248546 � ORIGINAL�TO CITY CLERK � ����1��
_ �, _ CITY OF ST. PAUL �OENCIL NO.
' OFFICE OF THE CITY CLERK
' � COUN L R SOLU ION—GENERAL FORM
�
PRESENTED BY
COMMISSIONE DA?F
RESOLVED, By the Council of the City of Saint Paul , upon the
recommendation of the City� s Health and Welfare Committee, that
the City' s Group Contractswith Minnesota Hospital Service Association
(Blue Cross) , St. Paul Fire and Marine Insurance Company, and Group
Health Plan, Inc. , be modified so as to define dependent children
as follows:
"Unmarried children (including step-children, legally
adopted children and �oster children) under 19 years of
age if not a student, or to age 23 if a student or to the
date of marriage, whichever is earliest. The dependent
child age limits shall not apply to a dependent child who
is incapable of self-sustaining employment by reason of
mental retardation or physical handicap and is chiefly
dependent upon the In.sured Person for support and main-
ten.ance and who becomes so incapable or dependent prior
to attainment o� the age limits stated herein if the
Company has received satisf actory proof of such condition. "
And, be it
FUR.THER RESOLVED, That the aforesaid modification of the City� s
contracts with the Minnesota Hospital Service Association, St�
Paul Fire and Marin.e Insurance Company, and Group Health Plan,
Inc. , shall be effective on the date of this resolution; and, be
it
FURTHER RESOLVED, That the Minnesota Hospital Service Associ-
ation, St. Paul Fire and Marine Insurance Company, and Group Health
Plan, Inc. , will accept the following completed form as due notice
and satisf actory proof referred to in the definition of dependent
children herein above.
FURM APPRQVED
-�-►�"�yl
Asst. Cor'�rati�n � un;e!
APR 2 3 1�7.�
COUNCILMEN Adopted by the Councii 19—
Yeas Nays I�R 2 3 19 7 0
Carlson
Dalglish Approved 19—
Meredith /�
n Favor �J -
°i'etersrnr �\
Sprafku �J �6��ri� Mayor
A gainst
Tedeaco
Mr. President, Byrne
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To : Mr. John C . Devlin
Civil Service Bureau
265 City Hall
St . Paul , Minnesota 55102 Date
As an employee of the City of Saint Paul eligible for the
benefits under group insurance contracts , I hereby apply for
dependent ' s insurance covering my mentally retarded or physically
handicapped child.
Name of Child Date of Birth Age Date Disability Began
Nature of Disability Name of Physican
AUTHORIZATION TO RELEASE INFORMATION: I hereby authorize the
Physician herein named to release any information acquired in the
course of his examination or treatment of my above-named dependent .
Employee Signature
And be it
FURTHER RESOLVED, That the proper City officers are hereby
authorized and directed to execute the requisite rider amendatory
of the aforesaid group contracts ; and, be it
. _ , .
• ORIGINAL TO CITY CLBRK 1
. .... . CITY OF ST. PAUL FOENCIL NO. �`���4�
�, OFFICE OF THE CITY CLERK
� COUNCIL RESOLUTION—GENERAL FORM
PRESENTED BY
COMMISSIONER DATF
3.
FINALLY RESOLVED, That the City Clerk is hereby authorized and
directed to send copies of this Resolution to the Minnesota
Hospital Service , St. Paul Fire and Marine Insurance Company, Group
Health Plan, Inc . , and the Harry R. Ochs Agency, Inc.
COUNCILMEN Adopted by the Couh��1R 2 3 1�70 19—
Yeas Nays
Carlson d��R 2 3 1970
Dalglish Approved 19�_
Meredith _
�� '
n Favor ��
Sprafka �� dCtlAy Mayor
Tedeaco A gainst
'�:6 , , . ����`�" PUBLISHED APR 2 5 1970
au �ie. Presia.at �reterson>
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aprfl. 3�, 197r� �
Mr. John Aev11n
Civil Service Bureau
265 city Tiali
Saint Paul, Minnesota S51.02
Dear *ir. DPV1in:
We are in receipt of the City af Saint �'a�.al Council Resolut�an
concerning coverage of unmsrried chii�ren who map be mentally
retarded or physically handi.capped, eCc�
We are at this time making no chan�e in premmrium. It is,
however, my understanding that premiums f�r the �orthcomin�
contract period .Ianuary 1, 1971 are ta be filed before July 1,
197Q. [le do expecC to file a chan�e of premium For city
employees at that time.
Si.ncerelp qours,
" l�c�
�, B,�v
M�urice J. . aq
+General Mana�+er
P�,J?�t:e f
cc: Harry E. '�aX�hall
Citp Clerk
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April 23 1970
Minnesota Hoapita,l Service
2610 Un3.versity Ave.
St. Pau]., Minnesota
Gentlemen:
The City Council 8i e ted me to d you the enclosed copy
of Council File No. 854�, adop d tc�day, pertaining tc►
definition oP depend childre n the City's Group Con-
tract with gan eet out in the resolution.
Very truly youre,
City Clerl�.
ang
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April 2 1970
Group Health P1an� Inc,
25QU Como Ave.
St. Paul, Minnesota
Gentlemen:
The City Co�znail dir ted me to s d you the enclosed copy of
Co�,ncil Fil� No. 2�+� , adopt�d ay, perta9,ning to dePinition
ot' depebdent childran the Ci e t3roup Contract wi�h your
organiz�tio re ut in the resolution.
Verq truly yours,
City Clerk
ng
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April 23 1970
St. Pau]. Fire and Marin� Tnsurs Co.
3$5 W�ahing�on St.
St. Paul, Minnesota
Gentlemen:
The City Council dir m� to nd y he enclosed copy
of Council File Na. 5�+6, adop today, p�rtaining to
definition �aP depend t ehildren the City'� Group Con-
tract with your Comp n � as more lly eet out in the reso-
lution.
Veryr truly yours,
City Clerk
ng
G' .;�.
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Apri 3y 1970
Harry E. Ochs Agencys Tnc.
3�+5 ceaer st.
St. Paul, MinneBOta
Gentlemen:
The City Couneil flire d me to e d yo h� enclo$ed copy of
Council File No. 248 y adopted ay, pertaining to de�inition
of dependent childre n the City s Group Contract with youx
firm, as more fully a out in t rssol�ztion.
Very truly yours�
City Clerk
ng
�,.
May 5, 197
Civil Service Bureau
265 City Hall
St. Paul
Gentlemen:
The City Council exred to y for your 3n�'ox�cnation thc attached
copy of a lettsr o �urice J cKay, General Manag�r oP Gr�up
Health P1 , . a reaeipt oP the Council resolution
concern cov age of ried chi.ldren wha may be mentally or
pY�ysic handicap ed, and stating they axe making no cha,nge
i.n pr wa at this nae.
Very truly yours,
City Clerk
AO�ng
,U�+BPOSiAGE
�.'.,�yi ,M .... . ''V
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GROUP HEALTH PLAN, INC. ��`� � '
2500 Como Avenue �.� _ ^` °�- '� �
St. Paul, Minnesota 55108 � -- � ,�.�-�- `-` �� ,... "�
���=�:r.e "�� . -. } ti' ,.�_..,.<:�R��'�• ..E'��o.nooscvE�r
Mr. Harry E. Marsliall
City Clerk
Bureau of Records.
� 386 City Hall
' Saint Paul, Minnesota 55102