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Home My WebLink AboutDocumentation_Regular_Tab 09A_10/10/2002 TEQUESTA POLICE DEPARTMENT � �. �, T,� ' uw u�anureKr � � ; . Post Office Box 3273 — '�, o�ic � Tequesta, Florida 33469-0273 �� Phone: (561) 575-6210 3 Fax: (561) 575-6218 Accredited 2000 Stephen J. Allison Chief of Police September 27, 2002 Honorable Mayor Village Council Mayor Geraldine Genco 7 Country Club Circle Tequesta, Florida 33469 Dear Mayor Genco: By the time you receive this information, I will have retired on September 30, 2002. I'm having a problem, which I wish for you and the Village Council to be aware of, as it will influence all future retirees. I've had a great deal of difficulty with our present insurance provider (Cigna) regarding my premium for this new contract. I realize that everyone's preminum has gone up due to claims, and I'm willing to pay the same increase as every other employee (attachment 1). I have no problem being placed in a retirement category o, f'(PPO). If the Village Council approves this contract employees increase (paid by the village) will rise from $295. 23 to $345. 42. It appears that my increase (paid out of pocket) will increase from $295.23 to $516.95. They are using the excuse that I will be "out of'network" and the claims filed this last year by employees, particula�ly mentioned was the t�iple bypass that I had in May of this year. I've contacted Cigna seve�al times this last month and spoke to several different employees with no results. They were made aware of Florida S/S 112. 0801, Title X, and Chapter 112: Group insurance; participation by retired employees. (Attachment 11) Which states in part "any state, county, or municipality which provides health insurance for its o�cers and employees who retire have the option of continuing to participate in such group plan. Retirees shall be offered the same health and hospitalzzation as is offered to active employees at a premium cost of no more then the prerraium cost applicable to active employees!" The intent of this Florida S/S is not to circumvent retirees, but ta assist them as they move into the pravate sector. Before you approve this contract, please take this information into consideration regarding retirees. I have been a loyal, honorable, and dedicated employee to the village for twenty-twa (22) years now. I only ask to be treated equally and fairly. Thank You, Richard D. Davis Officer Tequesta Podice Departnaent RDDfblk cc: Vice Mayor Capretta Councilmember Dalack Councilmember von Frank Councilmember Walker 112.0801 Group insurance; participation by retired employees. Page 1 OASIS 112.0801 Group insurance; participation by retired employees. TITLE X PUBLIC OFFICERS, EMPLOYEES, AND RECORDS CHAPTER 112 PUBLIC OFFICERS AND EMPLOYEES: GENERAL PROVISIONS PART I CONDITIONS OF EMPLOYMENT; RETIREMENT; TRAVEL EXPENSES (ss. 112.011-112.218) Any state agency, county, municipality, special district, community college, or district school board which provides fife, health, accident, hospitalization, or annuity insurance, or ali of any kinds of such insurance, for its officers and employees and their dependents upon a group insurance plan or self-insurance plan shall allow all former personnel who have retired prior to October 1, 1987, as well as those who retire on or after such date, and their eligible dependents, the option of continuing to participate in such group insurance plan or self-insurance plan. Retirees and their eligible