WEBVTT

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All right. At six o'clock, we're going to call the meeting to order. 2.0 prayer. Does anybody want to do prayer? I'll take your meeting. Thank you. Heavenly Father, thank you for allowing us to get together tonight to talk about the county's finance. Please tell us to be good stewards of the county's money. Thank you, Lord, for all the dedicated people that we have working here at Stevenson County. In Jesus' name, amen.

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All right. 3.0, Approval of tonight's agenda. Do I have a motion to approve? Motion to approve.

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By Mr. Deens. Do I have a second? By Mr. Jogerst. Any discussion? All those in favor say aye. Opposed? Motion carries. All right. Review and approval of leading minutes for May 18th. Do I have a motion to approve?

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Moved.

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My minister didn't second advice, Cindy.

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Any discussion on meeting minutes?

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Seeing none, all those in favor say aye.

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Aye.

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Opposed?

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Motion carries.

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5.0 Approval of Claims in the Amount of Cash Requirements and Manuals, $1,263,778.32.

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Do I have a motion to approve?

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That's a lot.

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Diddens? Do I have a second? Sure. All those in favor or any discussion? All right. All those in favor say aye. Opposed? Motion carries. All right. 95.1 is the health department's claim in the amount of cash requirements and manuals of $83,325.12. Do we have a motion to? So often. By Mr. Brandt in a second? Second. By Mr. Diddens?

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Any discussion on the health department's claims?

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Yes?

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We just came this month because we did not have a quorum last week for finance for the health department.

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Okay.

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All those in favor say aye.

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Aye.

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Aye.

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Opposed?

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Motion carries.

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6.0 public comment.

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Seeing none.

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Moving on.

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Reports to the committee.

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7.1 at the Simon Brothers.

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Carrie McRae should be following in on the phone.

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Hi, Carrie.

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How are you?

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I'm okay. How are you? Good. So you have the floor. Oh, wow. Okay. Good evening, everyone. I assume you have the documents in front of you? Yep. Okay. I'm going to skip through the first few pages here quickly. I am on page two. We're just going to talk about property capacity work really quick and then talk about some claims.

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So page three and go to page four, since P&C slash work WC claims, kind of changed up the format a little bit for this meeting. This is the claims history, claims in each category, and I'm highlighting the most recent is current policy years. I'm going to focus on that.

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there are two larger work comp claims one is a tree cutting accident for 60,000 and one is a slip and fall on ice for 80,000 that makes up the bulk of that 142,000 auto physical damage amount for 76,000 is there was a sheriff's bar that was involved in a collision

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and we had five or six cars damaged in the hail storm a couple months back. Any questions on these?

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Does it look like it?

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Okay, hearing that, I'll move on. Page five, when we get into benefits, one thing I want to highlight,

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Right now, the employee benefits are administered via open enrollment and changes via an online system called Ease.

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Employee Navigator bought Ease two years ago, and they have been telling us for two years that there will be a migration from the Ease platform onto the Employee Navigator platform that is coming to fruition, we think,

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into this year, most likely 2027, early 2027, we are going to recommend to move and migrate off of East into Employee Navigator here this year for the upcoming open enrollment towards the end of this year.

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I have an estimated price to do that, 2,500. I think that's going to be higher. So just to mention that as soon as I get numbers,

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We'll talk about putting that in the budget, but that could be anywhere between $2,000 to $5,000.

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Up until now, the e-system has been free to use, but when somebody buys out a system and then charges you for it, we kind of get stuck.

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Employee Navigator is the preeminent employee benefits platform out there.

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We recommend staying with Employee Navigator.

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It's just a matter of cost, and we'll talk about that now.

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I just wanted to mention that that's coming. Any questions on that? All right. I also want to talk

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about the plans real quick. We'll talk through the year-to-date claims, and then I want to give an

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RxMapware campaign update. So next page, page six, again, you all have seen this many times before.

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The bottom square there are the 2026 plan designs and the number of employees that are in each plan,

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give or take the number fluctuates monthly, but you can see that a number of employees in each plan.

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The next page, page seven. This is the top set of numbers is an annual rolling annual

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medical and prescription claims. The last 12 months of May 25 through April 26.

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at the bottom is the summary so the total premiums paid over the last 12 months is $4.4 million and the total claims paid out is $4.3 million so we're running at about a 97.5% loss ratio. That also fluctuates you can see the right most common the fluctuation between that is and items paid out over payments paid.

