agenda - wednesday, june 12, 2019 pk… · 001 general fund 13,035$ $ 262,960 $ (0)106,779 $ 40.61%...

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KANE COUNTY SURGES, Lenert, Allan, Barreiro, Davoust, Hoscheit, Lewis HUMAN SERVICES COMMITTEE WEDNESDAY, JUNE 12, 2019 County Board Room Agenda 9:00 AM Kane County Government Center, 719 S. Batavia Ave., Bldg. A, Geneva, IL 60134 Kane County Page 1 1. Call to Order 2. Approval of Minutes: May 8, 2019 3. Public Comment 4. Monthly Financial Reports A. May Monthly Reports (attached) 5. Veteran's Assistance Commission A. Monthly Report (attached) 6. Department of Human Resource Management A. Monthly Applicant and Staffing Changes Report (attached) B. MERP Enrollment (attached) C. IPBC Funding (attached) D. BCBS Timeline (attached) E. NACo Prescription Drug Plan Report (attached) F. Training Reports (attached) G. Workers Compensation Reports (attached) 7. Compliance 8. Old Business A. Resolution: Amending County Board Members Benefits B. Resolution: Amending the Kane County Personnel Policy Handbook Concerning Parking 9. New Business A. Resolution: Approving Six Month Third Party Claims Administration Services Agreement with Cannon Cochran Management Services, Inc. (CCMSI) B. Discussion on IMRF C. Discussion on Health / Insurance Reserve Account 10. Reports Placed On File 11. Executive Session (If Needed) 12. Adjournment

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KANE COUNTY SURGES, Lenert, Allan, Barreiro, Davoust, Hoscheit, Lewis

HUMAN SERVICES COMMITTEE

WEDNESDAY, JUNE 12, 2019

County Board Room Agenda 9:00 AM

Kane County Government Center, 719 S. Batavia Ave., Bldg. A, Geneva, IL 60134

Kane County Page 1

1. Call to Order

2. Approval of Minutes: May 8, 2019

3. Public Comment

4. Monthly Financial Reports

A. May Monthly Reports (attached)

5. Veteran's Assistance Commission

A. Monthly Report (attached)

6. Department of Human Resource Management

A. Monthly Applicant and Staffing Changes Report (attached)

B. MERP Enrollment (attached)

C. IPBC Funding (attached)

D. BCBS Timeline (attached)

E. NACo Prescription Drug Plan Report (attached)

F. Training Reports (attached)

G. Workers Compensation Reports (attached)

7. Compliance

8. Old Business

A. Resolution: Amending County Board Members Benefits

B. Resolution: Amending the Kane County Personnel Policy Handbook Concerning Parking

9. New Business

A. Resolution: Approving Six Month Third Party Claims Administration Services Agreement with Cannon Cochran Management Services, Inc. (CCMSI)

B. Discussion on IMRF

C. Discussion on Health / Insurance Reserve Account

10. Reports Placed On File

11. Executive Session (If Needed)

12. Adjournment

Current Month Transactions

Total Amended Budget

YTD Actual Transactions

Total % Received

120 Human Resource Management (2,560)$ 1,000$ (2,017)$ (201.69%)246 Employee Events Fund (2,560)$ 1,000$ (2,017)$ (201.69%)

660 Veterans' Commission 3,751$ 331,000$ 6,252$ 1.89%380 Veterans' Commission 3,751$ 331,000$ 6,252$ 1.89%

Grand Total 1,191$ 332,000$ 4,235$ 1.28%

Human Services Committee Revenue Report - SummaryThrough May 31, 2019 (50.0% YTD)

Packet Pg. 2

Current Month Transactions

Total Amended Budget

YTD Actual Transactions

YTD Encumbrances Total % Used

120 Human Resource Management 285,970$ 2,813,778$ 2,625,016$ 35,660$ 94.56%001 General Fund 13,035$ 262,960$ 106,779$ (0)$ 40.61%010 Insurance Liability 272,935$ 2,549,818$ 2,518,237$ 35,660$ 100.16%246 Employee Events Fund 1,000$ -$ -$ 0.00%

660 Veterans' Commission 19,391$ 331,000$ 136,112$ -$ 41.12%380 Veterans' Commission 19,391$ 331,000$ 136,112$ -$ 41.12%

Grand Total 305,360$ 3,144,778$ 2,761,128$ 35,660$ 88.93%

Human Services Committee Expenditure Report - Summary Through May 31, 2019 (50.0% YTD, 50.00% Payroll)

Packet Pg. 3

Current Month Transactions

Total Amended Budget

YTD Transactions

YTD Encumbrances Total % Used

120 Human Resource Management 285,970$ 2,813,778$ 2,625,016$ 35,660$ 94.56%001 General Fund 13,035$ 262,960$ 106,779$ (0)$ 40.61%

Personnel Services- Salaries & Wages 11,002$ 158,607$ 71,405$ -$ 45.02%Personnel Services- Employee Benefits 1,843$ 65,102$ 20,235$ -$ 31.08%Commodities 95$ 6,800$ 1,620$ (0)$ 23.82%Contractual Services 95$ 32,451$ 13,520$ -$ 41.66%

010 Insurance Liability 272,935$ 2,549,818$ 2,518,237$ 35,660$ 100.16%Personnel Services- Salaries & Wages 10,435$ 136,777$ 67,753$ -$ 49.54%Personnel Services- Employee Benefits 2,335$ 41,627$ 18,826$ -$ 45.23%Contractual Services 260,165$ 2,371,414$ 2,431,657$ 35,660$ 104.04%

246 Employee Events Fund -$ 1,000$ -$ -$ 0.00%Commodities -$ 1,000$ -$ -$ 0.00%

660 Veterans' Commission 19,391$ 331,000$ 136,112$ -$ 41.12%380 Veterans' Commission 19,391$ 331,000$ 136,112$ -$ 41.12%

Personnel Services- Salaries & Wages 14,481$ 190,206$ 93,951$ -$ 49.39%Personnel Services- Employee Benefits 4,299$ 93,218$ 37,841$ -$ 40.59%Commodities 289$ 4,211$ 587$ -$ 13.93%Contractual Services 322$ 43,365$ 3,733$ -$ 8.61%

Grand Total 305,360$ 3,144,778$ 2,761,128$ 35,660$ 88.93%

Human Services Committee Expenditure Report - Detail Through May 31, 2019 (50.0% YTD, 50.00% Payroll)

Packet Pg. 4

Vendor Invoice No. Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice AmountFund 001 - General Fund

Department 120 - Human Resource ManagementSub-Department 120 - Human Resource Management

Account 55000 - Miscellaneous Contractual Exp1299 - Kane County Regional Office of Education

8001900025 Fingerprinting April 2019

Paid by EFT # 53021

05/14/2019 05/14/2019 05/14/2019 05/28/2019 120.00

Account 55000 - Miscellaneous Contractual Exp Totals Invoice Transactions 1 $120.00Account 60000 - Office Supplies

1024 - Ready Refresh by Nestle (Ice Mountain)

19D8106207791

Fin Water Delivery 4/5/19 Acct #8106207791

Paid by EFT # 52811

04/28/2019 04/26/2019 04/26/2019 05/13/2019 24.89

3578 - Warehouse Direct Office Products 4268623-0 HRM - 1st Aid, Flag, Note, Folders

Paid by EFT # 52867

04/23/2019 05/03/2019 05/03/2019 05/13/2019 84.90

3578 - Warehouse Direct Office Products 4287598-0 HRM - Office Supplies (flag sign here, wite out)

Paid by EFT # 53138

05/10/2019 05/14/2019 05/14/2019 05/28/2019 10.30

Account 60000 - Office Supplies Totals Invoice Transactions 3 $120.09Sub-Department 120 - Human Resource Management Totals Invoice Transactions 4 $240.09

Department 120 - Human Resource Management Totals Invoice Transactions 4 $240.09Fund 001 - General Fund Totals Invoice Transactions 4 $240.09

Fund 010 - Insurance LiabilityDepartment 120 - Human Resource Management

Sub-Department 130 - Insurance Liability- HRMAccount 50000 - Project Administration Services

8258 - CCMSI 119776-IN Claims & Administration Fee April 2019

Paid by EFT # 52682

04/30/2019 05/03/2019 05/03/2019 05/13/2019 5,884.17

8258 - CCMSI 0118040-IN Claims & Administration Fee December 2018

Paid by EFT # 52926

12/31/2018 05/14/2019 05/14/2019 05/28/2019 5,884.17

Account 50000 - Project Administration Services Totals Invoice Transactions 2 $11,768.34Account 50150 - Contractual/Consulting Services

1026 - Laner Muchin Ltd 558988 April 2019 Retainer & Services Through 3/20/19

Paid by EFT # 52771

04/01/2019 05/02/2019 05/02/2019 05/13/2019 33,135.26

Account 50150 - Contractual/Consulting Services Totals Invoice Transactions 1 $33,135.26Account 53000 - Liability Insurance

8258 - CCMSI 0069593-IN Funding Reimbursement - Liability 4/1-4/30/19

Paid by EFT # 52682

04/30/2019 05/03/2019 05/03/2019 05/13/2019 333.00

8728 - State Street Collision, Inc. 8661 2015 Ford Taurus Repair

Paid by EFT # 52843

05/01/2019 05/03/2019 05/03/2019 05/13/2019 1,337.92

8728 - State Street Collision, Inc. 8662 2019 Ford Explorer Repair

Paid by EFT # 52843

05/01/2019 05/03/2019 05/03/2019 05/13/2019 3,093.56

Run by Finance Reports on 06/05/2019 09:55:01 AM Page 1 of 3

Human Services Accounts Payable by GL Distribution

Payment Date Range 05/01/19 - 05/31/19

Packet Pg. 5

Vendor Invoice No. Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice AmountFund 010 - Insurance Liability

Department 120 - Human Resource ManagementSub-Department 130 - Insurance Liability- HRM

Account 53000 - Liability Insurance1016 - Acrisure LLC dba Presidio (Wine Sergi)

134606 Public Official Bond - David Rickert

Paid by EFT # 52896

05/10/2019 05/14/2019 05/14/2019 05/28/2019 5,325.00

1016 - Acrisure LLC dba Presidio (Wine Sergi)

130569 Notary - Donna King Paid by EFT # 52896

04/24/2019 05/14/2019 05/14/2019 05/28/2019 25.00

1016 - Acrisure LLC dba Presidio (Wine Sergi)

130581 Notary - Maria Chapa Paid by EFT # 52896

04/24/2019 05/14/2019 05/14/2019 05/28/2019 25.00

8728 - State Street Collision, Inc. 8766 Repair windshield, 2009 Ford Econoline E250

