Human Resources Committee Agenda

PORTAGE COUNTY ANNEX PORTAGE COUNTY CONFERENCE ROOMS 1 & 2 1462 STRONGS AVENUE STEVENS POINT, WI 54481 MEETING AGENDA

HUMAN RESOURCES COMMITTEE

Thursday, May 13, 2021 5:00 PM

REMOTE ATTENDANCE & COMMENT To attend this meeting by telephone : dial 1-608-338-1399, after dialing the number you will then be asked to enter in a meeting number. Use the following meeting number: 992 794 011, then press # To attend this meeting by video: Click here to join the meeting Due to COVID-19 and the potential risk to members of the public who attend meetings in-person, any person who plans to attend the meeting remotely, but wishes to comment on an agenda item can send their comments via email to [email protected]. The deadline for sending comments by email is 48 hours prior to the start of the meeting. Emailed comments will be delivered to committee members at least 24 hours prior to the meeting. Remote comment by the public during the meeting will be at the discretion of the Chair.

CALL TO ORDER

PUBLIC NOTICE

Members of the public who wish to address the Committee on specific agenda items must register their request at this time, with such comments subject to the reasonable control of the Committee Chair as set forth in Robert's Rules of Order. APPROVAL OF MINUTES

1. Human Resources Committee Meeting - April 8, 2021

REPORTS

2. Human Resources Vendor Invoice List - March and April 2021

3. Consumer Price Index - March 2021

4. Health Plan Financial Performance Analysis-Executive Overview - February 2021

5. Recruitment Update - May 6, 2021

6. Director's Report

 Flexible Spending Account (FSA) Special Enrollment - May 3, 2021-May 21, 2021  Wellness Challenge - Stadium Tour - May 3, 2021-June 1, 2021  County Board Supervisors' Compensation for 2022-2024

CORRESPONDENCE

7. The Frontline Supervisor - April 2021

8. The EAP Connection - May 2021

9. Wellbeing Newsletter - May 2021

DISCUSSION/POSSIBLE ACTION Page 1 of 2

Page 1 of 49 Human Resources Committee Meeting Agenda May 13, 2021

10. Discussion/Possible Action Re: Regarding Special Meeting Attendance (Portage County Ordinance 3.1.47 & 3.1.48)

 Request for special meeting attendance  Approval of attendance of special meetings  Special meeting attendance reports

11. Discussion/Possible Action: Health and Human Services New Position Requests

 Public Health Planner - 32 to 40 hours/week  Social Worker-Child Welfare - 40 hours/week

12. Discussion/Possible Action: 2022 Health Plan Premiums for Budget - Review of Data and Assumptions

NEXT MEETING DATE

13. Joint Meeting of Human Resources and Finance Committees - TBD Human Resources Committee - Thursday, June 10, 2021 at 5:00 p.m.

ADJOURNMENT

NOTICES

Notice: Any person who has special needs and plans on attending this meeting in-person or remotely should contact the Facilities Office at 715-346-1598 as soon as possible to ensure that reasonable accommodations can be made.

Notice: A quorum of the Portage County Board of Supervisors, or any committee thereof, may be present at this meeting.

Page 2 of 2

Page 2 of 49 PORTAGE COUNTY ANNEX PORTAGE COUNTY CONFERENCE ROOMS 1 & 2 1462 STRONGS AVENUE STEVENS POINT, WI 54481 MEETING MINUTES

HUMAN RESOURCES COMMITTEE

Thursday, April 8, 2021 5:00 PM

REMOTE ATTENDANCE & COMMENT To attend this meeting by telephone : dial 1-608-338-1399, after dialing the number you will then be asked to enter in a meeting number. Use the following meeting number: 744 050 836, then press # To attend this meeting by video: Click here to join the meeting Due to COVID-19 and the potential risk to members of the public who attend meetings in-person, any person who plans to attend the meeting remotely, but wishes to comment on an agenda item can send their comments via email to [email protected]. The deadline for sending comments by email is 48 hours prior to the start of the meeting. Emailed comments will be delivered to committee members at least 24 hours prior to the meeting. Remote comment by the public during the meeting will be at the discretion of the Chair.

CALL TO ORDER

The Human Resources Committee meeting was called to order at 05:00 PM

Members Present: Attending In-Person: Larry Raikowski, Matt Jacowski Attending Online: Gerry Zastrow, Vinnie Miresse, Meleesa Johnson

Staff Attending: L. Belanger Tess, S. Wenzler Others Attending: N. Check, C. Holman, D. Schmitz, A. Haga, M. Deininger, S. Schmanski, T. Neuenfeldt PUBLIC NOTICE

1. February 11, 2021 Human Resources Committee Meeting March 3, 2021 Joint Meeting

A motion was made by M. Jacowski, seconded by M. Johnson, to approve the minutes of the February 11, 2021 Human Resources Committee Meeting as presented. Motion carried by voice vote, with no negative votes.

A motion was made by M. Jacowski, seconded by V. Miresse, to approve the minutes of the March 3, 2021 Joint Human Resources and Finance Committee Meeting as presented. Motion carried by voice vote, with no negative votes.

REPORTS

2.  Human Resources Vendor Invoice List - February 2021  Consumer Price Index - January and February 2021  Health Plan Financial Performance Analysis-Executive Overview - December 2020 and January 2021  Recruitment Update

CORRESPONDENCE Page 1 of 3

Page 3 of 49 Human Resources Committee Meeting Minutes April 8, 2021

3.  ERC Frontline Supervisor - February and March 2021  The EAP Connection - March and April 2021  Wellbeing Newsletter - March and April 2021

UPDATES

4. Quarterly Report: Human Resources Department Budgets

 Human Resources Department  Employee Benefits  Health Insurance

5. Quarterly Report: Employees Hired Above Starting Wage Rate

6. Summary of Current Legislative and Regulatory Activity for Employee Benefits

DISCUSSION/POSSIBLE ACTION

7. Discussion/Possible Action Re: Regarding Special Meeting Attendance (Portage County Ordinance 3.1.47 & 3.1.48)

 Request for special meeting attendance  Approval of attendance of special meetings  Special meeting attendance reports

No Request for Special Meetings No Special Meetings Attendance to approve No Special Meetings Reports 8. Discussion and Possible Action re: Flexible Spending Account Dependent Care Increase for 2021

A motion was made by M. Jacowski, seconded by V. Miresse, to approve increasing the Flexible Spending Account Dependent Care for 2021 as outlined. Motion carried by voice vote, with no negative votes. 9. Discussion and Possible Action re: Facilities Management Clothing Allowance

A motion was made by M. Jacowski, seconded by M. Johnson, to approve the Facilities Management Clothing Allowance as presented. Motion carried by voice vote, with no negative votes. 10. Discussion re: Update on Vacation Schedule and Policy Revision

NEXT MEETING DATE

11. TBD - Joint Meeting of Human Resources and Finance Committees Thursday, May 13, 2021 at 5:00 p.m.

April 22, 2021 at 3:15 pm for a Joint Human Resources and Finance Committee Meeting for discussion of Vacation Schedule and Policy Revision.

Will look for a date the first week in May for Joint Human Resources and Finance Committee Meeting for action on Vacation Schedule and Policy Revision.