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This is nothing new. We talk about it every time I present to the to the board. It kind of is what it is. And then the bottom is just a bottom graph. There is just a graphical representation of the numbers on top. The last point at the bottom of that is the high cost limit, although for this year, year to date is now it's over half a million dollars.

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High cost claims really drive a lot of the cost same with the specialty claims. Next page, we'll get into the high cost specialty drugs you can see on page

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I'll work here, Paige, Steve, the top 10 specialty drugs are listed there.

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A lot of those you see, I always make the comment that any drug you see advertised on TV or during a Super Bowl commercial is a very high cost drug, and you can probably recognize a lot of them.

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That being said, we implemented our next mapper this year, and I'll get into the status of that in a couple of slides. If you skip to the next slide, it can slide nine. We are making headway, which is really good news. This slide talks about last year's cost versus this year's cost, and we are down with the great, great news.

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and that brings me to page 10, actually go to page 11, that'll come up with us. On page 11, the board moved up to 10 people getting into the RX Mapper program. If 10, all 10 people are enrolled and use the RX Mapper program, it will cost the county around $13,000, almost $14,000 and the ROA

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is potential of 206,000 claims avoided using the program. So the date from the first part of January when it was implemented to last week, we have eight people responded. So six meet the criteria. So to reiterate, the program is they have a campaign to employees

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that goes out to every employee probably every other week, maybe monthly, asking them, hey, do you struggle with your medications? Do you feel like they're not working? You know, call this number, and the number is a clinician from the Mayo Clinic that goes through a health history, and the nurse or the clinician will determine if the candidate who calls in is a good candidate to go.

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who calls in is a good candidate to go through the sequencing. So members have called, six have met the criteria and two did not. So of the six who met the criteria and are going through the program, five have done the DNA sequencing, gone through the analysis and are going through recommendations. One is studying the progress through the journey. And I'm happy to report that the annualized drug and medical savings just for those

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for six people was projected to be around $62,000. So again, year to date, RX Mapper has invoiced the county $6,100 for these six people. And that has generated $62,000 savings on the drug spend. So that's really, really good news. I will direct your attention to the divisions among the participating members. So as those bulleted points are on what the Mapper folks

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That is really all I have. I kind of still see that pretty quickly. That's just the update

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that I have. Anything on anyone's mind and I can answer any other questions that I didn't

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any questions sign up for the mapper if you're an employee or dependent on the medical plan? Yes.

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Chairman, we'll say in addition to the RX mapper, they have DX mapper that is cost of $250 that anyone can join anyone can pay.

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If you are interested in that, I can put you in touch with them. And DX Mapper, I apologize, I don't have that with me. I can send it to you. DX Mapper is also DNA sequencing where there are 12 or 13 largest causes of early death or disease in the United States.

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and that's cancers, diabetes, hypertension, etc., etc. This mapping, DNA sequencing mapping can help identify earlier that you have a predisposition to say colon cancer or breast cancer and you can start interventions earlier and it has been shown to really help first of all stay alive if you are predisposed to any cancer

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and you get after it early and often, then your chances of survival are much higher as well and treat you are much, much lower.

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Again, available to all of the employees on the planet, that is an employee cost of $20, but it is a one-time DNA sequencing where you have it in the system and as they get more and more technology and there's more and more diseases that they can predict and prevent,

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and you always have that. So if that is something of interest, I think Steve can work on something

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out there with MAPR. It is a really cool technology and very excited about it.

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So in your estimation, what could we do better to get more employees to use the MAPR program?

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Are you seeing other entities offering incentives or I don't really remember how many people are on the plan? 200 maybe? I don't know, but

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It was around 60 to 170 employees are on the plan plus dependents, so it's about 400 people. The mapper folks do a really great job at reach outs and emails.

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I would say internally, the best thing to do would be at department head meetings, you know, I'm happy to present, I'm happy to send information to department heads, I'm happy to present again, and really encourage them to manage. Now, our XMapper, which is the prescription mapping DNA sequencing, you have to qualify, you know, it's one of the things where you if you have specifically targeted towards folks that are have chronic

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and visions, answers, excuse me, and or are serious specialty benefit drug. So it's not for everyone. That's why we only approved up to 10 people. And if, say, let's say, you know, 12 or 14 people qualify, we certainly can get that approved and paid for, you know, through this committee. So that's one side of it. The DX mapper side, again, I'll send it to you all.