Paid by EFT # 53109

05/17/2019 05/14/2019 05/14/2019 05/28/2019 395.27

Account 53000 - Liability Insurance Totals Invoice Transactions 7 $10,534.75Account 53010 - Workers Compensation

8258 - CCMSI 0069984-IN Advanced Funding for Settlement - Cheryl Lyne 14D45E073354

Paid by EFT # 52682

05/02/2019 05/03/2019 05/03/2019 05/13/2019 45,103.75

8258 - CCMSI 0069592-IN WC Funding Reimbursement 4/1-4/30/19

Paid by EFT # 52682

04/30/2019 05/03/2019 05/03/2019 05/13/2019 139,376.76

Account 53010 - Workers Compensation Totals Invoice Transactions 2 $184,480.51Account 53020 - Unemployment Claims

3594 - Illinois Department of Employment Security

692000721 2019 Q1 Unemployment Charges

Paid by Check # 366788

05/03/2019 05/14/2019 05/14/2019 05/28/2019 20,246.50

Account 53020 - Unemployment Claims Totals Invoice Transactions 1 $20,246.50Sub-Department 130 - Insurance Liability- HRM Totals Invoice Transactions 13 $260,165.36

Department 120 - Human Resource Management Totals Invoice Transactions 13 $260,165.36Fund 010 - Insurance Liability Totals Invoice Transactions 13 $260,165.36

Fund 246 - Employee Events FundDepartment 120 - Human Resource Management

Sub-Department 000 - RevenuesAccount 38900 - Miscellaneous Other

1701 - Kane County Cougars 20190503 Kane County Cougars Tickets - employee event

Paid by Check # 366630

05/03/2019 05/03/2019 05/03/2019 05/13/2019 2,560.00

Account 38900 - Miscellaneous Other Totals Invoice Transactions 1 $2,560.00Sub-Department 000 - Revenues Totals Invoice Transactions 1 $2,560.00

Department 120 - Human Resource Management Totals Invoice Transactions 1 $2,560.00Fund 246 - Employee Events Fund Totals Invoice Transactions 1 $2,560.00

Run by Finance Reports on 06/05/2019 09:55:01 AM Page 2 of 3

Human Services Accounts Payable by GL Distribution

Payment Date Range 05/01/19 - 05/31/19

Packet Pg. 6

Vendor Invoice No. Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice AmountFund 380 - Veterans' Commission

Department 660 - Veterans' CommissionSub-Department 660 - Veterans' Commission

Account 52140 - Repairs and Maint- Copiers8930 - Impact Networking, LLC 1412719 Copier Overage for

AprilPaid by EFT # 52759

04/22/2019 05/22/2019 04/30/2019 04/29/2019 05/13/2019 39.23

Account 52140 - Repairs and Maint- Copiers Totals Invoice Transactions 1 $39.23Account 53100 - Conferences and Meetings

4526 - Fifth Third Bank 8705-JZ-04/19 Purchasing Card Payment

Paid by EFT # 52971

05/06/2019 06/06/2019 05/13/2019 05/13/2019 05/28/2019 322.05

Account 53100 - Conferences and Meetings Totals Invoice Transactions 1 $322.05Account 60000 - Office Supplies

1024 - Ready Refresh by Nestle (Ice Mountain)

19D8106647400

Water Services for March

Paid by EFT # 52811

04/28/2019 05/14/2019 04/30/2019 04/30/2019 05/13/2019 16.70

4526 - Fifth Third Bank 8705-JZ-04/19 Purchasing Card Payment

Paid by EFT # 52971

05/06/2019 06/06/2019 05/13/2019 05/13/2019 05/28/2019 288.53

Account 60000 - Office Supplies Totals Invoice Transactions 2 $305.23Sub-Department 660 - Veterans' Commission Totals Invoice Transactions 4 $666.51

Department 660 - Veterans' Commission Totals Invoice Transactions 4 $666.51Fund 380 - Veterans' Commission Totals Invoice Transactions 4 $666.51

Grand Totals Invoice Transactions 22 $263,631.96

Run by Finance Reports on 06/05/2019 09:55:01 AM Page 3 of 3

Human Services Accounts Payable by GL Distribution

Payment Date Range 05/01/19 - 05/31/19

Packet Pg. 7

VETERANS ASSISTANCE COMMISSION

Transaction Date Merchant Name Additional Information Transaction Amount

5/29/2019 AMTRAK TEL1400300045060 WASHINGTON ($59.00)

5/31/2019 METRA GENEVA GENEVA $25.50

Total: ($33.50)

Total all: ($33.50)

1 of 1 6/5/2019 12:03:38 PM

Kane County Purchasing Card InformationHuman Services Committee

May 2019 Statement

Packet Pg. 8

Vendor Invoice No. Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice AmountFund 120 - Grand Victoria Casino Elgin

Department 010 - County BoardSub-Department 020 - Riverboat

Account 45420 - Tuition Reimbursement10354 - Erin Rauscher 18-06-01 PHHE 605 -

Biostatistics in Public Health

Paid by Check # 365053

12/19/2018 12/26/2018 11/30/2018 01/07/2019 952.83

4856 - Tim Mescher 1807-01 Intro to Python 3 Programming

Paid by Check # 365247

01/11/2019 01/10/2019 11/30/2018 01/22/2019 115.00

10873 - Brittany Scott 1805-01 Courses: LAW113; LAW162; LAW190; LAW424

Paid by EFT # 50998

01/11/2019 01/10/2019 11/30/2018 01/22/2019 2,400.00

11910 - Kathleen Skubisz 1804-01 Courses: SWK6160;SWK6140;SWK6725;SWK6381;SWK6382

Paid by Check # 365294

01/04/2019 01/10/2019 11/30/2018 01/22/2019 2,400.00

Account 45420 - Tuition Reimbursement Totals Invoice Transactions 4 $5,867.83Sub-Department 020 - Riverboat Totals Invoice Transactions 4 $5,867.83Department 010 - County Board Totals Invoice Transactions 4 $5,867.83

Fund 120 - Grand Victoria Casino Elgin Totals Invoice Transactions 4 $5,867.83Grand Totals Invoice Transactions 4 $5,867.83

Run by Finance Reports on 06/05/2019 09:56:08 AM Page 1 of 1

Tuition Reimbursement FYTDPayment Date Range 12/01/18 - 05/31/19

Packet Pg. 9

Organized under Chapter 330, Section 45 of the Illinois Compiled Statutes,

a statutory body comprised of the veterans organizations in Kane County, Illinois.

COUNTY OF KANE VETERANS ASSISTANCE COMMISSION

Monthly Report on Commission Activities

107.9114.2 115.5 119.7 119.2

105115.3 112.3 111.9 110.5

59.1 59.764.8 70.1

76.8

24.5 24.2 26.731.6

49.7

0

20

40

60

80

100

120

140

Average Days Pending for Claims Fiscal YTD

Average IllinoisCompensation

VACCompensation

Average ILPension

VAC Pension

7,7427,662 7,866 7,966 8,380

151 144 147 146 138

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

Total Claims Pending

All IL

VAC

JACOB A. ZIMMERMAN

Superintendent

COUNTY GOVERNMENT CENTER

719 South Batavia Avenue, Building A

Geneva, Illinois 60134-3077

Phone: (630) 232-3550

Fax: (630) 232-5403

www.countyofkane.org/pages/veterans.aspx

Packet Pg. 10

Organized under Chapter 330, Section 45 of the Illinois Compiled Statutes,

a statutory body comprised of the veterans organizations in Kane County, Illinois.

0

20

40

60

80

100

120

140

116

14 12 9 26

24

1 23

10

Claims Applications Filed

April

ThroughMarch

939

226

0

200

400

600

800

1,000

1,200

1,400

Forms

Forms Completed

April

ThroughMarch

$225,732.05

$1,152,734.07

New VA Payments to Claimants Fiscal YTD

April

ThroughMarch

Financial Assistance Expenditures

Shelter Gas Electric

Water Sewage Garbage

Food Personal Burial

Packet Pg. 11

VETERANS ASSISTANCE COMMISSION CLAIM REPORT

Category December January February M arch Apr il M ay June July August September October November FY 2018 Total

Service-Connected Disability Claims 31 23 37 25 24 140

Non-Service Connected Pension Claims 3 0 8 3 1 15

Dependent's Compensation Claims 1 1 3 7 2 14

Survivor's Pension Claims 1 6 1 1 3 12

Intent-to-File 16 25 13 28 23 105

§5103 Response / Claims Follow up 15 8 11 13 20 67

Total Forms Completed 221 198 259 261 226 1,165

Claims Decision Reviews 16 2 4 11 2 35

Appeals Filed 4 1 6 10 7 28

VA Health Care Applications 8 6 5 7 10 36

Federal Ancillary Benefit Applications 1 2 0 3 4 10

Burial Benefits Applications 5 4 10 4 3 26

eBenefits Registration 1 2 2 0 2 7

DD-214 / Military Records Requests 17 80 134 39 55 325

Corrections / Upgrade Military Records 1 3 0 0 1 5

Dependent's Ancillary Applications 0 2 1 1 1 5

State Ancillary Benefit Applications 13 8 12 17 9 59

VAC Outreach (Man Hours) 51.5 53.5 24.0 57.0 52.5 238.5

Training (Man Hours) 26.25 3.0 1.0 29 13.0 72

Total Claims Pending 151 144 147 146 138

Intent-to-File Pending 122 138 141 152 145

New VA Monetary Awards 322,308.33$ $362,285.25 155,878.89$ 285,261.60$ 225,732.05$ 1,351,466.12$

Packet Pg. 12

Department Employee Name Termination Date

Animal Control

BALK, CARLEE A 04/25/19

BROUCH, DIANE 05/08/19

EGGEN, ALEXIS E 05/04/19

Building Management

DOUGLAS, DEVONDA R 05/02/19

Circuit Clerk

SCHOEN, MICHELE 04/24/19

County Clerk

BATTLE, JORDAN C 05/03/19

Health

AGGARWAL, POOJA 04/25/19

BARBEAU, BETHANNE 05/03/19

BOWEN, KRISTINA K 05/08/19

Judiciary and Courts

KEANE, JAMES E 04/30/19

Sheriff/Adult Corrections

REGAN, HANNAH N 05/09/19

State's Attorney

GONZALEZ, GALILEA 05/17/19

LEUCHTMANN, ANDREW 04/26/19

Transportation

FILES, HEIDI M 04/22/19

Total Terminations 14

06/04/19 Page 1 of 1

Termination Report from 04/21/2019 - 05/18/2019

Packet Pg. 13

Printed on Page1 of 2

Title Post Date - Deadline Open/Closed Applicants

Kennel Assistant 03/01/2019 - N/A Open 22

Maintenance - Corrections/Sheriff's facility 03/25/2019 - N/A Open 0Maintenance-Building Management Operations 03/25/2019 - N/A Open 3Jail Janitor 04/24/2019 - N/A Open 0

