HomeMy WebLinkAboutMINUTES - 10301984 - 1.38 TO: BOARD OF SUPERVISORS
Contra
FROM: Mark Finucane, Health Services Director Costa L
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By: Elizabeth .f� o erC
, Contracts Administrator
DATE: County
October 17-, 1984
SUBJECT: Approval of Health Plan Service Agreement with Halsey Sign Company
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATION
Approve Health Plan Service Agreement as follows:
Number: 29-724
Department: Health Services - Contra Costa Health Plan
Group: Halsey Sign Company
Term: November 1, 1984 through October 31, 1985
Monthly Premium
for Plan Members: Subscriber Only $ 69.13
Subscriber and One Dependent $138.26
Subscriber and Two or More Dependents $186.61
Service: Availability of Health Plan to Group's employees
BACKGROUND
On June 5, 1984 the Board adopted Resolution No. 84/328 for Contra Costa Health
Plan Rate Structure for public employee groups, private groups, private non-
group subscribers and private non-group Medicare (Medi-Key) subscribers. Upon
executed on this agreement, the employees of Halsey Sign Company will be
entitled to join the Health Plan and will receive services in accordance with
the standard Health Plan Service Agreement. The agreement is in the standard
form approved by County Counsel and no County funds are required.
SH
Attachments /
CONTINUED ON ATTACHMENT: YES SIGNATURE: �2 t �`-��W✓
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME D TION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
4
ACTION OF BOARD ON O APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT* A STAIN: AND ENTERED ON THE MINUTES OF THE BOARD
ORIG: Healt euV mitS
Countyy Administrator OF SUPERVISORS ON THE DATE SHOWN.
Auditor-Controller �r,�� 30
CC: Contractor ATTESTED
Phil Batchelor, Clerk of the Board of
Supervisors and County Administrator
M982/7-e3 BY �o Do 0 0 0 9 8