HomeMy WebLinkAboutInv# JG012022 - Green - 02/11/2022DEPARTMENT OF HUMAN RESOURCES
I00 WEST DANIA BEACH BOULEVARD . DANIA BEACH, FL 33004. PHONE 954-924-6800
WWW.DANIABEACHFL.GOV
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January t9,2022
Jack Green
220 N. 59th Terrace
Hollywood, FL 33024
Dear Mr. Green,
IMPORTANT INFORMATON REGARDING YOUR INSURANCE COVERAGI
I have been unable to reach you regarding your insurance payments. I have tried calling you at:
954.3g3.6514 and 954.232.7725 and have left messages. We also recently sent you a letter and this is a second letter
regarding your insurance premium payments.
We have found through our reconciliation of insurance that you have overpaid for health insurance premiums over the
last year by 5242.88. This amount will be applied towards your January and February premium, since as of today we have
not received payment. A refund for the difference of 543.50 will be mailed to you.
Starting March l,2}22,your premium is S99.69/month. Your next payment is due by March 1.
lf you wish to maintain your health insurance coverage from the City, please send a check to the City by the 1't day of each
month: Attention Finance Department. We must receiveyourcheck bythefirstof each month, startingon March L.
Going forward, your premiums must be submitted to the City each month by the 1't of the month and no later than the
L5th of the month, to continue with insurance coverage. lf payment is not received by the 15th of the month, coverage will
terminate at the end of the month in which payment is not received.
Your new monthly payment as follows effective January t,2022:
$99.69/month - (Medicare, dental, vision)
City of Dania Beach
Attn: Finance Department - Health lnsurance Payment for Jack Green
100 W. Dania Beach Blvd. Dania Beach, Fl. 33004
lf you have any please do not hesitate to call.
nzalez, Human Resources Director
ttBrowardts First Citytt
lOtl West Dania Beach Boulevard, Dania Beach, Florida 33004 . Phone : 954-924-6800 o www.daniabeachfl'gov
954.924.6879