3

Deputy Clerk 05/14/2019 - N/A Open 1111

Intern/Volunteer N/A Open 1Youth Counselor 11/30/2018 - N/A Open 17Probation Officer 05/08/2019 - 05/31/2019 Closed on 5/31/2019 54

72

Payroll/Accounting Clerk 05/17/2019 - N/A Open 66

Senior HR Generalist II 01/02/2019 - N/A Closed on 5/22/2019 2121

Intern/Volunteer N/A Open 2Desktop Support Analyst I 10/19/2018 - N/A Open 4GIS Intern 03/08/2019 - N/A Closed on 5/13/2019 0Web Developer I 05/01/2019 - 05/15/2019 Closed on 5/15/2019 2Administrative Assistant 05/02/2019 - N/A Closed on 5/8/2019 1

9

Construction Resident Engineer 02/01/2019 - N/A Open 0Project Manager/Traffic Safety Engineer 02/01/2019 - N/A Open 12019 Summer Internship Job Openings 03/22/2019 - N/A Open 0Permit Engineering Technician 05/02/2019 - 05/03/2019 Closed on 5/3/2019 2

3

Intern/Volunteer N/A Open 1Assistant Director for Communicable Disease 09/04/2018 - N/A Open 4Substance Abuse Prevention Specialist 12/10/2018 - N/A Open 7Clinical Nursing Supervisor for Nurse-Family Partnership Program

03/04/2019 - N/A Open 3

Community Health Specialist III: Data & Quality Coordinator

03/04/2019 - N/A Open 9

Job Applicants for May 2019 by PositionAnimal Control (Brett Youngsteadt, Administrator)

Total Animal Control ApplicantsBuilding Management (Rickey Sparks, Executive Director)

Total Building Management ApplicantsCircuit Clerk (Thomas Hartwell, Elected Official Circuit Clerk)

Total Circuit Clerk ApplicantsCourt Services (Lisa Aust, Executive Director)

Total Court Services ApplicantsFinance (Joseph Onzick, Executive Director)

Total Finance ApplicantsHuman Resource Management (Sylvia Wetzel, Executive Director)

Total Human Resource Management ApplicantsInformation Technologies (Roger Fahnestock, Executive Director)

Total Information Technologies ApplicantsKDOT (Carl Schoedel, Director and County Engineer Transportation)

Total KDOT ApplicantsPublic Health Department (Barbara Jeffers, Executive Director)

Packet Pg. 14

Printed on Page2 of 2

Community Health Specialist III: Community Health Initiatives Coordinator

03/13/2019 - N/A Open 18

CHS II: Environmental Health Practitioner 04/09/2019 - N/A Open 7Public Health Intern/Volunteer (Trap Collection for West Nile Program)

04/09/2019 - N/A Open 2

CHS II: Public Health Nurse 04/12/2019 - N/A Open 1CHS II: Public Health Nurse 04/15/2019 - N/A Open 0

52

Court Security Officer 05/10/2019 - 06/01/2019 Open 1313

Assistant State's Attorney 11/13/2018 - N/A Open 2Administrative Assistant 02/26/2019 - N/A Closed on 5/22/2019 4

6

Data Specialist 02/28/2019 - N/A Open 33

201

Total Public Health Department ApplicantsSheriff (Ron Hain, Sheriff)

Total Applicants for May

Total Sheriff ApplicantsState's Attorney (Joseph McMahon, Elected Official States Attorney)

Total State's Attorney ApplicantsSupervisor of Assessments (Mark Armstrong, Supervisor of Assessments)

Total Supervisor of Assessments Applicants

Packet Pg. 15

Department

Employee Name Job Title Employee Status Hire Date

Animal ControlBROUCH, DIANE Kennel Assistant INACTIVE 04/22/2019

County ClerkMITCHELL, JAMES C 901011007 - Board Member ACTIVE 05/03/2019

Board Member ACTIVE 05/03/2019

Clerk I ACTIVE 05/03/2019

Court Services/Juvenile Justice CenterKIRCHMANN, ADAM G Youth Counselor JJC ACTIVE 05/07/2019

SCARVER, OTIS J Jr Youth Counselor JJC ACTIVE 05/07/2019

HealthAMARO, JOSEPH A CHS III Emergency Response Coord ACTIVE 05/06/2019

Information TechnologiesSTEPANEK, ALEX GIS Intern ACTIVE 05/14/2019

Judiciary and CourtsBENDOWSKI, CHARLES J Court Bailiff ACTIVE 05/08/2019

DOLEWSKI, STEPHEN W Court Bailiff ACTIVE 05/02/2019

LEE, RYAN R Staff Attorney ACTIVE 04/22/2019

LOWE, SUSAN A Court Bailiff ACTIVE 05/03/2019

PAXTON, JEFFREY R Paralegal ACTIVE 04/29/2019

SUGGS, SAMMY L Court Bailiff ACTIVE 05/01/2019

Public DefenderCUEVAS ESCOBEDO, MARINA Secretary Receptionist ACTIVE 05/06/2019

06/04/19 Page 1 of 2

New Hire Report

from 04/21/2019 - 05/18/2019

Packet Pg. 16

Sheriff/Adult CorrectionsDELEON, JUSTIN S Correctional Officer ACTIVE 05/13/2019

DIXON, COREY D Senior Assistant Director ACTIVE 05/13/2019

JACOBSON, KEVIN M Correctional Officer ACTIVE 05/13/2019

RAMOS, DAVID Correctional Officer ACTIVE 05/13/2019

WEBB, BRANDON L Correctional Officer ACTIVE 05/13/2019

State's AttorneyCARDENAS, ARIANA Administrative Assistant ACTIVE 05/02/2019

MIRANDA, ROCIO A Administrative Assistant ACTIVE 04/29/2019

TransportationJONES, NOAH S Intern ACTIVE 05/15/2019

Total New Hires 21

06/04/19 Page 2 of 2

New Hire Report

from 04/21/2019 - 05/18/2019

Packet Pg. 17

June 4, 2019

MERP ENROLLMENT

As of 6/4/19 53 employees are on MERP.

Packet Pg. 18

Location Premium Invoice (June 2019 Final Invoice)

Coverage Enrolled Volume Current Premium Credit Premium Debit Premium Total Premium

Location Prepared Billing Period

Kane County 05/23/2019 June 2019 Final Invoice

Payment Due Date

Remit Payment to:

06/20/2019

IPBC

PLEASE PAY THIS AMOUNT $1,250,741.37

Previous Total Due Total Payments Received Unpaid Balance Current Premium

$1,239,022.34 $1,239,022.34 $0.00 $1,250,251.55

Policy Number

Kane County

AD&D 462 $19,960,850.00 $399.25 -$1.85 $0.66 $398.06Basic Life 462 $19,960,850.00 $1,836.47 -$8.49 $3.04 $1,831.02Medical 1083 $0.00 $1,251,555.95 -$12,257.92 $8,724.44 $1,248,022.47

Totals with Adjustments$1,239,022.34

$1,239,022.34

$0.00

$1,253,791.67

Previous Total Due

Total Payments Received

Unpaid Balance

Current Premium

Debit Premium

Current Total Due $1,250,741.37

$8,728.14

Location Fees/Deductions

Credit Premium -$12,268.26

$1,253,791.67 -$12,268.26 $8,728.14 $1,250,251.55Total Premium

Location Fees/DeductionsEAP Plan Fee 1 $137.50

Life GBS Fee 462 $143.22

Medical Waive IPBC Fee 102 $209.10

$489.82

$489.82

Location Adjustments $0.00

June 2019 Final Invoice 1 05/23/2019Packet Pg. 19

Benefit Plan Tier Count Volume Premium Count Volume Premium Count Volume Premium

Basic LifeThe Standard Basic Life and ADD - NON

UNION ONLYAD&D Rate 462 $19,960,850.00 $399.25 -2 -$59,250.00 -$1.19 460 $19,901,600.00 $398.06

The Standard Basic Life and ADD - NON

UNION ONLYLife Rate 462 $19,960,850.00 $1,836.47 -2 -$59,250.00 -$5.45 460 $19,901,600.00 $1,831.02

Plan Totals 462 $19,960,850.00 $2,235.72 -2 -$59,250.00 -$6.64 460 $19,901,600.00 $2,229.08

Totals 462 $19,960,850.00 $2,235.72 -2 -$59,250.00 -$6.64 460 $19,901,600.00 $2,229.08

Medical BCBS Non UNION HMO BLUE ADVANTAGE ECH 28 $0.00 $31,668.56 0 $0.00 $0.00 28 $0.00 $31,668.56

BCBS Non UNION HMO BLUE ADVANTAGE EMP 99 $0.00 $56,401.29 0 $0.00 $0.00 99 $0.00 $56,401.29

BCBS Non UNION HMO BLUE ADVANTAGE ESP 45 $0.00 $50,895.90 -1 $0.00 -$1,131.02 44 $0.00 $49,764.88

BCBS Non UNION HMO BLUE ADVANTAGE FAM 96 $0.00 $158,775.36 0 $0.00 $0.00 96 $0.00 $158,775.36

Plan Totals 268 $0.00 $297,741.11 -1 $0.00 -$1,131.02 267 $0.00 $296,610.09

BCBS Non UNION HMO Illinois ECH 5 $0.00 $6,076.80 0 $0.00 $0.00 5 $0.00 $6,076.80

BCBS Non UNION HMO Illinois EMP 5 $0.00 $3,058.95 0 $0.00 $0.00 5 $0.00 $3,058.95

BCBS Non UNION HMO Illinois ESP 2 $0.00 $2,430.72 0 $0.00 $0.00 2 $0.00 $2,430.72

BCBS Non UNION HMO Illinois FAM 3 $0.00 $5,332.86 0 $0.00 $0.00 3 $0.00 $5,332.86

Plan Totals 15 $0.00 $16,899.33 0 $0.00 $0.00 15 $0.00 $16,899.33

BCBS Non Union PPO PLAN ECH 18 $0.00 $32,943.96 0 $0.00 $0.00 18 $0.00 $32,943.96

BCBS Non Union PPO PLAN EMP 70 $0.00 $64,384.60 -1 $0.00 -$919.78 69 $0.00 $63,464.82

BCBS Non Union PPO PLAN ESP 45 $0.00 $82,359.90 -2 $0.00 -$3,660.44 43 $0.00 $78,699.46

BCBS Non Union PPO PLAN FAM 57 $0.00 $152,708.13 2 $0.00 $5,358.18 59 $0.00 $158,066.31

Plan Totals 190 $0.00 $332,396.59 -1 $0.00 $777.96 189 $0.00 $333,174.55

BCBS Non Union PPO PLAN COBRA EMP 2 $0.00 $1,839.56 0 $0.00 $0.00 2 $0.00 $1,839.56

