ORDER NO. 30881 INTERLOCAL AGREEMENT BETWEEN KERB COUNTY AND KERRVILLE/KERB COUNTY AIRPORT BOARD FOR EMPLOYEE BENEFITS PACKAGE FOR AIRPORT MANAGER Came to be heard this the 9th day of June, 2008, with a motion made by Commissioner Letz, seconded by Commissioner Williams. The Court unanimously approved by vote of 4-0-0 to: Offer a benefits package, through Interlocal agreement, to the Airport Manager and that the Airport Board stand in the place of the County as to any portion of the stop loss insurance premiums for anything over and above the stop loss limit, and add to the summary page the retirement savings portion which is at 210% matching by the County for 2008. ~. a ~- ~d~8'/ COMMISSIONERS' COURT AGENDA REQUEST PLEASE FiJRNISH ONE ORIGINAL AND NINE COPIES OF THIS REOUEST AND DOCUMENTS TO BE REVIEWED BY THE COURT. MADE BY: Commissioners Williams & Letz OFFICE: Precinct Two MEETING DATE: June 9, 2008 TIlVIE PREFERRED: SUBJECT: Consider, discuss and take appropriate action to authorize an Inter-local Agreement between Kerr County and the Kerrville/Kerr County Airport Board for an Employee Benefits Package for the Airport Manager; and such other services as may be required. EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON) NAME OF PERSON ADDRESSING THE COURT: Commissioners Williams & Letz 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 you request being addressed at the earliest opportunity. See Agenda bequest Rules Adopted by Commissioners' Court. ~ Derr County Benefits Overview Life and Healthcare Coverage Medical Prescription Drugs Life $20,000 Major Medical Provider Life $20,000 TCDRS Plan Additional 1 year Salary payable to Beneficiary Accidental death and dismemberment $20,000 Business travel accident insurance ~a~ Vacation Paid Time Earned up to 160 hours capped annual Sick Leave Paid Time Earned 8 hours per month Additional Supplemental Offerings Choice of plans and options Pre-tax contributions Dental Vision Life Short-term disability Long-term disability Supplemental life and AD&D 457 Plan Retirement Savings Texas County and District Retirement System TCDRS 1-1-08 210% matching after vesting KERB COUNTY SUMMARY PLAN DESCRIPTION SCHEDULE OF MEDICAL BENEFITS for Employees and Dependents This Summary Plan Description is a brief description of health benefits coverage provided by Kerr County. For a full description of all coverage, eligibility, Plan inclusions and exclusions, refer to the Plan Document on file with Kerr County. The benefits described below are subject to the terms and conditions of the Plan Document. The Plan uses the services of Texas True Choice (www.texastruechoice.com) for Preferred Provider Hospitals and Physicians. IMPORTANT -the Plan has Preferred Provider Organization (PPO) and FARA Healthcare Management Features. Under certain conditions, there will be a REDUCTION in benefits payable IF YOU DO NOT: 1. Go to a PPO Hospital and/or PPO Doctor; 2. Get Authorization for: a. Hospital Confinement, Skilled Nursing Facility confinement and inpatient Hospice Care Facility b. Hospital Confinement and partial hospitalization for Mental and Nervous Disorders or Alcohol and Drug Abuse and/or Chemical Dependency; c. Outpatient Mental and Nervous Disorders or Alcohol and Drug Abuse and/or Chemical Dependency Therapy; d. Specialty Drugs and Medicines; e. Outpatient High End Radiology. which are performed (1) in a Physician's office or clinic; (2) on an outpatient basis in a Hospital (excluding those performed in a Hospital Emergency Room); or (3) in an Independent Radiology and Pathology Center. f. Outpatient Surgical Procedures which are performed: (1) in an ambulatory surgical facility; (2) in a Physician's office or clinic; or (3) on an outpatient basis in a Hospital. g. Specialty Drugs and Medicines which are given: (1) in a Physician's office or clinic; or (2) in a home health care setting. h. Specialized Services and Supplies The following penalties will apply if the Covered Person does not receive authorization for the services shown above: (a) Medically Necessary, benefits payable will be reduced by $500; or (b) not Medically Necessary, no benefits are payable. To obtain authorization, call FARA Healthcare Management at 1-800-215-3272. Plan Administered By: FARA Benefit Services, Inc. 1625 West Causeway Approach Mandeville, LA 70471 1-800-224-3272 httb://kerr.farabenefits.com Kerr County May 7, 2008 9 'i 7 - _ COVERE© SERVICES HOSPITAL SERVICES Room and Board (Semi-Private Room Rate 90%, after Deductible 70%, after Deductible Maximum ICU, CCU, Burn Unit and Neonatal Care (Hospital's ICU Char e 90%, after Deductible 70%, after Deductible Miscellaneous Services and Su lies 90%, after Deductible 70%, after Deductible Ancillaries 90%, after Deductible 70%, after Deductible Skilled Nursing Faciiity (Semi-Private Room Rate). 