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HomeMy WebLinkAboutCity Council - 6286 RESOLUTION NO. 6286 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH MODIFYING BENEFITS AND SALARY FOR FISCAL YEARS 1990/91, 1991/92 AND 1992/93 FOR ELECTED CITY TREASURER WHEREAS, the City Council desires to establish benefit changes for the elected City Treasurer for fiscal years 1990/91, 1991/92 and 1992/93, NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Huntington Beach as follows : SECTION 1 . Benefits for the City Treasurer shall be as reflected in Attachment "A" hereto. SECTION 2 . Salary ranges for elected City Treasurer shall be set as reflected in Attachment "B" hereto. SECTION 3 . Any existing provision in conflict with the foregoing, whether by minute action or resolution of the City Council, is hereby repealed. PASSED AND ADOPTED by the City Council of the City of Huntington Beach at a regular meeting thereof held on the 20th day of Ma z yor ATT T: APPROVED AS TO FORM: ` _ C-�9i6 �l✓TQbQI City Clerk City At o ney INITIATED AND APPROVED: REVIEWED AND APPROVED: City Treasurer �Cit�yAdm4inistrator EXHIBIT A NON-ASSOCIATED EMPLOYEES BENEFIT PROVISIONS SECTION I - SPECIAL PAY A. Education Costs - Education costs shall be reimbursed to non-associated employees on the basis of full refund for tuition, fees , books and supplies if required by CITY, or if related to job. Approval by the Department Head and Deputy City Administrator/Administrative Services for non-department head personnel , and approval of City Administrator for Department Heads is required prior to incurring any costs. Refund shall be made when the employee presents proof to the Deputy City Administrator/Administrative Services that he or she has paid such costs and received a passing grade and that the job relatedness of the course was pre-approved by both the Department Head and the Deputy City Administrator/Administrative Services . B. Shorthand Skill Pay - Employees who have successfully passed a shorthand skills test and who are required to use shorthand regularly in their jobs shall receive additional compensation in the amount of One Hundred ($100) dollars per month. Shorthand skill may be required for selected positions classified as Executive Assistant, Adminitrative Assistant, and Administrative Secretary (Confidential ) . C. Assigned Vehicle/Auto Allowance I . Department Heads - Appointed Department Heads and the City Clerk, City Treasurer and City Attorney shall have the option of an assigned city vehicle or an automobile allowance of $400 per month plus reimbursement for out-of-town travel at the approved mileage rate. 6286 2. Designated Division Heads - Non Associated employees who were Division Heads assigned a city vehicle as of July 2, 1983 shall have the option of an assigned city vehicle or an automobile allowance of $350 per month plus reimbursement for out-of-town travel at the approved mileage rate. 3. Others - Non Associated employees who are regularly required to travel to perform official city business but do not have an assigned vehicle or automobile allowance shall be provided with a safe vehicle for such business. D. City Paid Physical Examinations - Non-Associated employees shall be provided once every two years with a city paid physical examination comparable to the current class physical examination or reimbursed the amount authorized for said physical examination. No more than one-half of the eligible employees shall receive examinations in any one fiscal year. Department Heads shall be required to take the scheduled physical examination. Said exam shall be comprehensive in nature and shall include: 1 . A complete medical history, physical exam and review of results by a physician. 2. Health testing including vision, hearing, breathing, chest x-ray and stress EKG. 3. Laboratory test including standard chemical test, blood count, HDL, urinalysis and stool test for blood. No more than-one half of the eligible employees shall receive examinations in any one fiscal year. SECTION II - HOURS OF WORK/OVERTIME/TIME OFF - Non-Associated employees shall not be eligible for overtime compensation. However, Non-Associated employees designated as "non-exempt" (NE) may be granted paid or compensatory time off at time and one half for hours worked over 40 hours in a work week. Any time off for sick leave during a work week does not constitute hours worked and such time shall be counted toward the calculation of hours worked. Time off for "exempt" non-associated employees may be granted by their respective -2- WPADSERP:48 department heads, or in the case of an appointed department head, by the pity Administrator. SECTION III - HEALTH AND OTHER INSURANCE BENEFITS A. Health Insurance 1 . Medical a. The CITY shall continue to provide group medical benefits to all non