May 13, 2021 at 5:00 pm Human Resources Committee Meeting ADJOURNMENT

A motion was made by M. Johnson, seconded by V. Miresse, to adjourn. Motion carried by voice vote, with no negative votes. Meeting adjourned at 05:52 PM

Page 2 of 3

Page 4 of 49 Human Resources Committee Meeting Minutes April 8, 2021

NOTICES

Notice: A quorum of the Portage County Board of Supervisors, or any committee thereof, may be present at this meeting.

Page 3 of 3

Page 5 of 49

04/01/2021 09:23 |PORTAGE COUNTY, WI |P 1 glenp |VENDOR INVOICE LIST |apinvlst

INVOICE P.O. INV DATE AP RUN CHECK # INVOICE NET DUE DATE TYPE STS INVOICE DESCRIPTION ______

4195 Blue Cross Blue Shield of Wisconsin

983886370064 2100962 02/24/2021 8449 243,121.20 03/01/2021 DIR PD Health Plan Administratio 983887042051 2100962 03/03/2021 8504 254,052.31 03/08/2021 DIR PD Health Plan Administratio 983887591352 2100962 03/10/2021 8505 117,584.58 03/15/2021 DIR PD Health Plan Administratio 983887427990 2100962 03/17/2021 8510 153,914.82 03/22/2021 DIR PD Health Plan Administratio ______768,672.91 1245 Delta Dental of WI Inc

1581126 03/26/2021 032421 643505 16,116.48 03/26/2021 INV PD Dental Insurance Premium

662 ERC Inc

ERC-0221-9055 2100591 02/28/2021 031121 124482 1,635.84 03/03/2021 INV PD Employee Assistance Progr

3151 FMLASource Inc

21041355 2100939 03/01/2021 031121 124483 2,649.66 03/01/2021 INV PD FMLA Administration-2021

167 Nationwide Trust Co

167032621br 03/26/2021 032421 124631 17,726.55 03/26/2021 INV PD PEHP Payout

1920 QBE Insurance Corporation

1920033121 2100508 03/12/2021 032421 124650 81,149.24 03/12/2021 INV PD Stop Loss Insurance

3222 ReliaStar Life Insurance Company

12A2776970 03/26/2021 032421 643580 12,317.36 03/26/2021 INV PD Life and Disability Insur

5045 Wellright LLC

B13207 2100497 02/28/2021 032421 124699 90.00 03/17/2021 INV PD Wellbeing Program Adminis ______90.00

======11 INVOICES 900,358.04 ======

** END OF REPORT - Generated by Glen, Paula **

Page 6 of 49

05/03/2021 09:53 |PORTAGE COUNTY, WI |P 1 glenp |VENDOR INVOICE LIST |apinvlst

INVOICE P.O. INV DATE AP RUN CHECK # INVOICE NET DUE DATE TYPE STS INVOICE DESCRIPTION ______

4195 Blue Cross Blue Shield of Wisconsin

983883342626 2100962 03/31/2021 8580 141,398.36 04/05/2021 DIR PD Health Plan Administratio 983885611176 2100962 04/07/2021 8610 133,506.70 04/12/2021 DIR PD Health Plan Administratio 983885825848 2100962 04/14/2021 8627 305,830.30 04/19/2021 DIR PD Health Plan Administratio ______580,735.36 1291 Diversified Benefit Services Inc

326762 2100494 04/19/2021 042221 643865 578.67 04/20/2021 INV PD Flexible Spending Adminis 325007 2100494 03/18/2021 042221 643865 562.83 04/13/2021 INV PD Flexible Spending Adminis ______1,141.50 662 ERC Inc

ERC-0321-9784 2100591 03/31/2021 040821 124801 1,635.84 04/07/2021 INV PD Employee Assistance Progr

167 Nationwide Trust Co

167042321rw 04/23/2021 042221 124951 32,265.60 04/23/2021 INV PD PEHP Payout 45305

1920 QBE Insurance Corporation

1920043021 2100508 04/15/2021 042221 124964 81,077.52 04/15/2021 INV PD Stop Loss Insurance

3222 ReliaStar Life Insurance Company

12A2946048 04/23/2021 042221 643935 12,385.69 04/23/2021 INV PD Life and Disability Insur

5045 Wellright LLC

CB13713 2100497 04/01/2021 040821 124883 3,984.69 04/05/2021 INV PD Wellbeing Program Adminis B13246 2100497 03/31/2021 042221 124996 105.00 04/15/2021 INV PD Wellbeing Program Adminis

======11 INVOICES 713,331.20 ======

** END OF REPORT - Generated by Glen, Paula **

Page 7 of 49

Transmission of material in this release is embargoed until USDL-21-0651 8:30 a.m. (ET) April 13, 2021

Technical information: (202) 691-7000 • [email protected] • www.bls.gov/cpi Media Contact: (202) 691-5902 • [email protected]

CONSUMER PRICE INDEX – MARCH 2021

The Consumer Price Index for All Urban Consumers (CPI-U) increased 0.6 percent in March on a seasonally adjusted basis after rising 0.4 percent in February, the U.S. Bureau of Labor Statistics reported today. The March 1-month increase was the largest rise since a 0.6-percent increase in August 2012. Over the last 12 months, the all items index increased 2.6 percent before seasonal adjustment.

The gasoline index continued to increase, rising 9.1 percent in March and accounting for nearly half of the seasonally adjusted increase in the all items index. The natural gas index also rose, contributing to a 5.0-percent increase in the energy index over the month. The food index rose 0.1 percent in March, with the food at home index and the food away from home index both also rising 0.1 percent.

The index for all items less food and energy rose 0.3 percent in March. The shelter index increased in March as did the motor vehicle insurance index, the recreation index, and the household furnishings and operations index. Indexes which decreased over the month include apparel and education.

The all items index rose 2.6 percent for the 12 months ending March, a much larger increase than the 1.7-percent reported for the period ending in February. The index for all items less food and energy rose 1.6 percent over the last 12 months, after increasing 1.3 percent over the 12 month period ending in February. The food index rose 3.5 percent over the last 12 months, while the energy index increased 13.2 percent over that period.

