The Harlan Fiscal Court decided to go with Anthem through Alliance Insurance for the county’s health insurance during a meeting on Monday.
Harlan County Judge-Executive Dan Mosley brought the subject up early in the meeting.
“You all voted to shop the county’s health insurance plan, and we had three brokers that submitted proposals,” Mosley said. “Two of the three are here today.”
Representatives for Alliance Insurance and KACo (Kentucky Association of Counties) were present at the meeting to field questions. Van Meter Insurance, which had also submitted a proposal, was not represented.
“KACo had proposed doing the dual option plan where the employees would have health reimbursement accounts,” Mosley said. “Alliance had proposed several different options with just standard deductibles.”
Magistrate David Kennedy said he had some questions of KACo.
“The network of providers…where we live right here on the Tennessee/Virginia border, does KACo coverage go across the border?” Kennedy asked.
Kennedy mentioned several nearby hospitals in other states such as Holston Valley Medical Center in Kingsport, Tennessee and Lonesome Pine Hospital in Big Stone Gap Virginia, asking if those hospitals were included in KACo’s coverage.
The KACo rep assured the court coverage extended to those and other out of state facilities.
Mosley advised the magistrates the plan proposed by KACo has not been used by the county previously.
“The plan they proposed was a dual option where the county would cover an initial cost with a high deductible, such as $3,000, then the county would give the employees a health reimbursement account card that would cover health care expenses.”
After some further discussion, a representative for Alliance Insurance Agency asked to address the magistrates. He pointed out the company has served the county for many years as well as being a local company.
“Every year the health insurance premium has gone up,” Mosley said. “The proposal this year was 19 percent. They’ve come back obviously, with something different…we’re going to have issues with whoever the insurance company is.”
Mosley explained Anthem Insurance plans through both Alliance Insurance and Van Meter Insurance had basically the same cost regardless of which agency the county went through.
“Of course, Alliance is local, Van Meter is not,” Mosley said.
After more discussion, a motion was passed to accept the Anthem Blue Cross/Blue Shield proposal two from Alliance Insurance. The motion passed with no opposition.
In other court activity:
• A resolution adopting the execution of a county road aid coop program contract between the fiscal court and the state transportation cabinet was approved;
• Approval to apply for a 2016 KDA Spay/neuter program was granted;
• The Harlan County Sheriff’s 2015 tax settlement was accepted subject to audit;
• The Harlan County Sheriff’s 2015 tax settlement for gas was accepted, subject to audit;
• The Harlan County Sheriff’s 2015 tax settlement for oil was accepted, subject to audit;
• The Harlan County Sheriff’s 2015 tax settlement for limestone, sand and gravel was accepted, subject to audit;
• The Harlan County Sheriff’s 2015 tax settlement for bank shares was accepted, subject to audit;
• The Harlan County Sheriff’s 2015 tax settlement for gas re-bills was accepted, subject to audit.
Reach Joe P. Asher at 606-909-4132 or on Twitter @joe_hde