HomeMy WebLinkAboutMINUTES - 05131986 - 1.3 (2) 1-03 0
TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director ^^��,,�,,}}' nr �./l.Jl l ra
By: Elizabeth A. Spooner, Contracts Administrator C sta
DATE: April 29, 1936 1 Com`."*
SUBJECT: Approval of Health Plan Service Agreement with Jack Ong (dba Jack's Market)
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AMID JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chairman to execute on behalf of the County, Health
Plan Service Agreement #29-748 with Jack Ong (dba Jack's Market) for the period
May 1, 1986 - April 30, 1987 to make the Contra Costa Health Plan available to
the employees of Jack Ong (dba Jack's Market) .
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 eight employees.
III. REASONS FOR RECOMMENDATION/BACKGROUND:
On June 25, 1985 the Board adopted Resolution "No. 85/368 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 Jack Ong (dba Jack's Market)
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
as follows:
Subscriber Only $ 82.50
Subscriber and One Dependent $165.00
Subscriber and Two or More Dependents $233.00
The agreement is in the standard form approved by County Counsel.
gm
CONTINUED ON ATTACHMENT; _ YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATI ie
OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE S : `'
ACTION OF BOARD ON APPROVED AS RECOMMENDED JC OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
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. -
ORIC: Health Services (Contracts) G
CC: County Administrator ATTESTED / 7 86
Auditor-Controller PHIL BATCHEL R, CLERK OF THE BOARD OF
Contractor SUPERVISORS AND COUNTY ADMINISTRATOR
'R2/7-83 BY �� �� DEPUTY