Chart 1. One-month percent change in CPI for All Urban Consumers (CPI-U), seasonally adjusted, Mar. 2020 - Mar. 2021 Percent change

0.6 0.6 0.5 0.5 0.4 0.4 0.4 0.3 0.2 0.2 0.2 0.2 0.1 0.0 -0.2 -0.1 -0.4 -0.3 -0.6 -0.8 -0.7

Mar'20 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar'21

Page 8 of 49 Chart 2. 12-month percent change in CPI for All Urban Consumers (CPI-U), not seasonally adjusted, Mar. 2020 - Mar. 2021 Percent change 3.0

2.5

2.0

1.5

1.0

0.5

0.0 Mar'20 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar'21

All items All items less food and energy

Table A. Percent changes in CPI for All Urban Consumers (CPI-U): U.S. city average

1 Not seasonally adjusted.

- 2 -

Page 9 of 49

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- ( " 0 Page 14 of 49 Open Recruitments

Position Department Fiscal Deputy Clerk Courts Lead Cook/Food Service Aide (22.4 hrs) HCC Lead Cook/Food Service Aide (37.6 hrs) HCC Food Service Aide - On Call HCC LPN - On call HCC LPN (24 hrs) HCC RN (8 hrs) HCC RN (24 hrs) HCC RN - On call HCC CNA's HCC Economic Support Specialist (Benefit Recovery) HHS Circulation Aide Library Law Enforcement Records Spec Sheriff Interviewing External Corrections Officer Eligibility List Sheriff Administrative Associate III DA Accounting Supervisor Finance Summer Help - Highway (6) Highway Library Associate Library Asst Park Manager (8) Parks On Call Dining Site Manager ADRC Community Health Nurse HHS Community (Mental) Health Nurse HHS LTE Community Health Nurse HHS Health Planner HHS Night Security Relief HHS Communication Tech Sheriff Communication Tech Sheriff Deputy Emergency Management Coordinator Sheriff Deputy Sheriff Eligibility List Sheriff

Page 15 of 49 Special Enrollment 2021 Flexible Spending Account

May 3, 2021 – May 21, 2021

Portage County has elected to adopt the provision to allow Participants to prospectively change their election amount for a Health Care FSA, Limited Purpose FSA, and/or Dependent Care FSA for plan years ending in 2021. No Life Event required during this special enrollment period!

Do you want to… Enroll in a Flexible Spending Account Change your contribution to your Flexible Spending Account Stop contributing to your Flexible Spending Account

Then complete and Enrollment/Change Form today!

All enrollment changes will be effective on the June 4, 2021 paycheck and in place through December 31, 2021. Changes requested after this enrollment period require a Life Event.

Paper enrollment forms are now available on the K Drive. For more information go to - K:\Human Resources\3 - Benefits Information\Flexible Spending

Forms must be returned by 4:30 pm Friday May 21, 2021. Late forms will not be accepted.

Partnering with YOU to protect or improve your health!

Page 16 of 49 May 03, 2021 - June 01, 2021 The Stadium Tour team walking challenge invites you to virtually walk from Portage County to American Family Field to Lambeau Field back to Portage County in 30 days as a team of 2-5 individuals. You have until April 30th to secure your team of at least 2 people. Log into the WellRight website to create or join a team today! Once on a team, the mobile app can be used to track progress. If your team does not meet the minimum by April 30th, your team will be removed from the challenge and you will need to join another team by contacting [email protected]. If your team is secured on April 30th - start tracking those steps! Starting May 3rd-June 1st walk a total of 358 miles as a team!

1) Create and sign-up with your team of 2-5 co-workers by April 30th 2) Connect your device or track manually during the month of May. 3) Complete the stadium tour and walk 358 miles as a team and earn 100 points!

If you would like to meet new people working at Portage County and be put on a team by the Wellbeing Committee, email [email protected] and we will add you to a team!

Page 17 of 49 Stadium Tour Leaderboard as of May 6, 2021

Rank Team Name Miles Completed %centage Complete 1 Point Brew Crew 61.4 17.2% 2 Rogers That 61.1 17.1% 3 Clerk of Courts PowerHouse 56.1 15.7% 4 Corporation Counsel 48.6 13.6% 5 PCJ 40.4 11.3% 6 We Walk Anyways 35.5 9.9% 7 HOPStimistic 31.2 8.7% 8 Your Friendly HR Department 29.9 8.4% 9 On Track 26.2 7.3% 10 Child Support 25.1 7.0% 11 Four Chicks & A Chap 24.3 6.8% 12 Country Chic's 14.2 4.0% 13 Administriders 8.3 2.3% 14 ADRC 2.8 0.8%

Page 18 of 49 April 2021 FRONTLINE SUPERVISOR

Our leadership team Although it may not look this way, your employee assistance program worked effectively in this met with an employee situation. Here’s why: when the organization demonstrated it was firm about taking action, this to discuss concerns employee accessed the EAP, having recognized your obvious resolve. Employees with difficult about his absenteeism. personal problems characterized by denial and the inability to control symptoms will almost Shortly after, the EAP never enter counseling or treatment until they experience duress. Your meeting to discuss this phoned, saying (with situation triggered the constructive behavior. The “reality check” motivated the worker to seek employee permission) professional counseling immediately. The motivating factor is fear of job loss. Should you be the employee scheduled skeptical or feel manipulated? Is this sincere? No one can say yet. However, consistent with an appointment. Now many employees in the same situation who suddenly head for counseling or treatment, this we’re taking a wait- worker probably feels urgency and is frightened, and therefore is sincere and motivated, at least and-see approach for now. Beyond effective treatment, the employee remaining motivated and involved in because he finally got counseling or treatment will be greatly influenced by well-organized, follow-up communication help. Should I be involving the EAP, you, and the employee. skeptical?

I understand that When applied to remote workers, presenteeism is sometimes referred to as “e-presenteeism.” presenteeism is the With any type of presenteeism, employees are “there without really being there.” They are practice of employees working while sick or emotionally stressed or with distracting concerns that diminish their ability coming to work while to be fully effective. E-presenteeism is a more recent concern among human resource sick or adversely professionals; it appeared in the literature coinciding with the coronavirus pandemic. Most affected by emotional people have been affected by the pandemic. Employees experiencing anxiety, burnout, distress. What about isolation, and loneliness may wander into their home office, log long hours, do so sick or not, employees who work and not perform to their fullest capacity. One survey found 80% of human resource managers remotely? What can fear a subculture of this low-level productivity could slowly dominate the remote worker supervisors do to help environment. Ultimately, loss of workers is the risk if employees burn out and quit. Awareness them, and do they have of e-presenteeism is important. As a supervisor, be a good listener, have good awareness, and the same issues? don’t hesitate to recommend the EAP if you notice an employee struggling or if they disclose any life stressors.

No supervisor wants to To show your support, be available, interested, and empathic when an employee shares shortchange an something personal. Doing this much will help prepare your employee to take the next step employee who divulges toward accepting an EAP referral. To be empathic, acknowledge the stress or anxiety shared by a serious personal the employee. Tell the employee you are glad he or she felt comfortable enough to share the problem by not offering information with you. Don’t rush to get the employee off to the EAP, but instead consider advice. I think most sharing how your own tips and advice could be a start, but they may find a more complete supervisors are good answer and some ongoing support by using the EAP. Keep a supply of EAP business cards, or at listeners and problem least a phone number, handy. Based on the urgency of any emergent issues, you may invite the solvers. Still, how can employee to phone from your office to make the appointment. Use this approach for problems we show support but associated with health and safety risks such as depression, domestic violence, or other safety- still refer an employee related concerns, as the EAP can advise both of you of next best steps. If it’s a true emergency, to the EAP? you should contact your local crisis center or the police.

