(A) Coverage under the city’s group health insurance plan will be available to retired full-time employees of the city, under the following conditions:
(1) For persons in retirement status as of August 1, 1986, to September 30, 1986, providing all of the following criteria are met:
(a) The retiree has at least ten years of continuous full-time employment with the city;
(b) The sum of the retiree’s number of years of qualifying service at retirement and his/her age on September 30, 1986, is equal to or greater than 65;
(c) The retiree’s application for coverage on a form designated by the city insurance carrier reaches the insurance carrier on or before September 30, 1986;
(d) The insurance carrier finds that the retiree is in sufficiently good health to be considered insurable. Insurability will be determined solely by the insurance carrier; and
(e) The retiree is not eligible for Medicare.
(2) For persons who retire after August 1, 1986, coverage will be available for a period of 60 days. If coverage required under the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985 is elected, the 60 days will start on the date COBRA coverage ceases. If COBRA coverage is not elected, the 60 days will start on the date of retirement. All of the following criteria must be met:
(a) The retiree has at least ten years of continuous full-time employment with the city;
(b) The retiree’s application for coverage, on a form designated by the city’s group insurance carrier, reaches the insurance carrier on or before the expiration of the previously mentioned 60-day enrollment period; and,
(c) The retiree is not eligible for Medicare.
(B) A covered employee may cover any persons who are his/her dependents according to the city’s group health insurance contract. However, dependents of persons described in division (A)(1) above may be rejected for health reasons only at the insurance carrier’s sole discretion. Coverage for any person will cease on the first of the month he or she becomes eligible for Medicare. Coverage will cease for any retiree and any covered dependents on the first of any month for which premium payment has not been received by the insurance carrier within 30 days of the due date.
(Ord. 21-1986, passed 7-28-86)