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Home My WebLink AboutR-1986-052 9 � RESOLUTION N0. 52-86 s 1 A RESOLUTION OF THE CITY OF DANIA, FLORIDA, APPROVING AMENDMENTS TO THE EMPLOYEE HEALTH j BENEFIT PLAN AND SCHEDULE OF PARTIES TO THE i PLAN AS APPROVED BY RESOLUTION NO. 22-86 ON MARCH 25, 1986 ; AND PROVIDING THAT ALL RESOLUTIONS OR PARTS OF RESOLUTIONS IN CONFLICT HEREWITH BE REPEALED TO THE EXTENT OF SUCH CONFLICT ; AND PROVIDING FOR AN EFFECTIVE DATE . BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF DANIA, FLORIDA : Section 1 . That the Employee Health Benefit Plan and Schedule of Parties to the Plan as approved by Resolution No . 22-86 on March 25, 1986, be hereby amended by Plan Amendment No . 3, Plan Amendment No . 4, Plan Amendment No . 5 and Plan Amendment No. 7 . Section 2 . That said Plan Amendments, which are incorporated herein and made a part hereof by reference, be and the same are hereby approved and the appropriate City Official is hereby • authorized and directed to execute same on behalf of the City of Dania , Florida . �. i Section 3 . That said Plan Amendments and the original of said Employee Health Benefit Plan and the original of Schedule of Parties to the Plan shall be kept in the office of the City Clerk -Auditor . No changes or alterations shall be made to any of said documents without the approval of the City Commission . Section 4 . That all resolutions or parts of resolutions in conflict herewith be and the same are hereby repealed to the extent of such conflict . Section 5 . That this resolution shall be in force and take effect immediately upon its passage and adoption . PASSED and ADOPTED on this 14th day of October - 1986 . _ , z ATTEST : CITY CLERK - AUDITOR APPROVED FOR FORM AND CORRECTNESS : FRANK C. ABLER, CITY ATTOMTE7— Resolution No . 52-86 AEDICAL INSURANCE ADMINISTRATORS, INC. 1591 East Atlantic Boulevard Pompano Beach, Florida 33060 i PLAN AMENDMENT NO. 3 Group Plan Number: 501 - 20928 Employer: City of Dania, Florida Notwithstanding any language in the Plan to the contrary, effective May 1, 1986, it is hereby understood and agreed that the above Group Plan Document shall be amended as follows : Employees and their eligible dependents age 65 and over, covered under the Employer ' s Group Health Plan, are entitled under Public Law 99-272 to receive the same group health coverage , under the same conditions, as those covered employees and dependents under age 65. Such coverage shall be primary to Medicare, unless the individual voluntarily elects to terminate coverage under this Plan by choosing Medicare as primary carrier. Each employee, upon attainment of age 65, must complete a Medicare Election Form notifying the employer of whether or not they want the Employer' s Plan as primary or Medicare as primary. If the employee' s spouse is 65 or older, such spouse will also be subject to the employee 's election of a primary carrier. Employees wishing to change their election of a primary carrier, may only do so on the date the employer renews his group health coverage with a reinsurer or insurance carrier. This Plan provision shall automatically be interpreted and be in compliance with any and all amendments to the Act. This amendment is hereby incorporated into and made a part of the said Group Plan Document, however, except as expressly stated above, this Amendment does not waive, alter or extend any provisions or limitations of the Plan. Sponsor/Employer Medical Insurance Administrators w I �J .,_....... INC' �• MEDICAL INSURANCE AtlanticlBouleOvard pomp Florida 33060 Pompano Beach, PLAN AMENDMENT NO. 4 Plan Number : 501 - 20928 Group Florida Employer : City of Dania, the contrary, effective reed that the above Group language in the Plan to Notwithstanding hereby understood and ag July 1 , shall be amended as follows : a Plan Document Period shall be determined on The length of the Plan Waaayf basis. "month" basis , not on a " which for the purposes hereof will "calendar month including any date n any the Month means to but not including if mean the time period from and calendar ; in the calendar year last months Corresponding date of the next moth then toand including June 15 corresp corresponding date , For example ; 28 there be no corresp onth in the calendar . 