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HomeMy WebLinkAbout1995-09-12; City Council; 13299; AMENDMENT TO THE CONTRACT WITH NORTHWESTERN NATIONAL LIFE INSURANCE NWNL AND EXTENSION OF GROUP VISION CARE BENEFITS WITH VISION SERVICES PLAN VSP TO CCEA ELIBIGLE EMPLOYEESI e 9 g a. % Z 0 F 2 d z o 0 3 0 A’ d 3 ~17.0~ CARLSBAD - AGENW BILL AB # - TITLE: DE& DEPT. HR PLAN (VSP) TO CCEA ELIGIBLE EMPLOYEES CITY n AMENDMENT TO THE CONTRACT WITH NORTHWESTERN NATIONAL LIFE INSURANCE (NWNL) AND EXTENSION OF GROUP VISION CARE BENEFITS WITH VISION SERVICES C,TY E MTG, 9-12-95 RECOMMENDED ACTION: Adopt Resolution No. 95-Asg amending the City’s contract with Northwestern National Life Insurance (MWNL) and extending group vision care with Vision Services Plan (VSP) to members of the Carlsbad City Employees’ Association (CCEA) who are enrolled in Northwestern National Life medical insurance. ITEM EXPLANATION: The City of Carlsbad has contracted with Northwestern National Life Insurance (NWNL) to provide group medical, dental and vision coverage for City employees. general employees, several enhancements were made to the health insurance program under Northwestern National Life as of July 1, 1995. These benefit enhancements included: 1) Following labor negotiations with the City’s fire and dental insurance through NWNL for all employees enrolled in Kaiser medical insurance; enhanced vision coverage through Vision Services Plan (VSP) for firlE 3nd manaaement employees covered under Northwestern National Life; and 2) 3) establishment of a wellness program for fire and manaaement employees covered under Northwestern National Life. Prior to July 1, 1995, the Carlsbad City Employees’ Association (CCEA) indicated that a membership vote was required to determine,if the VSP vision and wellness program benefit enhancements would be implemented for CCEA members. Consequently, the VSP vision and the wellness program were implemented for fire and management employees only as of July 1, 1995. CCEA has now indicated that the majority of their members would like to have the VSP vision plan and the wellness benefit extended to all general employees covered under NWNL medical insurance. An amendment to the City’s contract with Northwestern National Life is required to exclude vision care coverage under NWNL and to establish a wellness benefit e 0 PAGE 2 OF AB# /3A’77 through NWNL for general employees currently enrolled in NWNL medical insurance. This amendment is attached as Exhibit 2. General employees covered by NWNL medical insurance will receive enhanced vision benefits from an outside firm called Vision Services Plan, or VSP. Exhibit 3 is the application for group vision care required to establish this benefit for the CCEA eligible employees. FISCAL IMPACT: The estimated costs associated with the VSP vision and the wellness program benefit enhancements for CCEA employees covered by NWNL health insurance are $52,000 per year, or $40,000 for the balance of fiscal year 1995/96. Insurance fund balance. EXHIBITS: 1. Resolution No. %fds4 2. Amendment to the City’s Contract with Northwestern National Life 3. Application for Group