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the Mapper folks do send out communications on a very, very regular basis to all employees about it.

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So that is coming from the Mapper side. Internally, that's kind of, you know, I leave that up to the department heads and what they know motivates their employees best.

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I don't have the magic wand for that, it really goes back to recording engagement and communication, which we do a lot of. It goes back to wellness and taking control and ownership of your health. You certainly can offer incentives. Every employee group is different. I don't have the magic number for that.

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To answer your question, it's up to you. I've seen a lot of different things where, yes, you can offer some as, hey, there's a $10, $20, $30 gift card. I think we've tried that with the wellness programming. It's going to work for folks that really are engaged in wanting to know more about their health. It's not going to work for people who don't really care to be blunt.

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As far as the claims,

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Is it spread out pretty evenly, or is it like it has been previously, where it's just a small percentage of the census?

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Not sure I understand your question.

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Well, is it four or five people that are driving the majority of the cost of the claims, or is it?

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Yes, yes, there is a small, let's see if I can have that, David, if you go back to page eight.

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This is a very good representation. Actually, if you go to page eight, in the bottom right corner, that number, specialty claimants, eight folks are driving 169,000 year-to-date of specialty drugs. 27 prescriptions above 20 people. So a very small amount, yes. That's how they invented these drugs.

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Thank you.

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The other thing I will mention, and again, I can get with charging the department heads, we have seen in other groups that we should focus on is, let's say, second one down, Tremfaya or SkyRizzy, if I'm on that, you can search on the internet and get manufacturer's coupon that make that drug really cheap.

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But again, going back to if you look at the employee deductibles, they're pretty low. So employee benefit plan structures drives behavior. The employee knows that there's only $1,500 out of pocket. They're not going to be shopping around for Trump fire because they know they're only on the help for $1,500. So it kind of goes hand in hand and also give them tools to help.

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When it hits in the pocketbook, again, being very blunt here, there's going to be more of an onus to if I have a $2,000 or $4,000 or $5,000 or $6,000 deductible, it'd be more apt to buy a manufacturer's coupon or shop around for my drugs. And it doesn't have to be Sparta Pre-Doc. It doesn't have to be anything. It's a lower deductible over $1,000 or $8,000.

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Thank you.

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Any other questions?

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It doesn't look like you.

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Okay. Well, thank you all. Again, I'm always reaching both. If you have any questions outside the team, feel free to call me or email me. Happy to help. And I'll send the DMs to each other's ready. Okay. Thank you, Carrie. Thank you. Have a good night. You too. Bye. Bye-bye.

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All right. 7.2, County Administrator, Ms. Newma Cummer, asked her link in her report to the agenda. So if anybody has any questions, reach out to her.

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And on 7.3, Bias, Director Okay. The Revenue and Expense Budget Comparison Report, there's nothing really noteworthy, I guess, unless anyone has any questions for kind of status quo questions. So I'll move on to the audit update. We did get an email from Lindsay Fish at Sickich that she did request an extension from the Illinois Controllers Office.

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Thank you very much.

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kind of the backup work that they have to do after getting that documentation.

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And then after that point, the report has to go through their internal quality control review process, which could take a few weeks.

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So that's the reason for the June 30th kind of deadline for the nursing center.

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I know they've been working on the cost report, so hopefully a lot of that information kind of can be supplied to the auditors and help them out with what they need.

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Um, we'll review the budget policy later and then the team's worksheet is going out to the departments. Um, it'll be available on the 24th of this month so they can start inputting numbers if they so choose.

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All right. Any questions for Adrienne? All right. Seeing none, 7.4 treasure reports.

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so I think everybody's had a chance to review this and set it out on the 6th there's kind of as with the

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revenue expense report we're kind of in a holding steady pattern so sales and income tax receipts

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are steady monthly report shows you that they were up over $70,000 over the previous months

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so far through May sales and income taxes total over 4 million it's a good place to be in as of the end of May total county funds were only down 1.79% like 142,000 compared to April's month end which is as with our last several preceding months really good in a month where you don't have money coming in from property taxes so it's well below what we would normally see

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with the situation. And on the investment side, four investments matured, almost $19,000 in paid interest earnings.

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As of the end of the month, there are 17 investments in place across nine different funds, maturity dates between this month and next April.

