
because
we
offered
those
new
accountability
organizations
in
2017,
and
we
made
some
changes
to
our
wellness
program.
We
want
to
maintain
that
momentum
and
engagement
that
we
currently
have.
I
J
Does
and
I
think
it's
really
important
that
we
communicate
this
to
the
workforce
as
soon
as
possible,
rather
having
a
newsbytes
thing
saying
the
city
moves
to
self
insurance,
which
should
say
City
moves
to
save
money
for
employees,
health
insurance
plans
remain
the
same
or
similar.
I
was
asked
about
this
in
my
office.
My
you
know,
employee
of
15
years
and
I,
who
have
been
together,
gave
me
the
PowerPoint
and
said:
should
I
be
worried
about
this,
so
I
think
it's
important
for
us
to
remember.
J
This
is
a
single
most
important
benefit
to
most
people,
and
we
need
to
express
to
them
how
we
can
bring
down
the
level
of
anxiety,
I'm
sure
how
different
counting
it
went
through
this
exact
same
thing,
and
we
should
learn
from
them
as
how
do
we
communicate
this?
It's
not
only
up
to
the
unions,
it's
up
to
the
leadership
of
the
organization,
which
means
all
of
us.
Thank.
R
R
That
said,
there
wasn't
a
financial
incentive,
so
I'm
really
pleased
that
that
perfet
gave
us
some
financial
assurance
that
we
could
still
conduct
business
in
the
city
and
have
the
insurance
benefit
that
we
all
expect
and
rely
on,
but
also
gave
us
a
more
thoughtful
time
and
process
to
really
investigate
what
the
benefits
would
be.
So
I'm
very
pleased
with
that.
R
I'm
also
very
excited
about
how
our
departments
work
together
on
that,
especially
when
we
cross
the
plaza
and
use
our
jurisdictional
partners
with
the
county
as
a
great
guidance,
so
in
general
I
think
the
process
has
gone
very
well
internally
and
now
it
comes
to
the
point
of
what
are
we
saving?
What
are
we
doing
and
I'm
just
cautious
when
I
see
something
that
says
we're
going
to
save
two
and
a
half
percent
I
just
want
everybody
to
understand
what
we're
really
doing
is
avoiding
a
two
and
a
half
percent
increase.
R
R
We
need
to
retain
these
kind
of
savings
within
the
city,
so
we
can
make
sure
that
we
have
a
sustainable
benefit
plan
going
forward
and
this
particular
approach
seems
to
really
address
the
concerns
that
councilmember
Goodman
certainly
eloquently
outlined
from
an
internal
employee,
benefit
point
of
view
and
from
a
finance
perspective.
This
is
saying
this
is
a
solid
good
financial
business
decision.
This
comes
from
experience.
It
comes
from
great
consulting
work.
Deloitte.
Thank
you
for
that
and
partnerships
with
the
county,
as
well
as
our
internal
relationships,
so
I
think
we're
at
a
point.
R
Now
it's
just
saying
now:
I'm
asking
some
really
detailed
question
like
does
this
affect
what
we
have
to
hire
and
staff
for
this
is
changing
how
we're
going
to
do
business
within
the
city.
For
administering
these
plans,
are
we
going
to
have
to
have
new
employees
and
what
cost
is
that,
for
example,
chair.
I
Glendon
councilmember
Quincy
in
Deloitte's
experience
implementing
self
insurance,
usually
results
in
around
another
FTE
or
less
to
set
up
some
of
the
financial
procedures
that
would
be
changed
from
what
we
currently
do
so
built
into.
The
cost
of
our
projected
claims
is
the
cost
of
one
additional
FTE
that
we
would
figure
out
between
HR
and
Finance
to
allow
us
to
set
up
the
procedures
we
need
to
administer.
I
R
Good,
very,
very
comfortable
with
that
I
mean
certainly
a
benefit
we
want
to
have
that
internally
controlled
and
we
want
to
make
it
appropriate,
I'm,
just
making
sure
we're
going
to
add
a
staff
like
suddenly
20
people
to
save
much
money,
and
it's
going
to
actually
cost
us
more
money
to
operate.
That
way,
so
I'm
very
pleased
to
hear
that
I
guess
those
are
that's
my
big
questions,
I've.
