2014 024 Ordinance - Laserfiche WebLink

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Plan Fee Structure Fully-Funded Political Subdivisions (Prior to entry in regionalization) The fee structure for political subdivisions shall be as follows: • Fully-insured equivalent rate set by the County pursuant to 5ection 5.1. • Administrative Fee to be set annually by the County, at a minimum of 3% and a maximum of 6% of the fully-insured equivalent rate. • If applicable, a Risk Surcharge not to exceed 15% of the initial fully-insured equivalent regionalization rate. • If the fully-insured political subdivision imposes a monthly charge on employees whose spouses have enrolled in the political subdivision's insurance plans where other insurance coverage is available through the spouses's employer; then, upon entry into the Benefits Regionalization Program, the political subdivision shall continue to collect the charge for each such employee. If the political sub- division chooses to discontinue any such changes to employees, the county reserves the right to re-evaluate the fully insured e,quivalent rate structure and may deny coverage at the next available effective date. Fees to be paid by the Political Subdivision for 2015 The Political Subdivision shall pay the following monthly fees for 2015: MMO $250 MMO $2,000 MetroHealth Select Single $539.90 $466.83 $436.38 EE/Spouse $1,142.72 $989.27 $925.33 EE1Child(ren) $1,033.11 $894.29 $836.43 Family $1,635.93 $1,416.73 $1,325.39 OA Dependent $224.69 $194.73 $182.24 The Political Subdivision will receive the same increase as the County in 2016 and 2017. The first month's fees shall be paid prior to the Effective Date. Fees shall be paid on a monthly basis within 10 days of the receipt of an invoice from the County. 6. PLAN ELIGIBILITY The eligibility of employees of the Political Subdivision to participate in County- sponsored plans shall be governed solely by the 5ummary Plan Document of the County. All employees of the Political Subdivision must submit dependent verification annually 5