associated employees with coverage and other benefits comparable to the group medical plan currently in effect. The City Administrator is authorized to modify the benefits described in this Section to reflect changes necessary to make benefits comparable to those benefits provided other managers in the CITY. b. ` The coverage and benefits provided under the CITY Self-Insured and Self-Administered Indemnity Plan, as provided in the Employee Health Plan Document, shall be modified as follows : 1 ) Effective January 1 , 1992, the maximum out-of-pocket expenses for covered expenses under the Employee Health Plan shall be $1 ,000 per person and $2,000 per family per year after the deductible has been met. 2) Effective January 1 , 1992, PCS Card co-payments shall be five dollars ($5) per prescription for generic drugs and eight dollars ($8) per prescription for non-generic drugs . The PCS Card prescription dispensing limit shall be thirty-four (34) days per prescription. 3) Effective January 1 , 1992, the Supplemental Accident benefit shall be eliminated from the Employee Health Plan. 4) Coverage for In-patient Hospitalization and Major Medical shall be: -3- WPADSERP:48 a) Preferred Provider Organizations (PPO' s) - Effective January 1 , 1992, when using Preferred Provider Organizations (PPO' s) the Employee Health Plan will pay 90% of the covered expenses after the deductible is met for In-patient Hospitalization and Major Medical and 100% of the covered expenses after the employee has reached the maximum • out-of-pocket expense up to the Plan' s aggregate maximum of One Million dollars ($1 ,000,000) . b) Non-Preferred Provider Organizations (Non-PPO' s) - Effective January 1 , 1992, when using Non-Preferred Provider Organizations (Non-PPO' s) , the Employee Health Plan will pay 80% of the covered expenses after the deductible is met for In-Patient Hospitalization and Major Medical and 100% of the covered expenses after the employee has reached the maximum out-of-pocket expense up to the Plan' s aggregate maximum of One Million dollars ($1 ,000,000) . 5) Effective January 1 , 1992, the chiropractic benefit limit shall be Two Thousand dollars ($2,000) per person per year. III c. Eligibility Criteria and Cost - Medical Insurance 1 ) The CITY will assume payment, subject to the limitations set forth in Section III .A.1 .c.2. below, for dependent health insurance effective the first of the month following the month during which the Non-Associated employee completes six (6) months of full time continuous service with the CITY. For purposes of determining continuous service, there shall be no accrual of hours for the period of time an employee is on a non-pay status for a complete pay period. 2) Effective January 1 , 1991 , the CITY' s obligation to pay for medical insurance shall be limited to Four Hundred seventy-five dollars ($475) per month for full family coverage and Five Hundred twenty-five dollars ($525) per month, effective January 1 , 1992. -4- WPADSERP:48 2. Dental - The CITY shall provide an indemnity dental insurance plan comparable to Delta Dental Plan 4729 and a prepaid dental plan comparable to Delta Care Plan 0039. Said plan to cover the employee and his or her dependents with total cost of plan to be paid by the CITY. Effective January 1 , 1992, the Delta Plan (#4729) shall include a Twenty-five dollar ($25) deductible per person, .per year. 3. Optical - The CITY shall provide a Vision Care Plan effective January 1 , 1989 for employees and their dependents at an approximate composite cost of twelve dollars ($12) per month per employee, to be paid by the CITY. Effective January 1 , 1991 , the optical plan benefits will provide for one (1 ) pair of eyeglasses every twelve (12) months, subject to the terms and conditions of the current policy. B. Life and Accidental Death and Dismemberment Insurance - Each non-associated employee under age sixty-five (65) shall be provided with $45,000 life insurance and $45,000 accidental death and dismemberment insurance paid for by the CITY. Each employee shall have the option, at a his or her own expense, to purchase an additional amount of life insurance in the amount of $25,000 and accidental death and dismemberment insurance in the amount of $25,000, $50,000 or $100,000. C. Long Term Disability Insurance - Effective May 1 , 1991 , this program provides for each incident of illness or injury, a waiting period of sixty (60) calendar days, during which the non-associated employee may use accumulated sick leave, vacation pay, or the employee may elect to be in a non-pay status. Subsequent to the sixty (60) day waiting period, the employee will be covered by an insurance plan paid for by the CITY providing 66 2/3 percent of the first $10,000 of the employee' s basic monthly earnings up to a maximum monthly benefit of $6,666.67. The maximum benefit period for disability due to injury or illness shall be to age 65. 