(a) (1) All regular Full-Time Village Employees shall be eligible to receive major medical and hospitalization insurance coverage; however, when a husband and wife are both Village employees, both may carry single coverage; or both may be covered by one family plan; or one employee may carry family coverage and the other single coverage, but the spouse with single coverage may not be listed as a dependent under the family plan.
A child who is eligible as an employee of the Village is not eligible as the dependent of a parent who is also a village employee. Any employee who is ineligible under the Village major medical and hospitalization insurance shall nevertheless be included in the Village Employee Insurance und and Village Employee Dental/Optical Fund. The Village of New London shall pay for said major medical hospitalization insurance subject to the provisions of subsections (d) and (e) below:
(2) If any employee of the Village has, on or before February 11, 2008 been found ineligible for, or has, on or before February 11, 2008, voluntarily waived, the Village Insurance Coverage through the Village Insurance Policy and has, heretofore, received a payment from the Village in lieu of such insurance said employee shall be entitled to receive the following temporary benefit, in temporary recognition of the Village's change in the scope of its insurance program:
A. During the first calendar month after enactment of this section, such employee shall receive a one-time payment which, for that first month, shall be $867.20;
B. During the second calendar month after enactment of this section, and for each of the ten months thereafter, such employee shall receive a monthly payment, each of which shall be reduced by an additional one-twelfth of the original amount received in the last first calendar month, so that, in the last month the payment shall be the equivalent of one-twelfth of the payment in the first calendar month.
C. Thereafter, all payments shall cease, and the previously existing program of payments in lieu of insurance shall, in all respects, be deemed terminated.
(3) If any individual employed by the Village does not, for any reason, receive such coverage but does not meet the criteria of subsection (a)(2), no further compensation shall be payable in lieu of such coverage.
(Ord. 08-08. Passed 3-10-08.)
(Ord. 08-08. Passed 3-10-08.)
(b) (1) In addition to the above insurance, the Village will reimburse any nonprobationary Full Time employee
A. For up to two hundred dollars ($200.00) per year, per employee, in health care expenses incurred by him or a dependent but not covered by health insurance.
B. For up to four hundred dollars ($400.00) per year, per employee, in dental or vision expenses incurred by him or a dependent but not covered by health insurance.
If a new, regular, Full-Time employee is hired, these amounts shall be prorated in the first year determined by hire date and the insurance policy anniversary date.
(2) In order to be an eligible dependent under this benefit, any child must be a dependent for which the employee is legally required to provide support and who is accepted as a dependent under the Village's major medical and hospitalization Insurance Policy.
(3) Any claims under this benefit shall be payable only after any other insurance benefits available to the Employee or his dependents have been paid.
(4) All medical, dental or optical bills payable under this benefit shall be paid and credited in the year presented.
(Ord. 2021-54. Passed 1-10-22.)
(c) In recognition of the fact that the benefits afforded to regular full time employees under subsection (b) above may be subject to the federal regulations promulgated under the Health Insurance Portability and Accountability Act ("HIPAA"), this Council hereby enacts this section as its statement of policy.
(1) The Clerk-Treasurer is hereby designated as the Privacy Official and as the Contact Person for receipt of any Complaints which may arise under HIPAA in connection with Section 143.09(b) of the Codified Ordinances. The Clerk-Treasurer shall:
A. Conduct training of all Village employees who are in any manner involved with processing the program set forth in Section 143.09(b), and for documenting the same;
B. Cause a Notice of Information Practices to be provided to each regular full time employee of the Village;
C. Obtain the written consent of any individual seeking to submit a claim for payment under Section 143.09(b);
D. Establish reasonable, administrative, technical, and physical safeguards in connection with the Village's clerical operations to assure the confidentiality of records maintained in connection with Section 143.09(b);
E. Establish a procedure for receipt and responding to complaints of alleged HIPAA violations;
F. Assure that the confidential materials maintained for carrying out Section 143.09 are restricted to what is reasonably required;
G. Establish procedures whereby employees can have access to their files and may request restrictions on their files maintained under Section 143.09(b);
H. Establish a procedure which tracks the disclosure of any information maintained in connection with Section 143.09(b).
(2) The Notice oflnformation Practices on file with the Clerk-Treasurer on this date is hereby adopted as the official policy statement of this Council's subject to any future revisions that may be required in compliance with federal law.
(Ord. 03-12. Passed 6-10-03.)
(Ord. 03-12. Passed 6-10-03.)
(d) Notwithstanding anything in the foregoing sections to the contrary, from and after February 28, 2008, each employee participating in the major hospitalization and medical insurance program shall contribute fifteen percent (15%), rather than ten percent (10%) set forth in Ordinance 03-12, passed June 10, 2003, of the premium each month towards such insurance; the same shall be prorated according to the Village's pay periods.
(e) Notwithstanding anything in the foregoing sections to the contrary, from and after February 28, 2008, in view ofthe Village's transition to an insurance plan with higher deductible limits, the Village will reimburse an employee who is participating in the major hospitalization and medical insurance program for qualified medical expenses which would otherwise have been insurance-covered expenses but which have not been so paid because the deductible amounts have not yet been met, provided that the Village's total payments will not exceed a total of $2,000 per year to any/all members of a family which are covered under the Village's insurance during the course of any year. This reimbursement program is expressly intended to assist employees in making the transition to the new deductible limits; and it shall at all times be subject to revision or rescission by further action of Council.
(Ord. 2008-06. Passed 2-28-08.)