Plan Totals 2 $0.00 $1,839.56 0 $0.00 $0.00 2 $0.00 $1,839.56

BCBS UNION HMO BLUE ADVANTAGE ECH 40 $0.00 $46,163.60 -1 $0.00 -$1,154.09 39 $0.00 $45,009.51

Benefit Plan Tier Count Volume Premium Count Volume Premium Count Volume Premium

BCBS UNION HMO BLUE ADVANTAGE EMP 142 $0.00 $82,548.86 1 $0.00 $581.33 143 $0.00 $83,130.19

BCBS UNION HMO BLUE ADVANTAGE ESP 39 $0.00 $45,009.51 0 $0.00 $0.00 39 $0.00 $45,009.51

BCBS UNION HMO BLUE ADVANTAGE FAM 113 $0.00 $190,705.58 -1 $0.00 -$1,687.66 112 $0.00 $189,017.92

Plan Totals 334 $0.00 $364,427.55 -1 $0.00 -$2,260.42 333 $0.00 $362,167.13

BCBS UNION HMO Illinois ECH 5 $0.00 $6,200.80 0 $0.00 $0.00 5 $0.00 $6,200.80

BCBS UNION HMO Illinois EMP 11 $0.00 $6,866.97 0 $0.00 $0.00 11 $0.00 $6,866.97

BCBS UNION HMO Illinois ESP 1 $0.00 $1,240.16 0 $0.00 $0.00 1 $0.00 $1,240.16

BCBS UNION HMO Illinois FAM 4 $0.00 $7,255.56 0 $0.00 $0.00 4 $0.00 $7,255.56

Plan Totals 21 $0.00 $21,563.49 0 $0.00 $0.00 21 $0.00 $21,563.49

BCBS Union PPO PLAN E1D 7 $0.00 $5,985.28 0 $0.00 $0.00 7 $0.00 $5,985.28

BCBS Union PPO PLAN ECH 10 $0.00 $18,306.40 0 $0.00 $0.00 10 $0.00 $18,306.40

BCBS Union PPO PLAN EMP 81 $0.00 $68,980.32 -1 $0.00 -$920.00 80 $0.00 $68,060.32

BCBS Union PPO PLAN ESP 23 $0.00 $42,104.72 0 $0.00 $0.00 23 $0.00 $42,104.72

BCBS Union PPO PLAN FAM 30 $0.00 $80,391.60 0 $0.00 $0.00 30 $0.00 $80,391.60

Plan Totals 151 $0.00 $215,768.32 -1 $0.00 -$920.00 150 $0.00 $214,848.32

BCBS Union PPO PLAN COBRA EMP 1 $0.00 $920.00 0 $0.00 $0.00 1 $0.00 $920.00

Plan Totals 1 $0.00 $920.00 0 $0.00 $0.00 1 $0.00 $920.00

Totals 982 $0.00 $1,251,555.95 -4 $0.00 -$3,533.48 978 $0.00 $1,248,022.47

Grand Totals 1444 $19,960,850.00 $1,253,791.67 -6 -$59,250.00 -$3,540.12 1438 $19,901,600.00 $1,250,251.55

Location Summary

Client Location Billing Period Prepared

IPBC Kane County June 2019 Final Invoice 05/23/2019

Current Adjustment Total

June 2019 Final Invoice 1 05/23/2019

Current Adjustment Total

June 2019 Final Invoice 2 05/23/2019

Packet Pg. 20

Kane County

Not Started

In Progress / On Schedule Start Date: 04/11/19

Missing Target / High Risk Effective Date: 07/01/19

Complete Days Remaining: 56

Activity Status Target Date April 2019 May 2019 June 2019 July 2019 Completion Date

ACCOUNT SET-UP

o Discuss account structure requirements Complete 04/11/19 04/11/2019

o BCBS to draft account structure 04/12/19 04/12/2019

o Account Structure sent to Kane County for review and approval 04/12/19 04/12/2019

o Kane County approves Account Structure 04/22/19 04/22/2019

o BCBS to begin internal setup of account 05/30/19

o BCBS to complete internal setup of account 06/07/19

BENEFITS

o BCBS to draft Automated Benefit Summary (ABS) Docs 04/25/19 04/25/2019

o BCBS to review benefit documents with Group Alternatives/Kane County 05/08/19 05/08/2019

o Kane County approves ABS 05/28/19 05/28/2019

o BCBS to complete coding 06/10/19

o BCBS to complete DTU, Shared Accums, FEAK, CDHP (If Applicable) testing 06/24/19

o BCBS to begin claims processing for all benefit plans 07/18/19

PHARMACY

o Determine Pharmacy Benefit Manager (PBM) 04/11/19 04/11/2019

Prime:

o Review pharmacy benefits 04/24/19 04/24/2019

o Group Alternatives to order claim data file from ESI for 5/1/18-4/30/19 04/25/19 04/25/2019

o BCBS to receive disruption file to send to Prime 05/16/19 05/16/2019

o Prime to receive membership file 05/21/19 05/21/2019

o Prime to scrub the disruption file to validate 05/29/19 05/29/2019

o Prime to order letters to be sent to members 06/12/19

o Members to receive the letter from Prime 06/19/19

o Prime to complete benefit setup 06/14/19

ELIGIBILITY*

o Determine how eligibility will be received 04/11/19 04/11/2019

o Determine membership maintenance method 04/11/19 04/11/2019

ATL :

o BCBS to pull eligibility 06/05/19

o BCBS to confirm eligibility updates in membership system 06/12/19

SHARED ACCUMS

o Determine shared accums transfer requirements 04/11/19 04/11/2019

o BCBS to verify accums are sharing correctly 07/15/19

THIRD PARTY VENDORS

o Identify vendor support required 04/11/19 04/11/2019

o BCBS to identify vendor requirements 05/17/19 05/17/2019

o BCBS to confirm vendor requirements are in place 07/01/19

ACCUMS* (Deductible OPX)

o Determine what type of accums, if any, will be loaded 04/11/19 04/11/2019

o Discuss Internal Areas on Accums Report 05/01/19 05/01/2019

o BCBS to load accums report 07/15/19

BCBS/Prime Welcome Letter

o BCBS and Prime to draft Welcom Letter 05/05/19 05/05/19

o Prime to send other Letter drafts to Group Alternatives and Kane County to potentially include with Welcome Letter 05/07/19 05/07/19

o Kane County to approve Welcome Letter 05/22/19 05/22/2019

o Send out the final Welcome Letter 06/04/19

ID CARDS

o Determine ID card requirements 04/11/19 04/11/2019

o BCBS request prospective ID cards 06/13/19

o Kane county to approve ID card formats 06/14/19

o BCBS to mail ID cards to employees 06/17/19

CONTRACTUAL AGREEMENTS

o BCBS to receive signed Stop Loss Form 05/08/19 05/08/2019

o BCBS to receive signed Benefit Program Application 05/08/19 05/08/2019

o BCBS to receive signed ASO Agreement 07/15/19

Packet Pg. 21

5/13/2019 Prescription Drug Program

https://explorer.naco.org/cf_naco/cffiles/drug_program/private/drug_res_cty.cfm?SelectedCounty=17089 1/2

Logout

NACo Live HealthyPrescription

Discount Program

Go Back

KANE COUNTY, IL

TOTALPLAN

PRICED

% OF PLAN PRICEDRETAIL

PRICED

% OF RETAIL PRICED MEMBER

COST

AVERAGE MEMBER COST

RETAIL SUBMITTED PRICE

AVERAGE RETAIL SUBMITTED PRICE

PRICE SAVINGS

AVERAGE PRICE SAVINGS

% OF PRICE SAVINGS

TOTAL UTILIZERS

2019APRIL 10 6 60.00% 4 40.00% $ 777.24 $ 77.72 $ 955.26 $ 95.53 $ 178.02 $ 17.80 18.64% 8MARCH 18 8 44.44% 10 55.56% $ 870.36 $ 48.35 $ 1,033.70 $ 57.43 $ 163.34 $ 9.07 15.80% 8FEBRUARY 13 4 30.77% 9 69.23% $ 944.33 $ 72.64 $ 1,071.94 $ 82.46 $ 127.61 $ 9.82 11.90% 6JANUARY 13 8 61.54% 5 38.46% $ 691.93 $ 53.23 $ 918.42 $ 70.65 $ 226.49 $ 17.42 24.66% 8 2018DECEMBER 12 7 58.00% 5 41.00% $ 726.59 $ 60.55 $ 1,040.52 $ 86.71 $ 313.93 $ 26.16 30.00% 8NOVEMBER 16 11 68.00% 5 31.00% $ 1,061.87 $ 66.37 $ 1,228.93 $ 76.81 $ 167.06 $ 10.44 13.00% 8OCTOBER 15 8 53.00% 7 46.00% $ 729.59 $ 48.64 $ 952.30 $ 63.49 $ 222.71 $ 14.85 23.00% 6SEPTEMBER 15 8 53.00% 7 46.00% $ 1,037.81 $ 69.19 $ 1,371.74 $ 91.45 $ 333.93 $ 22.26 24.00% 7AUGUST 11 3 27.00% 8 72.00% $ 225.50 $ 20.50 $ 281.35 $ 25.58 $ 55.85 $ 5.08 19.00% 7JULY 17 9 52.00% 8 47.00% $ 693.44 $ 40.79 $ 1,086.62 $ 63.92 $ 393.18 $ 23.13 36.00% 9JUNE 17 9 52.00% 8 47.00% $ 835.33 $ 49.14 $ 1,092.31 $ 64.25 $ 256.98 $ 15.12 23.00% 10MAY 12 4 33.00% 8 66.00% $ 641.54 $ 53.46 $ 805.80 $ 67.15 $ 164.26 $ 13.69 20.00% 6APRIL 17 9 52.00% 8 47.00% $ 1,340.01 $ 78.82 $ 1,676.35 $ 98.61 $ 336.34 $ 19.78 20.00% 9MARCH 11 3 27.00% 8 72.00% $ 578.34 $ 52.58 $ 650.03 $ 59.09 $ 71.69 $ 6.52 11.00% 8FEBRUARY 8 4 50.00% 4 50.00% $ 663.73 $ 82.97 $ 1,008.27 $ 126.03 $ 344.54 $ 43.07 34.00% 6JANUARY 32 15 46.00% 17 53.00% $ 1,279.67 $ 39.99 $ 1,568.91 $ 49.03 $ 289.24 $ 9.04 18.00% 6 2017DECEMBER 14 5 35.00% 9 64.00% $ 677.41 $ 48.39 $ 847.51 $ 60.54 $ 170.10 $ 12.15 20.00% 8NOVEMBER 13 3 23.00% 10 76.00% $ 548.00 $ 42.15 $ 623.75 $ 47.98 $ 75.75 $ 5.83 12.00% 5OCTOBER 14 5 35.00% 9 64.00% $ 583.30 $ 41.66 $ 637.91 $ 45.57 $ 54.61 $ 3.90 8.00% 6SEPTEMBER 12 5 41.00% 7 58.00% $ 394.70 $ 32.89 $ 765.56 $ 63.80 $ 370.86 $ 30.91 48.00% 7AUGUST 15 6 40.00% 9 60.00% $ 1,026.36 $ 68.42 $ 1,203.94 $ 80.26 $ 177.58 $ 11.84 14.00% 7JULY 12 5 41.00% 7 58.00% $ 219.61 $ 18.30 $ 294.30 $ 24.53 $ 74.69 $ 6.22 25.00% 6

