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ORD 1990-10 - Employee Medical Benefit Plan 07-03-1990ORDINANCE NO. 90 -10 AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF HUNTSVILLE, TEXAS, AMENDING THE EMPLOYEE MEDICAL BENEFIT PLAN BY INCREASING DEDUCTIBLES, INCREASING LEVELS OF COINSURANCE, REDUCING MAXIMUM BENEFITS FOR CERTAIN COVERAGES, INCREASING CONTRIBUTION LEVELS, AND MAKING OTHER PROVISIONS AND FUNDING RELATED THERETO. BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF HUNTSVILLE, TEXAS, THAT SECTION 1. The Employee Medical Benefit Plan for the City of Huntsville, Texas, is amended by amending Schedule of Benefits "A" as follows: I. Deductible Deductible Requirement - A deductible consisting of the first $300 of Covered Expenses incurred by a Covered Person during a calendar year (January 1 through December 31) will be applied before any benefit is payable, except that this requirement will not apply to expenses in connection with the first to occur of all accidents sustained by any one Covered Person during any single period of twelve (12) consecutive months. The calendar year deductible will apply to each Covered Person, except that not more than three (3) individual deductibles will be applied against Covered Expenses of any one family which are incurred during the same calendar year. Deductible Carry -over The amount of any Covered Expenses incurred during the final three (3) months of a calendar year which applied to the satisfaction of the deductible for that year shall also apply toward the deductible for the following year. Common Accident If a participant and one or more of his Covered Dependents incur Covered Expenses as a result of injuries received in the same accident, all Covered Expenses resulting from such accident and incurred during the same calendar year will be subject to no more than one calendar year deductible for such Participant and his Covered Dependents. This provision will not affect the deductible requirement for any other Covered Expenses. Hospital Admission In addition to the other deductibles provided for by this plan, a deductible equal to one (1) day semi-private room rate of the hospital entered will be applied to each hospital admission of a Covered Person before any benefit is payable for Covered Expenses from the hospital admission. SECTION 2: The Employee Medical Benefit Plan for the City of Huntsville, Texas, is amended by amending Schedule of Benefits "A" by amending Section II to read as follows: II. Coinsurance (not applicable to mental disorders, alcoholism or drug dependency - see "Covered Expenses") A. After satisfaction of the deductible requirement explained above, the Plan will pay 80% of the next $5,000 of all Covered Expenses incurred during a calendar year by a Covered Person, then 90% of the next $2,500 in Covered Expenses incurred, and then 100%* of Covered Expenses incurred by a Covered Person during the remainder of that calendar year, subject to Section IV. Maximum Benefits. * 80% in the event of Covered Expenses for which any other plan, as defined in Section 6.04, provides payment at the rate of 20% or more. B. After satisfaction of the deductible requirement, the Plan will pay 90% of covered expenses consisting of charges made by a Physician, Hospital or Free Standing Surgical Facility in connection with outpatient surgery. SECTION 3: The Employee Medical Benefit Plan for the City of Huntsville, Texas, is amended by amending Schedule of Benefits "A" by amending Section III to read as follows: III. Coverage at 100% The Plan will pay for 100% of Covered Expenses for: A. the first $300 of charges incurred within a period of seventy-two (72) hours of the time an accident occurs, in connection with accidental bodily injuries sustained by a Covered Person as a result of such accident. This benefit will apply only once to all accidents sustained in any single period of twelve (12) consecutive months. B. 100% of up to $100 per Covered Person per calendar year as Wellness care. SECTION 4: The Employee Medical Benefit Plan for the City of Huntsville, Texas, is amended by amending Schedule of Benefits "A" by amending Section IV to read as follows: IV. MAXIMUM BENEFITS The maximum amounts of benefits for charges incurred on account of sickness and /or injury of any one Covered Person are as follows: For all sicknesses and injuries combined - maximum lifetime $1,000,000. For mental disorders - maximum lifetime of $10,000. For alcoholism and /or drug dependency, separately or combined: Inpatient - Maximum Lifetime $10,000 Outpatient- Maximum Per Calendar Year $1,200 Outpatient- Maximum Lifetime $2,400 For chiropractic care (not including x -rays) - maximum per calendar year $750. SECTION 5: The rates to be charged for the Plan are: Employee Medical Employee Dental Dependent Medical Dependent Dental $100.18 $13.76 $113.94 $179.76 $12.24 $192.00 SECTION 6: All the changes made by this Ordinance shall take effect July 1, 1990, except, however, that the increase in deductible from $200 to $300 provided for by Section I shall take effect on January 1, 1991. PASSED AND APPROVED this (day of APPRO ED AS 0 ORM: Sco t Bo nds, City Attorney 1990. CITY OF C UNTSVILLE, TEXAS By JANE, 'INDAY, AYOR