dependents shall be offered the same health and hospitalization insurance coverage as is offered to active employees at a premium cost of no more than the premium cost applicable to active employees. For the retired employees and their eligible dependents, the cost of any such continued participation in any type of plan or any of the cost thereof may be paid by the employer or by the retired employees. To determine health and hospitalization plan costs, the employer shall commingle the claims experience of the retiree group with the claims experience of the active employees; and, for other types of coverage, the employer may commingle the claims experience of the retiree group with the claims experience of active employees. Retirees covered under Medicare may be experience-rated separately from the retirees not covered by Medicare and from active employees, provided that the total premium does not exceed that of the active group and coverage is basically the same as for the active group. History.-s. 2, ch. 76-151; s. 1, ch. 79-88; s. 1, ch. 80•304; s. 5, ch. 81•103; s. 1, ch. 83-294; s. 1, ch. 87•373. � � � � � � � � � � � � � � �� L VILLAGE OF TEQUESTA �y � ✓ � �� ,�� y � . s ��,�� ti �� COMPANY CIGNA Retirees Retirees PLANS HMO* POS** PPO PPO Benefits Authorized In N�.work Out of Network In Network Out of Netwark In Nduvork Out of Network PHYSICIAN SERVICES 100% after 100% after IOQ%s�er' '�� " � ''�` ' =` ,m __ ' 7� 8ftP!' �0�/e d�Ci' - �-y�+ -' : � .. � a _ e }. -,`' tHce Visits CO-PAY - PRIMARY $10 capay $10 co-pay S13 oo�pey -. fflce Vislts CO-PAY - SPECIAI.IST $20 co-pay $20 co�ay �ual dedudible �� mluat dexhtct�le f . - x; . 3 �;� `�` ��;,y ,�-� � �. � �.� 3' = r � 7U% 8825 etlriUBl ;" 100% aftea I00% a$er 9pa/o �,,,. INPATIENT HOSPITAL SERViCES deductible � �� , � ' �° « $100 co- a $1QQ co a � P Y - 1� Y at�al dadueh'ble. dedudibt�+ , ' ' � ��.. �� ° � + $1G0 PAD .,� ��. r� � EMERGENCI' ROOM SEKVICES 100% after 100%a8er 70°/a after 90% a$es 7Q°.6 slte[ - Q50 co�ay Si0 oo-�psy annual dedutibie mmual daductible anmtuit de�Rtble MATERNITY SERVICES same as any same as any same as any saate as auy aatt�oas eay �" "' e�: _ iliness i}�aess il'tness il}uesa illnaex :-";" _�,n j,'°- PRESCRIPTIONDRUGBENEFITS 100%a&er 100%after 100%a$eC `�; - �. ,�z' Generlc � `-� � �� « �,,.� _ . , �; €: _ -. �,, ' $5 co- a fi _;;.°` :. P Y $5 co-pay N/A $7 a�.pay N!A _-;�,:�. :..:rs=.:_ ° ,. xr�- � �;::��';� _ ��$ _` ~ 3s. Brand - Forn►ulary $15 capay $15 oo-pay $15 c�o�pa� i ' �`. R.:��:� Brand - Non-Formul $35 ay $35 co-pa N/A 4:� - ��; �� -'. � �s _ ASH DEDUCTIBLE �.:., .� w, dividual / Fa�tiy) none nons $3001$600 $30Q F S4Q� $500 /$1,SW UT-OF-POCKET , $1,000 / $2,000 $I,0001$2,000 $2,300 / $4,600 Si,$G4 f $�,400 $3;� � SIQ508 (Individusl / Family) __ LIFETIME lYIAXIMUM uniunitaci unlitnite�i $1,0{1Q,000 S1,OW;Q00 N1A MONTHLY PREMIUM RATES CURRENT RENEWAL CURRENT RENI�WAL CURRENT RENEWAL ALTERNATE Employee (34) / (2) Retirees $234.55 $274.42 $295.23 �$345.42 $295.40 $516.95 $482.31 Employee and Spouse (10) / (i) Retiree $501.93 $587.26 $631.80 $7? 