R-01-1184~ • •
City of Clermont
• RESOLUTION NO. 1184
A RESOLUTION OF THE CITY OF CLERMONT, LAKE COUNTY, FLORIDA
AMENDING THE GROUP MEDICAL PLAN OF THE CITY OF CLERMONT
AND PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the City Council of the City of Clermont provides a Group Medical Plan
for employees, retirees, COBRA participants and family members thereof and
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Clermont
that the City of Clermont Group Medical Plan will be amended as follows:
SECTION 1
The coinsurance percentage applicable to covered services provided by non-preferred
provider organizations shall be 70% of reasonable and customary charges.
• SECTION 2
The premium rates for health and dental insurance shall be as follows:
Coverage Period Health Dental
>Employee Only
>City Share pay period $104.00 $10.62
>Employee Share pay period $5.25 $0.00
>Employee and Children
>City Share pay period $136.00 $13.23
>Employee Share pay period $72.00 $5.63
>Employee and Spouse
>City Share pay period $140.00 $13.56
>Employee Share pay period $78.00 $5.63
>Employee and Family
>City Share pay period $155.00 $16.18
>Employee Share pay period $111.00 $10.62
>Retiree-Non Medicare Eligible monthly $225.00 $23.01
>Retiree-Medicare Eligible monthly $135.00 $23.01
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City of Clermont
RESOLUTION NO. 1184
>Retiree Spouse-Non Medicare Eligible monthly $217.00 $18.50
>Retiree Spouse-Medicare Eligible monthly $130.00 $18.50
>COBRA-Individual monthly $390.00 $38.91
>COBRA-Individual and Children monthly $780.00 $58.10
>COBRA-Individual and Spouse monthly $800.00 $59.77
>COBRA-Individual and Family monthly $1,160.00 $89.30
SECTION 3
This resolution shall become effective April 1, 2001.
• DONE AND RESOLVED BY THE CITY COUNCIL OF THE CITY OF CLERMONT,
LAKE COUNTY, FLORIDA, THIS 27TH DAY OF FEBRUARY, 2001.
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D S. TURVILLE, JR., AYOR
ATTESTS
J EP E. VAN Z ITY CLERK
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