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HomeMy WebLinkAbout20101572.tiff CORRECTED RESOLUTION (Corrected to Reflect the Required Eligible Retiree Health Insurance Coverage Agreement Date of October 1, 2010) RE: APPROVE AMENDMENT TO THE HEALTH INSURANCE CONTINUATION PROGRAM FOR RETIREES ENDING PROGRAM FOR CERTAIN RETIREES AFTER JUNE 30,2012, AND APPROVE NEW FORM OF AGREEMENT WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board of County Commissioners approved a health insurance continuation program for retirees meeting certain criteria by resolution November 30, 1998, as amended December 16, 2002, September 21, 2005, and September 15, 2008 (collectively referred to herein as "the Program"), to provide gap coverage for early retirees between the ages of 55-64 until Medicare coverage started at age 65, and WHEREAS, while prior to January 1, 2007, the Program was funded on a pay-as-you-go basis, beginning January 1, 2007, in accordance with governmental accounting standards, the Program's actuarial financial liability had to be reflected on the County's financial statement, and WHEREAS, continuation of the Program as it is currently formulated creates a significant financial liability to the future taxpayers of Weld County, and WHEREAS,the Program is not part of the Weld County Retirement Plan and is not a vested benefit or right, but may be amended or stopped at any time by the Board of County Commissioners for any reason, and WHEREAS, on September 15, 2008, the Board of County Commissioners stopped the Program, effective January 1, 2009, except for employees born prior to January 1, 1957, or employees born prior to December 31, 1958,who will have 30 years of service prior to reaching age 62, and employees meeting these exceptions were grandfathered and may remain eligible for continued benefits under the Program, and WHEREAS,the Board of County Commissioners desires to amend the Program for retirees in light of the passage of the Federal health reform bill, the Patient Protection and Affordable Care Act (PPACA), and WHEREAS,effective January 1, 2014, because of PPACA,early retirees will have the option of quality affordable health insurance coverage through State health exchange programs, and WHEREAS,predictions from benefit consultants indicate many employers currently offering retiree health insurance coverage are planning on dropping such plans effective January 1, 2014, and WHEREAS, under the Program, for eligible retirees who have signed agreements with the Board of County Commissioners on or prior to October 1, 2010, providing retiree health insurance coverage, their coverage cannot be changed contractually; however, the Board of County Commissioners can change the program for employees without a signed agreement who have not yet retired who may be eligible for the program, and (_C 2010-1572 PE0017 Cl _ i3-io APPROVE AMENDMENT TO THE HEALTH INSURANCE CONTINUATION PROGRAM FOR RETIREES ENDING PROGRAM FOR CERTAIN RETIREES AFTER JUNE 30, 2012, AND APPROVE NEW FORM OF AGREEMENT PAGE 2 WHEREAS,the Board of County Commissioners wishes to balance the financial liability of the Weld County taxpayers, while also being fair to the employees, and WHEREAS,with benefit consultants predicting that nearly all private employer retiree health plans will be dropped and retirees transitioned to state insurance exchange coverage after 2014, it will be increasingly difficult for local governments, such as Weld County, to justify keeping such a costly benefit plan for its retirees at taxpayer expense after 2014, and WHEREAS, early retirees with coverage terminated under the Program may obtain continued coverage for eighteen (18) months under the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA); therefore, beginning July 1, 2012, an early retiree's COBRA coverage provides health insurance coverage under COBRA, until December 31, 2013,when early retirees will have the option of quality affordable health insurance coverage through state health exchange programs, and WHEREAS, the Board of County Commissioners therefore desires to end the Program effective June 30, 2012,for employees eligible for the Program but who have not yet retired and not yet signed an agreement for continuation of health insurance as of the date of this Resolution. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners that the Program be, and hereby is, terminated effective June 30, 2012, for all employees eligible for the Program but who have not yet retired and have not yet signed an agreement for the continuation of health insurance as of October 1, 2010. BE IT FURTHER RESOLVED by the Board of County Commissioners that the form agreement entitled, "Agreement for Continuation of Health Insurance for Former Weld County Employee or Elected Official Who Is Now Drawing Benefits from the Weld County Retirement Plan," be, and hereby is, amended to the format on the attached Exhibit "A," such that it ends continued health insurance coverage effective June 30, 2012, for all retiring employees signing said agreement from this date forward. 