HomeMy WebLinkAboutResolution # 3822 - intergovernmental health benefit agreement with parlin ingersoll libraryRESOLUTION NO. 3822
A RESOLUTION APPROVING AN INTERGOVERNMENTAL HEALTH
BENEFIT AGREEMENT BETWEEN THE CITY OF CANTON AND PARLIN
INGERSOLL LIBRARY IN DIRECTING THE MAYOR AND CITY CLERK TO
EXECUTE AND DELIVER SAID AGREEMENT ON BEHALF OF THE CITY
OF CANTON, ILLINOIS.
WHEREAS, the Legal and Ordinance Committee of the City of Canton has determined
that it is necessary and in the best interest to enter into an intergovernmental Health
Benefit Agreement with Parlin Ingersoll Library as set forth in Exhibit A attached hereto
and incorporated herein; and
WHEREAS, the City Council of the City of Canton has made a similar determination.
NOW, THEREFORE, BE IT RESOLVED by the Mayor and the City Council of the
City of Canton, Illinois as follows:
1. That the Agreement attached hereto and incorporated herein as Exhibit A is hereby
approved by the Canton City Council.
2. That the Mayor and City Clerk of the City of Canton, Illinois are hereby authorized
and directed to execute said Agreement on behalf of the City of Canton.
3. That this Resolution shall be in full force and effect immediately upon its passage by
the City Council of the City of Canton, Illinois and approval by the Mayor thereof.
PASSED BY THE CITY COUNCIL OF THE CITY OF CANTON, ILLINOIS AT
A REGULAR MEETING THIS 21st DAY OF August , 2007,
UPON A ROLL CALL VOTE AS FOLLOWS:
AYES: Aldz Schenck, Berardi, Sarff , [nest, Meade, Strandberg, Lewis .
NAYS: None ,
ABSENT: Alderman Ndi~fex'.
Nancy Whites ity Clerk
HEALTH BENEFIT AGREEMENT
This Health Benefit Agreement, for the participation in the City of Canton's health
benefit plan, is entered into as of the day of , 2007, by and among the
City of Canton ("City"), an Illinois Municipal corporation, 2 N. Main Street, Canton, Illinois
61520, and the Parlin Ingersoll Library ("Library"), an Illinois Municipal Library.
WITNESSETH:
WHEREAS, the Constitution of the State of Illinois, 1970, Article VII, Section 10,
authorizes units of local government to enter into intergovernmental arrangements and
agreements or to otherwise associate among themselves in any manner not prohibited by law or
ordinance; and
WHEREAS, the Intergovernmental Cooperation Act (5 ILCS 220/1 et. seq.) provides
that any power or powers, privileges or authority exercised or which may be exercised and
enjoyed jointly with any other unit of local government pursuant to agreement; and
WHEREAS, Section 5 of the Intergovernmental Cooperation Act (5 ILCS 220/5)
provides that any one or more public agencies may contract with any one or more other public
agencies to perform any governmental services, activity or undertaking which any of the public
agencies entering into the agreement is authorized by law to perform, provided that such
agreement shall be authorized by the governing body of each party to the agreement; and
WHEREAS, the parties to this agreement consist of an Illinois Municipal Corporation
operating under the Illinois Municipal Code (65 ILCS 1/1 et. seq.) and an Illinois Municipal
Library operating under the Illinois Local Library Act (75 ILCS 5/1 et. seq.); and
WHEREAS, the aforesaid City maintains a health benefit plan to provide medical,
dental, life insurance and Section 125 ("flex account") benefits for covered plan participants of
the City; and
WHEREAS, the health benefit plan represents the City's efforts to provide covered plan
participants with the best possible health benefits at an affordable cost; and
WHEREAS, the parties have determined that it is in their best interests to enter into an
agreement whereby the Library can participate in the City's health benefit Plan for Library
employees and dependents as a "plan participant" at the costs set forth herein.
NOW, THEREFORE, in consideration of the preceding recitals of fact for the further
considerations hereinafter stated, IT IS AGREED AS FOLLOWS:
1. Coverage: Medical coverage under the City of Canton Health Benefit Plan through
Health Alliance is pursuant to the Summary Plan attached hereto and incorporated herein
as Addendum A. Dental coverage under the City of Canton Health Benefit Plan is
pursuant to the Summary Plan attached hereto and incorporated herein as Addendum B.
Coverage is subject to change per action of the City Council or per Health Alliance.
2. FeesBilling:
a. Medical: Current fees for Medical Coverage will be billed directly to the Library
from Health Alliance. Fees for medical coverage will be paid directly to Health
Alliance from the Library. Library is responsible for any increase in premium.
b. Dental: Fees for dental coverage are charged on a pro-rata basis of the total
number of Library Employees versus total number of participants enrolled in the
dental plan. Any decrease in fees will be adjusted to the Library's billing
statement or reimbursed, accordingly. If, at the end of the City's fiscal year, the
health care fund remains in a deficit, the Library will reimburse the City cost
proportionate to the number of Library employees and dependents participating in
the plan.
c. Section 125 Plan: Fees for the Section 125 plan ("Flex Plan") are per the
deduction elected by the employee. Administrative costs are set by BPC and will
be charged per participating employee.
d. Life Insurance: Life insurance costs are those based on actual costs billed by
Fort Dearborn Life.