ERC: Counselors & Consultants is your company’s Employee Assistance Program (EAP) partner. Mental health advisors are available to company leaders for consultations on difficult employee matters and EAP referrals. For more info or to access the Leaders Support Line, call 1-800-222-8590. Information contained in the Frontline Supversior is for general informational purposes only and is not intended to be specific guidance for any particular supervisor or human resource management concern. Copyright © 2018 by DFA Page 19 of 49 May 2021

THE EAP

CONNECTION BUSTING MYTHS DURING MENTAL HEALTH AWARENESS MONTH

Did you know that May is national Mental Health Awareness Month? It may just be our favorite month of the year at ERC. There are so many myths, stereotypes, and misconceptions around mental health and counseling that can keep people from accessing the care they really need, and we want to change that, so we’ve busted five common mental health myths.

Myth One: Most people don’t struggle with mental health issues. While many assume that mental health issues only impact a small amount of people, the reality is that everyone experiences issues that affect their mental health at some point in their life. Workplace and household stress, relationship challenges, grief from loss, life transitions, and parenting concerns are common and can impact mental health. Seventy-six percent of U.S. employees report struggling with at least one issue that affected their mental health.1

Sometimes, these issues can be related to diagnosable mental health disorders, such as clinical depression, anxiety disorders, bipolar disorder, or schizophrenia. To be diagnosed with a mental health disorder, there are certain criteria or symptoms that must be met. About one in five U.S. adults experience a mental illness.2 You can also have symptoms of a disorder without meeting all the criteria and being formally diagnosed.

Myth Two: Counseling is for people with serious mental health issues. You don’t need to be in crisis to benefit from talking with a therapist, and counseling isn’t just a last resort option. On the contrary, reaching out before an issue is out of control can help you get back on track sooner. You don’t need to have a diagnosable mental health disorder to participate in counseling either; counseling can be used to address any issues that impact emotional wellness, develop personal skills, improve emotional well-being, find greater purpose in life, and/or build your resiliency.

Myth Three: Counseling isn’t really confidential. This couldn’t be further from the truth. Counselors and mental health professionals are required to comply with the Health Insurance Portability and Accountability Act of 1996, also known as HIPAA. These requirements also apply to counseling services through your Employee Assistance Program (EAP).

Myth Four: Counseling is just talking about problems. It’s true that you will probably talk about problems in counseling, but you will also work on improving issues. A skilled counselor can help you work towards achievement of your mental health goals. As an outside party, counselors can provide a more impartial view and perspectives that you may not see. With advanced degrees and continuing education in mental health, counselors are also uniquely trained to help people address mental health issues.

Myth Five: Counselors will judge my problems or try to tell me what to do. Many counselors, especially those who’ve practiced for a while, will tell you that there isn’t too much they haven’t heard. They are used to being there for people during tough, embarrassing, uncomfortable, or emotional moments in life and know that it’s part of being human. A counselor’s role is not to judge you, tell you what to do with your life, or solve your problems for you.

If you have any questions about counseling or mental health issues, reach out to your ERC EAP for support at 1-800-222-8590. While the first call is often the most difficult to make, the EAP can help those who are new to counseling get a better understanding of the process and what to expect.

(1) American Heart Association CEO Roundtable. (n.d.). Mental health: A workforce crisis. https://ceoroundtable.heart.org/mentalhealth/ (2) U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. (2020, September). Key substance use and mental health indicators in the United States: Results from the 2019 national survey on drug use and health. https://www.samhsa.gov/data/report/2019-nsduh-annual-national-report

HOW TO USE YOUR EAP BENEFIT:

ERC: Counselors & Consultants is your company’s Employee Assistance Program (EAP) provider. For additional information, visit our website ERCincorp.com or call 1-800-222-8590.

Page 20 of 49 The

Wellbeing

Journey

MAY 2021

PORTAGE COUNTY WELLBEING WELLBEING BUZZ

May is Physical Fitness and Sports Month! Tips to get you moving: Make time for physical activity throughout your Physical activity is great for people of all ages. Make moving day. Consider these tips: more a priority this month. • If you have a personal treadmill at home, This choice is the only one that can lower your risk for go for an indoor walk. chronic diseases, while strengthening your muscles and • March in place or do the ‘grapevine’ while bones and even improving your mood. watching television. March in place or

pace the room when on a conference call.

For substantial health benefits, adults should do at least 150 • Try a ‘walking at home’ or ‘indoor step’ minutes of moderate-intensity aerobic physical activity each online video. week, according to the Department of Health and Human

Services Physical Activity Guidelines for Americans. Getting Ready to get started? 150 minutes of exercise a week might seem like a lot, but Make a plan to stay on track. Create your Activity breaking it down into smaller intervals can help make it feel Planner on the Department of Health and Human more manageable. Services Move Your Way website. Set your own weekly goals, choose the activities you want to Benefits of physical activity: do, and get personalized tips to help you stay

Fitting physical activity into your daily schedule can make a motivated. When you’re done, print your plan or significant difference in: share it with friends and family.

• Reducing your risk for heart disease, stroke, Track your progress: diabetes, and some cancers Setting small physical activity goals is a great way • Managing your weight and preventing obesity to keep you on track. There are numerous • Lowering blood pressure and cholesterol applications available online and via phone apps • Strengthening your muscles, bones, and joints to help you keep track of your progress and stay • Helping you live longer motivated.

Page 21 of 49 Food Allergy & Food Intolerance Awareness Week May 9th – May 15th

What’s the difference between being allergic to a food and being sensitive or intolerant to it?

The difference is the body’s response. When you have a food allergy, your immune system causes a reaction. If you have food sensitivity or intolerance, the reaction is triggered by the digestive system.

Symptoms of food intolerance include, gas, bloating, diarrhea, constipation, cramping and nausea. Symptoms of food allergy include hives, swelling, itching, anaphylaxis and dizziness.

Food Intolerance Food Allergies

Food sensitivities and intolerances are more common You have a food allergy when your immune system than food allergies, according to the British Allergy identifies a protein in what you eat as an invader,

Foundation. Neither involves the immune system. and reacts by producing antibodies to fight it.

Food allergies can be fatal, unlike a food intolerance A food triggers an intolerance in your digestive tract. or sensitivity. In extreme cases, ingesting or even This is where your body can’t properly break it down, touching a small amount of the allergen can cause a or your body reacts to a food you’re sensitive to. For severe reaction. example, lactose intolerance is when your body can’t break down lactose, a sugar found in dairy products. Symptoms of food allergy include:

You may be sensitive or intolerant to a food for a few • skin reactions, like hives, swelling, and itching reasons. These include: • anaphylaxis, including difficulty breathing, • not having the right enzymes you need to wheezing, dizziness, and death

digest a certain food • digestive symptoms

• reactions to food additives or preservatives like sulfites, MSG, or artificial colors Eight foods account for 90 percent of allergic • ph armacological factors, like sensitivity to reactions: milk, eggs, fish, shellfish, peanuts, tree caffeine or other chemicals nuts, wheat, and soybeans.

• sensitivity to the sugars naturally found in There are also non-IGE mediated food allergies. certain foods like onions, broccoli, or Brussels These reactions occur when other parts of the sprouts immune system are activated apart from IGE antibodies.

The symptoms of non-IGE reactions are typically delayed, and occur primarily in the gastrointestinal tract. They include vomiting, diarrhea, or bloating. Less is known about this particular type of reaction, and in general this type of response is not life- threatening.