1 -5- WPADSERP:48 6286 Days and months refer to calendar days and months . Benefits under the plan are integrated with sick leave, Worker' s Compensation, Social Security and other non-private program benefits to which the employee may be entitled. Disability is defined as: "The inability to perform all of the duties of regular occupation during two years and thereafter the inability to engage in any employment or occupation for which he is fitted by reason of education, training or experience." Rehabilitation benefits are provided in the event the individual , due to disability, must engage in other occupation. Survivor's benefits continues to plan payment for three months beyond death. A copy of the plan is on file in the Administrative Services Department. D. Miscellaneous - When a non-associated employee is off work without pay for reason of medical disability, the CITY shall maintain the CITY paid Insurance Premiums during the period the employee is in a non-pay status for the length of said leave, not to exceed twenty-four (24) months. SECTION VI - RETIREMENT A. Benefits I . Public Employees ' R tirement stem - Non-Associated employees shall ce S� be entitled to retirement benefits appropriate to his/her class as defined in the contract between the Board of Administration, Public Employees ' Retirement System and the City Council of the City of Y Y Y Huntington Beach. 2. Self-Funded Supplemental Retirement Benefit - In the event a Non-Associated employee member elects Option #2 (Section 21333) or Option #3 (Section 21334) of the Public Employees ' Retirement law, the CITY shall pay the difference between such elected option and the unmodified allowance which the member .would have received for his or her life alone. This payment shall be made only to the member (non-associated employee) , shall be payable by the CITY during the life of the member, and upon that member' s death, the CITY'S obligation shall cease. -6- WPADSERP:48 3. Medical Insurance for Retirees a. Upon retirement, whether service or disability connected, each non-associated employee shall be entitled to cause himself or herself, spouse and dependents to participate fully in the city' s group health insurance program at the equivalent of the city' s group premium rate in accordance with the provisions specified by COBRA (Federal Law) . Such participation shall be at employee' s expense and upon terms, conditions and restrictions currently in effect. b.- As an alternative to the benefit described in paragraph VI.A.3.a. above, the City will provide a financial contribution towards the cost of retiree medical premiums as described in Section VII. c. Retired employees exercising either option (per paragraphs a. or b. above) may cause any premiums not paid by the CITY to be paid for retiree medical insurance out of any available funds due and owing them for unused sick leave benefits upon retirement, provided, however, that whenever any such retired employee does not have any such available funds with which to cause the premiums to be paid, he or she shall have the opportunity to provide the CITY with sufficient funds to pay the premiums . At retirement, the sick leave hours remaining may, at the employee' s option, be converted to a dollar figure and an estimate shall be provided by the CITY to the retired employee as to the approximate number of months the group insura ce can be paid by such sick leave dollar�WThis benefit shall be effective October 1 , 1987 for non-associated employees. The CITY shall notify any retired employee whose funds available for unused sick leave benefits are about to be exhausted of such fact in writing by certified mail , return receipt requested, at the retired employee' s most recent address of record with the CITY no later than three (3) months prior to the date upon which there will not be sufficient funds to pay premiums. It shall be the individual retiree's responsibility either to insure that there -7- WPADSERP:48 6286 are sufficient sick leave dollars available to pay premiums or to make premium payments at least one (1 ) month in advance to continue the group insurance in effect. If, following exhaustion of sick leave funds , a retired employee fails to provide the CITY with sufficient additional funds to pay premiums , the CITY shall have the right to notify said retired employee in the manner prescribed above that it intends to cause his or her coverage to be terminated for non-payment of premiums, and the further right to terminate such coverae if such defau��,W not been cured 7-04 r7t r^�k � within thirty- (30) days following receipt of such notice. Any retired employee electing to obtain such medical insurance coverage after retirement shall have the