Vision Care with Vision Services Plan (VSP) These costs will be funded from the City’s Health 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2o 21 22 23 24 25 26 27 28 0 0 RESOLUTION NO. 95-254 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA, AMENDING THE CONTRACT WITH NORTHWESTERN NATIONAL LIFE INSURANCE (NWNL) AND EXTENDING GROUP VISION CARE BENEFITS THROUGH VISION SERVICES PLAN (VSP) TO ELIGIBLE CCEA EMPLOYEES. WHEREAS, the City of Carlsbad has considered the document entitled “EXHIBIT 2” and finds it in the best interest of the City to amend the City’s contract with Northwestern National Life (NWNL); and WHEREAS, the City of Carlsbad has considered the document entitled “EXHIBIT 3” and finds it in the best interest of the City to approve the application for group vision care with Vision Services Plan (VSP); and WHEREAS, complete and true copies of said documents are attached hereto and made a part hereof; and WHEREAS, sufficient funds are available in the Health Insurance fund balance to cover the cost of these health insurance enhancements; i NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Carlsbad, California, as follows: 1. That the above recitations are true and correct. I. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 I.7 18 19 20 21 22 23 24 25 26 27 28 0 e 2. That the Agreements referred to in the recitals above are incorporated in this resolution by reference. 3. That the amendment to the City’s contract with Northwestern National Life (NWNL), dated October 1, 1995, will be adopted by the City of Carlsbad effective October 1, 1995, as evidenced by the authorized signature of the Human Resources Director on Exhibit 2. 4. That the application for group vision care, dated October 1, 1995, will be adopted by the City of Carlsbad effective October 1, 1995, as evidenced by the authorized signature of the Human Resources Director on Exhibit 3. 111 Ill Ill Ill Ill Ill Ill 111 Ill 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 I? 18 19 0 w 5. That $40,000 will be appropriated from the Health Insurance fund balance to cover the cost of these health insurance enhancements. PASSED, APPROVED, AND ADOPTED at a regular meeting of the Carlsbad City Council held on the 12th day of SEPTEMBER , 1995, by the following vote, to wit: AYES: Council Members Lewis , Nygaard, Kulchin, Finnila, Hall NOES: None ABSENT: None ATTEST: j ALgH%R!JTE?erk ,I (SEAL) e 0 Route No Home Office use or E r .I To: Northwestern National Life Insurance Company Box 20 - Minneapolis, Minnesota 55440 Request for Amendment of Group Plan(s) Please be complete and specific in your request. Group Plan Name CITY OF CARLSBAD Group Plan Number(s) AS0 24438-4 Effective Date for Amendment(s) 10/01/1995 (if possible, the effective date should be the first day of a plan month) Request is hereby made to Northwestern National Life Insurance Company for the following revision(s) to the Group Plan(s) indicated above: Terminate vision benefits with "L for claim account 3 General resulting in an AS0 fc reduction of $.25 per employee per month for the terminated claim account. Vision benefits wil "L. for all claim accounts