HomeMy WebLinkAbout900356.tiff RESOLUTION
RE: APPROVE
EMPLOYEET NO.BENEFIT III
FUND MASTER
AUTHORIZEDOCUMENT
THE
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 Amendment No. III
to the Master Plan Document of The Weld County Employee Benefit
Fund, and
WHEREAS, after review, the Board deems it advisable to
approve said Amendment, a copy being attached hereto and
incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County
Commissioners of Weld County, Colorado, that Amendment No. III to
the Master Plan Document of The Weld County Employee Benefit Fund
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 23rd day of
April, A.D. , 1990 .
BOARD OF COUNTY COMMISSIONERS
ATTEST: WEL UNTY, CO ORADO
Weld County C erk and Recorder e
and Clerk to the Board ene R. Bran ner, Chairman
; Georg Kenne Ca —PM-T
ut y Cot Gr
eputy County Clerk
r w
APPROVED AS TO FORM: Constance L Harbert
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C.W. Kir y
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County Attorney EXCUSED
Gordon E. Lacy
2/QD// 1( �%2 - da> 900356
AMENDMENT NO. III
to the Master Plan Document of THE WELD COUNTY EMPLOYEE BENEFIT FUND
The above document is hereby amended, effective January 1, 1990, as follows
except as otherwise stated in this amendment:
Pages 37 and 38
The section entitled CONTINUATION OF COVERAGE is hereby deleted in its
entirety and replaced with the following:
CONTINUATION OF COVERAGE
If a Qualified Beneficiary loses coverage under the plan as a result of a
Qualifying Event, the Qualified Beneficiary is entitled to elect, within the
election period, continuation of coverage under the plan.
DEFINITIONS
Covered Employee means an individual who is (or was) provided coverage under
the group health plan as defined previously in this document.
Qualified Beneficiary means an employee participating in the group health
plan, and any other participating individual who, on the day before a
Qualifying Event, is a beneficiary under the plan, as the employee; as the
spouse of the employee; or as the dependent child of the employee.
Qualifying Event means any of the following events which would result in the
loss of coverage for a Qualified Beneficiary, were it not for the coverage
requirements of this section:
- death of covered employee
- termination of the covered employee's employment, (other than by reason
of gross misconduct)
- divorce or legal separation of the covered employee by the employee's
spouse
- the covered employee becomes entitled to benefits offered under Title
XVIII of Social Security Act (Medicare)
- a dependent child becomes an ineligible dependent child as defined
previously in this plan
- reduction of an employee's work hours to fewer than the minimal
required to participate in the plan.
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BEN: WeldCoAm3
Period of Coverage means the period beginning on the date of the Qualifying
Event and lasting until the earliest of the following:
- 18 months after the date of the Qualifying Event if the Qualifying
Event is termination of employment or a reduction of hours
- 29 months after the date of the Qualifying Event for an employee
determined to be eligible for Social Security disability benefits at
the time of termination of employment or reduction of hours
- 36 months after the date of the Qualifying Event for all other
Qualifying Events
- for dependents, 36 months after the date during the continuation period
the covered employee becomes entitled to Medicare benefits
Termination of Coverage means the continuation of coverage shall terminate
upon the occurrence of any of the following events:
- the date on which the employer ceases to provide any group health plan
to any employee
- the end of the period allowed for the continued benefit
- the date on which coverage ceases under the plan because the Qualified
Beneficiary fails to make timely payment of any premium required under
the plan
- the date on which the Qualified Beneficiary first becomes a covered
employee or dependent under any other group health plan, which does not
contain any exclusion or limitation with respect to any pre-existing
condition for such Qualified Beneficiary. This provision is effective
January 1, 1990
- the date the Qualified Beneficiary is entitled to Medicare (Title XVIII
of the Social Security Act)
Election Period means the period in which a Qualified Beneficiary must elect
continuation of coverage. The election period begins the later of, the
Qualifying Event or the receipt of the Notice (see Notice of Qualifying
Event), and terminates 60 days after the receipt of the Notice. The Qualified
Beneficiary must pay the required monthly costs for the Continuation of
Coverage period preceding the initial Election no later than 45 days following
the Election.
Notice of Qualifying Event means that:
1. The employer must notify the Plan Administrator within 30 days of the
Qualifying Event if the event is:
- death of the covered employee
- termination (other than gross misconduct)
- reduction of hours of the covered employee
- covered employee becomes entitled to benefits under Title XVIII of the
Social Security Act (Medicare)
- retirement
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BEN: WeldCoAm3
2. A covered employee or Qualified Beneficiary is responsible for notifying
the Plan Administrator within 60 days of the later of (1) the date of the
Qualifying Event or (2) the date dependents would lose coverage if the
event is:
- divorce or legal separation of the covered employee
- dependent child ceases to be eligible under the plan
3. In the event of any of the Qualifying Events referred to in 1 or 2 above,
the Plan Administrator shall notify the Qualified Beneficiary with respect
to the Qualifying Event of such beneficiary's right under continuation of
coverage within 14 days of the date on which the Plan Administrator learns
about a Qualifying Event. Notification to the individual who is a
Qualified Beneficiary, as the spouse of the covered employee, shall be
treated as notification to all other beneficiaries residing with the
spouse at the time notification is made.
Applicable Premiums The Qualifying Beneficiary shall pay the applicable
premiums for any period of continuation coverage. Applicable premiums may not
exceed 102% of the cost of the plan for similarly situated individuals. The
Qualified Beneficiary may elect to pay the applicable premiums in monthly
installments.
In the event a Qualified Beneficiary is eligible to extend the maximum period
of continuation coverage from 18 to 29 months due to disability, applicable
premiums payable by the Qualified Beneficiary for the 19th through the 29th
month of coverage may not exceed 150% of the cost of the plan for similarly
situated individuals.
Payment of Claims No claims will be payable under the Continuation of
Coverage provision until an election is made and all applicable premium has
been received.
IT IS AGREED BY WELD COUNTY that the provisions contained in the above
document and Amendment No. III thereto, are acceptable and will be the basis
for the administration of the WELD COUNTY EMPLOYEE BENEFIT FUND described
herein.
Signed at Greeley , Colorado, this 23rd day of April , 1990.
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Wi Hess. By
hairman
Circe Title Board of County Commissioners
puty County Cler k
900356
BEN: WeldCoAm3
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