further option to terminate such coverage following the provision of thirty (30) days written notice to the CITY, whereupon any funds due and owing him or her for unused sick leave benefits that have not been exhausted to pay these health insurance premiums shall be paid in an lump. sum to the retired employee within thirty (30) days following receipt by the CITY of such notice; provided, however, that once such retired employee elects to terminate such coverage, he or she shall be precluded from securing it at a later date at the group rate. B. Publ.ic Employees ' Retirement System Reimbursement and Reporting_ I . Employees ' C n ributi n - Non-Associated employees shall be reimbursed once every two weeks in an amount equal to 7% of the employee's base salary (9% for safety employees) as a pickup of the employee' s contribution or portion of such contribution to the Public Employees ' Retirement System. The above PERS pickup is not base salary but is done pursuant to section 414 (h) (2) of the Internal Revenue Code. -8- WPADSERP:48 2. Rollover a) PERS "Pickup" - Each employee, eligible for service retirement, may have his/her PERS pickup reported to PERS as compensation for all or any part of the twenty-four month period prior to his/her service retirement date upon written request to the Finance Director. Such modified reporting shall not be retroactive, shall be limited to a maximum period of twenty-four months preceding retirement, and shall not modify the employee' s base salary for any purpose other than required by Federal and State law (Government Code Section 20022) . b) Vacation Accrual - Each employee, eligible for service retirement, may have his/her vacation accrual converted to salary for all or any part of the twelve month period prior to his/her service retirement date upon written request to the Director of Finance. Such modified reporting shall not be retroactive, shall be for a maximum of twenty-four (24) months, and shall not modify the employee' s base salary for any purpose other than required by Federal and State law (Government Code Section 20022) . c) Vehicle Allowance - Upon written request to the Finance Director, any elected or appointed department head, eligible for retirement, may have his or her optional vehicle allowance reported to PERS as compensation for all or any part of the twenty-four month period prior to his or her retirement date. Such modified reporting shall not be retroactive, shall be limited to a maximum period of twenty-four months preceding retirement, and shall not modify the employee' s base salary for any purpose other than required by Federal and State law (Government Code Section 20022) . -9- WPADSERP:48 6286 SECTION V - LEAVE BENEFITS A. Leave With Pay 1 . Vacation a. Accrual - Vacation leave for non associated employees shall be accrued as follows: Years of Service Vacation Allowance First through Fourth Year 112 hours Fifth through Ninth Year 136 hours Tenth through Fourteenth Year 160 hours Fifteenth Year and Thereafter 192 hours b. Eligibility and Permission - Accrued vacation may be taken after six (6) months' service. Vacation (and sick leave) accrued time are to be computed from hiring date anniversary. Non-Associated employees shall not be permitted to take a vacation in excess of actual time earned. Non Associated employees who have accrued more than 400 hours may not use the additional accrual to advance their separation date on retirement or other separation from employment. c. Conversion to Cash 1 ) Cash Advance - Upon one (1 ) week written notification to the Chief of Administrative Services , an employee shall be entitled to receive his earned vacation pay, less deductions, in advance, prior to his regularly scheduled annual vacation. Such advances are limited to one during each employee' s anniversary year. 2) Pay Off at Termination - An employee shall be paid for unused vacation upon termination of employment at which time such terminating employee shall receive compensation at his/her current salary rate for all unused, earned vacation to which -10- WPADSERP:48 he/she is entitled up to ana including the ettective pate ur his/her termination provided, however, that there shall be no compensation for unused vacation hours accrued in excess of 400 hours. 2. Holidays - The following are paid holidays: a. New Year' s Day b.' Martin Luther King Day (third Monday in January) c. Presidents Day (third Monday in February) d. Memorial day (last Monday in May) e. Independence day (July 4) f. Labor day (first Monday in September) g. Veteran' s Day (November 11 ) h. Thanksgiving Day (fourth Thursday in November) i . The Friday after Thanksgiving j . Christmas Day (December 25) k. Any day declared by the President of the United States to be a national holiday or by the Governor of the State of California to be a state holiday and adopted as an employee holiday by the City Council of the City of Huntington Beach. ' Holidays which fall on Sunday shall be observed the following Monday and those falling on Saturday shall be observed the preceding Friday. 