HomeMy WebLinkAboutResolution No. 95-C68RESOLUTION NO. 95 - C 6 a
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF AZUSA
ADOPTING THE AMENDMENT TO SCHEDULE A OF THE IRS SECTION
125 FLEXIBLE BENEFIT PLAN EFFECTIVE AUGUST 1, 1995
WHEREAS, at its regular meeting on April 5, 1993 the City Council authorized the
City Administrator to sign the necessary documents with Joint Powers Employee Benefit
Authority regarding an IRS Section 125 Flexible Benefit Program, and
WHEREAS, the Flexible Benefits Plan marked Exhibit "A" was prepared for
Council's review and approval.
WHEREAS, the Schedule A to the Flexible Benefits Plan has been amended to show
the new monthly City contribution for each eligible employee together with new rates for
Health Insurance, and detailing all other insurance options available under the Plan.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of
Azusa does hereby approve the attached Schedule A to the Flexible Benefits Plan.
PASSED, APPROVED AND ADOPTED this 5th day of June, 1995
I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the City
Council of the City of Azusa at a regular meeting thereof, held on the5 th day of June,1995
by the following vote of the Council:
AYES COUNCILIEMBERS: HARDISON, MADRID, NARANJO, BEEBE, ALEXANDER
NOES COUNCILMEMEERS: NONE
ABSENT . COUNCII MEMBERS: NONE
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EXMIT "A"
CITY OF AZUSA
FLEXIBLE BENEFITS PLAN
SCHEDULE A
Monthly City contribution for each eligible employee effective the fust of the month following
the date of eligible employment is
$595.00 With PERS Medical Plan Participation
$579.00 Without PERS Medical Plan Participation
$516.00 With PERS Medical Plan Participation (40, 35, & 30 -hour Headstart
employees)
$500.00 Without PERS Medical Plan Participation (40, 35, & 30 -hour Headstart
employees)
$235.00 Part-time Headstart Employees (20 -hour Headstart Employees)
Elective Contribution Maximum
Schedule A-1 Benefits $10,000
Schedule A-2 Benefits $ 5,000
Schedule A-3 Benefits $ 2,000
Schedule A-1
Health Plans
Monthly Rates
1 Party
2 Party
Family
AETNA Health
156.86
313.72
406.80
Blue Shield HMO
156.00
312.00
406.00
CIGNA
153.10
306.20
398.06
FHP, Inc.
157.50
315.00
409.50
Foundation
158.06
316.12
410.96
Health Net
148.00
296.00
384.80
Kaiser
153.87
307.74
400.06
Lifeguard
159.20
318.40
413.91
MaxiCare
150.00
300.00
390.00
National
146.00
292.00
379.60
OMNI Health Plan
153.10
306.20
398.06
PacifiCare
156.77
313.54
407.60
PERS-Care
256.00
512.00
666.00
PERS Choice
157.00
314.00
408.00
Health Plans (continued)
PORAC
197.40
348.62
489.62
TakeCare
157.50
315.00
409.50
ValuCare
156.77
313.54
407.60
Dental Plans
Monthly Rates
1 Party
2 Party
Family
Dental Health Services:
Pre -paid Plan
$13.65
$26.30
$38.05
Indemnity
$25.90
$47.05
$65.70
We Insurance
Bankers Security Life Insurance Society
Cancer/Intensive Care
Ohio Capitol American Life Insurance Co.
Cancer Plan
Intensive Care/Coronary Care (rider)
Intensive Care/Coronary Care alone
Individual Single -Parent Family
Family
$20.80 $34.20 $36.00
$6.80 $13.60
$8.30 $19.90