Packet Pg. 22

5/13/2019 Prescription Drug Program

https://explorer.naco.org/cf_naco/cffiles/drug_program/private/drug_res_cty.cfm?SelectedCounty=17089 2/2

JUNE 13 6 46.00% 7 53.00% $ 737.25 $ 56.71 $ 868.28 $ 66.79 $ 131.03 $ 10.08 15.00% 9MAY 8 2 25.00% 6 75.00% $ 276.33 $ 34.54 $ 327.78 $ 40.97 $ 51.45 $ 6.43 15.00% 5APRIL 11 5 45.00% 6 54.00% $ 212.50 $ 19.32 $ 252.91 $ 22.99 $ 40.41 $ 3.67 15.00% 5MARCH 15 8 53.00% 7 46.00% $ 598.50 $ 39.90 $ 729.19 $ 48.61 $ 130.69 $ 8.71 17.00% 7FEBRUARY 7 0 0.00% 7 100.00% $ 94.00 $ 13.43 $ 94.00 $ 13.43 $ 0.00 $ 0.00 0.00% 3JANUARY 9 3 33.00% 6 66.00% $ 412.63 $ 45.85 $ 504.85 $ 56.09 $ 92.22 $ 10.25 18.00% 3 2016DECEMBER 5 0 0.00% 5 100.00% $ 125.66 $ 25.13 $ 125.66 $ 25.13 $ 0.00 $ 0.00 0.00% 2NOVEMBER 7 2 28.00% 5 71.00% $ 209.12 $ 29.87 $ 350.44 $ 50.06 $ 141.32 $ 20.19 40.00% 4

Kane, IL TOTALPLAN

PRICED% PLAN

PRICEDRETAIL

PRICED% RETAIL

PRICED MEMBER

COST

AVERAGE MEMBER COST

RETAIL SUMBITTED PRICE

AVERAGE RETAIL SUBMITTED PRICE

PRICE SAVINGS

AVERAGE PRICE SAVINGS% PRICE

SAVINGSTOTAL

UTILIZERS TOTALS: 392 171 43.62% 221 56.38% $ 19,212.65 $ 49.01 $ 24,368.53 $ 62.16 $ 5,155.88 $ 13.15 21.16% 197.00

Column Headers from left to right:

1. Total Rxs: This is the total number of Rxs that were adjudicated or attempted to adjudicate through the use of the card (theexplanation of the next couple of headers will help explain the necessity of this column).

2. Plan Priced Rxs: Caremark tracks all attempts to use the cards including when the pharmacy offers a lower price than the card cangive. This is usually when the pharmacy sells a drug at cost or below cost to create foot traffic for the pharmacy or under a specialpurchase arrangement. This is the amount of Rxs that the card gave the best price vs. the pharmacy.

3. % Plan Priced Rxs: What percentage of the total attempted Rxs adjudicated via best price with the card.4. Retail Priced Rxs: How many prescriptions where the pharmacy had a lower price.5. % Retail Priced Rxs: Percentage of Rxs where the pharmacy had a lower price.6. Total Drug Cost: All prescriptions totaled together at their card discount prices.7. Average Drug Cost: Average Drug Cost per Rx at the card discounted price.8. Retail Submitted Price: What the price would have been if the prescriptions weren't filled with the card.9. Average Retail Submitted Price: Average Per Prescription price if the card wasn't presented at a discount.

10. Price Savings: Total dollar savings for all Rxs filled with the card.11. Average Price Savings: Average price savings per prescription.12. % Price Savings: Percentage price savings per prescription.13. Total Utilizers: This is the total amount of people who represent the total amount of prescriptions i.e. some people fill multiple

prescriptions. This gives you an indication of how many residents you are helping.

Packet Pg. 23

2019

JUNE SUN MON TUE WED THU FRI SAT

26 27 28 29 30 31 1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

16 17 18 19 20 21 22

Webinar: Excessive

Absenteeism

(Management only)

Boost Your Brain

Power, 12 - 12:45 p,

Auditorium,

Interactive Health

23 24 25 26 27 28 29

30 1

NOTES:

JU

NE

2019

Packet Pg. 24

2019

JULY SUN MON TUE WED THU FRI SAT

30 1 2 3 4 5 6

BCBS/Prime On

Site Presentations

7 8 9 10 11 12 13

BCBS/Prime On

Site Presentations

14 15 16 17 18 19 20

Hold the Meat! The

Benefits of a Plant-

based Diet, 12 -

12:45p, Auditorium,

Interactive Health

21 22 23 24 25 26 27

Webinar: Positive

Pyschology for

Leaders

(Management only)

28 29 30 31 1 2 3

4 5

NOTES:

JU

LY

2019

Page 2 of 2Packet Pg. 25

1

2

3

A B C D E F G

Type of

Training

Delivered Training Title Source of Webinar Date of Training INVITED

#

ATTENDED DEPARTMENTS ATTENDED

On-site CCMSI Worker's Compensation Platform D. Delima 5/6/2019 4

Health, Human Resource, Recorder,

Supervisor of Assessments

Webinar Fitting Fitness in at Home Interactive Health 5/16/2019 1 Human Resource

Packet Pg. 26

Department Settlement Amount Percentage %

ANIMAL CONTROL $0.00 0.00%

BUILDING MAINT $0.00 0.00%

CIRCUIT CLERK $94,307.45 11.27%

CORONER $0.00 0.00%

COUNTY CLERK $0.00 0.00%

COURT SERVICES $0.00 0.00%

DIV OF TRANSPORTATION $69,736.11 8.34%

HEALTH $0.00 0.00%

INFO TECH $0.00 0.00%

KANE COMM $10,024.50 1.20%

RECORDER $0.00 0.00%

SHERIFF $662,565.03 79.19%

STATES ATTY $0.00 0.00%

Total $836,633.09 100.00%

Settlements by Department for Period  June 1, 2018- May 31,2019

Packet Pg. 27

Kane County Open Worker’s Compensation

By Claim Count and Total Incurred by (Injury type)

As of 05/31/19

Note: oldest claim open has an injury date of 06/15/2000

Graph illustrates the top five causes of injuries

Overexertion, Resisting Arrest, Lifting, Motor vehicle, and Slip/Trip/ Falls

Packet Pg. 28

There are 80 Open Kane County Worker’s Compensation by Claims and below shows reserves and claim count

by Policy Period as of 05/31/19

*** Note that the total reserves for claims that occurred during policy period 12/01/2017-2018 are down by

approximately $800,000 dollars when comparing claims that occurred the previous 2 policy periods***

Packet Pg. 29

RESOLUTION/ORDINANCE EXECUTIVE SUMMARY

Resolution No.

Amending County Board Members Benefits

Committee Flow: Human Services Committee, Executive Committee, County Board Contact: Sylvia Wetzel, 630.232.5932

Budget Information:

Was this item budgeted? Yes Appropriation Amount:

If not budgeted, explain funding source:

Summary:

This resolution amends Kane County elected Board Members health and dental contributions to agree to the County Personnel Policy Handbook.

Packet Pg. 30

STATE OF ILLINOIS

COUNTY OF KANE

RESOLUTION NO.

AMENDING COUNTY BOARD MEMBERS BENEFITS

WHEREAS, Kane County is concerned about the rising costs of County expenses and healthcare costs; and

WHEREAS, the Kane County Personnel Policy Handbook, Insurance Benefits (page 40)

states: “All regular full-time and regular part-time employees who work a minimum of 21 hours per week are eligible to enroll in the County’s comprehensive group medical, dental, vision, life and supplemental insurance” (with the County contributing towards their insurance); and

WHEREAS, Employees who regularly work 30 or more hours per week as determined by a

measurement period analysis will pay the employee contribution rate as full-time employees with the County contributing towards their insurance coverage; and

WHEREAS, Part-time employees who regularly work less than 30 hours per week as

determined by a measurement period analysis will pay the full premium contribution rate for all plans for coverage with the County making no contribution towards their insurance coverage; and

WHEREAS, Board Members are eligible for insurance on the day they are sworn into office per Blue Cross/Blue Shield Business Program Application (BPA); and

WHEREAS, Kane County Board Members are currently receiving health and dental benefits at the full-time employee contribution rate; and

WHEREAS, Board Members do not meet the Kane County Personnel Policy Handbook

requirements of the full-time employees but have been treated as full-time employees with the County contributing towards their insurance coverage.

NOW, THEREFORE, BE IT RESOLVED by the Kane County Board that the Kane County

Board Members will no longer be considered full time employees for purposes of insurance benefits, but will be considered part-time employees in accordance with the Kane County Personnel Policy Handbook, wherein Kane County shall make no contribution towards Kane County Board members’ health and dental insurance coverage.

Passed by the Kane County Board on July 9, 2019.

________________________________ _____________________________ John A. Cunningham Christopher J. Lauzen Clerk, County Board Chairman, County Board Kane County, Illinois Kane County, Illinois

Vote:

19-07 COB Benefits

Packet Pg. 31

RESOLUTION/ORDINANCE EXECUTIVE SUMMARY

Resolution: No.

Amending the Kane County Personnel Policy Handbook Concerning Parking

Committee Flow: Public Service Committee, Human Services Committee, Executive Committee, County Board Contact: David Rickert, 630.232.3401

Budget Information:

Was this item budgeted? N/A Appropriation Amount: N/A

If not budgeted, explain funding source:

Summary:

Resolution amending the Kane County Personnel Policy Handbook concerning parking in front of Government Center Buildings A, B and parking in back of Building C.

Packet Pg. 32

STATE OF ILLINOIS

COUNTY OF KANE

RESOLUTION: NO.