3. Sick Leave a. Family Sick Leave - Sick leave may be used for an absence due to illness of the employee' s spouse or child when the employee' s presence is required at home, provided that such absences shall be limited to five (5) days per calendar year. b. Pay Off at Termination 1 ) Non Associated employees who were on the payroll on November 20, 1978 shall be entitled to the following sick leave payoff plan: -11- WPADSERP:48 6286 At involuntary termination by reason of disability, or by death, or by retirement, employees shall be compensated at their then current rate of pay for seventy-five percent (75%) of all unused sick leave accumulated as of July 1 , 1972, plus fifty percent (50%) of unused sick leave accumulated subsequent to July 1 , 1972, up to a maximum of 720 hours of unused, accumulated sick leave, except as provided in paragraph V.A.3.b.4. below. Upon termination for any other reason, employees shall be compensated at their then current rate of pay for fifty (50%) of all unused accumulated sick leave, up to a maximum of 720 hours of such accumulated sick leave. 2) Non Associated employees hired after November 20, 1978 shall be entitled to the following sick leave payoff plan: Upon termination, all employees shall be paid, at their then current salary rate, for twenty-five percent (25%) of unused, earned sick leave to 480 hours accrued, and for thirty-five percent (35%) of all unused, earned sick leave in excess of 480 hours , but not to exceed 720 hours, except as provided in paragraph V.A.3.b.4. below. 3) Except as provided in paragraph D below, no non associated employee shall be aid at termination for more than 72 p 0 hours of unused, accumulated sick leave. However, employees may utilize accumulates sick leave on the basis of "last in, first out, " meaning that sick leave accumulated in excess of the maximum for payoff may be utilized first for sick leave, as defined in Personnel Rule 18-8. 4) Non Associated employees who had unused, accumulated sick leave in excess of 720 hours as of July 5, 1980, shall be compensated for such excess sick leave remaining on \V termination under the formulas described in paragraphs -12- WPADSERP:48 V.A. l .b.2 and 5 above. In no event shall any employee be compensated upon termination for any accumulated sick leave in excess of the "cap" established by this paragraph (i .e. , 720 hours plus the amount over 720 hours existing on July 5, 1980) . Employees may continue to utilize sick leave accrued after that date in excess of such "cap" on a "last in, first out" basis. To the extent that any such "capped" amount of excess sick leave over 720 hours is utilized, the maximum compensabee amount shall be correspondingly reduced. (Example: Employee had 1 ,000 hours accumulated. Six months after July 5, 1980, employee has accumulated another 48 hours. Employee is then sick for 120 hours. Employee' s maximum sick leave "cap" for compensation at termination is now reduced by 72 hours to 928 hours.) 4. Bereavement Leave - Non-Associated employees shall be entitled to bereavement leave not to exceed three (3) working days per calendar year in case of death in the immediate family. "Immediate family" is defined as father, stepfather, mother, stepmother, sisters, brothers, stepsisters, stepbrothers, mother-in-law, father-in-law, spouse, children or stepchildren. SECTION VI - RETIREE SUBSIDY MEDICAL PLAN An employee who has retired from the City shall be entitled to participate in the City sponsored medical insurance plans and the City shall contribute toward monthly premiums for coverage in an amount as specified in accordance with this Plan, provided: A. At the time of retirement the employee has a minimum of ten (10) years of continuous City service or is granted an industrial disability retirement; and B. At the time of retirement, the employee is employed by the City; and �1 -13- WPADSERP:48 6286 C. Following official separation from the City the employee is granted a retirement allowance by the California Public Employees ' Retirement System. The City' s obligation to pay the monthly premium as indicated shall be modified downward or cease during the lifetime of the retiree upon the occurrence of any one of the following: 1 . During any period the retired employee is eligible to receive or receives health insurance coverage at the expense of another employer, the payment will be suspended. "Another employer." as used herein means private employer or public employer or the employer of a spouse. As a condition of being eligible to receive the premium contribution as set forth in this plan, the City shall have the right to require any retiree to annually certify that the retiree is not receiving or eligible to receive any such health insurance benefits from another employer. If it is later discovered that a misrepresentation has occurred, the retiree will be responsible for reimbursement of those amounts inappropriately expended and the retirees ' eligibility to receive further benefits will cease. 