R
Certainly
an
advocate
of
this
program,
certainly
a
tremendous
appreciative
of
the
of
the
support
and
collaboration
between
the
departments
and
our
jurisdictional
partners
that
helped
bring
this
to
a
position
now
I
think
we're
going
to
to
the
process
of
it
and
that
I'll
yield
to
council
vice-president,
because
this
this
department
reports
to
the
committee
of
the
whole.
This
is
big
internal
conversation
that
we're
having
at
committee
a
whole
totally
appropriate
from
a
policy
point
of
view.
R
Now
we
get
to
the
details
of
should
this
be
referred
back
to
Ways
and
Means
in
the
following
cycle
and
I
think
the
impact
of
that
needs
to
be
addressed
if
we're
going
to
slow
things
down
or
if
we
should
follow
our
existing
process.
But
I
pleased
to
have
all
this
information
and
I
think
we've
had
the
opportunity
to
have
briefings
from
staff.
R
A
All
right,
I
have
myself
in
queue
and
I,
had
a
comment
and
then
I
had
a
couple
of
questions.
So
the
comment
was
really
in
response
to
the
question
that
was
posed
by
council
member
Gordon
about
whether
there
should
be
some
discussion
with
youth,
Coordinating,
Board
and
I'll.
Just
I
also
used
to
be
a
chair
of
the
youth,
Coordinating
Board
and
very
familiar
with
it
and
I
do
not
support
causing
this
process
to
explore.
That
I
mean
just.
It
is
a
big
conversation.
It's
a
conversation
with
multiple
jurisdictions.
A
The
whole
point
of
the
ycb
is
that
the
city
isn't
just
expanding
its
own
programs
to
serve
youth
which
which
we
do
have
you
know
that
adds
and
flows
with
different
budgets,
but
how
we
coordinate,
together
with
the
other
jurisdictions,
which
is
the
point
of
their
cost,
sharing
also
to
the
ycv.
So
I
just
wanted
to
say
I
do
think
that's
a
much
bigger
question
than
what
we
would
be
able
to
allow
time
for
and
I
don't
support
causing
the
process.
For
that.
For
those
reasons,
I
had
a
couple
of
questions.
A
One
is
I,
just
maybe
I
kind
of
lost
myself
in
the
presentation
a
little
bit,
but
can
you
go
back
and
say
why
are
we
confident
that
a
four
percent
number
is
okay
for
year,
one
so
I
thought
just
maybe
address
that
or
I.
Don't
know.
If
that's
miss
Johnson's
question
to
address
I'm
asking
you
also
her
I.
N
A
G
Madam
chair
yeah
in
sound
actuarial
president
projections
based
on
the
last
the
most
recent
12-month
claims
are
actually
projecting
the
increase
in
claims
and
total
costs
to
be
less
so
1.5
percent
or
so
there's.
D
G
A
I
It
looks
like
this
is
a
good
year
for
the
city
to
self-insure,
because
we
will
have
that
savings
there
I,
don't
know
if
you
have
any
there's,
we
talk
about
it
constantly
and
we
are
watching
for
that.
The
benefits
labor
management
group
is
also
very
well
aware
and
very
well
versed
in
those
requirements
that
go
along
with
the
ACA,
and
we
have
a
lot
of
reporting
responsibilities
and
compliance
things
that
we
do
because
of
that
act.
So
we
are
all
anxiously
watching
to
see
what
will
happen.
I
Glitter
so
I
wouldn't
say:
they're
significant
financial,
but
right
now
we
do
have
staff
allocated
for
the
reporting
requirements
and
we
have
to
do
a
lot
of
systems
work
to
produce
the
1095
statements
that
go
out.
So
if
there
are
changes
to
that
employer
reporting
that
will
help
us,
it
will
actually
create
additional
money
that
would
go
into
the
reserves
that
we
would
have
bucketed
right
now
for
plan
administration.
I
A
Then
I
had
one
last
question
and
I
will
say:
I
feel
like
people
are
kind
of
asking
a
mix
of
the
financial
questions
they
would
ask
in
ways
I
mean
so
maybe
we'll
just
kind
of
see
where
we're
you
know
asset.
So
my
other
question
was
this
may
be
kind
of
apropos
of
nothing,
but
so.