AMENDING THE KANE COUNTY PERSONNEL POLICY HANDBOOK CONCERNING PARKING

WHEREAS, the primary purpose of County government is to provide necessary services to its citizens; and

WHEREAS, the County interacts with large numbers of people concerning property taxes

voting, marriage, and death certificates, assessments, exemptions, recording of deeds, etc.; and WHEREAS, a significant percentage of our visitors may be senior citizens and/or persons

with disabilities and parking may present unnecessary difficulties due to limited parking; and

WHEREAS, it is in the best interest of the County to quickly and efficiently provide services

to its citizens. NOW, THEREFORE, BE IT RESOLVED that the following verbiage be incorporated into the

county employee handbook. Employee Parking Employees are not permitted to park in front of building (A) (B) and the back of Building (C)-

see map. Adequate parking is located in other non-designated areas at the county campus. Exceptions to this policy are permitted to those with a handicap parking permit or a physician’s written directive. Also, emergency and law enforcement vehicles are exempt from this provision. This restriction only applies during normal business hours. Employees failing this directive are subject to administrative action.

Passed by the Kane County Board on July 9, 2019.

________________________________ _____________________________ John A. Cunningham Christopher J. Lauzen Clerk, County Board Chairman, County Board Kane County, Illinois Kane County, Illinois

Vote:

19-07 County Employee Parking

Packet Pg. 33

Packet Pg. 35

RESOLUTION/ORDINANCE EXECUTIVE SUMMARY

Resolution No.

Approving Six Month Third Party Claims Administration Services Agreement with Cannon Cochran Management Services, Inc. (CCMSI)

Committee Flow: Human Services Committee, Finance and Budget Committee, Executive Committee, County Board Contact: Sylvia Wetzel, 630.232.5932

Budget Information:

Was this item budgeted? Yes Appropriation Amount: $35,305

If not budgeted, explain funding source:

Summary:

This resolution is for a continued six month agreement for FY2019 authorizing service with third party administrator, CCMSI, to handle Kane County's liability and workers compensation claims.

Packet Pg. 36

STATE OF ILLINOIS

COUNTY OF KANE

RESOLUTION NO.

APPROVING SIX MONTH THIRD PARTY CLAIMS ADMINISTRATION SERVICES AGREEMENT WITH CANNON COCHRAN MANAGEMENT SERVICES, INC. (CCMSI)

WHEREAS, to protect the interests of Kane County, prompt and effective handling of all lines of commercial insurance claims including, property, casualty, general liability, automobile and workers compensation is required and a service agreement with Cannon Cochran Management Services, Inc. (CCMSI) for a six month agreement for Fiscal Year 2019; and

WHEREAS, Cannon Cochran Management Service, Inc. Agency Fee is Thirty Five

Thousand, Three Hundred and Five Dollars ($35,305) for June 1, 2019 through November 30, 2019.

NOW, THEREFORE, BE IT RESOLVED by the Kane County Board that the Chairman is authorized to enter into a six month contract with Cannon Cochran Management Services, Inc. (CCMSI) to provide third party claims administration services for all lines of commercial insurance claims including property, casualty, general liability, automobile and workers compensation.

Line Item Line Item Description Was Personnel/Item/Service approved

in original budget or a subsequent

budget revision?

Are funds currently available for this

Personnel/Item/Service in the specific

line item?

If funds are not currently available

in the specified line item, where

are the funds available?

010.120.130.50000 Project Administration Yes Yes N/A

Passed by the Kane County Board on July 9, 2019.

________________________________ _____________________________ John A. Cunningham Christopher J. Lauzen Clerk, County Board Chairman, County Board Kane County, Illinois Kane County, Illinois

Vote:

TPA CCMSI

Packet Pg. 37

KANE COUNTY SERVICE AGREEMENT 12.1.19-11.30.20

SERVICE AGREEMENT BETWEEN KANE COUNTY AND

CANNON COCHRAN MANAGEMENT SERVICES, INC.

THIS SERVICE AGREEMENT is made and entered into this 1st day of December, 2019 by and between Kane County (the “Client”), an authorized self-insured entity, and Cannon Cochran Management Services, Inc. (“CCMSI”), a Delaware corporation. It is agreed between the parties hereto as follows: A. APPOINTMENT OF CCMSI. The Client hereby appoints CCMSI, and CCMSI hereby agrees to serve, as

Third Party Administrator (“Administrator”) of the Client’s self-insurance program created and existing under the State of Illinois (“State”) Self-Insurance Regulations.

B. FUNCTIONS OF CCMSI. During the term of this Agreement, the regular functions of CCMSI as the

Client’s Administrator shall include the following: 1. Claim Administration. (a) Claim Management and Administration. In compliance with its Best Practices, CCMSI will

manage and administer all claims of the Client that occur during the period of this Agreement. All claim payments shall be made with Client funds. CCMSI will act on behalf of Client in handling, monitoring, investigating, overseeing and adjusting all such actual and alleged claims.

(b) Claim Settlement. CCMSI will settle claims of the Client with Client funds in accordance

with reasonable limits and guidelines established with the Client. (c) Claim Reserves. CCMSI will recommend reserves for unpaid reported claims and unpaid

claim expenses. (d) Allocated Claim Expenses. CCMSI will pay all Allocated Claim Expenses with Client Funds.

Allocated Claim Expenses are charges for services provided in connection with specific claims by persons or firms, which are eligible claim expenses under the Client’s program. Notwithstanding the foregoing, Allocated Claim Expenses will include all expenses incurred in connection with the investigation, adjustment, settlement or defense of Client claims, even if such expenses are incurred by CCMSI. Allocated Claim Expenses will include, but not be limited to, charges for:

1) Independent medical examinations of claimants; 2) Managed care expenses, which include the services provided by comp mc™, CCMSI’s

proprietary managed care program. Examples of managed care expenses includes but is not limited to state fee schedule, PPO net works, utilization review, nurse case management, medical bill audits and medical bill review;

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Kane County - SERVICE AGREEMENT Page 2 of 20

3) Fraud detection expenses, such as surveillance, which include the services provided by FIRE, CCMSI’s proprietary Special Investigation Unit (SIU), and other related expenses associated with the detection, reporting and prosecution of fraudulent claims, including legal fees;

4) Attorneys, experts and special process servers; 5) Court costs, fees, interest and expenses; 6) Depositions, court reporters and recorded statements; 7) Independent adjusters and appraisers; 8) Index bureau and OFAC (Office of Foreign Assets Control) charges;

9) MMSEA/SCHIP compliance charges; 10) Electronic Data Interchanges, EDI, charges if required by State law; 11) CCMSI personnel, at their customary rate or charge, but only with respect to claims

outside the State and only if such customary rate is communicated to the Client prior to incurring such cost;

12) Actual reasonable expenses incurred by CCMSI employees outside the State for

meals, travel, and lodging in conjunction with claim management; 13) Police, weather and fire report charges that are related to claims being administered

under Client’s program; 14) Charges associated with accident reconstruction, cause and origin investigations, etc.; 15) Charges for medical records, personnel documents, and other documents necessary

for adjudication of claims under Client’s program; 16) Charges associated with Medicare Set-Aside Allocations; and 17) Other expenses normally recognized as ALAE by industry standards. (e) Subrogation. CCMSI will monitor claims for subrogation (f) Provision of Reports. CCMSI agrees to provide reports to the Client as specified in the

Schedule of Reports attached hereto as Exhibit A. 2. Risk Management Services. CCMSI will provide the Client with additional Risk Management

Services not contemplated in the Agreement upon mutual agreement of the parties. The Schedule of additional Risk Management Services to be provided is attached hereto as Exhibit B.

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3. Loss Control Services. CCMSI will provide the Client loss control services upon mutual agreement

of the parties. The client shall remain fully responsible for the implementation and operation of its own safety programs and for the detection and elimination of any unsafe conditions or practices.

CCMSI assumes no responsibility for the detection, identification, communication, mitigation, or elimination of any unsafe condition or practice associated with the safety program of any client. Further, CCMSI assumes no responsibility for any injury sustained by an employee of the client. The Schedule of Loss Control Services to be provided is attached hereto as Exhibit C.

4. Managed Care Services. CCMSI will provide the Client with managed care services (comp mc™)

upon mutual agreement of the parties. The Schedule of Managed Care Services to be provided is attached hereto as Exhibit D.

C. CLIENT RESPONSIBILITIES. Client agrees to: 1. Report all claims, incidents, reports or correspondence relating to potential claims in a timely

manner. 2. Reasonably cooperate in the disposition of all claims. 3. Provide adequate funds to pay all claims and expenses in a timely manner. 4. Respond to reasonable information requests in a timely manner.

5. Identify in writing all insurance carriers applicable to CCMSI’s claim handling responsibilities contemplated in this Service Agreement that CCMSI will have claim or data reporting requirements. In this regard, Client agrees to provide CCMSI with a complete copy of the current excess or other insurance policies, including applicable endorsements and audits, applicable to Clients insurance program and this Service Agreement. CCMSI assumes no responsibility of any kind for not reporting an otherwise reportable claim to any carrier that Client has failed to disclose to CCMSI and / or provide CCMSI with a copy of the applicable insurance policy and reporting instructions relative to that carrier.

6. Pay any fees or costs charged by any carrier or prior TPA of Client for the conversion of data associated with CCMSI handling run off claims for Client, or for the general transfer of data to CCMSI’s operating systems.

7. Promptly pay CCMSI’s fees. D. OPERATING EXPENSES. The Client agrees to be responsible for and pay all of its own operating

expenses other than service obligations of CCMSI. Such operating expenses shall include but not be limited to charges for the following:

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1. All costs associated with Client meeting its State security and licensing requirements;

2. Certified Public Accountants 3. Attorneys, other than provided for in Section B.1. (d) 3) and B.1. (d) 4) of this Agreement; 4. Outside consultants, actuarial services or studies and State audits; 5. Independent payroll audits; 6. Allocated Claims Expenses incurred pursuant to Section B. 1. (d) of this Agreement; 7. All applicable regulatory fees and taxes; 8. Educational and/or promotional material, industry-specific loss control material, customized

forms and/or stationery, supplies and extraordinary postage, such as bulk mailing, express mail or messenger service.

9. National Council on Compensation Insurance, NCCI, charges; 10. Excess and other insurance premiums; 11. Costs associated with the development, record keeping and filing of fraud statistics and plans,

but only if required by any State or regulatory authority having jurisdiction over Client; 12. Other operating costs as normally incurred by the Client. E. BOOKS AND RECORDS. 1. (a)CCMSI shall maintain all claim information relating specifically to the Client which is necessary

to the performance of CCMSI’s obligations under this Agreement (the “Records”). The Records shall remain at all times the sole property of the Client.

(b)The Records shall not include any manuals, forms, files and reports, documents, customer lists,

rights to solicit renewals, computer records and tapes, financial and strategic data, or information which documents CCMSI’s processes, procedures and methods, or which CCMSI employs to administer programs other than the Client. The items specified in this Paragraph E. 1. (b) shall at all times be and remain the sole and exclusive property of CCMSI, and the Client shall not have any ownership, interest, right to duplicate or right to utilize these items except for the above documentation or information that relates solely to Client’s Program.