Page 22 of 49

10 Lifestyle Changes Help Prevent Lower Back Pain

Preventing Lower Back Pain Treating Lower Back Pain You can reduce the chances that you experience lower If you suffer from lower back pain, back pain by making these positive lifestyle changes. treatment may include: 1. Eat healthfully so you keep your body weight within a healthy range. • Chiropractic care. 2. Get regular exercise to keep your back muscles fit • Massage therapy. and flexible. • Physical therapy. 3. Avoid prolonged sitting. • Acupuncture. 4. When you do sit, maintain good posture. • Injections of pain medication 5. Use proper techniques for lifting (lift with your legs rather than your back). or a special bone lubricant.

6. Avoid frequent bending and twisting. Especially • Surgery. avoid bending, twisting and lifting at the same time (like shoveling snow). 7. Avoid situations where your spine is vibrated for long periods of time. 8. Get enough sleep each day. 9. Stop smoking. 10. If you have depression and/or anxiety, visit with your health care clinician about ways to manage it.

Stretches for Lower Back Pain

Page 23 of 49 Shrimp and Cauliflower Bake

Ingredients:

• 4 cups small cauliflower florets (1 medium head) • ½ cup chopped onion • 2 tablespoons olive oil • ½ teaspoon crushed red pepper • ¼ teaspoon salt • 1 pound fresh or frozen (thawed) peeled and deveined medium shrimp • 2 (14.5 ounce) cans no-salt-added diced tomatoes, drained • 2 cloves garlic, minced • 1 teaspoon lemon zest

• ½ cup crumbled reduced-fat feta cheese

• 1 tablespoon snipped fresh dill

• 4 Lemon wedges

Nutrition Facts Serving Size: 1 3/4 Cups Per Serving:269 calories; protein 29.2g; carbohydrates 18g; dietary fiber 6.1g; sugars 9.5g; fat 10.6g; saturated fat 2.9g; cholesterol 192.6mg; vitamin a iu 1005.3IU; vitamin c 66.1mg; folate 61.1mcg; calcium 166.8mg; iron 1.7mg; magnesium 57.2mg; potassium 635.5mg; sodium 561mg.

Directions:

Preheat oven to 425 degrees F. In a large bowl toss together cauliflower, onion, oil, crushed red pepper and salt. Spread the mixture in a shallow metal roasting pan. Bake 25 minutes or just until the cauliflower is tender.

Meanwhile, rinse shrimp; pat dry. In a medium bowl combine shrimp, tomatoes, garlic and lemon zest. Pour shrimp mixture over cauliflower mixture. Bake 15 minutes more or until shrimp are opaque.

Combine cheese and dill; sprinkle over shrimp mixture. If desired, serve with lemon wedges.

Page 24 of 49 Local Wellness Opportunities Check out these opportunities in and around Stevens Point

Stepping On for Fall Prevention

ADRC of Portage County and the ADRC-CW are joining forces to present virtual Workshops this spring. Participants will learn fall prevention from trained facilitators, expert physical therapists, a pharmacist, first responders, and vision experts.

Virtual Workshops Date: Thursdays, May 6- June 17 Time: 10:00 AM -12:00 PM

Cost: FREE; Suggested contribution of $10 for entire 7- week program Wisconsin Retirement System Registration: Enrollment is limited, to register call the ADRC-CW at 888-486-9545 MAY WEBINARS

5 Basic Steps to Your Retirement

ADRC Diabetes Support Group Thinking about retiring in the next 12 months? We’ll walk you through the Each month focuses on different topics process.

You’ll learn how to: Topics • May Stress Management • Choose a termination date. • June Eating Patterns and the science of behavior • Request a retirement estimate. change • Read the retirement estimate. • July Strategies for keeping an even keel • Schedule a retirement • August Gut Health, Your microbiome and you appointment. • Submit a retirement application. Meetings held at Lincoln Center the first Wednesday of every month at 10:00 a.m. Wed, May 5, 2021 11:00 a.m. - 11:30 1519 Water Street, Stevens Point , WI, 54481 a.m. Fri, May 14, 2021 11:30 a.m. - 12:00 Call 715-346-1401 or 1-866-920-2525. p.m. Open to adults 55+ with diabetes and pre-diabetes Thu, May 20, 2021 12:00 p.m. - 12:30 Donations are appreciated. p.m. Thu, May 27, 2021 6:00 p.m. - 6:30 p.m.

To register, go to: https://attendee.gotowebinar.com/rt/403 0756165475866127

Page 25 of 49 You’re invited to take the Wisconsin Strong Financial Fitness Challenge with free access to the online Checkup and Academy.

You’ll get a personalized playlist of courses on topics such as debt management, budgeting, investments, estate and retirement planning. In just 15 minutes, you could be on your way to building a strong financial future.

READY, SET, GO Start with a quick Financial Fitness Checkup. Then gain free access to 100s of interactive courses for a limited time (a $1,000 value).

CHALLENGE ON Your goal is to complete and pass at least 5 courses with a score of 70% or higher. Can you improve your financial fitness score? Earn points and certificates of completion. It's easy, convenient, and anonymous.

Page 26 of 49 ET-7119e (REV 3/8/2021) RESOLUTION NO. ______

TO THE HONORABLE CHAIRMAN AND MEMBERS OF THE PORTAGE COUNTY BOARD OF SUPERVISORS:

RE: Resolution authorizing a new position in accordance with Human Resource Policy 3.11.5.1 for the Health and Human Services Department

WHEREAS, according to Human Resource policy 3.11.5.1 any position that is requested to have 10 or more weekly hours added or an increase of $5,000 or more shall be treated as a new positon request; and

WHEREAS, Portage County Health and Human Services Department has had a vacant 32 hour per week Public Health Planner since February 2020, and

WHEREAS, the position will be funded with Public Health Emergency Preparedness (PHEP) and Bioterrorism grant funds: and

WHEREAS, the Public Health Planner position is critical in assuring compliance with our current accreditation, our 140-state review, and our Public Health Emergency Response Plan, our Mass Clinic Plan, and the continuing COVID-19 response: and

WHEREAS, the position was originally a 40 hour per week position and the hours were reduced due to 32 hour per week position due to the lack of funding; and

WHEREAS, additional funding is available to cover the 8 hour per week increase in the position with the Epidemiology and Laboratory Capacity (ELC) grant funding; and

WHEREAS, the Health and Human Service Board and Human Resources Committee have evaluated this request for additional hours and recommend the additional 8 hours per week be added to the Public Health Planner position; and

FISCAL NOTE: The additional 8-hour position request will be funded with Epidemiology and Laboratory Capacity (ELC) grant funding. This ELC grant was previously approved by Finance Committee and the Health & Human Services (HHS) budget has been amended to reflect this additional ELC funding. As such, this resolution already incorporates additional staff expenses in the HHS budget and no further appropriation is necessary for the additional 8 hour position. This resolution is not a budget adjustment resolution and does not require a 2/3 supermajority vote of the County Board.

NOW, THEREFORE, BE IT RESOLVED, that the Portage County Board of Supervisors authorizes an additional 8 hours per week for the Public Health Planner position funded by the Public Health Emergency Preparedness grant, the Bioterrorism grant and by the Epidemiology Laboratory Capacity grant.