2010-1572 PE0017 APPROVE AMENDMENT TO THE HEALTH INSURANCE CONTINUATION PROGRAM FOR RETIREES ENDING PROGRAM FOR CERTAIN RETIREES AFTER JUNE 30, 2012, AND APPROVE NEW FORM OF AGREEMENT PAGE 3 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 19th day of July, A.D., 2010. BOARD OF COUNTY COMMISSIONERS �' • �, WELD COUNTY, CO DO ATTEST: fi .4-- Do las R emache hair Weld County Clerk to r �'� arbara Kirkme r, Pro-Te BY: wZ Y Deputy Cler o the Board Sean. AP ED A • t er. Garcia County Attorney e f j David E. Long Date of signature: P ra(C/e 2010-1572 PE0017 AGREEMENT FOR CONTINUATION OF HEALTH INSURANCE FOR FORMER WELD COUNTY EMPLOYEE OR ELECTED OFFICIAL WHO IS NOW DRAWING BENEFITS FROM THE WELD COUNTY RETIREMENT PLAN THIS AGREEMENT is entered into this day of , , by and between , whose address is , hereinafter referred to as "Retiree," and the Board of County Commissioners of Weld County, Colorado, whose address is P.O. Box 758, 915 10th Street, Greeley, CO 80632, hereinafter referred to as "Board." WITNESSETH: WHEREAS, Retiree: a. retired from employment with Weld County on or after December 16, 1998, after at least 10 years of service, or was an elected official of Weld County, Colorado, for at least one full four-year term, and b. has attained the age of 55 years, and c. is now drawing benefits from the Weld County Retirement Plan, and WHEREAS, on the date of his or her retirement or end of office, Retiree and his/her dependent(s) (if any) was (were) enrolled and in good standing with Weld County's health insurance program, and WHEREAS, Retiree wishes to continue his/her health insurance and his/her dependent(s)' (if any) health insurance through Weld County's health insurance program pursuant to the terms and conditions set forth in this Agreement. NOW, THEREFORE, in consideration of the mutual promises and covenants set forth herein, and in consideration of Retiree's service to Weld County for the past ten years, or as an elected official for at least one full four-year term, the parties hereto agree as follows: 1. CONTINUED HEALTH INSURANCE FOR RETIREE: Conditioned upon Retiree's prompt payment of the monthly health insurance premium as detailed in Paragraph 4., below, and non-cancellation of the Retiree's health insurance, Retiree shall be eligible for continued health insurance through Weld County's health insurance provider until Retiree attains the Normal Retirement Age for Social Security ("NRA"), becomes eligible for health insurance coverage with another employer, becomes eligible for Medicaid or Medicare coverage before attaining the NRA, or until June 30, 2012, when continued health insurance coverage for the Retiree is available under the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) until December 31, 2013, when coverage can be obtained under the state insurance exchange authorized under the Patient Page 1 of 5 Pages Protection and Affordable Care Act. Such continued health insurance shall be the same as that offered to regular, full-time, current employees of Weld County, through the same health insurance provider. Retiree acknowledges and agrees that the health insurance provider who is providing such continued health insurance may change without Retiree's consent. 2. CONTINUED HEALTH INSURANCE FOR RETIREE'S DEPENDENT(S) (IF APPLICABLE): On the date of Retiree's retirement, he or she had dependant(s) (hereinafter "Dependent(s)") enrolled in and in good standing with Weld County's health insurance program. Conditioned upon Retiree's prompt payment of the monthly health insurance premium on behalf of Dependent(s), as detailed in Paragraph 4., below, and non-cancellation of the Dependant(s)' health insurance, Dependent(s) shall be eligible for continued health insurance through Weld County's health insurance provider, until either of the following: 1) Retiree attains the NRA, becomes eligible for health insurance coverage with another employer, becomes eligible for Medicaid or Medicare coverage before attaining the NRA, or until June 30, 2012, when continued health insurance coverage for the Retiree is available under COBRA until December 31, 2013, when coverage can be obtained under the state insurance exchange authorized under the Patient Protection and Affordable Care Act, or becomes otherwise ineligible; or 2) Dependent(s) lose(s) his or her (their) eligibility for continued health insurance by attaining the NRA, of becomes eligible for health insurance coverage with another employer, becomes eligible for Medicaid or Medicare coverage before attaining the NRA, or until June 30, 2012, when continued health insurance coverage for the Dependent(s) is available under COBRA until December 31, 2013, when coverage can be obtained under the state insurance exchange authorized under the Patient Protection and Affordable Care Act. Such continued health insurance shall be the same as that offered to regular, full-time, current employees of Weld County, through the same health insurance provider. Retiree, on behalf of his/her Dependent(s), acknowledges and agrees that the health insurance provider who is providing such continued health insurance may change without Retiree's and his/her Dependent(s)' consent. Dependants of the Retiree who are not enrolled in and in good standing with Weld County's health insurance program as of the date of the signing of this Agreement are not eligible for continued health insurance as detailed herein. 