2. During the term of this Agreement, CCMSI shall provide the Client with copies of the Records, if

so requested by the Client. Any reasonable costs of reproduction of the Records shall be borne by the Client. In the event this Agreement is terminated or non-renewed, Client Records will be turned over to the Client or to a successor administrator designated by the Client.

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3. CCMSI shall make the Records available for inspection by any duly authorized representative of the Client, or any governmental or regulatory authority having jurisdiction over CCMSI or the Client.

F. NON-SOLICITATION OF EMPLOYEES. During the term of the Agreement and for two (2) years

thereafter, the Client and CCMSI mutually agree not to recruit, solicit or hire any employee of the other without written permission.

G. OTHER INSURANCE. If CCMSI places any specific or aggregate excess insurance, reinsurance, or

other insurance product associated with this Agreement, then customary commissions and fees will be retained by CCMSI.

H. TERM AND TERMINATION. 1. Term of Agreement. The first term of this Agreement shall be one (1) year beginning on

December 1, 2019 thru November 30, 2020. Unless the Agreement is terminated as set forth in paragraph H. 2., it will automatically renew for 1 (one) successive one year renewable periods. At least ninety (90) days prior to the expiration of each year term of this Agreement, the parties shall enter into good-faith negotiations regarding any proposed change in Agreement terms or fees. If there are no changes requested by either party, then the Agreement will automatically renew under the same terms and fee arrangement as the prior term.

2. Termination of Agreement. This Agreement may be terminated: (a) By mutual agreement of the parties hereto; (b) Upon expiration of the current term of this Agreement if either party has given the other at

least ninety (90) days written notice of its intention to terminate as set forth in paragraph H. 1.;

(c) Upon dissolution of the Client’s self-insurance program whether voluntary or due to

cessation of Client’s authority; (d) Upon dissolution of the Client’s self-insurance program due to Client insolvency or

bankruptcy; (e) Upon ninety (90) days written notice by either party if the other party is in material breach

of any term, covenant or condition contained herein; provided, however, that as a condition precedent to termination under this Section H. 2. (e), the terminating party shall give written notice to the other party, who shall have sixty (60) days from the date of such notice to cure or correct the grounds for termination. If the grounds of termination are not corrected or cured during the sixty (60) day period, this Agreement may be terminated on the termination date specified in the notice, but not prior to the expiration of the ninety (90) day period described herein.

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3. Services Following Termination of Agreement. Should this Agreement be terminated or non-renewed for any reason, CCMSI will cease providing services, turn over to the Client all Client files in CCMSI’s possession, which shall include all open and closed files.

Upon the Client’s request and subject to agreement by CCMSI, CCMSI will be paid a reasonable

negotiated fee to: (a) Provide for continued administration of the open claim files; (b) Cooperate with any successor administrator in the orderly transfer of all functions, including

providing a runoff listing of open claim files if desired by the Client and any other records reasonable and necessary for a successor administrator; and

(c) Provide an electronic transfer of data if such is feasible, with the cost of providing such

borne by the Client. The electronic transfer of data will be subject to a flat fee of $2,500. I. SERVICE FEE PAYMENTS. The Client shall pay to CCMSI a service fee as outlined in the Fee and

Payment Schedule attached hereto as Exhibit E. J. ARBITRATION. If an irreconcilable difference of opinion or claim should arise between the Client

and CCMSI as the interpreters of any matter relating to this Agreement, such matter will be submitted to mediation or arbitration as the sole remedy available to both parties. Any such mediation or arbitration will take place in the City of Geneva, Illinois and will be conducted in accordance with the then-current rules of the American Arbitration Association.

K. RELATIONSHIP OF PARTIES. With respect to the services provided by CCMSI in this Agreement,

CCMSI is considered an independent contractor. Nothing in this Agreement shall be construed to create a relationship of employer/employee, partners or joint ventures between the Client and CCMSI. This Agreement is non-exclusive, and CCMSI shall have the right to perform services on behalf of other individuals, firms, corporations and entities.

L. INDEMNIFICATION. 1. Indemnification by Client. The Client agrees that it will indemnify and hold harmless CCMSI and

CCMSI’s directors, officers, employees, agents, shareholders, subsidiaries and other affiliates from and against any and all claims, losses, liability, costs, damages and reasonable attorney’s fees incurred by CCMSI as a result of breach of this Agreement by the Client, or alleged misconduct, error or omissions by the Client, or by any of the Client’s trustees, directors, officers, employees, agents, shareholders, subsidiaries, or other affiliates in connection with the performance of this Agreement.

2. Indemnification by CCMSI. CCMSI agrees that it will indemnify and hold harmless the Client and

the Client’s trustees, directors, officers, employees, agents, shareholders, subsidiaries, members, or other affiliates from and against any and all claims, losses, liability, costs, damages and reasonable attorney’s fees incurred by the Client as the result of breach of this Agreement by CCMSI or alleged misconduct, error or omissions by CCMSI, or by any of CCMSI’s directors,

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officers, employees, agents, shareholders, subsidiaries or other affiliates in connection with the performance of this Agreement. Agents as used herein include third party vendors selected by Client.

M. CHANGE IN CIRCUMSTANCES. In the event the adoption of any statute, rule or regulation materially

changes the nature of the relationship between the parties hereto or the legal or economic premises upon which this Agreement is based, the parties hereto shall undertake good faith negotiations to amend the terms of this Agreement to account for such changes in a reasonable manner.

N. SOFTWARE ACCESS. The Client may be provided with the right to use one or more CCMSI

Applications in connection with the services provided by CCMSI in this Agreement. CCMSI Applications include iCE, MyReports, Loss Control ASAP, Loss Control Resources and iCEBAR. The right to use CCMSI Applications is non-exclusive, limited to the term of this Agreement per paragraph H.1., non-transferable and is solely for the internal business use of Client. CCMSI owns and reserves all rights, title, and interest in and to the CCMSI Applications. Client has no right to receive a copy of the object code or source code to the CCMSI Applications. Client may not attempt to: 1. License, sell, lease or otherwise make the CCMSI Applications available to any other party.

Client will not provide any access, passwords or other information regarding the CCMSI Applications to any third parties and/or competitors of CCMSI without the prior written consent of CCMSI;

2. Use the CCMSI Applications in any way that violates any law, regulation or mandate, or the term of this Agreement; or

3. Take any action that jeopardizes confidential or proprietary information held by CCMSI.

Client is responsible for any confidential or proprietary information accessed or downloaded by Client from the CCMSI Applications, including the implementation of appropriate information security controls surrounding such information. Except as expressly provided in this Agreement, CCMSI Applications are provided “as-is”. CCMSI disclaims all other warranties, express, implied, or statutory, including the implied warranties or merchantability, satisfactory quality, title, fitness for a particular purpose, non-infringement, compatibility, security, quiet enjoyment, or accuracy. Without limiting the foregoing, CCMSI does not warrant that access to or use of the CCMSI Applications will be uninterrupted or error-free. CCMSI will provide support for the CCMSI Applications in the two most recent two versions of the Internet Explorer, Chrome, Firefox and Safari browsers.

O. MISCELLANEOUS. 1. Governing Law. This Agreement shall be governed by and construed in accordance with the

internal laws of the State of Illinois without regard to principles of conflicts of law.

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2. Timing of Services. CCMSI may exercise its own reasonable judgment, within the parameters set

forth herein and in compliance with State regulations, as to the time and manner in which it performs the services required hereunder. Additionally, CCMSI will be held to a standard of like administrators performing like services for customers such as Client.

3. Successors in Interest. This Agreement shall be binding upon, and inure to the benefit of, the

successors in interest and permitted assigns of the parties hereto. 4. Severability. The invalidity or unenforceability of any particular provision of this Agreement shall

not affect the other provisions hereof, and this Agreement shall be construed in all respects as if the invalid or unenforceable provision had been revised to the minimum extent necessary to make it valid and fully enforceable under applicable law.

5. Paragraph Headings. All paragraph headings in this Agreement are for reference purposes only

and shall not affect in any way the meaning or interpretation of this Agreement. 6. Waiver. The failure of any party to enforce any provisions of this Agreement shall not constitute

a waiver by such party of any provision. A past waiver of a provision by either party shall not constitute a course of conduct or a waiver in the future with respect to that same provision.

7. Notice Provision. All notices, requests and other communications required under this

Agreement shall be in writing and delivered by hand or mailed, registered or certified, return receipt requested, postage paid, or sent via a nationally recognized overnight courier to the other party at the following address:

Client: Sylvia Wetzel County of Kane 719 S. Batavia Building A 3rd Floor Geneva, IL 60134 CCMSI: Cannon Cochran Management Services, Inc. 2 E. Main St. Danville, IL 61832 Attn: Chief Operating Officer

8. File Destruction Policy. CCMSI will maintain electronic claim file records or hard copy files (where applicable) on all closed files on behalf of Client for a period of fifteen (15) years after the month of closure, or for as long as necessary to protect the applicable statute of limitations, whichever is longer. It is the sole responsibility of Client to advise CCMSI if files are not to be destroyed per this policy.

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9. Insurance. CCMSI will purchase and maintain insurance coverages for its performance of the

services contemplated in this Agreement. Minimum policy limits are as follows: Workers Compensation – Statutory Professional - $5,000,000 General Liability - $1,000,000 / $2,000,000 Umbrella - $5,000,000 10. Entire Agreement/Amendment. This Agreement sets forth the full and final understanding of the

parties hereto with respect to the matters described herein, and supersedes any and all prior agreements and understandings between them, whether written or oral. This Agreement may be amended only by written document executed by the Client and CCMSI.

11. Confidential Information. Confidential Information includes nonpublic information that is exchanged between the Client and CCMSI, including, without limitation, information relating to the business, financials, personnel, customer data and operating procedures. Confidential Information includes information whether in written, electronic, or oral form created related to services provide under the Agreement. All Confidential Information is proprietary. Client and CCMSI may use the other party’s Confidential Information only for the purpose of this Agreement and will limit its disclosure to only those persons reasonably necessary to perform under the Agreement. CCMSI will share nonpersonal bulk claim data with the IDS National Database unless the Client directs otherwise.

12. Information Security. CCMSI is responsible for the protection of the confidentiality, availability,

privacy and integrity of Client information in our custody. CCMSI has implemented an Information Security Policy that has been developed to comply with applicable federal and state laws or regulations and industry best practices. The Information Security Policy applies to all CCMSI personnel, including temporary employees, independent contractors and vendors with access to CCMSI systems.