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I have to make the first entry on page four regarding bond payments which I think this body approved last month a payment that we made it was just interest on each of the two mill race crossing bonds so that's almost $32,000 after that payment just about 46% of the total amount that was refinanced in 2020 has now been repaid both between principal and principal.

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and Interest. And recall that Debt Certificate A matures very soon, actually, relatively speaking,

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in 2028. And B, which is the one we're currently only paying interest on, that one matures in 2031.

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Does anyone have any questions about anything you've seen?

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Moving to the collector side, it's pretty busy right now. We're kind of

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running great next week, especially on Mondays with tax collections. So the traffic's been constant,

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phone, email, in person a lot today. So we've had, I mentioned this in admin, we've had really good

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response. If you've had a chance to take a look at your own tax bill, the redesign that we did this

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year, this bigger, better, colorful, has a lot more information. We've had some really good feedback.

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back. So although we did have one situation today where a gentleman actually had to call me back because he wanted to, I won't say argue, but tell us that he was right about who he makes his check payable to. So technically, you pay your taxes to the county collector. We've always said that if people write treasure, we don't care. It doesn't matter. We're going to take your money no matter what.

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but because it specifically said that on his bill and he'd never seen that before he was very irate about that and then called me back later to tell me he was right so this is the kind of thing that we're dealing with but other than that the response to the tax bill design has been great so and people have been as someone asked earlier in another meeting people have been by and large very very civil this year so the need for the kitty condos is really dropped off although we still might revisit that given the population

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and Animal Control. So that's just to say that people have been very, very pleasant this year. So it's been nice.

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Electronic payments have really been on the rise. Through Friday, we had 1.32 million already submitted electronically, which is really a lot higher than it was previous year at this time.

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and we continue to increase that. And people are using their bank accounts rather than credit and debit cards at a rate of about three to one, which has been a very big surprise to me this year. So all good. And just a reminder, the first installment due date is June 26. And the first distribution to the taxing districts will be July 13. So unless anybody has any questions, that's all I have.

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I do have a question. The different payments that you can make. Yes. You're allowing credit card payments.

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What happens if they default on their credit card or that just goes through and you've got your money?

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Yeah, I don't know. Do you remember having an issue? We've never had that be an issue.

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Actually, we've had a couple of accounts with EFTs that have been rejected because people enter the wrong bank account number.

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accidentally. So if that were to happen, we just vacate their payment, they're charged $40,

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and then they have to resubmit payments because of the late payment.

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Any situation that causes that payment to not be on is a $40 fee. So if they pay after the due date,

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then they would have the $40 fee plus the statutory late fee as well.

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And with the credit card payments, is it the 3% then on three?

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a quarter. Three and a quarter. And the late fee for the first 30 days is only one and a half. So we've had that discussion with people about which is fretful. So yeah, I was just curious. I just didn't think that was never years ago being able to play. Yeah, credit, data, Apple Pay, Google Pay, PayPal, Venmo, bank accounts. We take it all.

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So, if it makes it easier for people to make their payment or have bid, get it.

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Okay, any additional questions for Stephanie?

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No.

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No problem.

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All right, thank you.

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8.0 is old business.

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No old business.

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9.0 is new business.

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9.1, approval of the FY27 administrative budget policy.

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Okay, so there was one suggested change.

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made by the circuit clerk, and that's on page one, and just a report back to the finance committee

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before the next fiscal year budget process of July 31st of each calendar, current calendar year.

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In regards to alternate service delivery and outsourcing, she just made the point that she's

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never done this, so if it's not being upheld, maybe we just get rid of that sentence.

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The other is, I highlighted in red the 3.5% COLA, and those are the only two changes this year, aside from the budget calendar on the last page.

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Does anybody have anything scribbling?

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Excuse me, on page six, vehicle replacement and loose, this paragraph that I don't know that we do, says an evaluation of intended use be completed comparing benefits for the purchase for a lease, and where practical standard size pre-owned or programmed vehicle be considered instead of new vehicles.

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I mean, perhaps it's just boilerplate things, but I don't know if we actually are putting that into use.

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That was put in place back in, maybe I'm remembering wrong, but it was pre-COVID, I believe, when we looked at leasing a few vehicles, I still think it's a good idea to do the research.

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I mean, this is County Board's guide to department heads on what

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on what we would like them to do as they present their budgets to all of you. So I personally would leave that section in. I would leave the first section on page one in on Report Back Finance Committee before the next fiscal year of each year, July 31st, if I'm reading it correctly.

