HomeMy WebLinkAboutResolution - 2007-R0524 - Amendment To Employee Benefit Plan - 11/08/2007Resolution No. 2007-80524
November 8, 2007
Item No. 5.2
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK;
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock, an Amendment to the
Employee Benefit Plan, and related documents, and shall submit said Amendment and
documents, if any, to the City's third party administrator for use in determining and
administering employee benefits. Said Amendment is attached hereto and incorporated in
this resolution as if fully set forth herein and shall be included in the minutes of the City
Council.
Passed by the City Council this 8th day of November , 2007.
DAVID A. NALLER, MAYOR
ATTEST:
Rebe caGarzaCiy Secre
APPROVED AS TO CONTENT:
Leisa Hutchenson, Director of Risk Management
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gs/ccdocs/AAGAmendment. res08
10.31.2007
Resolution No. 2007-RO524
PLAN AMENDMENT NO. 1
This Amendment to the City of Lubbock Employee Benefit Plan Document (the
"Plan Document") is executed on this, the 8th day of November, 2007, to be effective
January 1, 2008.
All capitalized terms shall have the same meaning as those terms are defined in the
Plan Document. The following changes are hereby made to the Plan Document:
1. The Lifetime Maximum Benefit shall increase from $1,000,000 to $2,000,000.
2. The out -of -network, out-of-pocket maximums will decrease from $12,000 per
Individual and $24,000 per Family, to $6,000 per Individual and $12,000 per
Family.
3. Benefits for diabetic supplies (i.e., blood glucose test strips, lancets, blood
glucose monitors, syringes, and needles) will be moved from the medical plan to
the prescription drug plan.
4. Benefits for dental coverage will include athletic mouth guards, isolation of tooth
with rubber dam, metal copings, mobilization of eruptedlmalpositioned tooth,
precision attachments for partials and/or dentures and stress breakers, Benefits
will be payable at 50%, after calendar year deductible, and will be subject to the
$1,200 annual maximum.
DAVID A. MILLER, Mayor
ATTEST:
Re ecca Garza, City' -Ne- cr
APPROVED AS TO CONTENT:
Leisa Hutcheson, Risk Management
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