Page 27 of 49 Dated this 15th day of June 2021.

Respectfully submitted:

PORTAGE COUNTY HEALTH AND HUMAN SERVICES BOARD, May 10, 2021

______Chris Doubek Chair

______Gerry Zastrow, Vice Chair

______Bob Gifford

______Jeanne Dodge

______Dave Medin

______Donna Warzynski

______Joseph Jarabek

______Katie Tate

______Julie Morrow

PORTAGE COUNTY HUMAN RESOURCES COMMITTEE, May 13, 2021

______Larry Raikowski, Chair

______Matt Jacowski

______Meleesa Johnson

______Gerry Zastrow

______Vinnie Miresse Vice-Chair

Page 28 of 49 Page 29 of 49 "START UP"

2021 SALARY & FRINGE BENEFIT BUDGET WORKSHEET 2021 Health change each person Department: Life Insurance = or > 35 Hrs 30 or > Hrs 88% <35 hrs % Disability = or > 30 Hrs F Family = 20,421.84 PPO Wellness Updated: 09/16/2020 2088 TOTAL Hours S Single = 9,238.44 PPO Wellness

BENEFIT HOURS FT/PT 2021 HOURLY ANNUAL TOTAL REGULAR FICA HEALTH HSA LIFE PEHP W COMP

EMPLOYEE/POSITION DATE PER WK HOURS RATE WAGE LONGEVITY WAGES FICA HOSP TAX RETIREMENT INSURANCE for HDHP INS DISABILITY if applicable see chart TOTAL Weeks 52 $ 0.062 $ 0.0145 0.0675 Plan $500 $ 0.11 0.00290 $ 2.69 0.1209 $1,000 8047

Public Health Planner - 40 hrs/wk Grade 25NE 40 2080 $ 26.2936 $54,691 $0 $54,691 $3,391 $793 $3,692 FPPO $20,422 $73 $159 $0 $1,471 $84,690

Public Health Planner - 32 hrs/wk Grade 25NE 32 1664 $ 26.2936 $43,753 $0 $43,753 $2,713 $634 $2,953 FPPO $20,422 $58 $127 $0 $1,177 $71,837

0 $0 $0 $0 $0 $0 $0 FPPO $0 $0 $0 $0 $0

0 $ - $0 $0 $0 $0 $0 $0 FPPO $0 $0 $0 $0 $0

Difference $10,938 $0 $10,938 $678 $159 $738 $0 $0 $15 $32 $0 $294 $12,854

$ -

Temps-Subtotal $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ -

TOTALS $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - #REF! 136 151 152 153 154 155 156 159 110 512

Page 1 5/6/2021 2:35 PM **If staff hours are reduced due to budget cuts, check if staff benefitsU:\Personnel\Agendas are reduced and Minutes - HR Committee\Agmin21\Agenda Packets\05.13.21 Meeting\2021 salary worksheet Public Health Planner 32 to 40 hrs

Page 30 of 49 RESOLUTION NO. ______

TO: HONORABLE CHAIRMAN AND MEMBERS OF THE PORTAGE COUNTY BOARD OF SUPERVISORS

RE: RESOLUTION AUTHORIZING THE ADDITION OF 1.0 FTE INTITIAL ASSESSMENT SOCIAL WORKER FOR CHILD PROTECTIVE SERVICES

WHEREAS, the number of child protective services (CPS) referrals in Portage County, from 2008 to 2017 have increased from 490 to 930 an 89.7 percent increase; and

WHEREAS, in Portage County the number of calls per 1,000 children was 4.5 in 2010 and increased to 31.4 calls per 1,000 children in 2019, a 597% increase; and

WHEREAS, the number of investigations rose from 178 investigations in 2010 to 287 investigations in 2019; and

WHEREAS, the number of Children in Need of Protection and Services (CHIPS) petitions filed with the court has increased 180 percent in Portage County as there were 25 CHIPS petitions filed in 2008 and 70 petitions filed in 2019; and

WHEREAS, Portage County is struggling to recruit and retain child welfare workers due to large case load sizes; and that the recommended case load size is 12 active case per worker per month and Portage County, due to current staffing, caseloads are divided between 4 workers which results in a case load ratio of 19 active cases per worker per month; and

WHEREAS, the leading cause of these workload increases is due to the use of heroin, opiates, and methamphetamines; and

WHEREAS, it is critical that Portage County has the resources necessary to ensure the safety of children through-out the county; and

WHEREAS, per Portage County Human Resources Ordinance 3.11.5.1-Authorization for New Positions Procedure-Permanent, section E, the County Executive, the Health and Human Services Board, Finance Committee and the Human Resources Committee have evaluated this staff request for the need and justification and recommend the position be approved.

FISCAL NOTE: The approximate annual cost of a social worker position is $92,000. This position will be funded with Health & Human Services fund balance to handle the current workload crisis on child welfare cases and potential increases to out of home costs and services. However, it is likely there will be a savings in the Health & Human Services budget due to increase funding to support COVID-19 efforts and this position may be able to be funded from the savings. If the position may be funded with budget savings, in full or partially, the use of fund balance will only be for what is necessary. The HHS budget will be increased by $92,000 for the position and the fund balance applied will be increased by $92,000 as well. For fiscal year 2022 budget, the department will evaluate if funding is available. This is a budget adjustment and will require 2/3 supermajority of the County Board for passage.

NOW, THEREFORE, BE IT RESOLVED that the Portage County Board of Supervisors approves, adopts, and authorizes the 2021 new staff request of a 1.0 FTE Initial Assessment Social Worker position as set forth herein.

Page 31 of 49 Dated this 15th day of June 2021.

Respectfully Submitted,

PORTAGE COUNTY HEALTH AND HUMAN SERVICES BOARD Date: May 10, 2021

Chris Doubek, Chair Gerry Zastrow, Vice Chair

Jeanne Dodge Dr. Joseph Jarabek

Donna Warzynski Bob Gifford

Katie Tate Dave Medin

Julie Morrow

PORTAGE COUNTY HUMAN RESOURCES COMMITTEE Date: May 13, 2021

Larry Raikowski, Chair Meleesa Johnson

Vinnie Miresse Vice-Chair Gerry Zastrow

Matt Jacowski

PORTAGE COUNTY FINANCE COMMITTEE: Date: June 7, 2021

______Jeanne Dodge, Chair Dave Ladick

______Larry Raikowski, Vice Chair Julie Morrow

______Dennis Raabe

Page 32 of 49 Page 33 of 49 Page 34 of 49 Portage County Human Resources

1462 Strongs Avenue Stevens Point, WI 54481 Phone (715) 346-1327 Fax (715) 343-6274 Memorandum

To: Human Resources Committee From: Laura Belanger Tess, Human Resources Director Date: May 6, 2021 Re: 2022 Health Plan Premiums for Budget – Review of Data and Assumptions

Attached please find a report from Willis Towers Watson reviewing the following information to assist in determining 2022 Health Plan Premiums for Budget. The Willis Towers Watson team will walk through this report at the meeting.  Current Financial Update  Data, Methodology, and Assumptions  COVID-19 Impact

In a meeting with Willis Towers Watson this week initial discussion was held on incorporating the following assumptions to determine 2022 health plan premiums to use for the 2022 budget:  not include a COVID-19 adjustment  purposely draw down health plan reserves – see attached updated Health Insurance Fund Analysis (Reserves) report  review Anthem recommended plan design changes, calculate estimated cost savings (if any), and adjust rates accordingly so still drawing down reserves

For the May 13, 2021 meeting we would like to review this information with the Committee. Then for the June 10, 2021 meeting bring recommended 2022 health premiums to the Committee for approval to use for 2022 Budget Guideline purposes only. Final 2022 health premiums will be acted on by the Committee later in the year.

