~oayas 1.17 COMMISSIONERS' COURT AGENDA REQUEST PLEASE FURNISH ONE ORIGINAL AND TEN COPIES OF THIS MADE BY: Pat Tinley OFFICE: County MEETING DATE: October 24, 2005 TIME PREFERRED: SUBJECT: Consider, discuss and take appropriate action on Termination Notice received from Mutual of Omaha with regazd to Employee Health Benefits Program. EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON) NAME OF PERSON ADDRESSING THE COURT: County Judge ESTIMATED LENGTH OF PRESENTATION: IF PERSONNEL MATTER -NAME OF EMPLOYEE: Time for submitting this request for Court to assure that the matter is posted in accordance with Title 5, Chapter 551 and 552, Government Code, is as follows: Meeting scheduled for Mondays: THIS REQUEST RECEIVED BY: THIS REQUEST RECEIVED ON: 5:00 P.M. previous Tuesday. All Agenda Requests will be screened by the County Judge's Office to determine if adequate information has been prepazed for the Court's formal consideration and action at time of Court Meetings. Your cooperation will be appreciated and contribute towards you request being addressed at the earliest opportunity. See Agenda Request Rules Adopted by Commissioners' Court. MUTUAL Of OMAHA INSURANCE COMPANY ®' Mutual of Omaha Plaza Omaha, NE 68175 402 342 7600 mutualofomaha.com ~~ October 20, 2005 KERB COUNTY BARBARA NEMEC 700 MAIN ST BA-140 KERRVILLE, TX 78028 Group ID: G000487A Sub Group ID: 0001 Premium Due Date: 9/1/05 Grace Period: 31 days Termination Date: 10/1/OS Group Office: SAN ANTONIO TERMINATION NOTICE Your group plan requires that premium payment be made within 31 days of the due date to avoid automatic termination. To date, we have not received premium payment for the due date noted above. Therefore, your coverage has been terminated. IF YOU HAVE ALREADY MAILED YOUR PREMIUM, PLEASE DISREGARD THIS NOTICE. Immediate steps must be taken in order for us to consider reinstating your valuable coverage. To reinstate your coverage, you must immediately send past due premium of $ 22,434.44 as well as the current monthly premium, $22,758.49. If the full amount of the delinquency is not received by 11/3/05, reinstatement may not be allowed. If your intent was to terminate your coverage, you should immediately notify your employees that their coverage has terminated and that Mutual of Omaha is not liable for claims incurred after the termination date. If your employees pay part of the premium and you continue to collect from them beyond the termination date, you may be solely liable for claims incurred after the termination date. Please remit your premium for the due date to: Mutual of Omaha Companies S4 Group Premium and Enrollment Services Mutual of Omaha Plaza Omaha NE 68175 If your records do not agree with ours or if there is some misunderstanding regarding this matter, please contact Lynne Donnelly, Delinquency Coordinator at 402-351-5834. cc: SAN ANTONIO GROUP OFFICE UNDERWRITING WALLACE & ASSOCIATES (BROKER) 14~-13-'©5 14'4' FF.OC1-UlA!,L~C@ ? Ac,mr Muh3al Of Qmeha Mutua; of lAttana Pfaza Nitl5tY~lkwlW Omaha, NF_ 66577 i(kRR CCUNTY ESAEHAR:a M='P1EC 706 MAIN S`2kEET HA-La4 XEAAVILLE TJ( 78C<8 ~3~t~-~R?