ORDER NO.30036 KERB COUNTY EMPLOYEE MEDICAL BENEFITS Came to be heard this the 27th day of November, 2006, with a motion made by Commissioner Baldwin, seconded by Commissioner Williams. The Court unanimously approved by vote of 3-0-0 to: Approve the County contribution to the opted out employees' Cafeteria Plan for 2007 to be in the amount of $105.00 per month per employee. ~aas5 ~, (~ 3003 6 COMMISSIONERS' COURT AGENDA REOUEST PLEASE FURNISH ONE ORIGINAL AND TEN COPIES OF THIS MADE BY: Pat Tinley OFFICE: County MEETING DATE: November 27, 2006 TIME PREFERRED: SUBJECT: Consider, discuss and take appropriate action on proposed policy to allow Kerr County employees to waive participation in employee medical benefits plan and establish County contribution to employee's cafeteria plan or flexible medical spending account for 2007. 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 prepared for the Court's formal consideration and action at time of Court Meetings. Your cooperation will be appreciated and contribute towards your request being addressed at the earliest opportunity. See Agenda Request Rules Adopted by Commissioners' Court. Page 1 of 1 Kerr County Judae/Commissioners' Court From: "Gary Looney" To: "Eva Hyde" ; "Pat Tinley" Cc: "Don Wallace" Sent: Wednesday, November 22, 2006 8:42 AM Attach: Kerr County Waiver of coverage draft number 2 medical savings plan.doc; Kerr County Waiver of coverage draft number 3 cafeteria plan.doc Subject: Emailing: Kerr County Waiver of coverage draft number 2 medical savings plan, Kerc County Waiver of coverage draft number 3 cafeteria plan «Kerc County Waiver of coverage draft number 2 medical savings plan.doc» «Ken• County Waiver of coverage draft number 3 cafeteria plan.doc» Here aze two versions of the waiver, one is for deposit into the Medical Savings account and one is for contibution to the Cafeteria Plan to be used for any qualified expense which includes premium payments for voluntary products. The deposit as determined by discussion with Ms. Hyde, Don Wallace and myself was suggested to be $600 which is equal to the HRA deposit. Gary The message is ready to be sent with the following file or link attachments: Kerr County Waiver of coverage draft number 2 medical savings plan Ken County Waiver of coverage draft number 3 cafeteria plan Note: To protect against computer viruses, a-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. Confidentiality Notice: Protected Health Information Enclosed: Protected Health Information (PH) is personal and sensitive Individually-identifiable information related to a person's health care. It is being faxed/emailed to you after appropriate authorization from the individual or under circumstances that do not require authorization. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without authorization or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality could subject you to penalties described in federal and state law. IMPORTANT WARNING: This message is intended for the use of the person or entity to which it is addressed. If you are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, you aze hereby notified that any disclosure, copying or distribution of this information is strictly prohibited. Please notify the sender immediately to arrange for the return or destruction of these misdirected documents. 11 /22/2006 Kerr County Policies and Procedures Policy In and effort to aid those employees who have existing permanent medical insurance provided by a recognized financially stable insurance company or self funded entity providing medical insurance benefits that are equivalent to the plan offered to County employees, Kerr County offers the following option: 1. An individual employee may waive participation in the basic medical insurance plan offered at no charge to County employees. The waiver must be executed during an annual enrollment period. 2. An individual may not re-enroll in the County insurance plan by virtue of losing coverage from another source for non-payment of premium except during an annual enrollment period. 3. An individual employee, who waives participation in the County Plan, waives coverage for all eligible dependents who aze not employees of the County. 4. An individual employee, who waives participation in the County Plan, waives only their participation in medical insurance. 5. The County will contribute to the employee's Cafeteria Plan an amount to be determined each yeaz by the Ken County Commissioner's court. The contribution amount maybe increased or decreased annually by majority vote of the Court prior to the annual open enrollment period. Procedures: 1. An employee must provide proof of equivalent medical insurance coverage annually during the open enrollment period in order to be eligible to waive participation. Proof of coverage may include the following: a. A copy of the insurance policy covering the employee they wish to be reviewed for equivalency of coverage b. A copy of a recent billing c. A copy of a evidence of current payment if no billings aze received d. If coverage is provided by another group health insurance plan you must provide: i. The name of the Insurance Company ii. The name of the sponsor of the plan (Employer) iii. A benefit summary 2. An employee may not re-enroll in the County's health insurance plan during the plan yeaz if coverage is lost due to non payment of premium. 3. An employee may re-enroll if coverage is lost due to the termination of coverage by the insurer for any reason other than non-payment of premium as allowed by the Health Insurance Portability and Accountability Act (HIPAA). 4. An employee who has waived coverage as a result of being a dependent on their spouse's insurance plan may not re-enroll until the annual enrollment period unless allowed by HIPAA. The Director of Human Resources will notify an employee who is determined to be qualified to waive participation in the County's medical plan prior to the open enrollment period. An employee who qualifies will be required to complete the standard enrollment applicafion stating their desire to waive participation the plan.