O-2002-2594-A - Laserfiche WebLink

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- e REQUEST FOR CITY COUNCIL AGENDA ITEM Agenda Date Requested: 8/23/04 Appropriation Requested By: Sherri Samp!ilon Source of Funds: 014-6144-515.10-80 Department: HUIR~A R.esour~es Account Number: Report: Resolution: Ordinance: X Amount Budgeted: 3,403,210 Exhibits: Ordinance 2002-2594 - A Amount Requested: Exhibits: Budgeted Item: YES NO Exhibits SUMMARY & RECOMMENDATION Consider amending the current City of La Porte Employee Medical Fund Plan Document effective September 01, 2004, as follows: ELIGIBILITY AND PARTICIPATION PG, 6 Who Is Eligible? You are eligible to participate in this plan after 30 consecutive days of active employment if you are a full-time employee with the City of La Porte and are regularly scheduled to work at least 40 hours per week. You may also participate in this plan if you are a retiree of the City of La Porte receiving retirement annuities as a qualified annuitant under the Texas Municipal Retirement System, have retired in accordance with the City of La Porte personnel policies, have completed at least ten (10) years of service with La Porte and are currently employed by the City at the time of retirement, and do not work for another employer after retiring from the City. (See your Human Resources representative for any additional requirements). Your eligible dependents may also participate, Eligible dependents include: your lawful spouse who is legally married to and living with you; natural children; grandchild, stepchildren; children who, before reaching the age of 25, are either adopted by you or placed in your home for adoption; or other children for whom you have care, custody and control under court decree, A dependent child must be unmarried and rely on you for primary support and maintenance, Dependent children remain eligible until age 25, You may not participate in this plan as an employee and as a dependent and your dependents may not participate in this plan as a dependent of more than one employee, If you and your spouse are both Medical plan eligible employees for the City of La Porte, you may elect to be covered as a dependent under your spouse instead of as an employee. You may also enroll as a dependent under your spouse's plan, if you are both covered under the Plan as full-time employees at the time you retire or your spouse retires. The retiree may become a dependent with a no loss no gain pre existing limitation benefit. If your employer detennines that your separated or divorced spouse or any state child support or Medicaid agency has obtained a legal qualified medical child support order (QMCSO), and your current plan offers dependent coverage, you will be required to provide coverage for any child(ren) named in the QMCSO. Ifa QMCSO requires that you provide health coverage for your child(ren) and you do not enroll the child(ren), your employer must enroll the child(ren) upon application from your separated/divorced spouse, the state child support agency or Medicaid agency, and withhold from your pay your share of the cost of such coverage, You may not drop coverage for the child(ren) unless you submit written evidence to your employer that the child support order is no longer in effect. The plan may make benefit payments for the child(ren) covered by a QMCSO directly to the custodial parent or legal guardian of such child(ren),