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Executed this ____ day of ________________, 20__. CANNON COCHRAN MANAGEMENT SERVICES, INC. By:___________________________________________ Rodney J. Golden Its: Chief Operating Officer/Executive Vice President KANE COUNTY By:___________________________________________ Its:___________________________________________

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EXHIBIT A

SCHEDULE OF REPORTS

1. A detailed listing of all claims broken down by location, policy year and line of coverage. (MONTHLY)

2. A summary of all claims broken down by location, policy year and line of coverage. (MONTHLY)

3. A check register listing all checks issued during a reporting period. (MONTHLY)

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EXHIBIT B

SCHEDULE OF RISK MANAGEMENT SERVICES

None to be provided.

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EXHIBIT C

SCHEDULE OF LOSS CONTROL SERVICES

Ala Carte Services- Loss Control Services • Ergonomic Assessments • Development of Hazard Specific Programs • Training and Education of Employees and Management Staff

• Blood borne Pathogens • CTS • Diffusing a Combative Resident • Ergonomics • Fire Safety • Hazard Communication • Personal Protective Equipment (PPE) • Respiratory Protection • Save Your Back • Tuberculosis • Workplace Violence

• OSHA Compliance • Safety Audit • Program Development and Implementation • Incentive Plan Development

*These services can be billed at an hourly rate of $125 per hour or we can put together a customized Loss Control Package for a flat fee that includes a combination of any of the Ala Carte Services listed above. Service hours include preparation time, travel time, field time and follow-up time.

CCMSI will provide the Client loss control services upon mutual agreement of the parties. The client shall remain fully responsible for the implementation and operation of its own safety programs and for the detection and elimination of any unsafe conditions or practices. CCMSI assumes no responsibility for the detection, identification, communication, mitigation, or elimination of any unsafe condition or practice associated with the safety program of any client. Further, CCMSI assumes no responsibility for any injury sustained by an employee of the client.

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EXHIBIT D

SCHEDULE OF comp mc ™ SERVICES AND FEES

Field Case Management CCMSI does not offer proprietary field case management, utilization review or vocational rehabilitation services. These services would be provided by various third party providers agreed to and approved by the client at competitive price and the cost of these services would be captured as an allocated loss expense to the referral file.

Provider Bill Re-pricing

Service Fee Fee schedule re-pricing $8.50 per bill Usual and Customary re-pricing $8.50 per bill Medical Bill State Reporting for applicable medical bills to reportable state $1.50 per reportable bill

PPO Re-pricing

PPO re-pricing is billed at 30% of savings

Pharmacy Network Services Pharmacy Network services are priced at 30% of savings.

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EXHIBIT E EE AND PAYMENT SCHEDULE

Service Agreement Term: December 1, 2019 – November 30, 2020

Services: Fees: Claims Administration (Deposit / Minimum Annual)

$65,000*

CCMSI will manage all workers’ compensation, general and auto liability, auto physical damage and professional liability claims for the life of this agreement for an annual fee as follows:

Newly Reported Claims Only Type of Claim Life of Contract (1) (2)

Workers’ Compensation – Indemnity Est. claim--29

Workers’ Compensation-Medical Only Est. claim—45

General Liability—BI Est. Claim 1

General Liability—PD Est. Claim 3

Auto Liability – BI Est. Claim 6

Auto Liability – PD Est Claim 9

Auto Physical Damage Est. Claim 13

Errors/Omissions Est. Claim 0

Employment Practices Est. Claim 2

First Party Property (Up to 50,000**) Est. Claim 16

Boiler and Machinery (Up to 50,000**) Est. claims 0

Law Enforcement Est. Claim 5

Public Official Liability Est. Claims 1

Auto Underinsured AUIM Est. Claims 1

$918 per Claim

$153 per Claim

$694 per Claim

$459 per Claim

$694 per Claim

$459 per Claim

$341 per Claim

$1163 per Claim

$1163 per Claim

$459 per Claim

$459 per Claim

$1163 per Claim

$1163 per Claim

$694 per Claim

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Incident Reports Entered by Client

$35

Internet Claims Reporting

Included in account management fee

800# Reporting (Optional)

$20 per Claim

MMSEA SECTION 111 Reporting

See Below

$25 per Claim Hit

*Note: Any additional charges over the estimated claim fee will be billed at the expiration of the policy term and quarterly thereafter. ** Property and Boiler and Machinery Losses over $50,000 will be billed at current T&E rates at time of loss. Carrier Fees: If applicable, Client will be responsible for payment of any carrier fees associated with the transition of claim handling responsibilities to CCMSI. The flat rate unit prices quoted includes:

• Prompt and courteous customer service • Timely investigation and determination of compensability in accordance with CCMSI

Best Practices • Strict adherence to state workers compensation statutes and regulations, attendance

at hearings, as required. • Preparation for and compliance with and response to regulatory audits • Timely payment of all legitimate claims • Fraud detection and prevention • Litigation Management (1) These prices do not include those costs typically identified and expense as allocated

loss expenses. Please see the attached roster that details those typical allocated loss expense items. (ex. Field investigation & adjusting)

(2) Claim charges are quoted on a per claim, not per occurrence basis (3) All injury claims will be submitted to CMS for Medicare eligibility CCMSI / Gould and Lamb, LLC will report all claims meeting the CMS reporting guidelines

Any occurrence resulting in 10 or more claims will be considered a catastrophic claim. All resulting claims will be handled on a time and expense basis. Any claim which falls under the catastrophic definition in the reinsurance contract, e.g., brain damage, death, etc., will also be handled on a time and expense basis.

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Workers’ Compensation Claim Definitions

Indemnity Claims – Claims involving lost-time, questionable compensability, legal involvement, subrogation, second injury fund, probable permanent impairment/disability, jurisdictional issues, coverage issues or claims involving complex issues that are assigned or transferred to the indemnity adjuster for claims handling.

Medical Only Claims – Claims which have no issues of lost time, no evidence of other

indemnity benefit exposure, no obvious question of compensability, no evidence of potential subrogation or second injury fund recovery, no evidence of problematic medical issues and no requirement or need for any formal statements.

Report Only/Incident Only Claims – Reported claims which require only input into

RMIS system and requires no claims management activity.

Take-Over Claims (Prior to 12/1/11) As Outlined Handling of claims that occurred prior to Dec 1, 2011 which is the inception of the current CCMSI handling. $250 per claim for the handling for 12 months or any portion thereof starting Dec 1, 2016.

Annual Administration $5,610 Annual Account Management Fee includes:

• Designated Account Manager • Preparation and participation in Semi-Annual claims reviews • Risk Management Information System (iCE) cost to include: 2 User IDs; Internet access

to your adjusters claim files; the ability to email your adjuster and Account Manager; access to our library of template risk management reports together with initial training and ongoing support

• Maintenance of the loss fund account • Monthly loss runs and loss fund activities reports • Assistance in filing of all required state forms including state mandated

assessments o If Client has directed CCMSI to utilize a third party vendor selected by Client for

the provision of services then such assistance will be the responsibility of the third party vendor

• Reporting to excess/fronting carrier

Data Conversion (Optional) $125/Hr This is the fee associated with consolidating all of historical data into CCMSI’s database (in the event this service is of interest). Our cost for this service is $125 an hour and it typically averages 20/30 hours to complete. We would be willing to “cap” the cost of this service at $7,500. In order to accurately and competitively asses this fee we would need to know:

• The number of data sources • The experience period data ranges (i.e., 1/1/95 to 12/31/05) • The total number of claim records to be transferred • Whether or not all transactional information on closed claims is to be transferred or

alternatively if we can transfer closed values only

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Managed Care Service See Detail Field Case Management

CCMSI does not offer proprietary field case management, utilization review or vocational rehabilitation services. These services would be provided by various third party providers agreed to and approved by the client at competitive price and the cost of these services would be captured as an allocated loss expense to the referral file.

Provider Bill Re-pricing

Service Fee Fee schedule re-pricing $8.50 per bill Usual and Customary re-pricing $8.50 per bill Medical Bill State Reporting for applicable medical bills to reportable state

$1.50 per reportable bill

PPO Re-pricing

PPO re-pricing is billed at 30% of savings

Pharmacy Network Services Pharmacy Network services are priced at 30% of savings.

MMSEA Section 111 Reporting $25 / Per Claim Hit

CCMSI in conjunction with our reporting agent will comply with MMSEA Section 111 Reporting on behalf of Kane County.

• All injury claims will be queried to CMS for Medicare eligibility (no charge) • CCMSI will collect additional mandatory data on claims where Medicare eligibility has

been verified. CCMSI along with our reporting agent will report all claims meeting the reporting guidelines as set forth by CMS. (one-time $25 per claim fee)

Carrier Fees TBD If applicable, Client will be responsible for payment of any carrier fees associated with the transition of claim handling responsibilities to CCMSI.

Loss Control Services - Optional *$125/hr

Ala Carte Services- Loss Control Services • Ergonomic Assessments • Development of Hazard Specific Programs • Training and Education of Employees and Management Staff

• Blood borne Pathogens • CTS • Diffusing a Combative Resident • Ergonomics • Fire Safety • Hazard Communication • Personal Protective Equipment (PPE) • Respiratory Protection • Save Your Back

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Loss Control (Continued)

• Tuberculosis • Workplace Violence

• OSHA Compliance • Safety Audit • Program Development and Implementation • Incentive Plan Development

*These services can be billed at an hourly rate of $125 per hour or we can put together a customized Loss Control Package for a flat fee that includes a combination of any of the Ala Carte Services listed above. Service hours include preparation time, travel time, field time and follow-up time.

Special System Reports $125 an hour CCMSI will provide special reports, (reports not currently programmed or written) for a fee of $125 per hour for system programming time. CCMSI will provide an estimate of charges before any work will be done.

GRAND TOTAL

$70,610 Annually

Fee & Payment Schedule Monthly

The monthly installments will be due on the first day of the month beginning on December 1, 2019 and will continue throughout each policy period. Take over claims will be billed in a lump sum on the first day of January 2020 based on the type and actual number of claims received by CCMSI. Fees for the Data Conversion will be billed in a lump sum in February 2020 based on the actual number of hours at the rate of $125 per hour.

CCMSI will provide the Client loss control services upon mutual agreement of the parties. The client shall remain fully responsible for the implementation and operation of its own safety programs and for the detection and elimination of any unsafe conditions or practices. CCMSI assumes no responsibility for the detection, identification, communication, mitigation, or elimination of any unsafe condition or practice associated with the safety program of any client. Further, CCMSI assumes no responsibility for any injury sustained by an employee of the client.

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Executed this ____ day of ________________, 20__. CANNON COCHRAN MANAGEMENT SERVICES, INC. By:___________________________________________ Rodney J. Golden Its: Chief Operating Officer/Executive Vice President KANE COUNTY By:___________________________________________ Its:___________________________________________

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