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HomeMy WebLinkAbout940137.tiff RESOLUTION RE: APPROVE EVIDENCE OF COVERAGE AND OWNER'S MANUAL SIGNATURE SHEET WITH TAKECARE OF COLORADO, INC. , 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 an Evidence of Coverage and Owner's Manual Signature Sheet between TakeCare of Colorado, Inc. , and the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, commencing January 1, 1994, and ending December 31, 1994, with further terms and conditions being as stated in said evidence of coverage, and WHEREAS, after review, the Board deems it advisable to approve said evidence of coverage, 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 Evidence of Coverage and Owner's Manual Signature Sheet between TakeCare of Colorado, Inc. , and the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said signature sheet. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 26th day of January, A.D. , 1994, nunc pro tunc January 1, 1994. BOARD OF COUNTY COMMISSIONERS ATTEST: LaWauednWELD COUNTY, CO ORADO /Weld County Clerk to the Board � � "( Lea �/� � � W. H. Webster, Chairman BY: J� d1 L I li--rx.�" L) Deputy erk to the Board Dale . Hall, Pr Tem APP AS TO FORM: C derdst eorg E. Baxter de e/ unty t rney ante L. Harbert /rt<i Barbara J. Kirkmey r 940137 Ornnl ae : + 1 Vt TAKtcAet TAKECARE OF COLORADO, INC EVIDENCE OF COVERAGE AND OWNER'S MANUAL SIGNATURE SHEET The attached Evidence of Coverage and Owner's Manual (Group Agreement) and this Signature Sheet collectively constitute a contract (Agreement) between TakeCare of Colorado, Inc. (TakeCare), and the Subscribing Group named below for the provision of specified healthcare benefits to eligible persons electing to enroll hereunder as Subscribers and Dependents. 1. SUBSCRIBING GROUP: A. The name, address, and group number(s) of the Subscribing Group are as follows: Weld County, Colorado Mr. Donald Warden P.O. Box 7s 757 (303) 467-1001 357o-4000 x yatl 915 Tenth Street Greeley, Colorado 80632 Group Number(s): NC - 503,Denver - 744, CS - 1031,PPO - 50158 B. The following entities affiliated with the Subscribing Group shall be deemed to be included within it for purposes of this Agreement: N/A C. The number of employees of the Subscribing Group who are eligible to enroll as Subscribers is 950 and the SIC Code of the Subscribing Group is 900. 2. EFFECTIVE DATE: This Agreement takes effect 12:01 a.m. on January 1, 1994, and will remain in effect through 11:59 p.m. on December 31, 1994, subject to the terms and conditions. 3. COVERAGE: Plan type: 9T EOC number and edition date: 7560 (1994) Schedule of Benefits number and edition date: 7564 (1994) Optional benefits: Rx 5T,7567 (1994) 4. MONTHLY RATE SCHEDULE: Employee only $144.29 Employee, spouse and dependents (Family) $398.24 940137 5. PAYMENT ARRANGEMENT/ELIGIBILITY The following specifies payment arrangements as well as conditions of eligibility for enrollment as a Subscriber that are in addition to the conditions enumerated in Chapter 4 of the Group Agreement (and, to the extent that any of the following conditions contradict the terms of chapter 4, the following shall prevail: New employees are eligible on the first day of the month occurring on or following the date of hire and a full monthly premium will be charged. Employees will be covered through the end of the month in which employment terminates and a full monthly premium will be charged. 6. UNDERWRITING CONDITIONS The Subscribing Group (A) represents that the underwriting conditions listed below exist as of the effective date noted in paragraph 2 above, and(B) covenants that all such underwriting conditions shall continue to be met at all times while this agreement is in force: Subscribing group must contribute for all subscribers at least 75% of"Employee" monthly rate or 50% of"Employee and one or more dependent" monthly rate. If TakeCare (HMO) is part of a multi-option plan offering a TakeCare Preferred/Indemnity plan the Subscribing Group must have at least 75% participation of all eligible employees. Military employees or employees covered by a spouse's plan will not be counted as an eligible employee for the purpose of this minimum participation requirement. The minimum number of enrolled employees between the HMO and PPO/Indemnity plans cannot be less than 25 lives. Additionally,TakeCare reserves the right to re-evaluate the risk at any premium due date based upon substantial changes to other assumptions including, but not limited to, a change in demographics; divisions added or deleted; or the offering of an additional employer sponsored health plan. Notwithstanding any other provision of this Agreement, TakeCare may terminate this Agreement on any premium due date if any underwriting condition listed above is not then being met and notice of intention to terminate has been given to the Subscribing Group at least 30 days in advance. 7. OPEN ENROLLMENT PROVISIONS: The Group enrollment Period shall be December 1994. 8. OTHER PROVISIONS: Eligible dependents will be covered as outlined in Chapter 4 of the Agreement. Payment arrangements for newly acquired dependents shall be the same as for newly hired employees as described in number 5, PAYMENT ARRANGEMENTS/ELIGIBILITY. 1/6/94 940137 9. GOVERNING LAW: This Agreement shall be governed by and construed in accordance with the internal laws of the State of Colorado. 10. COUNTERPARTS: This Agreement may be executed in two or more counterparts, each of which shall constitute an original but all of which shall constitute one and the same instrument. IN WITNESS WHEREOF,TakeCare and the Subscribing Group have caused this Agreement to be executed by their respective authorized representatives thereunto duly authorized. SUBSCRIBING GROUP TAKECARE AUTHORIZED REPRESENTATIVE AUTHORIZED REPRESENTATIVE By: 7174 /J),Pjitbc By: SCE a. 01/31/94 Chairman, Weld County ��. ` aria— �• Title: Board of Commissioners Title:h1 /69a eiA Date: 01/26/94 Date: /ink(/' ATTEST: Aidied-4;14. WELD COUNT{ CLERK TO THE BOARD RV: £314t - �TDTY CLE . TO THE BOARD 940137 Hello