D
A
Are
already
our
assault
and
we're
self-insured,
so
we
have
an
account-
and
we
kind
of
have
this
mechanism
I-
think
where
you
kind
of
assess
the
claims
that
might
be
produced
by
different
departments
and
that's
how
they
have
to
kind
of
pay
into
the
self
insurance
account.
How
will
this
be
set
up
kind
of
in
relationship
to
that
phone?
Is
there
any
relationship
we
need
to
understand,
or
are
you
going
to
look
at
each
department
and
kind
of
a
after?
You
know.
N
A
Can
you
know
when
we,
when
we
my
thought,
was
that
there's
a
structure
where
we
charge
different
departments
based
on
the
assessment
of
their
likelihood
to
produce
claims
you
know
and
right?
And
so
anyway,
that's
kind
of
how
we
set
up
that
self
insurance?
Then
and
I
guess.
My
question
was
kind
of
how
this
will
affect
the
department
and
their
ability
to
kind
of
understand
their
costs.
Is
it
kind
of
combined
together
in
one
big
self-insurance
thing
or
helped
separately,
because
it's
just
for
a
health
insurance
or
it.
N
Will
be
so
charge
like
it
will
be
held
separately
and
I.
Understand
your
question
relating
to
budget.
We
budget
based
on
a
per
employee,
a
premium
monthly
versus
the
claims
incurred,
so
it's
a
little
bit
different
than
what
we
do
on
workers
compensation
where
this
is
you
pay
a
monthly
premium
and
your
claims
will
be
paid
by
Medicus.
We
will
continue
that
process
in
that
type
of
budgeting
versus
anticipating
your
department
screens,
but
it
won't
have
anything
to
do
with
that
will
be
by
employee
by
month
similar
to
how
everyone
pays
premiums
right
now.
Okay,.
Q
Thank
you,
madam
vice
president.
You
know,
since
Hennepin
County
is
here
at
like
to
bring
them
up
and
ask
them
a
couple.
Questions
and
I
will
hopefully
just
be
really
quick
about
these,
and
the
first
question
is
just
with
regards
to
the
experience
of
Hennepin
County.
What
was
their
savings?
Initially
trunk.
M
Or
chair
Clinton
councilmember
yang,
I'm,
Dave
Wallace,
the
CFO
for
Hennepin
County
with
me
as
Michael
Rahman
or
HR,
director
and
Bruce
Anderson-
are
the
benefits
manager.
I,
also
note
that
the
three
of
us
are
City
residents
and
were
excited
that
the
city
state
in
this
opportunity
save
some
money.
We
actually
saved
quite
a
bit
of
money,
the
first
several
years
we
entered
into
this.
We
in
the
way
we
I
would
describe.
That
is
for
the
first
four
years.
M
M
Also,
the
transparency
that
you
are
getting
from
your
health
insurer
I
mean
at
the
end
of
the
day.
You
know
they're
in
business
to
make
money,
and
so
they
will,
you
know,
save
the
money
at
the
end
of
the
year,
they're,
not
sending
you
a
rebate
on
that.
Also
one
of
the
other
pieces
that
comes
out
of
this
is
related
to
the
pharmacy
program.
To
end
up
with
rebates,
that's
low
back
you
rather
than
going
to
medica
and
so
on
in
terms
of
how
your
pharmacy
benefit
is
set
up.
M
So
we've
been
very
happy
with
this.
We
generated
a
lot
of
savings.
The
first
couple
of
years
built
up
reserves
and
I
think
as
was
described
to
you,
we
have
much
higher
limits
on
our
coverage,
and
so
therefore
we
have
saved
money
on
that
also,
but
we
did
start
a
little
more
conservatively
similar
to
what
the
city
staff
is
recommending
to
you.
So.
M
Q
So
over
a
ten
million
dollar
savings,
Adam
could
I
ask
you
just
with
results
than
Peter
experience.
I
mean
what
was
a
long
statement
accounting
you
know
suffered
in
the
first
couple
years
or
several
years
with
regards
to
self-insuring
what
losses
did
we
have?
Were
there
any
lumps
like
you
know,
bad
experiences
or
I
think.
M
That
that's
really
had
a
few
transitional
changes
on
some
cases:
individual
employees,
since
we're
changing
our
pharmacy
benefit.
We
had
employees,
we
had
to
get
new
prescriptions
from
their
doctors
and
I
would
describe
those
as
inconveniences
rather
than
you
know,
significant
problems.