2. On the first of the month in which a retiree or dependent reaches age 65 or on the date the retiree or dependent can first apply and become eligible, automatically or voluntarily, for medical coverage under Medicare (whether or not such application is made) the City' s obligation to pay monthly premiums may be adjusted downward or eliminated. Benefit coverage at age 65 under the City' s medical plans shall be governed by applicable plan document. -14- WPADSERP:48 3. In the event the Federal Government or State Government mandates an employer-funded health plan or program for retirees, or mandates that the City make contributions toward a health plan (either private or public) for retirees, the City' s contribution rate as set forth in this plan shall first b+pplied to the mandatory plan. If there is any excess, that excess may be applied toward the City medical plan as supplemental coverage provided the retired employee pays the balance necessary for such coverage, if any. 4. In the event of the death of any employee, whether retired or not, the amount of the retiree medical insurance subsidy benefit which the deceased employee was receiving at the time of his/her death would be eligible to receive if he/she were retired at the time of death, shall be paid on behalf of the spouse or family for a period not to exceed twelve (12) months. D. Schedule of Benefits 1 . Minimum Eligibility for Benefits - With the exception of an industrial disability retirement, eligibility for benefits begins after an employee has completed ten (10) years of continuous service with the City of Huntington Beach. Said service must be continuous unless prior service is reinstated at the time of his/her rehire in accordance with the City's Personnel Rules. 2. Disability Retirees - Industrial disability retirees with less than ten (10) years of service shall receive a maximum monthly payment toward the premium for health insurance of $40 for retirements after 10/l /87, $80 after 10/l/88, and $121 after 10/l/89. Payments shall be in accordance with the stipulations and conditions which exist for all retirees. Payment shall not exceed dollar amount which is equal to the full cost of premium for employee only. -15- WPADSERP:48 6286 3. All retirees , including those retired as a result of disability whose number of years of service prior to retirement exceeds ten (10) , shall be entitled to maximum monthl payment of premiums by the City for each year of completed City service as follows: Maximum Monthly Payment for Retirements After: Years of-Serving 11 /0 1/87 1 /1/ 8 10/l/a9 1 1/ 2 10 $ 40 $ 80 $121 $121 11 44 88 132 136 12 48 97 145 151 13 53 105 158 166 14 57 113 170 181 15 61 122 182 196 16 _ 65 130 195 211 17 69 138 207 226 18 73 146 220 241 19 77 155 232 256 20 81 163 244 271 21 86 171 257 286 22 90 179 269 300 23 94 188 282 315 24 98 196 294 330 25 102 204 306 344 26 106 213 319 27 110 221 331 28 115 229 344 Note: The above payment amounts may be reduced each month as dependent eligibility ceases due to death, divorce or loss of dependent child status. However, the amount shall not be reduced if such reduction would cause insufficient funds needed to pay the full premium for the employee and the remaining dependents. In the event no .reduction occurs and the remaining benefit premium is not sufficient to pay the premium amount for the employee and the eligible dependents, said needed excess premium amount shall be paid by the employee. i 5_ WPADSERP:48 I E IBI "B" NON—A IATED SALARY EDULE Effective D cember 3, 1990 Ses Classification Range A B C D E Administr tive Assistant 372 2416 2550 690 2837 2993 Administrat a Secretary 350 2165 2285 2411 2543 2683 Assistant Cit dministrator 591 7205 7 2 8020 8460 8925 Budget Analyst S for 459 3728 933 4150 4378 4619 Deputy City Adminis rator/Adm. Svcs. 563 626 6611 6975 7358 7762 Deputy City Administr or/Econo. Dev. 563 6 6 6611 6975 .7358 7762 Deputy City Administrato 509 787 5051 5328 5621 5930 Director Community Develop t 563 6266 6611 6975 7358 7762 Director Community Services 56 6266 6611 6975 7358 7762 Director Library 34 5422 5720 6035 6367 6717 Director Public Works 581 6855 7233 7630 8050 8492 Executive Assistant 404 2836 2992 3156 3330 3513 Fire Chief 5 6523 6881 7259 7658 8079 Management Assistant 406 2863, 3021 3188 3363 3548 Personnel Analyst/Principal 467 81 4094 4319 4557 4808 Personnel Assistant 