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HomeMy WebLinkAboutO-1985-1450 e e- ORDINANCE NO. 14~O AN ORDINANCE ADOPTING AMENDMENT NO. 2 TO THE CITY OF LA PORTE EMPLOYEE MEDICAL FUND PLAN; AND PROVIDING AN EFFECTIVE DATE HEREOF. BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF LA PORTE: Section 1. Amendment No.2 to the City of La Porte Employee Medical Fund Plan, in form attached hereto as "Exhibit A, II is hereby adopted and approved by the City Council of the City of La Porte. Section 2. Retirees and their Dependents who elect to participate in the Plan shall pay the full amount of the costs of their coverage, as determined from time to time by the Plan's actuaries. The City of La Porte shall make no Contribution toward the cost of coverage of Retirees and their Dependents. Dependents shall include Dependents of any deceased Employee or Retiree, as defined in Exhibit "A", attached hereto. 'Section 3. Current eligible Retirees and their Dependents shall have a thirty-day enrollment period, following certified mail notification to them by the administrator, of the avai1ab- ility of Coverage. Future Retirees and their Dependents must elect coverage prior to their last day of employment. Section 4. The City Council officially finds, determines, recites and declares that a sufficient written notice of the date, hour, place and subject of this meeting of the City Council was posted at a place convenient to the public at the City Hall of the City for the time required by law preceding this meeting, as required by the Open Meetings Law, Article 6252-17, Texas Revised Civil Statutes Annotated; and that this meeting has been open to the publ ic as required by law at all times during which this ordinance and the subject matter thereof has been discussed, considered and formally acted upon. The City Council further ratifies, approves and confirms such written notice and the contents and posting thereof. . . Ordinance No. /45'0 Page Two Section 5. This Ordinance shall take effect and be in force from and after its passage and approval. PASSED AND APPROVED this the 22nd day of July, 1985. CITY OF LA PORTE BY~~ orman Ma one, ay ATTEST: (Ik~~ Cherie Black, City Secretary Aa:; U dJ Knox W. Askins, City Attorney . . PROPOSED AMENDMENT NO.2 TO THE CITY OF LA PORTE EMPLOYEE MEDICAL FUND PLAN Plan Document section SCHEDULE OF BENEFITS sub-section Maximum Plan Payments is hereby amended to include the following: Private Duty Nursing $20,000 per lifetime Plan Document section DEFINITIONS, C. PARTICIPATING DEFINITIONS, 1. Person eligible for coverage and normal date of coverage: is hereby amended as follows: a. Covered Person is an Employee, 'Retiree, or Dependent who is an eli- gible person enrolled in the Plan. c. Retiree is a person who is a former employee covered under this Plan on the date of retirement. A former Covered Employee is eligible for coverage during retirement if the following conditions are met at the date of retirement. 1. Is receiving retirement annuities as a qualified annuitant under the Texas Municipal Retirement System or retired in accordance with City of La Porte personnel policies, and 2. has completed at least three continuous years of service as a full-time employee of the City of La Porte immediately prior to retirement. d. Dependent is the spouse or eligible child of a Covered Employee or Retiree and who is enrolled in the Plan. A child may be covered from birth up to the child's 19th birthday, or up to the child's 25th birthday if such child is attending an accredited school on a full time basis. Any dependent child less than twenty-five (25) years of age who has graduated from an accred- ited school and who has not become gainfully employed will be con- sidered a dependent for a period not to exceed two (2) months. The term "child" includes a natural child, adopted child, foster child and step-child of a Covered Employee, and includes a natural child, adopted child, or step-child of a Covered Retiree who was covered continuously at least three years prior to the date of retirement, or enrolls as a newborn. The child must be unmarried, dependent upon the Employee for support and maintenance and reside with the Employee or Retiree as legal guardian in a parent-child relationship. . . Such term shall also include a dependent child after his 19th birth- day, provided the child becomes both (1) incapable of self-sustain- ing employment by reason of mental retardation, physical handicap or total disability, and (2) chiefly dependent upon the Covered Employ- ee for support and maintenance while covered unde~ this Plan or a prior plan offered by the Employer on the day prior to the effective date of this Plan. Such qualifications will continue coverage for the child beyond his 19th birthday. Proof of such incapacity or dependency must be furnished to the Plan by the covered Employee within thirty one (31) days of the child1s 19th birthday or date of disability and at reasonable intervals thereafter. Excluded as dependents are any person(s): a. Legally separated from the Covered Employee, b. While such person is on active duty in any military for any country and, c. Who is a Covered Employee under this Plan, d. Claiming dependency on a Retiree who was eligible but not enrolled for coverage on the effective date of retirement. Plan Document section EFFECTIVE DATES OF COVERAGE is hereby amended as follows: A. Covered Person is an Employee, Retiree, or Dependent who is an eligible person enrolled in the Plan. D. Newborn children are covered automatically at birth for thirty-one (31) days. For coverage to continue beyond thirty-one (31) days, the Employee or Retiree must notify the Employer of the birth and pay any required contribution if it affects his contribution level. If such notification and contribution do not occur, coverage will terminate at the end of the thirty-one (31) days following birth. A claim for maternity expenses is not considered as notification to the Employer for coverage of a newborn to continue beyond thirty-one (31) days. Plan Document section TERMINATION OF COVERAGE LEAVE OF ABSENSE OF LAYOFF, subsection B. 2. is hereby amended as follows: 2. The coverage on the Dependents of any deceased Employee or Retiree may continue to the end of a 180 day period from the date death oc- curs and beyond, provided any required contribution is made, to a maximum period from date of death equal to the total number of months of active full-time service with the City of La Porte. . , However, in no event will coverage under the above provision continue beyond the earliest of: a. the date the spouse remarries; b. the date the dependent becomes eligible for benefits under any other group plan; c. the date the dependent becomes eligible for Medicare; or d. the date the Plan terminates. This Amendment is effective Signed at La Porte. Texas this 24th day of July , 1985. , 1985. Julv 22. WITNESS ~ (lk~