But
that
is
the
type
of
situation
we
had.
We
had
a
few
cases
where,
as
we
also
change
the
network's,
we
had
that
some
employees
had
to
change
doctors.
We
had
a
few
circumstances
where
somebody
thought
that
doctor
was
covered
under
network
but
was
not,
and
in.
M
That
was,
you
know
something
where
the
HR
folks
could
get
involved
until
the
third-party
administrator-
that's
okay,
to
pay
that
we
think
that's
the
appropriate
thing
for
the
employee.
To
do
I
mean
it
really
brings
some
of
that
control
back
to
the
city,
rather
than
it
being
just
a
third-party
insurance
company.
I.
Don't
think
you
want
to
give
everything
away
to
all
your
employees
and
those
circumstances,
but
you
do
want
to
you
know,
make
the
decisions
that
seem
appropriate
for
the
employees
and
what's
fair,
okay,.
Q
M
M
M
S
I
Correct
we
are
required
to
go
out
for
RFP
every
five
years
and
currently
we
have
two
years
left
on
the
five-year
potential
contract
with
medica
so
for
2018.
We
have
definitely
made
the
commitment
that
we
will
stay
with
medic
on
and
recreate
our
current
benefit
offerings
and
then
for
2019.
That
would
be
up
for
discussion
whether
we
do
an
additional
year
or
look
at
RFPs
see.
S
T
You,
madam
chair,
lots
of
things
been
pointed
out,
so
let
me
try
to
only
say
new
things
here.
One
is
there's
a
lot
of
advantages
to
this,
and
one
of
them
is
that
it
really
builds
our
resilience,
our
resiliency.
As
a
city,
we
won't
be
beholden
to
fully
insured
offerings
anymore,
to
prepackaged
deals
that
are
Pharma
plus
benefit
plans,
and,
like
mr.
Kelly
mentioned,
that
means
we
can
really
start
to
tailor
it
to
the
needs
of
our
employees,
which
are
kind
of
unique,
is
a
city
because
of
it.
T
I've
been
in
the
private
sector
on
these
kinds
of
ASO
plans,
it
doesn't
seem
any
different,
doesn't
act
any
differently
for
the
way,
fully
insured
plans,
work,
I
used
to
work
in
the
health
insurance
industry.
These
are
pretty
common,
especially
for
something
our
size,
so
I've
been
really
encouraging
of
this.
For,
for
a
few
years
at
and
I
know
that
the
more
that
members
of
our
Council
that
have
more
seniority
here
have
been
working
on
it
as
well.
T
One
of
the
things
that
I
want
to
mention
in
terms
of
the
safety
of
doing
this
is
that
we're
building
our
reserves
here
and
that's
good
and
we're
still
seeing
cost
savings
and,
and
that's
really
a
step
in
the
right
direction.
I
really
like
that.
You
have
in
your
presentation
that
you'll
be
providing
updates
for
this
back
to
Council,
so
that,
as
things
change
over
time
in
a
regulatory
environment
we
can,
we
can
continue
to
adjust
or
see
if
there's
a
different
direction,
we
can
go.
T
I
want
to
thank
this
whole
team
for
staying
engaged
with
me.
I
had
probably
the
most
questions
here
a
few
years
ago
and
over
the
last
couple
of
years,
you've
met
with
me
pretty
regularly
and
you've
made
me
really
comfortable
with
with
your
readiness
to
go.
I
also
so
appreciate
the
county's
involvement.
T
I
think
we
should
work
closer
with
the
county,
we're
right
across
the
street
and
and
they
have
a
lot
of
things
to
share
about
about
their
employees,
and
perhaps
we
have
something
to
add
to
them
to
the
one
short
question
that
I
have
is:
will
Deloitte
continue
to
serve
as
our
actuaries
hear
something
mentioned
before
by
councilmember
Quincy?
Was
that
we're
not
read
or
not
building
out
our
own
department
really,
but
will
we
continue
to
procure
actuarial
kinds
of
looks
and
services?
I
T
O
Very
playful
I
wanted
to
clarify
that
when
I
was
talking
about
youth,
Coordinating
Board
getting
involved
in
the
discussion
and
understanding
it
better,
I
wasn't
implying
any
kind
of
time
delay
or
that
we
should
derail
it
all.
