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TO: BOARD OF SUPERVISORS
. rf ContraFROM: Mark Finucane, Health Services Director w
By: Elizabeth A. Spooner, Contracts Administrator Costa s
' 1
DATE: April 18, 1985 �.JI. rly
SUBJECT: Approval of Health Plan Renewal Contract with Premium Auto Supply
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) $ BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
APPROVE and AUTHORIZE the Chairwoman to execute on behalf of the County, Health Plan
Renewal Contract 429-725-1 with Premium Auto Supply for the period May 1, 1985 -
April 30, 1986 in order to continue to make the Contra Costa Health Plan available to
the employees of Premium Auto Supply.
FINANCIAL IMPACT:
The County cost for this agreement depends upon utilization of Health Plan services by
the members.
REASONS FOR RECOMMENDATION/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 execution of this agreement, the employees of Premium Auto Supply will be entitled
to continue membership in the Health Plan and to receive services in accordance with
the standard Health Plan Service Agreement with monthly premiums as follows:
Subscriber Only $ 69.13
Subscriber and One Dependent $138.26
Subscriber and Two or More Dependents $186.61
The agreement is in the standard form approved by County Counsel.
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Attachments
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CONTINUED ON ATTACHMENT: YES SIGNATURE: } f
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME N61T
ION OF BOARD OMMITTEE
APPROVE OTHER
SIGNATURE(S) ����/}/
ACTION OF BOARD ON 7 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: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN. p
ORIG: Health Services (Contracts)
CC: County Administrator ATTESTED
Auditor-Controller Phil Batchelor, Clerk of the Board of
Contractor Supervisors and County Administrator
M382/7-e3 BY DEPUTY