-5,;^C^ T-3?i FR2i'Cn? ii-6 Dua Date: 11,;,1 ;~, Billing Daka: lc/1+;:c~s CasrePage Pariod Frnm: llio:;.ous Through: l t! a o nws Group 5D: G000487A Invnine Ntumber: 052900403 Sub Group iD: 0007 _ - ~` Houston Group Office - -~ __ ~` ACGOUIiT SUlNMARX :9.]J/]6]f P8[VIOS13 Nl{'}.S ~;,["5 15,192.9] OC.TSS1lAIlN3 bA:.9,NCL] Y3 CP lC; l':iiCO' S5, Y53.3i CPAP.LIIP IEYJ: CT iL.339.Bf SOTIv., [1CE 3 41.Oi1.]9 P4C95L CdT T3:3 igU1TFl iLG499 9pTS: _v Boc y[emicn. Siiiing nn6 9 .-.mn41[ P allann, pl3aay LCt.:nct l..'ID aolacyr.9lGe'r 9ezvlce eetu:.~rN c-]es ~12n1 xr]a, en. 5v.=.nnaa b/T~re 'ot 8 9G s.n - 5 3a p a~ eSTu 2) F1.zou [:ay [x.nY,un T.: Y'~nr g[ouy sa 6111e] anA ltulicatn c..a Gsoap 2J avd 9.ilwraaF ~ on Yr'0 cnnck tv s v caccetlec. of ~ wz 9nyRnn[. ht)s.4(.mn_9 Lnx 4vlQil ilTfu~9n'.L3e3'anp [nLnjh3FSC1n Nii.l M ca../ectnd en n atabaaluo¢ t313f,cq A yl9aue :e~lra enn aypl:eaple Lne9:a Ecr aSec.: iSer a:v1 mcetar Y!llCi Wa'. iMUCgC9 ~. t !r'fM1naL~atV M3 nMJV.it LU C Wp yY{vy. /!m ylvl 4;nmlivxnz be>9iua. "nnluGS youz vrwp [y Ma 3'w;ruLy lv nn o,. oarxmrrndence. I$L1 Fagw O(IS Or u3] 1~-:'S-'C~5 1~'4^ FFOh!-4;'ALL,~CF. ~. Fq;Oi~ ~: L-3E13 c~~~ T-"~1 P~; ~ il- ~E~" t7ue CYa4e: 111011200: Gtaup tD: GDOD487A lnvaice Number; D5290~4D3 Sub Graup IO: ODD1 __~^Y~--- -_~ - _ -~ -Houston Graup Offce - ~`~- - ACCOUNT pETAII. CLS..:r 2iA.4 iFffi:fktN6k3 ~S:YYJ'JIJIT`: iC'll NYJCpYaI did 3S1 itl 01 ATPL9AOi 3ta 1{i Au:a STPffi59: 3: r. la1 anal 93CpCPPOa 33 ~ 4.O9 i. lLLbiPO01 Y xiuu! 5rvi,va3 u f.i91 6T416bC3 !2 1 B(3A9CG f.ARA:J,S FGANRPS' :c~ai. w1n~ exam. rs-w '3,dP ], 29a ]45.9 ' 5.34].900 1.059 : ¢+NCE I.CAI?ObY R~:u tucl of t mahs Plata man.. NE 531 TS aJ2 ?4, ; n! r~mbelai:,, ,~fi a:um '~otober LI, "'005 .1TTN.itJb"r' CARD 6A-I D~, 7qU iti3r.IN ST IiEltk3 ILLE TX ?8D?8 Croup Policy Cf0004$7A Jear itii~~ Carr: F.;?~ r,3 r ~I i~tmld[l(}P61aSNcl ~"' Q Per our telephone convcrsahen ibis ,Horning, we have agrzed that you [ti ill overnight 545,:92.>3 to my arts aion for the pay~rrent of your September and October Medioal, Stop Loss, L.tfc, and AU&D prerc;tunts. Thrs payment 15 the amount previously hiked your group and dbcs not include any additivt~s, changes .u Terminations. lrr twn, Mutual of Umaha wilt stop any fu:-ther dthnquetacy acuon. ,viii eonsida'r your accctult active, in good standtn; and vwll trot cancel your pol[cy. iVe discussed the reason tar [he delinyucncy that m part was caused by urreseleed billing issues. 1'eu ha. been previously mstnlcted by Mr. Jaime Ochoa of Mutual ofOtnaha to submit all changes, addition: snd tt:minations to him fcr forwarding to the appropriate depanrrtent. This process did trot work a yeu sated terminated employees from April were still being billed m the months of Septena er and October and several new employees had yet to appear nn those bills. I instructed you to gadxr alI intotmahon that you had previously submitted to Mr. Ochoa and email m fax that u;fom[anon to the bilking representative for