(a) Effective July 1, 1993, the Controller shall pay from the funds provided by this chapter the entire monthly premium or membership or subscription fee for hospital, medical-surgical and sick-care benefits for any retiree, retiree's spouse or beneficiary who elects coverage in the plan authorized by the City.
(b) Effective July 1, 1993, the Controller may pay from the funds provided by this chapter up to the maximum amount payable under subsection (a) hereof toward the monthly premium for hospital, medical-surgical and sick-care benefits for a retiree, retiree's spouse or beneficiary enrolled in a group health insurance or prepaid service plan not authorized by the City, for whom the Policemen's and Firemen's Retirement System, on the day prior to the effective date of this section, was responsible for making a payment towards his or her monthly premium.
(c) The payments provided for by this section shall not be made on behalf of a Policemen's and Firemen's Retirement System nonduty death beneficiary if such beneficiary remarries or becomes employed and receives health benefits from any other source.
(d) Any retiree, retiree's spouse, beneficiary or health insurance dependent excluded from payments under this section may participate in the hospital, medical-surgical and sick-care benefits plan described in this section at his or her own cost.
(e) The hospital, medical-surgical and sick-care benefits plan that covers retirees, retirees' spouses, beneficiaries and health insurance dependents provided by the City shall contain a coordination of benefits provision providing for priority payment of benefits consistent with all of the following:
(1) If the person covered under the hospital, medical-surgical and sick-care benefits plan is also eligible for Medicare or Medicaid, or both, then the benefits under Medicare or Medicaid, or both, shall be determined before the benefits for the hospital, medical-surgical and sick-care benefits plan provided by the City are determined.
(2) If the person covered under the hospital, medical-surgical and sick-care benefits plan is also covered under another plan that contains a coordination of benefits provision, the benefits shall be coordinated as provided by the Coordination of Benefits Act, Act 64 of the Public Acts of 1984, as amended (M.C.L.A. 550.251 et seq.).
(3) If the person covered under the hospital, medical-surgical and sick-care benefits plan is also covered under another plan that does not contain a coordination of benefits provision, the benefits under the other plan shall be determined before the benefits of the plan provided by the City are determined.
(Res. 94-718. Passed 12-19-94.)