If you have any questions please contact me at 715-346-1369. Thank You.

Page 35 of 49 Current Financial Update

willistowerswatson.com 1 © 2019 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 36 of 49 3-Year Policy Period Trends by Plan Totals (PPO and HDHP) Self Funded Medical Through Mar-21 PEPM Cost vs Accrual PEPM Claims by Category

$1,793 $1,558

$1,577 $1,578 $1,566 $1,514 $1,542 $1,334 $1,306 $387

$390 $401 Cost Drug Accrual Medical $1,171 $943 $905

100% 97% 116%

2019 2020 2021 2019 2020 2021

Average Employees by Tier Employer Cost Share

426 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 412 418

2019 89% 11% 130 139 136

Employer Cost EE Only 2020 90% 10% Employee Cost EE+Dependents

281 287 281

2021 92% 8%

2019 2020 2021 willistowerswatson.com 2 © 2019 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 37 of 49 Claims Trending by Plan Totals (PPO and HDHP) Self Funded Medical Through Mar-21

PEPM Claims by Policy Period Quarter

$1,362 $1,346 $1,360 $1,298 $1,307

PEPM Claims 12-Month Average

$1,173 $1,578 $1,354 $1,345 $1,106 $1,388 $1,388 $1,558

2Q 19 3Q 19 4Q 19 1Q 20 2Q 20 3Q 20 4Q 20 1Q 21

PEPM Cost vs Accrual Cost Accrual

$2,313 $1,949 $1,834 $1,840 $1,773 $1,731 $1,715 $1,674 $1,640 $1,677 $1,683 $1,587

$1,615 $1,557 $1,475 $1,490 $1,401 $1,418 $1,396 $1,389 $1,295 $1,263 $1,155 $1,183

Apr-19 May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20 Jul-20 Aug-20 Sep-20 Oct-20 Nov-20 Dec-20 Jan-21 Feb-21 Mar-21

willistowerswatson.com 3 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 38 of 49 Data, Methodology, and Assumptions

willistowerswatson.com 4 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 39 of 49 Data and Assumptions

Category Assumption Data ▪ Provided by Anthem ▪ In preparing the information contained herein, we have relied upon this information as being complete and accurate. An audit of the financial and participant data was not performed, but data was compared against monthly vendor reporting for reasonableness ▪ Based on this assessment, we believe the information is appropriate for the purpose of these calculations Paid to Incurred Historical paid claims data has been adjusted to an incurred basis using adjustments results of recent reserve calculations specific to Portage County plans (or an assumed lag) Annual Trend 4.5% Medical, 9.0% Rx

Experience Periods – ▪ 1/1/2019 - 12/31/2019 – 44.4% weight Paid Data through ▪ 1/1/2020 - 12/31/2020 – 44.4% weight 03/31/2021 ▪ 1/1/2021 - 3/31/2021 – 11.1% weight Margin 0% 2022 Projected Based on census data received 3/2021 enrollment

willistowerswatson.com 5 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 40 of 49 Administrative and Stop Loss Fees

Administrative Fees: 2021 PEPM 2022 PEPM Admin Fee*** $50.22 $51.73 Rx Rebate Credit -$38.77 -$38.77 SL Carveout Fee $1.00 $1.00 Total Admin Fee $12.45 $13.96 Monthly* $5,200 $5,800 Annual* $61,900 $69,300

Stop Loss Fees: 2021 PEPM 2022 PEPM** Specific - Single $71.72 $89.65 Specific – Family $251.52 $314.40 Aggregate n/a n/a Total Stop Loss Fee (Average PEPM) $192.46 $240.57 Monthly* $79,700 $99,600 Annual* $956,100 $1,195,100

*Assumes enrollment of 414 employees (136 single, 278 family) **Assumes 25% increase from 2021 to 2022. Stop loss fees will not be known until Q4 ***Assumes 3% Admin increases from 2021 to 2022 willistowerswatson.com 6 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 41 of 49 Portage County Health Plan Projections High-level Overview of Pricing Process (Graphic Excludes Accounts)

Historical Medical & Stop Loss Prescription Claims - - Experience Pharmacy Claims Reimbursements Drug Rebates x Plan Design Seasonality & Projections Trend x x ( Changes Other Changes )  Plan Enrollment Historical (Normalized) Enrollment and Weighting ( Weighted by Year) + Administrative + Stop Loss Fees + Other Fees Fees Fees = Accrual (Premium COBRA COBRA Rates Rates Equivalent) Rates + Adjustments =

willistowerswatson.com 7 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 42 of 49 Baseline 2022 Portage County— Medical/Rx Projection Baseline – Status Quo

Medical/Rx Plan Costs 2020 2021 2022 Portage County Actual From Fall Projection Projected % Change Accrual Rates (Premium Equivalents) Self-Funded Plan $7,857,800 $8,254,400 $8,777,800 Per Participating Employee per Month $1,537 $1,611 $1,767 9.7% From 2021 Projection Total Plan Costs Self-Funded Plan Paid Claims* $6,679,600 $7,203,900 $7,513,400 Admin Fees $54,900 $63,800 $69,300 Stop Loss Premiums $858,000 $986,700 $1,195,100 Total Self-Funded Plan Cost $7,592,600 $8,254,400 $8,777,800 15.6% change form 2020 Actual Per Participating Employee per Month $1,485 $1,611 $1,767 Non-Accrual Expenses Additional Revenue/Expenses** $289,000 $289,000 $289,000 HSA Contributions $147,400 $146,500 $149.000 Total Cost $8,029,000 $8,689,900 $9,208,400 Estimated Number of Employees Self-Funded Plan Participants 426 427 414

* Incurred Claims estimate cost of services performed in the period and reflect an offset for Rx rebates if appropriate

** Includes Interest Income, EAP Fees, Wellness Program Fees, and HR Expenses

willistowerswatson.com 8 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 43 of 49 COVID-19 Impact

willistowerswatson.com 9 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 44 of 49 COVID-19 Impact on 2020 Health Care Spend Medical and Pharmacy Medical claims costs decreased for self-insured employers in 2020 for the first time in decades. Savings from medical care forgone due to the pandemic were far greater than costs from COVID-related diagnosis and treatment.

