HomeMy WebLinkAboutOrdinance No. 496 CITY OF THE COLONY, TEXAS
O iNANCE NO.
AN ORDINANCE OF THE CITY OF THE
COLONY, TEXAS, AUTHORIZING THE
CITY MANAGER TO ENTER INTO A
CONTACT WITH
FOR THE PURCHASE OF
FOR ~... ~ o~ ;
ATTACHING THE APPRO%TED FORM OF
CONTRACT AS EXHIBIT "A"; AND
PROVIDING AN EFFECTIVE DATE.
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF
THE COLONY, TEXAS:
SECTION 1. That the City Manager of the City
of The Colony, Texas is hereby authorized to
execute o~ behalf Hf the City a contract with
for the purchase of
/~3~,~O~ ~o~(~ The approved form
of such contract is attached hereto as Exhibit "A",
and made a part hereof for such purposes.
SECTION 2. This Ordinance shall take effect
immediately from and after its passage by the City
Council of the City of The Colony, Texas.
DULY PASSED AND APPROVED by the City Council
of the Ci~ of The Colony, Texas, on this the/~
day of ~, 19
APPROVED:
ATTEST:
cks,~City Secretary
Other Plan Features
Lifetime maximum.benefit per participant $1,000,000
Coinsurance Stop-Loss $ 1,000
Your employees share in the cost of
certain eligible charges with Blue
Cross and Blue Shield of Texas up to
a coinsurance maximum (not including
the deductible, non-covered items or
non-eligible expenses).
Maximum Coinsurance Stop-Loss Per Family $ 3,000
Coinsurance Stop-Loss pickup from prior
carrier NO
Employees will be credited with the
amount of Coinsurance Stop-Loss
reached with your prior carrier.
Medical-Surgical deductible pick-up
from prior carrier NO
Employees will be credited with the
amount of the deductible reached with
your prior carrier.
Dependent children covered for maternity
benefits YES
Dependent children are covered until
age 19, to age 23 if full time student.
Disabled dependent children can be YES
covered beyond age 23.
Automatic continuation of coverage for
newborn infants for 31 days after birth. YES
Infants may be enrolled in ~overage within
the first 31 days after birth with no
medical underwriting.
Physician benefits are paid according to
reasonable charge profiles as determined YES
by Blue Cross and Blue Shield of Texas.
A pre-existing exclusion will apply for
new employees and dependents. If the YES
patient is seen or treated for a condition
by a practitioner during the three-month
period immediately prior to the effective
date of coverage, the patient must satisfy
a 12-month waiting period for that condition
before coverage is available. --
Employee Only $ 79.12
Employee & Child(ren) $153.53
Employee & Spouse $222.69
Employee & Family $242.52
Other Plan Features
Lifetime maximum benefit per participant $1,000,000
Coinsurance Stop-Loss $ 1,000
Your employees share in the cost of
certain eligible charges with Blue
Cross and Blue Shield of Texas up to
a coinsurance maximum (not including
the deductible, non-covered items or
non-eligible expenses).
Maximum Coinsurance Stop-Loss Per Family $ 3,000
Coinsurance Stop-Loss pickup from prior
carrier NO
Employees will be credited with the
amount of Coinsurance Stop-Loss
reached with your prior carrier.
Medical-Surgical deductible pick-up
from prior carrier NO
Employees will be credited with the
amount of the deductible reached with
your prior carrier.
Dependent children covered for maternity
benefits YES
Dependent children are covered until
age 19, to age 23 if full time student.
Disabled dependent children can be YES
covered beyond age 23.
Automatic continuation of coverage for
newborn infants for 31 days after birth. YES
Infants may be enrolled in coverage within
the first 31 days after birth with no
medical underwriting.
Physician benefits are paid according to
reasonable charge profiles as determined YES
by Blue Cross and Blue Shield of Texas.
A pre-existing exclusion will apply for
new employees and dependents. If the YES
patient is seen or treated for a condition
by a practitioner during the three-month
period immediately prior to the effective
date of coverage, the patient must satisfy
a 12-month waiting period for that condition
before coverage is available. --
Employee Only $ 76.64
Employee & Child(ren) $148.67
Employee & Spouse $215.62
Employee & Family $234.91