100 Days Maximum Per Calendar Year 90%, after Deductible 70%, after Deductible $200 Maximum Allowable per da PHYSICIAN SERVICES - ' ~n auen~ visits yu7o, aver ueauciioie ruio, arcer ueoucnote Office Visits $30 Co-payment, then 90% 70%, after Deductible Laboratory Services as a result of the office visit, excluding High End Radiology 100% when using preferred provider (ie: Clinical Pathology Lab's), Deductible Waived 70%, after Deductible Sure In atient or Out atient 90%, after Deductible 70%, after Deductible Pre Wane 90%, after Deductible 70%, after Deductible Or an Trans lants 90%, after Deductible 70%, after Deductible Well Newborn Nurse Care 90%, Deductible Waived 70%, Deductible Waived PREVENTIVE' CARE Routine Welt Adult Care 100%, Deductible waived $200 Per Person Caiendar Year Maximum. 70%, Deductible waived $200 Per Person Calendar Year Maximum Childhood Immunizations through 100%, Deductible waived 70%, after Deductible a e6 Preventive Care for Dependent Children through age 17 (includes immunizations for a4es 7 throuoh 1 y~ ~PtYAI. S~-2.~~c.t/5 I~T ~-JGWF,tNC~ t~l1~,Np1,~lc.. K.~ qN[7 100%, Deductible waived. $200 Per Person Calendar Year Maximum h t tp : //k err. farab en e fi t s. c o m 2 ~®~~ .A,FTt~.~ ~vu'~~t,L 70%, Deductible waived. $200 Per Person Calendar Year Maximum. Kerr County May 7, 2008 10®~0 ~fi~C~ ~4;;Ol~GTICjl,~ F ' SCHEDULE OF BENEFITS •~ • •• -• ~ -s ~ OTHER: COVERED SERVICES. -. ; Home Health Care -Maximum of 90%, after Deductible 70%, after Deductible 100 Visits Hospice 90%, after Deductible 70%, after Deductible Bereavement Counseling- 100%, Deductible Waived 100%, Deductible Waived Maximum of $250 for all family members combined Chemothera /Radiation Thera 90%, after Deductible 70%, after Deductible Ambulance Service 80%, Deductible Waived 80%, Deductible Waived Independent Freestanding 90%, Deductible Waived 70%, after Deductible Diagnostic X-Ray and Laboratory Facili Services Routine Mammo rah 100%, Deductible Waived 70%, after Deductible Emer enc Room $50 Copa ,then 90% $50 Co a ,then 70% Occupational Therapy, Speech 90%, after Deductible 70%, after Deductible Thera , Ph ical Thera Durable Medical E ui ment 90°l0, after Deductible 70%, after Deductible Prosthetics 90%, after Deductible 70%, after Deductible Aller In'ections 90%, after Deductible 70%, after Deductible Spinal Treatment -Maximum 30 90%, after Deductible 70%, after Deductible Visits Per Calendar Year Routine Vision Care 100%, Deductible Waived 100%, Deductible Waived 1 exam limited to $60 per Calendar Year Any other eligible expenses not 90%, after Deductible 70%, after Deductible mentioned above MENTAL 8 NERVOUS DISORDERS;. CHEMICAL DEPENQENCY ~ St lBSTANCE ABUSE Inpatient -Maximum of 30 Days Per 90%, after Deductible 70%, after Deductible Calendar Year Outpatient -Maximum Allowable per 50%, after Deductible 50%, after Deductible Visits: $70 WELLNESS PROGRAM The Plan will provide for the following under its Wellness Program with no co-pays or deductibles: (a) On Site Health Fair, when offered (b) Flu Shots (c) Smoking Cessation SCRIPT CARE, INC. PRESCRIPTION DRUG CARD PROGRAM Co-payments For Diabetic Supplies $5 for each Diabetic Supply which is included on the Drug Formulary $35 for each Diabetic Supply which is not included on the Drug Formulary httn://kerr.farabenefits.com Kerr County May 7, 2008 For Covered Drugs (other than Diabetic Supplies) $10 for each prescription or refill for a Generic Drug $20 for each prescription or refill for a Brand Name Drug which is included on the Drug Formulary $35 for each prescription or refill for a Brand Name Drug which is not included on the Drug Formulary If aNon-Participating Retail Pharmacy is used For Covered Drugs 50% of the F~cpense incurred for each prescription or refill or each Diabetic Supply If a Participating Prescription-by-Mail (Mail Order) Pharmacy is used For Diabetic Supplies $10 for each Diabetic Supply which is included on the Drug Formulary $70 for each Diabetic Supply which is not included on the Drug Formulary For Covered Drugs (other than Diabetic Supplies) $20 for each prescription or refill for a Generic Drug $40 for each prescription or refill for a Brand Name Drug which is included on the Drug Formulary $70 for each prescription or refill for a Brand Name Drug which is not included on the Drug Formulary Over The Counter (OTC) Medication Coverage The following Over The Counter (OTC) medications are covered at a $0 co-pay with a written prescription from a physician: Gastrointestinal medications: Prilosec OTC (20mg) Pepcid AC OTC (10mg and 20mg) Pepcid Complete OTC (10mg) Zantac OTC (75mg and 150mg) Tagamet HB (200mg) Axid AR (75 mg) Allergy medications: Claritin OTC (10mg) Zyrtec D OTC Zyrtec OTC Smoking Cessation medications http://kerr. farab enefits. com Ken County May 7, 2008