Monthly Plan Paid Medical+Rx Claims Key Observations (PEPM) $1,200 ▪ Cumulative 2020 medical paid claim costs +3% +1% (Jan-Dec) were 6% lower than projected +0% (2% below 2019 levels). $1,000 -7% ▪ Total paid claims diminished dramatically in -1% -12% $800 -8% every region of the United States in April and May, likely representing decrease in -19% -29% service volume incurred in March and April $600 ▪ Paid claims were also down substantially in August and November, likely representing $400 services incurred in July and October, and were up a modest amount in December. $200 ▪ There is no evidence of a substantial return of “pent-up demand” for medical services in $0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec claims received through December 31, 2020. 2019 Actual 2020 Proj 2020 Actual

2020 projection was developed by applying a historical seasonality factor to pre-COVID plan-paid claims (PEPM includes large claims and pharmacy rebates) Source: Willis Towers Watson 2020 Health Care Financial Benchmarks Survey (N = 724, 2.1M EEs, $2.4B monthly claims) willistowerswatson.com 10 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 45 of 49 Summary of Year To Data (YTD) COVID-19 Financial Impact

Total Medical Paid $1,714 $1,728 ($ in thousands) $1,493 $1,545 Jan-Dec 2019 $5,169 $1,125 $908 Jan-Dec 2020 $5,199 $565 $643 $273 $374 Medical Paid PMPM

Jan-Dec 2019 $394 Inpatient OP Fac Professional Radiology Lab

Jan-Dec 2020 $387 Jan-Dec 2019 Jan-Dec 2020

Eliminated Care Deferred Care Insights Care that was forgone and unlikely will be Care that was postponed and likely will be recouped in the health care system recouped in the health care system • At the beginning of the COVID-19 pandemic, Service PMPM YTD Service PMPM YTD many experts predicted change Reduction/Increase change Reduction/ health care costs would in spend Increase in increase substantially, yet spend elimination and deferral of care have far outweighed ER Visits 28% $90.3K the costs of treating Elective -28% -$95.9K Labs 34% $101.0K surgeries COVID Other* -6% -$161.7K • Opportunities exist to Radiology 11% $78.0K prevent a portion of Preventive Care -14% -$22.1K deferred care that is low value care from returning *Anesthesia, ambulance, OT/PT/ST etc. to the health care system willistowerswatson.com 11 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 46 of 49 COVID-19 Overview

Insights and Recommendations Enrolled by Relationship Insights • The latest figures from the CDC indicate there are 83 COVID-19 1,120 cases per 1000 in the U.S.* • The pandemic’s impact on medical costs will vary geographically, 432 1,094 as local public responses and infection levels continue to differ • During Q3 and Q4 of 2020, there were significant spikes in 417 COVID-19 cases nationwide due to the holidays and travel. The increase in COVID-19 cases have had both direct and indirect impacts on spend and utilization of health services • Employers should continue to track COVID-19 cases by Employees Members geographic location to identify potential workforce disruptions and/or increase in health care spend Jan-Dec 2019 Jan-Dec 2020

COVID-19 Cases and Spend

COVID-19 Counts COVID-19 Paid Amount 471 ($ in thousands)

Inpatient $0.0

211 ER $46.9

Outpatient Other $83.8 16 0 Professional $28.5 Test Confirmed Suspected Hospitalizations willistowerswatson.com 12 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. *https://covid.cdc.gov/covid-data-tracker/#cases_casesper100k Page 47 of 49 COVID 19 Adjustments – Medical/Rx Projection

Scenario Adjustments: Due to the potential unknown the COVID-19 deferral of care, as wells the impact on future claims, multiple scenarios must be considered when projecting future costs

Status Quo National Adjustment

No COVID Adjustment 6% Adjustment to 2020 Medical/Rx Claims 9.2% Increase PEPM to Accruals 12.1% Increase PEPM to Accruals $523K Total Increase $710K Total Increase

willistowerswatson.com 13 © 2021 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. Page 48 of 49 Portage County Health Insurance Fund Analysis as of 05.06.21 Revenues Expenses Net Change TOTAL % of Overall Premium Budget Actual Budget Actual Net Assets Net Assets Actual Expenses % Change 2003 5,521,638.00 5,320,426.53 5,521,638.00 5,128,115.10 1,552,816.21 30.28% 5.00% 2004 5,866,650.00 5,846,797.63 5,866,650.00 5,395,929.71 450,867.92 2,003,684.13 37.13% 9.00% 2005 6,393,204.00 6,631,015.07 6,393,204.00 5,653,308.19 977,706.88 2,981,391.01 52.74% 10.00% 2006 7,264,355.00 7,139,818.29 7,264,355.00 7,108,600.25 31,218.04 3,012,609.05 42.38% 7.50% 2007 7,624,926.00 8,338,203.11 7,624,926.00 6,641,262.61 1,696,940.50 4,709,549.55 70.91% 12.00% 2008 8,920,456.00 8,821,153.39 8,920,456.00 8,199,784.50 621,368.89 5,330,918.44 65.01% 5.50% 2009 7,946,755.00 8,108,928.99 7,946,755.00 7,553,572.76 555,356.23 5,886,274.67 77.93% 4.00% 2010 8,310,544.00 8,625,138.48 8,310,544.00 7,611,257.71 1,013,880.77 6,900,155.44 90.66% 3.00% 2011 8,758,898.00 8,456,926.41 8,758,898.00 7,430,654.54 1,026,271.87 7,926,427.31 106.67% 3.00% 2012 8,669,718.00 8,977,235.09 8,669,718.00 10,596,284.22 (1,619,049.13) 6,307,378.18 59.52% 0.00% 2013 9,925,577.00 8,740,117.76 9,925,577.00 9,621,409.97 (881,292.21) 5,426,085.97 56.40% 0.00%

2014 10,717,602.00 8,432,314.94 10,717,602.00 10,699,672.33 (2,267,357.39) 3,158,728.58 29.52% 5.00% (1,542,115) was budgeted 2015 9,874,995.00 8,774,862.73 10,874,266.00 8,093,566.94 681,295.79 3,840,024.37 47.45% 8.00% and plan design changes (999,271) was budgeted 2016 10,084,024.00 9,402,416.70 10,084,024.00 7,403,803.73 1,998,612.97 5,838,637.34 78.86% 9.3% for Premium Plan, 15.2% for HDHP and plan design changes $0 was budgeted 2017 10,968,460.00 9,443,108.62 10,968,460.00 7,631,943.45 1,811,165.17 7,649,802.51 100.23% 8.50% SAS issues with not paying claims from July - Dec. $0 was budgeted so based premium increase on estimates not actuals 2018 8,002,684.00 8,775,980.31 8,002,684.00 7,505,794.50 1,270,185.81 8,919,988.32 118.84% -12.60% Increase ER HSA contrib, switch to Anthem $0 was budgeted 2019 7,663,025.00 8,328,532.69 7,663,025.00 8,050,919.54 277,613.15 9,197,601.47 114.24% -2.00% (312,498) budgeted 2020 9,185,001.00 8,591,731.61 9,185,001.00 9,087,123.82 (495,392.21) 8,702,209.26 95.76% 0.00% elim 5% well incent prem diff, new Welln Incent prog (1,213,292) budgeted set 2020 prem same as 2019 well incent prem 2021 2021 Fund Balance Est Based on 2020 Total Expenses 2,271,780.96 3mths worth of expenses 3,029,041.27 4mths 3,786,301.59 5 mths 4,543,561.91 6 mths

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