3. DETERMINATION OF ELIGIBILITY: The determination of eligibility for the Retiree's and his/her Dependent(s) (if any) in the continued health insurance shall be by the Weld County Director of Personnel, with any appeal to the insurance carrier, who shall have final authority to make such determination. 4. COBRA RIGHTS: Retiree and his/her dependents(s) (if any) shall have the same rights under the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) as do regular, full-time, current employees of Weld County eligible for and participating in the County's regular health insurance program. An eligible Retiree, upon retirement has the Page 2 of 5 Pages choice between electing this Retiree coverage, if eligible, COBRA continuation coverage, or no additional coverage. 5. CONTINUED HEALTH INSURANCE PREMIUM: The premium Retiree shall pay, for his own continued health insurance coverage and for continued health insurance coverage for his or her Dependant(s) (if any), shall be the same as that paid on behalf of regular, full-time, current employees of Weld County. The County contribution paid for the Retiree's and his/her Dependent(s) (if any) shall also be the same as that paid on behalf of regular, full-time, current employees of Weld County. Retiree, on his own behalf and on behalf of his Dependent(s) (if any), acknowledges and agrees that premium rates may change without Retiree's and such Dependent(s)' consent. 6. RETIREE WORKING FOR WELD COUNTY IN LESS THAN FULL-TIME POSITION: The fact that Retiree may continue to work for Weld County in less than a full-time position does not make Retiree and his/her Dependent(s) (if any) ineligible for continued health insurance, if the requisites of eligibility set forth above are otherwise met. 7. TERM: The term of this Agreement is from the Retiree's date of retirement, to and until such time as Retiree and his/her Dependent(s) (if any) are no longer eligible for continued health insurance as determined by the terms of this Agreement. 8. NATURE OF AND AUTHORITY FOR CONTINUED HEALTH INSURANCE: The continued health insurance contemplated by this Agreement is being offered to Retiree and his/her Dependent(s) (if any) as a fully funded benefit in consideration of Retiree's service to Weld County over the course of the previous 10 years, or as an elected official for at least one full four-year term. The continued health insurance is not a part of or paid from the Weld County Retirement Plan, nor is it a defined benefit retirement plan pursuant to the provisions of Section 401(a) of the I.R.S. Code. 9. CERTIFICATION OF CONTINUED ELIGIBILITY: This program requires a recertification of eligibility by covered Retirees and their dependent(s) every six months (annual enrollment and July first of each year). Failure to complete and return the recertification by the deadline date on the recertification form or falsification of the recertification will result in the permanent loss of coverage under this Agreement for the Retiree and/or dependent(s). 10. SEVERABILITY: If any term or provision of this Agreement, or the application thereof to any person or circumstances shall, to any extent, be held invalid or unenforceable, the remainder of this Agreement, or the application of such terms or provisions, to a person or circumstances other than those as to which it is held invalid or unenforceable, shall not be affected, and every other term and provision of this Agreement shall be deemed valid and enforceable to the extent permitted by law. Page 3 of 5 Pages 11. NO WAIVER OF IMMUNITY: No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care which did not previously exist with respect to any person not a party to this Agreement. 12. NO THIRD PARTY BENEFICIARY ENFORCEMENT: It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties (including the Retiree's Dependent(s), if any) and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. MODIFICATION AND BREACH; APPLICABLE LAW; VENUE: This Agreement contains the entire agreement and understanding between the parties hereto and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. Modifications, amendments, notations, renewals, or other alterations of or to this Agreement shall only be deemed valid or of any force or effect whatsoever if mutually agreed upon in writing by the undersigned parties. No breach of any term, provision, or clause of this Agreement shall be deemed waived or excused, unless such waiver or consent shall be in writing and signed by the party claimed to have waived or consented. Any consent by any party hereto or waiver of, a breach by any other party, either expressed or implied, shall not constitute a consent to, waiver of or excess of any other different or subsequent breach. Applicable law in any dispute between the parties hereto with respect to the subject matter herein shall be the law of the State of Colorado. Venue for any litigation between the parties shall be in Weld County District Court. Page 4 of 5 Pages THE PARTIES HERETO HAVE SET THEIR SIGNATURES HERETO THE DATE ENTERED ABOVE. ATTEST: BOARD OF COUNTY COMMISSIONERS CLERK TO THE BOARD OF OF WELD COUNTY, COLORADO COUNTY COMMISSIONERS BY: BY: Deputy Clerk to the Board , Chair NAME OF DEPENDENT(S): RETIREE: (Print Name of Dependent(s)) Signature of Retiree (Print Name of Retiree) Page 5 of 5 Pages Hello