In
order
for
that
to
occur,
it's
April,
it
might
be
at
least
worth
testing.
The
water
is
missing,
at
least
getting
the
executive
committee
to
discuss
it
at
one
of
our
meetings.
Thanks.
A
U
M
I
A
Of
our
partner
jurisdiction,
larger
jurisdictions
have
made
that
move.
It
appears
and
I
remember
that,
frankly,
from
other
reports
that
we've
had
on
this,
so
I'm
not
seeing
other
questions
from
Council
members,
I
wanted
to
make
sure
that
we
were
able
to
exhaust
those
questions,
because
it
is
a
very.
A
This
is
a
big
moment,
despite
the
fact
there's
a
lot
of
preparatory
work
that
happened
to
get
to
get
to
this
moment
and
I
want
to
echo
the
things
that
some
of
my
colleagues
have
already
shared
to
the
staff,
who
really
did
a
methodical
job,
I
think
of
kind
of
going
through
the
work
going
to
the
options.
This
work
really
started
many
many
years
ago
and
compliments
as
well
to
the
labor-management
committee
that
works
on
benefits,
I
have
to
say
kind
of
over
the
years
of
being
council
I.
A
A
One
last
question,
so
I
didn't
see
him
here
direction
for
returning
to
Council,
but
I
know
that
we
talked
about
that.
I
had
talked
with
the
team
about
that.
We
had
talked
about
the
fact
that
this
will
be
important
to
return
back
to
council
and
sometimes
when
you're
going
into
a
new
election
year.
Even
if
the
people
are
the
same
things,
change
and
I
said
it's
probably
going
to
be
a
little
bit
more
for
the
staff
to
remember.
You
need
to
ask
to
come
back
to
the
council.
A
I
just
wanted
to
bring
that
up,
that
we
did
talk
about
that,
so
that
we
were
able
to
kind
of
probably
after
a
year
or
so
be
able
to
do.
Report
back
to
Council
make
sure
that
we're
hearing
personally
how's
it
going
and
those
kinds
of
things
so
I
just
wanted
to
bring
that
up
and
I
will
go
ahead
and
move
this
action,
which
again,
is
to
authorize
it.
A
A
A
I
A
A
I
just
want
to
make
sure
I
thank
the
labor-management
community.
I
forgot
to
thank
Hennepin
County
I
really
want
to
thank
you
for
taking
your
time
to
be
here
and
be
available
to
council
members
and,
of
course,
our
components
that
delight
in
to
thank
you
for
being
here
as
well
with
that
I
believe
that
we
have
concluded
with
our
discussion
items.
We
now
have
some
report
term
committees,
so
we'll
move
forward
on
that.
Thank
you.
D
You,
madam
vice
president,
we
have
18
items
that
are
on
the
agenda.
Moving
forward
for
this
Friday
items,
1
through
7
or
land
sales
item
number
8
is
related
to
consuming
alcohol
in
the
Commons
Park
number
9
is
a
refunding
of
bonds
and
a
passage
of
a
resolution
approving
the
issuance
of
revenue
bonds
by
the
city
of
landfall
village.
D
Item
number
10
is
a
liquor
and
gambling
act,
liquor,
business
and
gambling
applications.
Number
11
is
the
contract
for
upper
harbour
terminal
redevelopment.
12
is
a
contract
for
amendment
for
option.
Agreement
with
United
properties
relate
to
the
Nicollet
Hotel
block.
It's
an
extension
item.
Number
13
is
a
passage
of
a
resolution
authorizing
submission
of
2017
Hennepin,
County
transit,
oriented
development.
Grant
applications
for
Hennepin
County
number
14
is
a
grant,
accept
acceptance
for
deed
number.
D
15
is
the
great
streets
business
district
support
grant
and
that
will
actually
be
coming
back
to
the
committee
and,
worst
of
all,
I'm.
Sorry
I
won't
be
coming
back
to
the
committee,
but
specifically
we're
going
to
have
a.m.
there's
a
change
for
the
Northeast
Minneapolis
chamber
of
commerce
from
24,300
amended
to
twenty
seven
thousand.
Six
hundred.
Sixteen
is
a
rental.
D
What
well
in
license
reinstatement.
Seventeen
is
a
license
settlement
conference
recommendations
for
relating
to
sir
DEQ's,
which
will
has
been
recommended
to
be
whole
held
for
two
cycles
and
then
18
is
the
2017
metropolitan
council
livability
community's
accounts
and
grant
happy
to
stand
for
any
questions.
