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2014 024 Ordinance
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2014 024 Ordinance
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Last modified
11/19/2018 4:11:01 PM
Creation date
9/11/2018 4:39:27 AM
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Template:
Legislation-Meeting Minutes
Document Type
Ordinance
Number
024
Date
11/3/2014
Year
2014
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either via the internet-based enrollment tool or by paper. Only full-time employees of <br />fully-insured political subdivisions that work at least 30 hours per week shall be eligible <br />for benefits under the fully-insured equivalent rate through the Benefits Regionalization <br />Program. Part-time employees and retirees of fully-insured equivalent political <br />subdivisions are not eligible. <br />Periodic Eligibility Audit <br />The County shall have the right to conduct an audit at periodic intervals of the employees <br />of the Political Subdivision participating in County-sponsored plans to determine their <br />eligibility. The County may demand any information from employees of the Political <br />Subdivision that is necessary to determine their eligibility or the eligibility of their <br />spouses or dependents. The County reserves the right to terminate coverage of <br />employees of the Political Subdivision or their spouses or dependents that are determined <br />to be ineligible and to pursue appropriate civil and/or criminal remedies. <br />The Political Subdivision agrees to cooperate with the County in any such audit and to <br />compel its employees to provide requested information. The County further reserves the <br />right to terminate the coverage of any employee of the Political Subdivision or the <br />employee's spouse or dependent where the employee has refused to provide requested <br />information. <br />Use of Outside Brokers, Agents or Consultants <br />The County will not pay, or reimburse the Political Subdivision for commissions paid, to <br />outside brokers, agents or consultants concerning matters related to membership in the <br />Benefits Regionalization Program or the County-sponsored plans. If the Political <br />Subdivision wishes to utilize any outside representation, it shall do so at its own cost and <br />the representative shall be limited to the following roles: <br />Enrollment Support. <br />Education Meetings. <br />Plan Analysis. <br />No brokers, agents or consultants shall be given the ability to resolve claim issues, which <br />shall solely be the role of the County and its representatives. <br />8. PLAN REPORTS AND RECORDS MAINTENAlO1CE <br />The Political Subdivision must maintain and provide to County upon request the <br />following records and reports: <br />Accounting and fiscal records adequate to enable County or the State of Ohio or any <br />duly-appointed agency to audit and administer this Agreement, the Benefits <br />6
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