HomeMy WebLinkAbout870077.tiff RESOLUTION
RE: APPROVE COBRA AMENDMENT TO HEALTH PLAN AND AUTHORIZE CHAIRMAN
TO SIGN
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 has been presented with a COBRA Amendment
to the employee Health Plan , and
WHEREAS, after review, the Board deems it advisable to
approve said Amendment, a copy of which is attached hereto and
incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County
Commissioners of Weld County, Colorado, that the COBRA Amendment
to the employee Health Plan be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and
hereby is, authorized to sign said Amendment.
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the following vote on the 4th day of
February, A.D. , 1987.
n BOARD OF COUNTY COMMISSIONERS
ATTEST:‘111aAlaAAAA-;WASniWELD COUNTY, COLORADO
Weld County Clerk and Recorder EXCUSED DATE OF SIGNING - AYE
and Clerk to the Board Gordon E. Lacy, Chairman
BY: 6214-1 u.e_ l.._eu �c.kJ 5e-Tem
putt' yrie
APPROVED AS TO FORM: R. Br tner
a •ue e nso
County Attorney
Frank Yamag chi
TE QC0Q 3 `` f"G} ' `r" a -�/:4z - 870077
COBRA AMENDMENT
I. Amend our Health Plan as follows to be in compliance with Title X
Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA).
Effective April 7, 1986: change Limitations to read; Any charges for
care or treatment of a service related disability provided or furnished
by any facility owned and operated by the United States Government, or
charges for care or treatment provided by any hospital operated by a
government of any country.
Effective'May 1, 1986: change Coordination of Benefits to read; NOTE:
Medicare benefits will be considered as secondary payments for any
eligible active employee age 65 and over wishing to be covered by this
plan.
Effective January 1, 1987: add a Continuation of Coverage provision as
legislated by Title X Consolidated Omnibus Budget Reconciliation Act of
1985 (COBRA).
II. Review the following provisions, and if applicable in your current plan,
indicate by checking "CONTINUE" that you want these benefits continued in
addition to what COBRA provides, or "DELETE" which will mean that they
will be deleted under your existing plan, and will be covered under
COBRA.
Effective January 1, 1987
Continue Delete
( ) ( Extension of Benefits in the event of
termination due to total disability. (If
Continue is marked, this benefit could be
added at the end of COBRA if any
individual was totally disabled).
( ) (X) Survivor Benefit in the event of the death
of an employee with dependent coverage.
( If Continue is marked, this benefit could
be in addition to the Survivor Benefit
under COBRA).
(X) ( ) Conversion provision. ( If Continue is
marked, the conversion provision will be
applicable at the end of COBRA).
(lawn-iv/ 11/e/6/
(Name of Company)
ATT ��77 ..,,FF--
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Title: wig luryrnicSuma.2
Deputy County Cl rk Date: 3 — — V
JANAAN.1/COBRAAMEND
810p11
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