HomeMy WebLinkAboutMINUTES - 09111984 - 1.56 TO: BOARD OF SUPERVISORS
FROM: Phil Batchelor Count Administrator Contra
County Costa
DATE: September 4, 1984 County
SUBJECT: Authorization to Pay Private Health Insurance Premiums--
Establishment of Program Pursuant to Government Code Section 26227
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
Establish a program, pursuant to Government Code Section 26227, under which the Health
Services Director is authorized to expend funds provided to the County by the State of
California for the care of the Medically Indigent Adult to keep in force private medical
insurance for an individual under the following criteria:
1 . This program is to be used only for individuals with a clearly diagnosed medical
condition which would require extensive treatment within the time period covered
by the premiums ; and
2. The individual would become a county responsibility if private insurance is not kept
in place; and
3. The individual has no financial resources to continue payment of the premium; and
4. The cost of the premium will clearly be less than the cost of treatment required; and
5. Payment is to be made only after health status of applicant is screened by Health
Plan Medical Director; and
6. Payments can be authorized for no more than six months without reauthorization from
the Health Services Director.
BACKGROUND:
See attached correspondence from Health Services Director dated August 24, 1984.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
X RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
X APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON SeptemDer II , APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
X UNANIMOUS (ABSENT II ► ZZZ ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
County Administrator OF SUPERVISORS ON THE DATE SHOWN.
CC: County Auditor ATTESTED September 11 , 1984
County Counsel
Dr. William B. Walker Phil Bat c-helor Clerk of the Board of
Pat Godley Superv�s�Ys a^a Cmu^t•- ^.:?^^i_r;_s},a_a}.off.
Dr. James Tysell
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M382/7-e3 BY �./ - DEPUTY
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CONTRA COSTA HEALTH PLANI INTER OFFICt WM ,
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TO: Claude L. VanMarter DATE: August 24,1984 nis(-ratp,-
Assistant County Administrator
FROM: William Walker, M.D. SUBJECT: Private Health Insurance
Acting Director, Health Services Dept. Program
A case has come to our attention of a county resident without.
financial resources and with severe medical problems who has'
existing private medical insurance. If this insurance lapses for
non-payment of premiums, this individual will become a county
responsibility. The county would then have to pay for her needed
expensive treatment.
This is to request that the Board of Supervisors establish a
program to be administered by the Health Services Department which
would pay the cost of retaining individual private medical insurance
for a limited number of individuals for a limited amount of time.
We also request that the Board approve the general criteria the
Department will use to determine when to make premium payment under
this program.
The general criteria for the program include:
1. This program would be used only for individuals with a clearly
diagnosed medical condition which would require extensive
treatment within the time period covered by the premiums, and
2. The individual would become a county responsibility if private
insurance is not kept in place, and
3. The individual has no financial resources to continue payment
of the premium, and
4. The cost of the premium will clearly be less than the cost of
treatment required, and
5. Payment would be made only after health status of applicant is
screened by Health Plan Medical Director.
The County Counsel has said that this program could be established
under Authority of Government Code 26227 so long as a tangible benefit
to the county can be demonstrated.
00039
a-41 c-7/83
Claude VanMarter Page Two
Private Health Insurance Program August 24, 1984
Funding for this program would be from the State's Medically Indigent
Adult allocation to the county.
Please let me or Bobbi Baron know if you need additional information.
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Enclosures
1. Memo from Bobbi Baron to Arthur Walenta 8/2/84 ,
2. Memo from Robert Jornlin to Arthur Walenta 8/16/84
3. Memo from Arthur Walenta to Bobbi Baron 8/20/84
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