has been terminated Add an annual $250 per family wellness benefit for claim account 3 General to be administerr through the Reimbursement Account Administration Department in Minneapolis, MN. All clai accounts will now have the wellness benefit. dditional space is needed, please use reverse side) Dated 39279 VISION SERVICE PLAN APPLIC.ATION FOR GROUP VISION CARE PLAN qw -\ Vihn Service Plan P.O. Box 997 100 Sacraiiienro. Calit'omia '35899-9989 Attn: Sales Department (XOOI XSZ-7600 All applicable quehms must be coiiipleted accurately .ind in detail to avoid unnecessary corrcyxmlcn~c and dclaj. .Adcfiiionally. applications must be received i/itii! i.301 d.g\ iii .id\aiicc LO cii\iirc ilir plan i\ iinplemented by the etfectjy~.J;lte. L I *);I \\I' . r'ISION SEKr.ICE PI.he !!l'I.IC.ATION FOK GROUP %.ISION CAKE YI,.\S __--- -___ .......................... -_________- ------(; R()U p 15 F()R;\.I.ATI()N .................................. CITY OF CARLSBAD __ _-__ _-. --._ - - . . - - . .. I 1.1111 lL,;.il ii,tiii,c tit piopwd group - ._._ __- I \\ I1 I* II) ,l~~~k~<ll (111 l~llllL.> I 1200 Carlsbad Village Drive \<ltllL.\\ . - _-_ __ . - . . .. - -- -- CA ( 11) I t~lL.l)liiuic I . 6 19 . ; . 4342852 . FA\ #1-619 I 7204875-.- ..-....- . . . Julie Clark I'lllli 1p11 ~'~lllt.lLl~~_~ - - I ~~lL~~~lllill~ I I clCllllollc. 1 -_ dib __ I . 44&#4-3 ll~\\ \\OLI~~ !(III Iihc !CILII. f'ligihility coiit;ict IO he norit'ied ot'cligihility re.jrctii)n\? . . - .. .____~ .__- -- -..- _.__._ . San Diego ritle Human Resources Manager ('(l1111[! __ .-.___.. - . .. 92008 ~-~ _. Sl.itc Zip Carlsbad . _-_ ____ _____ .- .. . Debbie Ocampo \ \\'I111 .ilO~Ii~l \\ 1 Illl\ l(lr I I I v qLic\tloll\.) Debbie Ocampo Titleuman Re sources Ass Title Human Resources As 1. \\hi -1ititiI~l \\bc$l \\it11 P niiieni ue\tinii\ I - __ -.. . __ - - _ l - 434-2853 . Fax#[ 619 ) 720-1875 -. . . . .. -. . Far #( 619 1 1 2 U- 1 8 7 5------ -: --.-- -. -- x FJ\ - rclcph~l~lc __\I ai I -I I\ 1lici.c \oiiicoiic oilier th.iii !our Principal contx[ v, ho %ill he rc\poii\ihle for the oterall admini\tr;ition of the pl'iii I Hc.iicti[\ .\I \.lllle __ Title ___. 1)iI~~c.i cli.ii plioiic Far (t ( I I It ilil'lcrcnt l'roiii aho\c) // II~II/II/~/< /<<.iic,/;i\ \i/tt~~~~i\i~~ii~i~r\ cti\r cii iiilicr Irii ciiiivi\, p/c(i.\c tilii~i It \c/uir(iir /)ic'i,i, (!/'/wper, it.iilt itiitiw( 5 J. ciiIJri~\\((,\ I. /)/i,fi Ihi !~ILI Liio\i !our Staiitlaid liidu\tr> Code'.' Dit iwn and 3lajor Grnup I\ 11.11 I\ IllC N.11urc k)t !CIUl Hu\lrlc\\'.' government agency .i () S.~iiic\ 01 Cubidiar! rv Att'i1i:itcd Coiiipme\ or Di\ision\ \tho use another name and will be covered by [hi\ plan: N AJlt.: CITY/ST.ATE N.Al'1 Kf-: (: ----N/A ._ _._. . ._ ___ -. .__ __ - - . . .- . . .~ .- .._- --___ .._- 7 l%iIliii~ .id~Ii~~\\: l.iriii/Or~~iiii/~iti~)ii City of Carlsbad 1200 Carlsbad Village Drive \11111.L,\\. - Zip: - ('I[! : _... ____ ~.. 619 , 434-2852 ~~~#l 619 ) 720-1875 l)ll(1~1c i . . -.. _-. .. . -.. - \I 111 ,L'ii:ii.itc i>iIIiiis, t~ ~Lytiired'.' yes X NU ~ijxcs. plrtisr cii1iic.h or ittclicuir in #b ti(itiir.\ o~'c.Iov\i~ic~ciiii~tr\. ioc.cii /ill //iiii/1<, < rlioiii . /,~/i~/llii~tic~ iititi /ti.