HomeMy WebLinkAbout1997-01-09; City Council; Resolution 97-4i ' il e e EXHIBIT 1
1 RESOLUTION NO. 9 7 - 4
2
3
4
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
CARLSBAD, CALIFORNIA, APPROVING A GROUP HEALTH
INSURANCE PROVIDER AGREEMENT FOR THE CITY OF CARLSBAD.
5
6
7
WHERAS, the City Council has determined that it is desirable and necessary to
provide group health insurance to the City's eligible employees and their dependents.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of a
g Carlsbad, California, as follows:
10
11
1. That the above recitation is true and correct.
2. That the City Council approves the attached Group Agreement
12
13
(Attachment A) authorizing the approval of Sharp Health Plan as a health insurance
14 (1 provider for the City of Carlsbad.
15
Iff 16
111
I? Ill
18
19
20
Ill
Ill
21 Iff
22 // Iff
23 Iff
24
25
26
27
Ill
Ill
28
I/ 0 0
1 3. That funds are available in the City’s Operating Budget for fiscal year
2 I1 1996’97*
3 PASSED, APPROVED, AND ADOPTED at a regular meeting of the City
4
5
Council of the City of Carlsbad, California, on the 7th day of January
1997, by the following vote, to wit:
7
€5 I/ 7 AYES: Council Members Lewis, Finnila, Nygaard, Kulchin and Hall
8 NOES: None
9
10
11
12
ABSENT: None
13
14
ATTEST:
15
16
17
18 (SEAL)
19 I
2o I
21 /I
22
23
24
25
26 Ii 27
28
a 0
SHARP
HEALTH PLAN
GROUP AGREEMENT FOR EMPLOYER GROUPS >50
EXECUTION PAGE
A. EMPLOYER GROUP INFORMATION SUMMARY
1. Group Name and Address City of Carlsbad
1200 Carlsbad VillaPe Dr., Carlsbad, CA 92008
2. Group Number 20500
3. Initial Term of this Agreement 01 / 01 / 97 through 12 / 31 / 97
4. Employer Contact PersodTelephone Number Julie Clark / 434-2955
5. Annual Open Enrollment Period 11 / 12 / 96 through 12 / 13 / 96
6. Coverage Effective Date After Open Enrollment 01 / 01 / 97
First Date of Benefit Year (calendar year) 01 / 01 / 97
7. Employee Data and Eligibility Information
a. Total Number Employees 490
b. Total Number Eligible Employees 390
C. Eligible Employee Definition Permanent/Minimum 30 hour work week.
Resides or works within San Diego County.
d. Eligible Dependents
e. Coverage Effective
Spouse, children through age 18, full-time
students ages 19 through 24.
New Hires: Date of hire.
Rehires: Date of rehire.
f. Preexisting condition waiting period: None.
8. Termination Date: End of month for which ureuayment fees are made.
9. Plan Account Representative/Telephone Number Rick Leon I 637-6558
Plan Group Service Representative/Telephone Number Audrey Mueller / 637-6577
10. Standard Industry Code 9100
(F:\LRAGTS\LRGROUP.DOC 5/12/94) 23
e e
. . . . . . . . . . . . . . . . . . . . . . . . . . I I ll Medical A I! $98.23 $196.47 $294.70
1 I I 11 $30
Prescription Drug
Vision
$27.72 $18.48 $9.24
$2.40 $1.60
Mental Health/
Chemical Dependency c1 $5.51 $16.53 $11.02
TOTAL $341.35 $227.57 $113.78
- -
- 1
COBRA RATES (when applicable):
X Premium Billed (Rates as stated above)
Direct Billed (Add 2% administration fee to above stated rates)
(F:\LRAGTS\LRGROUP.DOC 5/12/94) 24
r+ e
C. AGREEMENT EXECUTION
An application is hereby made by the undersigned Employer Group for participation in
Sharp Health Plan's health care service plan in accordance with the provisions of the Sharp Health Plan
Group Agreement, the provisions of which are to be made available to all Eligible Employees as defined
above and their eligible Dependents desiring coverage thereunder. No enrollment or benefits thereon will
accrue until this Execution Page of the Group Agreement is completed, signed and returned to Sharp Health
Plan. By signing hereunder, the Employer Group acknowledges receipt of the Sharp Health Plan Group
Agreement.
IN WITNESS WHEREOF, the parties have duly executed this Group Agreement on the day and year first above written.
/"&&
By:
B. Kathlyhqd
Title: President & CEO
Date: January 7, 1997
By:
Title:
Company: City of Carlsbad
Date: January 8. 1997
Mayor
(F:\LRAGTS\LRGROUP.DOC 5/12/94) 25