343 208 2203 2324 2453 2588 Personnel Director 509 4787 051 5328 5621 5930 Personnel Manager 482 4183 4 4656 4912 5183 Personnel Services ordinator 428 3195 3370 3555 3751 3957 Police Chief .579 6788 7160 54 7970 8408 Productivity Te nician I 404 2836 2992 315 3330 3513 Productivity chnician II 417 3025 3191 3366 3552 3747 WPADSERT:52 6286 CITY OF HUNTINGTON BEACH Indemnity Health Plan Employees and Retirees January 1 , 1990 City Plan - Employees Non-Subsidized Retirees City Plan/Subsidized *Benefits COBRA-Eligibles Retiree Plan Inpatient HospitalBenefits 100% - After 80% After, Deductible Deductible Deductible Per Person/Maximum $150 / $450 $200 / $500 Per Family Maximum Out-of-Pocket $750 $1 ,000 Expenses (Excludes Deductible) Accident Benefit (Medical ) $500/No Deductible None (Covered Same as Other Expenses) Prescription Drugs PCs PCs Deductible Generic/Non-Generic $4 /..$6 $4 / $6 Major Medical 80% of UCR After Deductible 80% of UCR After Deductible * This summary list only those benefits provisions that differ between active and subsidized Retiree.Plans. The Employee Health Plan document should be consulted for detailed questions about specific benefits. Benefits are subject to modification through the meet and confer process. Note: Retirees who elect to participate in HealthNet or Family Health Plan (FHP) shall be entitled to benefits of the program chosen. CITY OF HUNTINGTON BEACH Indemnity Health Plan Employees and Retirees January 1 , 1992 City Plan — Employees Non—Subsidized Retirees City Plan/Subsidized *Benefits COBRA—Eligibles Retiree Plan Inpatient Hospital 90% — (PPO) of UCR Benefits After Deductible 80% (Non—PPO) 80% of UCR After -After Deductible After Deductible Deductible Per Person $150 / $450 $200 / $500 Maximum Per Family Maximum Out—of-Pocket $1 ,000/2,000 $1 ,500/3,000 Expenses (Excludes Deductible) Per Person/Per Family Accident Benefit (Medical ) None (Covered Same None (Covered Same as as Other Expenses) Other Expenses) Prescription Drugs PCs PCs Deductible Generic/Non—Generic $5 / $8 $5 / $8 Major Medical 90% (PPO) of UCR After Deductible 80% (Non—PPO) of UCR 80% of UCR After Deductible After Deductible * This summary list only those benefits provisions that differ between active and subsidized Retiree Plans . The Employee Health Plan document should be consulted for detailed questions about specific benefits. Benefits are subject to modification through the meet and confer process . �3 Note: Retirees who elect to participate in HealthNet or Family Health Plan (FHP) shall be entitled to benefits of the program chosen. 6286 CITY OF HUNTINGTON BEACH Miscellaneous Provisions of the Retiree Subsidy Medical Plan Eligibility' I . The effective start—up date of the Retiree Subsidy Medical Plan (80% Plan) for the various employee groups shall be the first of the month following retirement date. 2. A retiree may change plans, add dependents, etc. , during annual open enrollment. Personnel shall notify covered retirees of this opportunity each year. 3. Years of service computed for the Retiree Subsidy Medical Plan are actual years of completed service with the City of Huntington Beach. 4. When a retiree is eligible for medical plan coverage at the expense of another employer due to post—retirement employment of the retiree or spouse of the retiree, the retiree and his/her spouse must take that coverage regardless of benefit level and shall be deleted from any City Plan coverage. Exceptions to this requirement are limited to the following: a) A retiree is not required to enroll in such "other" medical plan coverage if there is significant disparity between the benefits provided by the "other" medical plan and the Retiree Subsidy Medical Plan as defined below. "Significant disparity" means coverage available under the "other" medical plan is restrictive or limited in one or more of the following ways : 1 . No inpatient hospitalization coverage. 2. No major medical benefits. 3. Annual deductible is $1 ,000 or greater per person. 4. Major medical benefits are paid at 60% or less of covered expenses. b) The Risk Manager will have the authority to provide additional exceptions following review of the "other" medical plan policy. Exceptions will be made only if the "other" medical plan benefit provisions are comparable to the guidelines under "B" above. c) Miscellaneous Provisions : 1 . Benefits provided under the Retiree Subsidy Medical Plan will be coordinated with the "other" medical plan as the primary carrier. 2. The City shall have the right to require any retiree to provide a copy of the "other" medical plan policy for review by the Risk manager. 5. When a retiree becomes eligible for other group coverage and then • becomes no longer eligible, he/she may have the subsidy reinstated and regain Retiree Subsidy Medical Plan coverage. 