\. ttitttlhr. (itld ('OIII<IC'~) It \cliiiini~ir:lii\c Sen ice Progrmi. do clainih billing> and administrative fee hillings go to wne perwn? - Ye4 __ so 1 It 92008 Car lsbad CA Stare: \ii/i/l/i I r~iilti~ I (iiici //[It,, (riiilt.c~.is. ic'li~ldti~~ii*. til.\. # tijr ccic.Ii i!pr (!t'l)illitty) 5 It I.,l[lC rCp~l'tlll~ ('olllrlct Nf A Title 1-11 111 . ._ -. .--. \il<ll.L,\\ ('11) . ___._ - state Zip Phone ( ) I,.!\ % ' . .-.-. 1 _..__.- -. . . . . . . ___ __ O I)L~II\C~I hltl<'l1tii.c\ to: ..___ X Group'\ Benctir Administrator - Third Party .Administrator __ BroheriCoii~ __ Other /I 1Ilot'(' l/i~itl otli' /ili~ciili~lt, />/('ii5e il~~il(~/l 11 \f'/Ulr(lIr />/t'l't' il/'[J(l/Jfl' il ill1 Ii(I1IICS. (ldl/l'e,S.5CS rlllt/ 11111Ilh('1. iJftJlYJC'/llfrC\ t~l~l/llll~l~l/ (11 l'i, i/i/i/llliJlllll /l,(, 1 I ~/llll I,,. t~l~qllll~~d IiJr llllf~lf/~ll~ liJ~~llili~ll.\.~ I XI I-L~II iiiiic ciiipIo!Lx\ I\\ tio tbork at Icil\t I I ()11lL~l i,iC\L~lIllC Ill ~lcl<llll~ __ IO 1.11g1t)iI1i! I 1ilL,\ 10i. LIncrctl cniplo)se\ (lrii) exclusions mu\( he bud upon condition% pertaining to einplo)i~ieiit) hour4 per ti eek) 30 pa<'- . - . - - -_ 1 ',5 - \ $11 aate 01 nire I I \L ,IIIIII~ pcrIid XL.\\ ciiiplo!c.c. m he c.ligihlc. on tht tir\i. da) 01 the calendar month muinp t-v -kmmnnn-r~kitwrmp+iite~ I 11 )IllL~l 1\11..L1111L. Ill (lil.llll -. I? Il~l.11 lllllllhcr <I1 .Ill L,l\Cl.Ld c.nlpl(l\te\ 316 I : I kI~c~ii~l~~!ii\ I kp~ii~lc~~i~. it c,lipihie. arc [lie c,i\ctcd ciiiplo~ct'~ \pou\e and uninanied dependent children who hate not .itrained 1~ii1/1~1.1! 1.11~1 IIICIIIIIC'\I .In uiiiii.irric'd child 11 iiiciipihlc. (11 wit-\iipport hecauie of phy\ical or mental iiicipacit? tti.11 ;/iiI/i 11, lc.l,iiii\: Ill,. .li?oic, .igc.i. or [liclr ----24th- biilli<i.i>. i~'~ittciiI~iiig \ctiool tull-time. 19th ,. : * I I:>, I iiiitl l'~::ti \~liiii~ii~ii~.il~~i~~i~~ipplic~ihlc't: I Il1!1 NJA ______ \~lilIL'.. . - .. --. - .. State Zip (',I> .. . - . ..-- ~.. t FJY # ( ) I'il~lllL. I . . .-. ... - .-..- ( I~lll.lCt - .. . Title _____---____-___--______________________-------------- POLICY DETAILS--------------------------------------. I i l.lL,,liiL~liLh ~~'Sci\icc - St;inciard Plan: x I I Y24124) x B (lYl32-l) C~lYIYl2~ ( )iiiL.r I f:\.m ---~noiitli\: L.en\e\-iiiorith\: Frairirs-riionths) or __ E.um Only (every-months) Exam/% Material'* .. . I )L.~lUi I I hl<~. > . - 25 - __ - *Oo -- - - ~1~oi.tI tlcdui.tii+ r;ippliss to eun arid inaterial%) or Split s Io ( ;l,ltip 1i.1, ~~irili.~\c'd I<\timlcd Benefits: ___ Yes X%). If yes: C'7l\L~ICll ~'lllltact I L'Il\C\ - Second Pair ot GI~I\c\ __ Vision Therupy -Primary Eyecare - Safety eye^ I I~~~I~I~~II~ > 01 h\c.r\ icc: I l)h' I\ !'/ IYf.11 f'h'O(!K \ IIY. I II \i 1111 Iiiili . IvL'iiiiiiiii rciiiiitmcc c:iL.tiIiition: I\.tiii-iiioiilh\: Leiiw\-iiicinths: Frames-months - Deductible S I - # EES RATE REXIIr I ,!l![ll,l~L'L~ ()Ill! or ~',lll~~1,l\ltc xs =S l'%\<b $11 I'lllcl. 1.111' l3,i~i~ E only 131 xs 7.95 = S 1.041.45 74 x S 12.13 = 5 897.67 Family vx 5 20.91 = $ 2.321.01 E+1 1s =S TOThL = S 4,760.08 N/A or Percent of claims I\ i Ilii \l)\l/\l~lK !II\ I. sl.~~'l~.t~t'~(~(;~:~.