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(A) The city shall give each participant timely written notice of his or her eligibility and his or her right to enroll for coverage under this chapter.
(B) A participant or retiree may enroll for coverage immediately upon retirement or may make a one-time deferment to a date/event certain. The participant or retiree shall make the election on a form or forms provided by and filed with the Human Resources Department. In connection with his or her enrollment for coverage, the participant or retiree shall furnish all pertinent information requested by the city, Plan Administrator and/or the insurance carrier. The Plan Administrator or the insurance carrier may rely upon all such forms and information furnished.
(C) Participants or retirees must report changes impacting eligibility as required by the Plan Administrator.
(Ord. 886, passed 11-11-02)
(A) Except as provided in § 37.25, participation in this chapter shall terminate in accordance with this chapter and/or insurance agreement or applicable collective bargaining agreement, on the earliest of:
(1) Termination of this chapter;
(2) Non-payment of any required participant or retiree contributions;
(3) Death of the individual receiving benefits under this chapter;
(4) A participant's or retiree's election in writing to cease coverage under this chapter;
(5) For certain benefit groups, in accordance with the applicable collective bargaining agreement, if the retiree fails to enroll in Medicare Part A and B.
(B) A retiree is ineligible to participate or re-enroll in this chapter once participation ceases unless the retiree had been receiving medical coverage through another employer or the retiree's spouse and subsequently lost coverage.
(Ord. 886, passed 11-11-02)
(A) Beginning on the effective date, the city shall provide, as reflected in the applicable attachment, health care benefits to each eligible retiree and, if elected and at the retiree's cost, to his or her eligible spouse or dependents, unless modified by an applicable collective bargaining agreement, PACT Employee Benefits and Personnel Policies or ordinance of the City Commission.
(B) The cost for said benefits shall be funded from the retiree Health Care Fund subject to the limitations set forth in § 37.26 and the retiree's costs for elective coverage. The benefits provided under this chapter are those set forth in this chapter and/or insurance agreement and collective bargaining agreements or PACT Employee Benefits and
(C) The insurance agreements, collective bargaining agreements and PACT Employee Benefits and Personnel Policies are incorporated herein by this reference.
(D) A complete description of benefits provided under this chapter and the insurance agreement, inclusive of those set forth in the collective bargaining agreements and PACT Employee Benefits and Personnel Policies, shall be maintained by the city's Human Resources Department.
(E) In accordance with this chapter and/or insurance agreement with the insurance carrier, retirees and their spouses and dependents will be entitled to the benefits in effect for the employee's applicable bargaining unit or PACT unit ("Base Plan"). These benefits may be provided under the same policy or program in place at the retiree's retirement or under a substantially equivalent policy or program at the discretion of the city.
(Ord. 886, passed 11-11-02)
The Retiree Health Care Fund will pay the monthly premiums for Base Plan benefits subject to the following:
(A) Benefit group: Police. Commencing January 1, 2003, all active employees shall contribute 2% of their gross wages to the Retiree Health Care Fund. The employees will pay such contributions to the extent allowable under applicable law to the Retiree Health Care Fund on a pre-tax ("employer pick-up") basis.
(B) Benefit group: Command. Commencing January 1, 2003, all active employees shall contribute 2% of their gross wages to the Retiree Health Care Fund. The employees will pay such contributions to the extent allowable under applicable law to the Retiree Health Care Fund on a pre-tax ("employer pick-up") basis.
(C) Uniformed PACT employees. Commencing January 1, 2003, all active employees shall contribute 2% of their gross wages to the Retiree Health Care Fund. The employees will pay such contributions to the extent allowable under applicable law to the Retiree Health Care Fund on a pre-tax ("employer pick-up") basis.
(Ord. 886, passed 11-11-02)
The city, in its discretion may offer alternative policies or benefit structures to retirees. In the event that the city chooses to offer alternative policies or benefit structures, retirees may transfer from one policy or benefit structure to another policy or benefit structure during open enrollment periods. However, any additional cost above the Base Plan shall be borne by the participant or retiree or the participant's or retiree's spouse and/or dependents.
(Ord. 886, passed 11-11-02)
(A) If a retiree has similar health care benefits available through another employer as are available under the terms of this chapter, the retiree shall enroll in that employer's plan if required under the terms of the applicable collective bargaining agreement or PACT Employee Benefits and Personnel Policies.
(B) Duplicate coverage will not be provided in the event that there are two or more participants and/or retirees who:
(1) Are each independently eligible for health care benefits from the city or this chapter; and
(2) Are each also eligible for health care benefits from the city or this chapter as a spouse or dependent of a participant or a retiree.
(C) Said parties shall be eligible to participate in only one policy or program so that one party participates in the one policy or program as the principal insured and the other party participates in the same policy or program as a spouse or dependent of the participant or retiree. A dependent shall suffer no detriment as a result of the disallowance of duplicate coverage.
(Ord. 886, passed 11-11-02)
Unless otherwise stated below, upon attaining the age of Medicare eligibility all eligible retirees shall enroll in both Medicare A and B, and are obligated to pay for Medicare Part B. Once a retiree is in receipt of Medicare A and B coverage, this chapter will provide complimentary coverage as provided pursuant to any applicable collective bargaining agreement or PACT Employee Benefits and Personnel Policies. In the event a retiree is not eligible for Medicare coverage, and provides proof of same to the Plan Administrator, retiree shall be eligible for continued health care coverage at the same benefit level under this chapter.
(Ord. 886, passed 11-11-02)
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