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They report back to the Finance Committee for the next fiscal year budget process or July 31st on cost savings.

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I mean, that was something we put in years ago.

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It's on us that we haven't really followed through and required that, but I think it's still a good process.

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But this is just a guide.

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So the leaner you make it, the less likely things are going to occur.

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But this isn't ordinance.

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That's a guide.

00:30:59.580 --> 00:31:03.800
It's an issue with the paragraph as a whole, really.

00:31:03.900 --> 00:31:07.740
I just wondered if we were actually doing that.

00:31:07.740 --> 00:31:18.200
It seemed like vehicles are coming through the committee, but not necessarily through finance.

00:31:18.480 --> 00:31:18.600
Right.

00:31:18.800 --> 00:31:20.860
Well, it's up to the seven of you.

00:31:20.860 --> 00:31:50.300
and it's in the budget policy when inevitably one department or another comes forward with wanting five or six vehicles that's the time to reference that section and it's the one of the assessor methodology was how to come up with what they decided to do and if they didn't follow the process you can kick it back and ask them to do that.

00:31:50.300 --> 00:31:58.340
and Cliff's not going to be a lot of vehicles in 2027.

00:31:59.120 --> 00:32:02.060
Well, there's quite a few in 2026.

00:32:02.280 --> 00:32:02.540
Yeah.

00:32:06.220 --> 00:32:09.380
So basically that's a suggestion that she...

00:32:09.380 --> 00:32:09.700
Yes.

00:32:10.140 --> 00:32:14.800
I just told her that I would bring it to the committee and see what they thought.

00:32:15.120 --> 00:32:16.580
So we can leave it in.

00:32:19.580 --> 00:32:20.060
Okay.

00:32:20.620 --> 00:32:23.780
Any other comments, questions before we...

00:32:23.820 --> 00:32:25.900
Take a vote and go into more discussions.

00:32:28.720 --> 00:32:28.900
Okay.

00:32:29.280 --> 00:32:30.880
What are we putting in the...

00:32:30.880 --> 00:32:36.280
The policy as is, right?

00:32:36.600 --> 00:32:38.680
Without the changes.

00:32:39.420 --> 00:32:40.940
Other than the 3.5.

00:32:41.200 --> 00:32:41.600
Correct.

00:32:45.890 --> 00:32:46.710
Just double checking.

00:32:47.050 --> 00:32:47.230
Yep.

00:32:47.670 --> 00:32:47.830
Nope.

00:32:47.990 --> 00:32:48.330
That's right.

00:32:49.290 --> 00:32:50.130
Keep me on my toes.

00:32:50.750 --> 00:32:51.350
All right.

00:32:51.410 --> 00:32:52.670
Is anybody in favor?

00:32:52.670 --> 00:32:55.390
All those in favor say that or do I have a motion to approve?

00:32:55.530 --> 00:32:56.250
Motion to approve.

00:32:56.250 --> 00:32:57.010
I missed it, didn't.

00:32:57.170 --> 00:32:57.890
You're going to have a second.

00:32:58.750 --> 00:32:59.510
By Mr. Frick.

00:32:59.590 --> 00:32:59.810
Okay.

00:32:59.810 --> 00:33:01.890
Okay, any additional discussion?

00:33:03.270 --> 00:33:04.250
So, quick question.

00:33:04.670 --> 00:33:11.710
The last council board meeting, you had IMRF, social security costs included, right?

00:33:11.930 --> 00:33:12.190
Yes.

00:33:12.470 --> 00:33:12.730
Okay.

00:33:12.950 --> 00:33:13.350
Thank you.

00:33:14.830 --> 00:33:16.840
Okay.

00:33:17.340 --> 00:33:18.720
All those in favor, say aye.

00:33:18.920 --> 00:33:19.180
Aye.

00:33:19.600 --> 00:33:20.080
Opposed?

00:33:20.840 --> 00:33:21.840
Motion carries.

00:33:23.100 --> 00:33:23.640
All right.

00:33:26.700 --> 00:33:27.380
10.0.

00:33:28.640 --> 00:33:29.040
Adjourn.

00:33:29.600 --> 00:33:32.000
Mr. Bush, do I have a second?

00:33:32.000 --> 00:33:48.750
Okay. All the voters say aye. Aye. Aye. Aye. Aye. Aye. Aye. Aye. Aye. Aye. Aye.