6. Dependents of a retiree may follow him/her into the Retiree Subsidy Medical Plan or they may choose to exercise COBRA rights along with the retiree. 7. When a retiree becomes 65 and has eligible dependents under 65, said dependents are eligible to exercise COBRA rights. 8. When a retiree is under 65 and his/her spouse is over 65, the spouse is not covered. Benefits: I . Retiree Subsidy Medical Plan includes California Psychological Health Plan (CPHP) , Prescription Card System (PCS) , Orange County Preferred Provider Organization (OCPPO) and Medical Stop Loss insurance. 2. City Plans are the primary payer for active employees age 65 and over, with Medicare the secondary payer. Retirees age 65 and over have no City Plan options and are eligible only for Medicare. 3. Premium payments are to be received at least one month in advance of the coverage period. _Subsidies: I . The subsidy payments will pay for: a) Retiree Subsidy Medical Plan b) HealthNet c) Family Health Plan (FHP) d) Part A of Medicare for those retirees not eligible for paid Part A 2. Subsidy payments will not pay for: a) Part 8 Medicare b) Regular City Employee Indemnity Plan c) Any other employee benefit plan d) Any other commercially available benefit plan. e) Medicare supplements 3. Employees who retire on or after the following dates shall be eligible for the subsidy based on years of completed service with the City: October 1 . 1987 - MEO, MEA, POA, MSOA, FA, PMA July 1 . 1988 - Non-Represented Retirees who retire prior to the above dates are not eligible for any subsidy benefit. Medicare: I . All persons are eligible for Medicare coverage at age 65. Those with sufficient credited quarters of Social Security will receive Part A of Medicare at no cost. Those without sufficient credited quarters are still eligible for Medicare at age 65, but will have to pay for Part A of Medicare if the individual elects to take Medicare. In all cases Part B of Medicare is paid for by the participant. 2. When a retiree and his/her spouse are both age 65 or over, and neither is eligible for paid Part A of Medicare, the subsidy shall pay for Part A for each of them or the maximum subsidy, whichever is less. 3. When a retiree at age 65 is eligible for paid Part A of Medicare and his/her spouse is not eligible for paid Part A, the spouse shall not receive subsidy. When a retiree at age 65 is not eligible for paid Part A of Medicare and his/her spouse who is also age 65 is eligible for paid Part A of Medicare, the subsidy shall be for the retiree's Part A only. 6286 Cancellation: 1 . For retirees/dependents eligible for paid Part A of Medicare, the following cancellation provisions apply: a) Coverage for a retiree under the Retiree Subsidy Medical Plan will be eliminated on the first day of the month in which the retiree reaches age 65. If such retiree was covering dependents under the Plan, dependents will be eligible for COBRA continuation benefits effective as of the retiree' s 65th birthday. b) Dependent coverage will be eliminated upon the whichever of the following occasions comes first: 1) After 36 months of COBRA continuation coverage, or 2) When the covered dependent reaches age 65 in the event such dependent reaches age 65 prior to the retiree reaching age 65. c) At age 65 retirees are eligible to make application for Medicare. Upon being considered "eligible to make application", whether or not application has been made for Medicare, the Retiree Subsidy Medical Plan will be eliminated. 2. See provisions under "Benefits", "Subsidies", and "Medicare" for those retirees/dependents not eligible for paid Part A of Medicare. 3. Retiree Subsidy Medical Plan and COBRA participants shall be notified of non-payment of premium by means of a certified letter from Personnel in accordance with provisions of the Memorandums of Understanding. 4. A retiree who fails to pay premiums due for coverage and is in arrears for sixty (60) days shall be terminated from the Plan and shall not have . reinstatement rights . � STATE OF CALIFORNIA Res. No. 6286 COUNTY OF ORANGE ss: CITY OF HUNTINGTON BEACH ) I CONNIE BROCKWAY the dulyelected qualified City � q Y Clerk of the City of Huntington Beach, and ex-officio Clerk of the City Council of said City, do hereby certify that the whole number of members of the City Council of the City of Huntington Beach is seven; that the foregoing resolution was passed and adopted by the affirmative vote of at least a majority of all the members of said City Council J Y Y at a regular meeting thereof held on the 20th day of May 19 91 by the following vote: AYES: Councilmembers: MacAllister. Winchell, Silva, Green, Kelly, Robitaille, Moulton-Patterson NOES: Councilmembers: None ABSENT: Councilmembers: None City er and ex-officlowUlerk of the City Council of the City of Huntington Beach, California