9.21 $590.79 $ I,033.88 $9b4.61 Employee end Child(ren) (11) $433.91 $507.67 $546.18 $6 � 9.03 EmployeeandFamily (15) $703.64 $823,26 $885.70 $1.036,27 $886.19 $1,550.83 $1,446.92 MONTHLY TOTAL Although available, no one $35,649.19 $41,709.76 $1,181.59 $2,067.78 $1,929,23 NUAL TOTAL is currently taking the HM $427,790.29 $500,517.12 $14,179.08 $24,813.36 $23,150.76 OMBINED MONTHLY TOTAL $36,830.78 Current 543,777.54 Renewal $43,638.99 With COMBINED ANNUAL TOTAL $441 969.37 $525 330.48 �523,667.88 Alternate PPO " For Authorized BeneIIts all services and supp➢ies must be flurnished or approved through your Prfmary Care Physician. **Cigna P4S option is Open Access. You do not need to go through your Primary t"are Physician to see a specialis� This summary is not intaided to be a complete explanation of benefits ofthe proposed insurance policies. Actual premiums and benefits will be detetmined by the final au�ollment suid are subjed to undetwriting approval. 5 � � � � � � � � ±is � � � �i _� i� � � i( i �� VILLAGE OF T�QUESTA -� � ✓ 7 ��%`� ,� �y � � �z y �o - S , �� %-d� � � � � � � �� COMPANY CIGNA Retirees Retirees FLANS HMO* POS** PPO PPO Beneftts Authorized In N�work Out of �letwork 1n Network Out of Network In N�vork Out of Network . �.�� PHI'SICIAN SERVICES 100% after 100% after �� aft 100% aftet 70% �� 100%after �� OFFice Visits CO-PAY - PRINiARY $10 co-pay $10 co-pay $15 co�ay �ZO a Offlce Visits CO-PAY - SPECIALIST $20 co- a $20 �. � annual �ledudible $1S annual dedudiMe � Y acmual dedudible P Y P Y oo-peY i2D co-pay 70% aN.er annual 4Q% af#er 70% e#te� anuual 100% after 100% after � � 70° �Q �� al de�tctible deductibie INPATIENT HOSPITAL SERViCES $100 co-pay $100 co-pay dedudible ��i dadudible dedudible + $1(;0 PAD + $29Q pAD + $200 PAD EMERGENCYROOMSERVICES 100%after 100%after 70°�vn#te�' 90%aRer 70°loafter 1�°ka8e�' 70%aiter $SO co•pay $SO oo-pay annual dedutible wmual dedudibie atmuat daciutible 5Sfl c�-pay a�uai dech�tibie MATERNITY SERVICES same as a�iy same as any same. as any same as any aame as any sax�e as any sume as any illness itL►ess iliaess ilhiess ilhiess il��ess il��s PRESCRIPTION DRUG BENEFITS 100% after I00% afler 100% aftet 2QU% sRer Generic � $5 co-pay $5 co-pay DUA $7 co-pay N!A :�'tC cx�-pay N/A Brand - Formulary $15 co-pay $15 co-pay $15 oapay $15 oo-pay Brand - Non-Forniula $35 co- ay $35 co-pay N/A N/A CASH DEDUCTIBLE none nona $300 / $600 S30Q / S9Q0 $500 / $t,500 �500 / $1,000 $1,040 / S2,OD0 ndividual / Family) UT-OF-POCKET . $1,000 / $2,000 $1,000 / $2,000 $2,30U / $4,600 51,800 / 55,400 $3,500 / 510,500 �I,R00/$5,4Q0 $3,Sf}61$1D,500 (Individual / Fumily) LIFETIME MAlIMUM unlimitad unlimited $1,Of10,000 $1,000,000 N/A �i,(?90,000 $1,QOD,�O MONTHLY PREMIUNI RATES CURRENT RENEWAL CURRENT RENi.WAL CURRENT RENEWAL ALTERNATE Employee (34) / (Z) Retirees $234.55 $274.42 $295.23 $3�! 5.42 $295.40 $516.95 � $482.31 Employee and Spouse (10) / (1) Retiree $501.93 $587.26 $631.80 $7:� 9.21 $590.79 $1,033.88 $964.61 Employee and Child(ren) (11) $4s3.91 $507.67 $546.18 $6:': 9.03 EmployeeandFamily (15) $703.64 $823.26 $885.70 $1.036.27 $886.19 $1,550.83 $1,446.92 MONTHLY TOTAL Altr,ough available, no one $35,649.19 $41, i09.76 $1,181.59 $2,067.78 $1,929.23 vNUAL TOTAL is currently taking the HM $427,790,29 $500,'i17.12 $14,179.08 $24,813.36 $23,150.76 OMBINED viONTHLY TOTAL $36,830 Current $43,777 Renew �43,638 VVith COMBINED ANNL'AL TOTAL $441 969.37 $525 330.48 �523,667.88 Alternate PPO " For Authorized Benefits all services and suppues must be furnished or approved through your Primary �are Physician. **Cigna POS option is Open Access. You do not need to go through your Primary Q�are Physician to see a specialist. This summary is not u�taided to be a complete e7plaztation of b�efds ofthe proposed 'n�sttrance polici�. Adual premiums atid bea�eftts will be d�erm'vied by the fina] enrollm�t �uid are subject to underwriting approval. $