your group who is located at the home office of Mutual of Omaha. After our disotrssiott and agreement for payment during which we exchanged telephone and +ax nun hers, you were connected to brat billing representative who discussed outstandmg billing Issues tat d developed an action plan with you to resolve those issues. ,4ccordi:rg to your billing representative, Karlene Larson, you arc f;omg tc email all outstandmg vdd,t,om,, changes snd terminations to her att.ntion. Full credit w111 be given to all outstandmg adjustments. Once all outstanding issues have been naolved. credo will only be given if received with twv months of the occur, once date. A rebilled November invoice will be mailed to you. You are to igno-: and/or destroy the original November involve that was malted on 10'1?/Gt Karlene has c}:anged the bill run date from the iT° of each month to the 1G`" of each month, allowing tpr ;idditicn: i time to rav;ew your bill and submit a pavment. You are to continue to pay as hilted each month, submit the necessary adjustments to ICazlene and review your following bill to ensure that (nose ad: strnents have been made. !n cor!elusion, you are to submmt full payment for September artd OcuWbt-r via over night ma!l. You are to email anv outstandmg addtaons, changes or terminations to Karlenz Larson, your billing represemative, 1'o:u billing date has been uhanged to the 10`" of each montl?, allowing far addittonai time w r-v:ew your billing <L 'J]! ` !J 3 6i.-036.]9 OL:,,9~Sp MS TY_S AlltlWl FLCAS9 lVTB: -, Por y[~nduw, eiillny ann rnxallmVge Q4eacioae, placay CC¢,Lacc ca PularyFglWi 9CZVLLe Cantac a i-tOO-dGi-1161 Curlnp eN WP:,;uPs CO,SC6 Jf ~Il?a e.w- - F,go p.nr C8T 2) P1en.m pap Fycptvrt !or }vnr gravy ea bi11n9 unU 1Miuate cha Gsaup SJ end lubcraiF L9 on yOUC CYwLk to enaute aanuia:a e3 icaerlea of pav yeynenc. aa~astmaca tar wQi:iwa, cta:u3ns anE cGC93naciane xi 11 bP ie£le..tld eu a vW9e]uanc biillty. 31 PAnne co~+lnte cua aFF11aaD1a eats Lac nibecciber arw wnsLe> s!d>cioau, cl+m3ea am rorwnarcom en3 nwmic to ezwp Pr6M.,,^ u,d H,mllwenc sCrvicaP. SpciuGS your frzwp xo ma sungrauP tV nn e.. aettoyrndanrs tau Fa9e 001 Or naf t 'l~-1'~- Nb LiJ'4dJ bYUCI-UiALLr'1Gh tV F~'.~:if.l~',, }•;~~-3[~?-F~;3(ry ~'-$;~1 P~3;10o U-?6'n ~~~i~~ ~ Due Date: 11!011200: Gtaup 10: C;®004t77A 9nvoice Number: 1952900403 sub Group 9[): 0001 _`^ ______~ - _Houstan Graup Office _ ~~~ _.__ ACCOUNT DETAIL rGA^.;: 2Jgy Ci]&scHtk883 'JEFC15lMf! W1N4S' ClLALNT YS^.YA Iffi^, Apc] L,DckG.Sl a>a b, a9 J, 9CC :a5. 9a t. b'J icL fa gJ01 LZa'9ABC1 d51 s.a99, n99 1, OSp.10 le. Ott S.4T3 19 AG]1 MC~CI-0Ol 2]B 1a1 9,955.90 %1,iJ 6,CTT .SC sto: J.YaoPOOi sx ao ].43o.oa 2T.8] L 94>.sa At101 BTAL9A03 2'10 IS1 1. i41.1C L'.44 1.1!9.9¢ APJ1 S'[PL8691 2%0 L9: 31.. 998.f1 1.U!. UO 1'1.12¢.56 8661 H6DCPPPI 11 J. x33.59 .9: ]02.90 N.O+: MEbiYOO] 1 ~~.50 .0] M 5G RJ01 SLVLAt01 1) 1 9L 5x 91.T3 RQ01 StP19sC1 !0 1 ¢s0,f8 ,ua ~~ ¢]0.41 ~JPAR.T 6IL'. TOTA :. li~591 A2 ~2ix.ny 2].i15.d6 YAL4blC6 ~ARRI£9 9b3N$9c 45.19i.lJ ",'MAL % 56.019.':9 Pnge 602 9P D2T