A
O
You,
madam
vice
president,
the
health
environment
and
Community
Engagement
committees
bring
forward
five
items
for
consideration.
The
first
is
passes
of
the
short-term
pollute
ordinance.
Amendment
second
item
is
approving
the
contract
with
the
family
partnerships
of
sexual
trafficking
victims
and
the
third
is
authorizing
agreement
with
health
partners
for
school-based
clinic
insurance
payments
and
fourth
is
grant
acceptance
from
the
Mississippi
watershed
management
organization
for
summer
interns,
and
the
last
is
approval
of
the
Minneapolis
green
zones.
A
Not
seeing
questions
mixed,
we
have
intergovernmental
relations
committee
and
for
that
we
had
a
couple
different
items.
One
was
we
had
action
taken
to
draft
letters,
one
being
to
the
Minnesota
congressional
delegation
regarding
the
president's
2018
budget
and
I
believe
that's
attached
to
the
agenda.
Now
four
council
members
can
review
that.
We
want
to
make
sure
that
an
opportunity
to
do
that.
The
two
other
letters
are
in
accordance
with
otherwise
adopted
policy
positions
for
state
legislative
action.
A
One
is
a
letter
regarding
transit
and
transportation
funding
and
the
final
one
is
regarding
funding
of
racial
equity
agenda
items
and
then
item
number
two
was
a
passage
of
a
resolution
supporting
continued
funding
for
the
National
Endowment
of
the
Arts
in
the
National
Endowment
of
the
humanities
and
opposing
defunding
of
those
agencies
and
I'm.
Not
seeing
questions
on
that.
Next
we
have
Public
Safety
civil
rights
and
emergency
management
of
Council
in
regain
thank.
Q
You,
madam
vice
president,
on
Friday.
We
will
have
four
items
for
approval.
The
first
item
is
a
revised
comprehensive,
general
emergency
management
plan.
The
second
item
is
an
agreement
for
jet
patrols
for
the
summer.
Third
item
is
a
cooperative
agreements
between
the
Minneapolis,
PD
and
other
law
enforcement
agencies
for
the
Super
Bowl,
and
the
fourth
item
is
a
contract
with
Hennepin
County
community
outreach
for
Co,
responder
pilot
program
and
I
will
take
any
questions.
All.
V
Thank
you,
madam
chair.
The
committee
will
be
1424
idles
for
consideration
at
the
full
council.
All
items
pertain
to
projects
in
the
right-of-way
consistent
with
the
season.
Two
items
are
about
the
PV
Plaza
and
the
Commons
Park
work
and
then
the
only
and
then,
of
course,
a
series
of
procurement
approvals.
Although
bids
the
only
highlight
I
would
point
out
with
the
last
item,
which
was
the
2017
international
compost,
Awareness
Week,
which
we
recognize
and,
of
course,
there's
a
great
report
and
all
the
activities
the
department
is
undergoing
with
that
program,
I'll
snap,
your
questions
thank.
R
Thank
you,
madam
vice
president
ways
and
means
will
bring
forward
ten
items
for
consideration
on
Friday.
We
have
two
legal
settlements:
to
grant
acceptances
low
bid
for
a
convention
center,
a
lighting
project
as
well
as
to
contract.
Amendments
of
particular
note
is
item
number
six
on
our
agenda.
It's
the
annual
rollover
of
funds
from
2016
budget
to
this
2017
budget.
It
follows
a
set
of
criteria
that
funds
those
ongoing
projects.
So
that's
that's
good
news.
R
U
Thanks
I'm
sure
we
have
four
items.
The
cycle
from
zoning
and
planning
item
number
one
is
approving
a
small
yard
variance
appeal
for
a
garage
on
East
Lake
of
the
Isles
Parkway
item
number
two
is
a
rezoning
for
a
Planned
Unit
development
on
James
Avenue
north
having
a
transitional
parking
overlay
district
item.
Number
three
is
a
rezoning
at
twenty
thirty
to
forty
one
Cedar
Avenue
for
three
residential
uses
within
an
existing
building
and
item
number
four
is
passage
of
an
ordinance
amending
our
zoning
code
about
regulations
for
fraternities
and
sororities.