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241549 ORI6INAL•�'�6'CITY CLERK ' ��—�.� � a�� r� � ' CITY OF ST. PAUL COUNCIL � OFFICE OF THE CITY CLERK F�`E Nd• UNCIL RESOL�JTION—GENERAL FORM PRESENTED BY ' �� COM M I551 ON E '-� DATF RESOLVED� By the Council of the City of Saint Paul, that in accordance with the letter of December 13, 1968, directed to Mr. John S. Haider, Director, Givil Service , over the sig- na.ture of Maurice J. McKay, General Manager of Group Health Plan, Inc. , a copy of which is hereto attached, marked "Exhibit A" and made a part hereof by reference, the premiums for the City employees group health program shall be in the following amounts for 1969: Employee �11. 15 Dependents 26.90 Combined Member and �38. �5 Dependents with City payment to be in the full amount for the employee coverage and in the amount of �7.65 for the City-pay portion of the dependents coverage ; be it FURTHER RESOLVED� That the agreement between said Group Health Plan, Inc. and the City of Saint Paul shall be amended so as to reflect the aforesaid modification; be it FINALLY RESOLVED� That the City Clerk is hereby directed to forthwith transmit a copy of this Resolution to Group Health Plan� Inc. FO M APPROVED � sst. Corporation Counsel :l�N 21969 COUNCILMEN Adopted by the Counci� 19— Yeas Nays Jr�� 19�� Carlson Dalglish � Approvec_l 19�_ Meredith Tn Favor Peterson Mayor Sprafka p Tedesco ASainst Mr. President, Byrne �'�� JAN � 1969 0 . • , T � % = GROUP HEALTH PLAN , INC. 2500 Como Avenue Saint Paul, Minnesota 55108 December 26, 1968 � a �\ � Mr Thomas Anderson Civil Service Commission City of Saint Paul City Hall Saint Paul, Minnesota 55101 Dear Mr Anderson This is to advise you that Group Health Plan, Inc. concurs with St Paul City Council resolution 240 797 within the pravisions of Mr Joseph M Nemo's letter to you dated October 17, 1968, relating to terms and condi.tions of extended care benefits for City of Ssint Faul employees and eligible dependents. Sincerely yours __� � � � , � ��;;JJ � �� - ,..- Maurice General nager t MJM/j o Enclosure: Copy of Mr Nemo's letter of October 17, 1968 attached s . . , , r . . . . � � . � OCrOber 17� 1968 � , , , , . � � • � Mr Thomas Az�derson . � ' � � Civil Servico Conznissioa • � . C:Lty of Saiat Paul ' , • , , City Ha11� � ' " �� ' ' Saint Pau1., Minnesota 55101 � , � • , _ �\ Dear Mr ?.nderson , � ' �� ; � . Croup Aealth Plan, Iac., will Oii(°Z r.on-acu�e estiended care beneti�s to t'he Ci�q of St Paul gro�:p as u pL��a�.d he23.tlz serv�ce as talloc•rs: � Non-acute care services (c�hei� �i�a� zcr cu;��odial c�re) arran�e3 � • * �l •r' ; ,y �^� �+- ''1° �C�If.' IT1C7Z1'tiEY 3.S uiiGGY. for by tho �roup �c4�...:� I�.ea�cal. �....2.:� c•�h.. .. � . � the order and care of a G�.? p'r�qsici:., fLr��shed durfr,� ccn��ae.-�ent - ' SS 8 �ef2 �78�y:�;:.C1'� �3�OV�Cic�.u� �2j .°'.i 3 �-G'::i�..�,iC'..Y CJ.�...�3 �iCv3.0i.i.u�.y CDi;.i2cZCC1 ' in ra. hospital tox �o� less �:�ar.� tlirce c�r.yceu�ive days ta� 4I:c sa�c injury oz sickn��s �ecu�:.i�� ua�-�.cu�e Care, as�d (b) ca��e�� :.n • rho Non-A�ute Carc �acili�� '�e�;�.::s wi�:zi� fourwe�n days af�er such member's dischar�e cror� �hs �:ospica3. Por purposes of this beneLi�, Dtor.-Acu�e C�re Services stz�ll mea:� seni- . pr3.V8L`A 1'OOIII and boa-rd� j.:1Cs.u'�a''ii1�,�-' �'Cfii:l'c^s�. Y'.�ii:S3.ao £OYViC2 y OY' �.^a:l .^�..Z�OW� ance up to �he I�'acil3.ty's 4vera�e sem3.