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-ro- BOARD OF SUPERVISORS ��y'�t
FROM: Mark Finucane, Health Services Director � /-1� Com^ tra
By: Elizabeth A. Spooner, Contracts Administrator Cx)ga^
DATE' September 18, 1986 (�O^
SUBJECT; Approval of Health Plan Service Agreement with The Tire Store
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chairman to execute on behalf of the County, Health
Plan Service Agreement #29-753 with The Tire Store for the period October 1, 1986
through September 30, 1987, to make the Contra Costa Health Plan available to the
employees of The Tire Store.
II . FINANCIAL IMPACT:
The County cost for this agreement depends upon utilization of Health Plan
services by the members. The plan will be made available to three employees.
III. REASONS FOR RECOMMENDATION/BACKGROUND:
On August 12, 1986 the Board approved the current Rate Structure for the Contra
Costa Health Plan for 1986-1987. The Health Plan Rate Structure is for public
employee groups, private groups, private non-group subscribers and private non-
group Medicare (SENIORHEALTH) subscribers.
Upon execution of this agreement, the employees of The Tire Store will be
entitled to membership in the Health Plan and to' receive services in accordance
with the standard Health Plan Service Agreement, with monthly premiums based on
the 1986-1987 Board-approved premium schedule.
The agreement is ,3n. the standard form approved _by CountyCounsel.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDAT 06 OR BOARD COMMITTER
APPROVE OTHER
I GNIA
ACTION OF BOARD ON SEP 29 19RG APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES:_ AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT; ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
)RIG: Health Services (Contracts) RFP .9 O 1986.
cc: County Administrator ATTESTED
Auditor-Controller PHIL BATCHELOR. CLERK OF THE BOARD OF
Contractor SUPERVISORS AND COUNTY ADMINISTRATOR
R7/7_R9 BY ,DEPUTY