31 thru February day of the next inclusive, or January thru July inclusive . i i a part of the orated into and made above, incow except as expressly stated or hereby any provisions This amendment niDocument , however, or extend said Group waive, alter this Amendment does not limitations M die 1 Insurance Administrators sponsor/Employer \ 11I MEDICAL INSURANCE ADMINISTRATORS, INC. �. 1591 East Atlantic Boulevard Pompano Beach, Florida 33060 i PLAN AMENDMENT NO. 5 Group Plan Number: 501 - 20928 Employer : City of Dania, Florida Notwithstanding any language in the Plan to the contrary, effective October 1, 1986, it is hereby understood and agreed that the above Group Plan Document shall be amended as follows : CHILD HEALTH ASSURANCE ACT - (Florida SB 460) The Plan shall cover "Well Baby" services provided by a physician from the moment of birth to age 16. Maximum Number of Physician Visits 18 Such visits are eligible at the following intervals : Birth, 2 months , 4 months, 6 months , 9, months, 12 months, 15 months, 18 months, 2 years, 3 years, 4 years, 5 years, 6 years, 8 years, 10 years, 12 years, 14 years and 16 years. Covered services for each visit include, (1 ) history, (2) physical examination, (3) developmental ass@ssment, (4) anticipatory guidance, ( 5) appropriate immunizations, and (6) laboratory tests . Minimum benefits may be limited to one visit payable to one provider for all of the services provided at each visit. The Major Medical Deductible does not apply to such visits . b..a� This amendment is hereby incorporated into and made a part of the said Group Plan Document, however, except as expressly stated above, this Amendment does not waive, alter or extend any provisions or limitations of the Plan. Sponsor/Employer Medical Insurance Administrators \ I J MEDICAL INSURA14CE ADMINISTRATORS, INC . 1591 East Atlantic Boulevard Pompano Beach, Florida 33060 PLAN AMENDMENT NO. 7 Group Plan Number: 501 - 20928 i Employer : City of Dania, Florida i Notwithstanding any language in the Plan to the contrary, effective July 1 , 1986 , it is hereby understood and agreed that the above Group Plan Document shall be amended as follows : i In accordance with the Federal Government ' s Health Insurance Provisions in the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) , all covered individuals who become ineligible for coverage under this Plan are entitled to continuation of that coverage as follows : A. The period of mandated 'continuation of coverage is thirty six ( 36 ) months for : 1 . Surviving spouses and children of deceased employees; 2. Separated or divorced spouses and children of current employees ; 3. Children (of current employees) who would lose coverage because of their age . B. The period of mandated continuation of coverage is eighteen ( 18) months for employees and their covered dependents in case of loss of coverage through: 1 . Reduction in work hours ; 2. Voluntary termination of employment; 3. Lay-off for economic reasons; 4 . Discharge for misconduct (other than gross misconduct) . C. The COBRA Act also requires thirty six ( 36) months of continuation of coverage for those terminated employees ineligible for Medicare coverage. D. The employer may terminate coverage prior to the expiration of the 36 month or 18 month periods under the following circumstances : 1 . Abolition of all health Plans provided to any employee; 2. Failure of the individual to pay the premium; 3 . Eligibility of the individual for coverage under another health plan upon reemployment, remarriage, or attainment of Medicare eligibility. Individuals who exercise their right to continue coverage shall be responsible for payment of the applicable premium. Individuals shall have the right to convert to an Individual Health Policy upon termination of such continuation of coverage. A Conversion Application must be made within 31 days from the date of termination of coverage . This amendment is hereby incorporated into and made a part of the said Group Plan Document, however , except as expressly stated above , this Amendment does not waive, alter or extend any provisions or limitations of the Plan. Sponsor/Employer Medical Insurance Administrators