-pr:�vat4 roo:n ra�c if eoniinc� i:� -. othar than a semi-pzivate �o��, u� t� �l�e ��-�'�e:. oi days of •ro��. a�� . board a�ecified in tha �3eulth �enefits A�r4��en�; a�d a�.l o�her scrv�ce� - end aupp].ice (except pa�sonaT cou.�or�: i�em�) �u�isized durin�, each day . for which room and board bene��.�s aro p:ov�.ded. Z'h� Me3icsre xepulaLioas purauaAt to extsnded cara f�ci3i�ies shall �o used by�Group �:eal�h �'laa as the standGrd in detc�rnin�.n� whether any narticular facil3ty wiZl qual.- , igy f ar benef it�. � Non-acute extended care ber.efi�� would, of caarso, ba sub�ect �o the sume nxcl.usions and J.imi�ations as tho o�her benafits providcd,under tlia HealCh Bana�its �roem�nt. , Wa �rill provide such oxteuded c�ra ber.eF3t� without ad�us�tmenr i�a th� moa- , „ thly rate. . , � - ;� SincQraly , � � � J'oseph M Namo, 3r � Director, ' , � Underwritin� and Claim Diviaion I ,TrN/3o ! � , y � ' ;�� . • ' . , , GRUUP H �ALTH PLAN , INC. , • � • 2500 Como Avenue �L�� '�Q Saint Paul, Minnesota 55108 t�� v December 13, 1968 Mr. John S. Haider � Director . Civil Service City of St. Paul City Hall St. Paul, Minnesota Dear Mr. Haider: In order that the cities administrative work relative to its insurance program may be minimized, Group Health Plan will effective January l, 1969,. revise its monthly premium to coincide with Blue Cross and St. Paul Fire Marine. Group Health Plan's new rate would then be as follows: Employee $11.15 Dependents 26.90 Combined Member & Dependents $38.05 In most groups where a choice of programs is offered, it is the usual practice for the carriers to reopen on the anniversary date of the contract, so that all eligible persons may make a new election without evidence of insurability. A reopening which usually runs two to three weeks keeps both programs sensitive to the needs and preferences of the membership. It also forestalls any family from being locked in or out of any given program for any considerable time. Experience has demonstrated that there is no demonstrable flow of adverse risk from one program to another on these reopenings. However, the � reopening annually tends to preserve both the free choice of plans and the free choice of physicians. - - . Though, I presume Group Health Plan could for a limited period unilaterally wawe evidence of insurability for persons who may wish to transfer into it� this does not resolve the problem of other persons who may have elected Group Health and would now like to transfer to Blue Cross and St. Paul Fire Marine. If a reopening is provided, I w.ould like to suggest that it should be announced well in advance so that approximately a month would be . allowed after the closing period for the administrative changes. • Wishing you a Merry Christmas and Happy New Year. Sincerely,,- �� . � i�� lL-tL.tJ 'f�� ! au ice• J :�Me ay MJM/mk General vManager • `�"`�a EXHIBIT A . � GROUP HEAL7- H PLAN , I �1C. . � 2500 Como Avenuc �� C'; � ` Saint Paul, Minnesota 55108 -�--��9 r December 13, 1968 Mr. John S. Haider Director Civil Service City of St. Paul City Hall St. Paul, Minnesota , Dear Mr. Haider: In order that the cities administrative work relative to its insurance program may be minimized, Group Health Plan will effective January 1, . 