~Is: \~llllll~l~ll~lll\L' I cc I.I\ed IC 1)iL ~~III~~III; 1 \,I\ .IIKC kiynirnt) Amount it Croup i\ in ,Adrnini\tmti\e Service Program \ __.._ iper cti\ered eiiiplo!ee - ab quoted~ x =s (# ees) 1'1 l<L~,l~~c~~cd :I IL>C~I\C chic. I tit!'ecti\e diite hhould nor prccr.de date ut receipt ofthis application by the company) 1.111, pl~~L;. :\ill hL*IIIinc' uttccti\e 011 the I\t dab ot il~~~~lrl,~i\c.~l iiritw I($ thi\ L.l'fccti\e date: . 1995 . pro\ided that all ofthr t'(, \ 1% ( \I)plic.liiclli li.i\ hem rccci\ed and .tccepted by Vision Senice Plan. \ 41' 1r.1, I>L.L'II lurii~shed ;L Irq. tape or diskette of all employees 3howing name. social security number. and nunit \ iI~c~~~l, IOI' lir\t liit)ii[h'\ prciniuni Itoguther u ith .ASP advance payment (prefunding). if applicahlel is included I 11,1! illLLiit\ .IIC dtic on tlic I\t ot each ionwcuti\c month. 11 .ll~l~liL.~hlc 31 iIii\ .l;iL'L.liiciii \\ill Icliiiiiiuc iii Iorcu 24 rnliriths from the et'fcctive date. ,*I?-. 1 *- \\I' June 30 2 I <iOO Kcixirt lntoriii.i[lorl 111 il\cr I( pli)\.ec.\~: Firi;rnc.ial 'I car Ju1y1 0 ihr~lu<h _.___ q%ili \\ill lv ,<tit I~I ilic pcr\cjii I~~IIIIC P ;I\ Pnni.ip.11 CiifllLict .A i$!p:. {it the rcporr ilia! dI\o h~~cnl ti) !otir Hi-cihci- ~11~1 01 \O~II Ij111~i , \Il I I I 1 ll I \I i.ll< 11. -__ ~ . - t'lL,.IW, Wll<l ,I c"p! [<I, l'rllll cll\cl,l<c i\IItl L SP. - t'c.2 x No 71 __ It Ye\: Prior (;roup SLIIIIC- -_ _. . b':1\ prior group io\cr;rgc. ()[her cxi~cr. -~. ,A\\i)cl.l[l~~n 1'111<111 (3illL~l HllO Pl;m 2 I 24 :I?< I'~~IL~cIII.I~~ 01 piciiiiuiii, IO hc coii~i-ihi~~cil h) group I IlC [~Idll (\\Ill \\ 111 f1rll- x.-, he ~rll'crcd tiiidcr 4 125 {~t'the Intcrn;il ReLCnut. Code ;I\ ;III opt11111.il hcnc,tit. Percentaye of preiiiiuiii\ to he COI~II~I~~II~~ h! ci~i[~l~i! L*c\ 0111L.I. ...- .. .-~ ~ ...-.-..- ._.._ . - ____________________------------------------------------- ~~REEr\.IENT--------------------------------------------- I'liL, IIII~I~~\I~II~II ~IIIII~ hcrch! .ipplie\ lor vi\ion care cobcrage through Vi\ion Service Plan. 11 I\ llll<lcl~\l~l~~d [11,11: \. t3 .\I1 luiuic ciiiplo>cc\ \\ill he ctnered nhen they hecome eligihlc. (. ('ci\cr;igc \\ill tcriiiinale tor 'in eniploLee oii the la\[ day (it the inonth in which his employment terminate\. I IIC ;I.,ILI~ \\ill L~~~\c~.;~ll ~III~Io~~L'~ \pcc~iicd uiidcr Irein 12 and ixiy IOO'i ofthe co\t (it'Sl25: ' ;I>! Clht I. cciLcred by L'SP Rill carry over and remain in force. 95 day ot 5$-2&1""- . IO-- Ann Jensen Human Resources Direct( Title: __ \ hereby Jebignatrd Broker of Record by the above (ipned employer __________________-_____________________--------------- BROKER/CONSULTANT--------------------------------- t.11.111 N;rmc.- .\tltlrc\\: State: Zip: Phone:( ) (']I!: -... . . .-...-.. ~'~1~1111~ :-. Fax #: ( ) ~'~llll~lc~t \<lllle: Title: I PIe.l\c Pflllt) t3irihcr \\\I\~:\II~ S AI~I~. l~l\p!L'l I I,. 4. . ___ .. . c 'I )I I I I1 1 I \\ I c I I1 c ' llei, 1, \ I5 \. .I Ide IO : I'ill\ *l~lplli~'l~l~~ll \lgl~cll lhl\ da) of . 10- Firm Name Contact Name sot Pa 13) hl.llc I lccll\cd .4gc111: Title: l'I,l~:.\Sk~ b:\('i,OSI*: ,\ ('Ol'l' OF ;\GENl/BKOKEH LICENSE. ,O+> 11'15 - 1 \I'