HomeMy WebLinkAboutMINUTES - 07171990 - 1.41 To: BOARD OF SVPERV150RS CONTRA COSTA COUNTY
PERSONNEL DEPARTMENT
FRC"': Harry D. Cisterman, Director of PVW-A jC Contra
Costa
DATE: July 16, 1990 COy11
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SUBJECT: Subject: 1st Choice Health Plan: Amendment to Plan Document
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
Recommendation:
Amend the 1st Choice, the Contra Costa County self-
funded employees indemnity health plan termination provision to
comply with existing County policy under which- a member's
coverage is terminated at the end of the same month the member
resigns, retires, or fails to pay the required premium.
Amend Part Eleven: Termination page 52 by replacing .
Section B in its entirety with the following:
B. Subject to the continuation of coverage provided in
Part Twelve, this Plan shall terminate as to any member at the
end of any month in which:
1 . The subscriber resigns, retires or is . terminated
from employment with Contra Costa County or any special
district governed by the Board of Supervisors or
otherwise fails to meet the eligibility and Medicare
requirements, or
2 . The subscriber or member fails to pay any required
subscription charge on or before the due date for such
payments, or
3 . The County receives a subscriber's written notice
of termination.
Amend the continuation of benefits provision as provided
below to comply with the new federal regulations affecting
continuation of benefits .
Amend Part Twelve: page 53 by inserting the following
Section A, subsection 2 .
"If however an employee is determined to have been
disabled within the meaning of the Social Security Act,
and proper notice of the disability is provided to the
Plan Administrator, then the 18 month period is
extended to 29 months . "
CONTINUED ON ATTACHMENT: - YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE f S
ACTION OF BOARD ON JUE I APPROVED AS RECOMMENDED /K OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
x UNANIMOUS (ABSENT AMID CORRECT COPY OF AN ACTION. TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
-C: County Counsel ATTESTED _ JUL 17 1990
PHIL BATCHELOR, CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
-Sl
Insert 1129" on page 54 Section C sl}bsection 1 to read:
"The end of the 18, 29 or 36 month continuation period
stated above: "
Replace Subsection C.4 on page 54 to eliminate COBRA
eligibility when the member becomes covered by another group
health plan, to read as follows:
"The date the person becomes covered without
limitations on pre-existing conditions under
any other group health plan; "
Background: The proposed amendment to Part Eleven:
Termination, is necessary to make the plan document consistent
with the past and present County practice.
The Omnibus Budget Reconciliation Act of 1989 (OBRA-
1989 ) requires changes in the COBRA continuation coverage
requirements of 1st Choice. This required change will
essentially ensure disabled members the availability of continued
coverage until they become eligible for medicare.
Fiscal Impact: The amendment to the termination
provision should have no fiscal impact on the County. The
extended COBRA coverage theoretically could increase 1st Choice
liabilities which should be paid from the 1st Choice reserve.
FB-4 a:\awc\lstChoice.BO