1969,. revise its monthly premium to coincide with Blue Cross and St. Paul Fire Marine. Group Health Plan's new rate would then be as follows: Employee $11.15 • Dependents 26.90 Combined Member & Dependents $38.05 In most groups where a choice of programs is offered, it is the usual practice for the carriers to reopen on the anniversary date of the contract, so that all eligible persons may make a new election without evidence of insurability. A reopening which usually runs two to three weeks keeps both programs sensitive to the needs and preferences of the �embership. It also forestalls any family from being locked in or out of any given program for any considerable time. Experience has demonstrated that there is no demonstrable flow of adverse risk from one program to another on these reopenings. However, the � reopening annually tends to preserve both the free choice of plans and the free choice of physicians. • • . Though, I presume Group Health Plan could for a limited period unilaterally wa�ve evidence of insurability for persons who may wish to transfer into it, this does not resolve the problem of other persons who may have elected Group Health and would now like to transfer to Blue Cross and St. Paul ' Fire Marine. If a reopening is provided, I would like to suggest that it should be announced well in advance so that approximately a month would be allowed after the closing period for the administrative changes. - Wishing you a Merry Christmas and Happy New Year. Sincerely,,- � `y� � //, ��--�;1� �`�/.1s�/,� �/ _��,C.�t-cr< •!/ /��` aurice J.�Mc ay - ; MJM/mk General vManager ��8 . � EXHIB IT A DUPLICAT6 TO PRINTER � C�� CITY OF ST. PAUL couNCi� N0. '=`-�`'��'''� OFFICE OF THE CITY CLERK FILE COUNCIL RESOLUTION—GENERAL FORM PRESENTED BY COMMISSIONER DATF It�,SU�V�:il� 13y 1:aac� rJatincil of ttae Cit� o� �raint �':��_:. � i��,t i��:� �ccr�rcl<�z�e� crith t��e letter of �)ece�i�er i3, i9E,�3, d�,re;ct�d to !�'�r. �Joh� :�. �I�,ider, Direc�or, Civil Servioe, ovar the sig– r�� ture o� �1Liux�ice J. �Zcl��.y� General P�Ianaber ot Grau� EIQt�1th I��.an, Inc. , s� eo,jy o� �a��iei� is .Zureto �,tt�crzed� arn�.rl�ed �'Exhibit A" and �nacle a ��Lrt her�oi' i�y re�'erence, tli�; �,.r�,�na.uans �or the City e�nployee� �rou� xzealtii �►rogra�� siial3. aa iaz the �ollowing �,:�ounts� �or 29��: '";��.a�ee L�>11, i� l3e j��nc:ie�i�.; 2b. �3 Cot�a'rJi�aec� �ic;r�� 3.ca ;�3g.0� ��e°�R�:��t��t� <<�it�i �;it,;r ��=c�Tl�ici��-L- to �� i�i "t>ae �ull aliial�nt �oa ttii� e��s3r:�y�:�> :�ov�.rzz��;c; �4ixci ila �tt.ac, a,t�aacaia.t o�.' ;�7.G� �or Vhe t;�.ty--pay �ortion �� tlae c.tepenc�erite� co�rearage ; i�� it P'UF;.'1'iI:l:;?� i4�JSULV�ll, Tl�lat tY�e r�greement between r�uid Group Health �'larz, Inc. a�d the City of Saint I?aul ��all A�c� amended re �� o reflc:et t��e �:�,�are�aid r�odi�ica�ion; be it F'�:l��f.�tr�i�Y t�,��;�OI,VI:;ll, That the �ity Clerk ie hereT�y direated to �ox�tfiwii;ii tr�r�s.�►�t �x +:a�y o� thie kesolution to Group I�ealth I'laii, Inc. �� s COUNCILMEN Adopted by the Council 19— Yeas Nays Carlson �,r; ;�t,+�� s-' ��1 E��3 Dalglish � Approved 19—_ Meredith _sn Favor Peteraon Sprafka Mayor �' Against Tedesco Mr. President, Byrne O Jan. 2, 196�. , � ;-----_.___ 'i "r�u� I�:ralth Pla,n, Inc. , ��--��\\ � ��t� ('.�ma 1�.v�. � . \'��7 St. Paul, I'�i:tn. j�'��.� '�, � . P�r , '�`!Laurice J. McKa�, ' Cze�i�a.l ;�fa.nager. Der�r Si�°: \ f �, T2iC1.0.^>E?C3 ��yY 'y'':.ilzr" l.i�.i'C7X"CIL�,�;�c n1 .,S/'c�. C�E?��r ✓i� Fi r�S�J�_11�1011 �� t.,i�xE. ;�,:�nt I'aul Cf.t:y Cr��c� . �'.�' 1 ��;�j, a.c3.��ed Jantx�,r�r ?, l�'6�?, a�ienr33.n� t,he ��-��e ��t bet� ra tI1 i��,Y �,rtc�. "rat.z� Frer�,7_th Plan, �nc. , per�,ain;in,r� .<� the :pxem' s fo� 1.9;;y. i J ' \ ' / Very tru?.;� ,y��ar.a, ___,.�. \ �.'/ �_..---., - / %; %� City Clerk F�J�hp I i \ , �� ___.._.---