3. Insurance Committee: The City's health benefit plan is directed by an Insurance
Committee comprised of nine (9) individuals, who are representative of each department
within the City, as well as the Mayor, City Treasurer and two (2) Aldermen. The Library
is entitled to representation by the designee of their choice. The designee may fully
participate in all Insurance Committee meetings by attendance and vote. The Insurance
Committee is designed to make recommendations to the City Council. Final action on all
insurance matters is decided by the City Council of the City of Canton.
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4. Release and Indemnification: The Library agrees to be solely responsible for its
decisions and actions relating to Library employees and consequent costs regarding
benefits and coverage, and agrees to indemnify and hold harmless the City, its Aldermen,
departments, officers, agents and employees against any claims arising from such Library
decisions and actions by a Library employee or employee's dependent.
5. Effective Date/Term/Termination: This agreement shall be in effect on the date it is
fully executed by the duly authorized officers of each party and will remain in effect until
Apri130, 2008. Unless terminated in the manner provided for below, it shall
automatically renew for successive one year terms. This agreement shall remain in effect
until such time as either party to this agreement requests that the terms of the agreement
be reviewed and/or a new agreement is executed, or the parties agree to a termination.
6. Notices: All notices hereunder shall be in writing and shall be served personally, by
registered mail or certified mail to the parties at such addresses as designated below:
To the City: City of Canton
2 North Main Street
Canton, Illinois 61520
Attn: City Treasurer
To the Library: Parlin Ingersoll Library.
205 West Chestnut
Canton, Illinois 61520
Attn: Insurance Committee
7. General Terms: This agreement shall be binding upon and inure to the benefit of any
successor entity which may assume the obligations of any party hereto, provided,
however, that this agreement may not be assigned by a party without prior written
consent of the parties hereto. This agreement shall be governed by and constructed under
the law of the State of Illinois. A declaration of the invalidity of any provision of this
agreement shall not render invalid any other provision. If, for any reason, any provision
of this agreement is determined by a court of competent jurisdiction to be invalid or
unenforceable, that provision shall be deemed severable and this agreement may be
enforced with that provision severed or modified by court order. This agreement may be
executed in multiple counterparts or duplicate originals, each of which shall constitute
and be deemed as one and the same document.
In Witness, the parties have executed this Agreement by authorized officials in Canton, Illinois
this
day of
granted by the respective governing bodies of each party.
2007, pursuant to the authority
PARLIN INGERSOLL LIBRARY
By:
Title:
Attest:
By:
Title:
CITY OF CANTON, an Illinois Municipal
Corporation
By:
Title:
Attest:
By:
Title:
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ADDENDUM A
SUMMARY PLAN DESCRIPTION
OF THE CITY OF CANTON
DENTAL PLAN
Dental Benefits
la1 Services
Reasonable and Customary Dental Expenses Incurred for:
(1) Preventative Dental services (not subject to Deductible)
(A) routine oral examinations, up to a maximum of twice per
calendar year;
(B) prophylaxis (cleaning, scaling and polishing), up to a
maximum of twice per calendar year;
(C) topical fluoride application, limited to persons under age
nineteen (19), up to a maximum of twice per calendar
year;
ID- x-rays-bitewing (as needed), complete mouth x-ray (every
thirty-six (36) months);
(E) space maintainers, limited to persons under age sixteen
(16) and not when part of orthodontic treatment; and
(F) emergency treatment for relief of pain.
(2) Primary Dental Services
(A) amalgam fillings;
(B) composites on anterior (front teeth);
IC) synthetic porcelain and plastic restorations;
(D) extractions-simple and surgical extractions including pre-
and post-operative care;
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(E) endodontics-root canal and pulpal therapy;
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(F) periodontics-treatment of gums and bones supporting
teeth;
(G) general anesthesia when administered by a Dentist properly
licensed to administer general anesthesia fora covered
procedure;
(H) sealants for Covered Dependents under age nineteen 119)
to caries-free occlusal surfaces of first and second
permanent molars (once in five years);
(I) repair of dentures and bridgework; and
(J) occlusal guards (once per lifetimel;
Major Dental Services
(A) crowns, jackets, labial veneers and cast restorations,
including replacements (but only once in five years except
for an accidental Injury);
(B) inlays and onlays for restorative purposes, including
replacements (but only once in five years, except for
accidental Injuryl;
(C) Oral Surgery including procedures such as frenectomies,
removal of cysts and neoplasms and other surgical
procedures not covered under Primary Dental Services and
not covered under the medical benefits provisions of the
plan;
(D) Initial installation of, or addition to, full or partial dentures
or fixed bridgework, if such installation or addition is
required due to the extraction, on or after the Covered
Person's or Dependent's Effective Date, of one or more
natural teeth due to Sickness or Injury, and such denture
includes the replacement of the extracted tooth and is
completed within twelve (12) months after the date of the
extraction;
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(E) Replacement or alteration of full or partial dentures or fixed
bridgework, if such charge is due to one of the following
events, and if such event occurred on or after the Covered
Person's or Dependent's Effective Date, and if the
replacement or alteration is completed within twelve (12-
months after such event:
(il accidental Injury requiring Oral Surgery;
(ii) Oral Surgery involving the repositioning of muscle
attachments, or the removal of a tumor, cyst, torus
or redundant tissue.
(F) replacement of a full denture, if required as a result of
structural change within the mouth and if made more than
five 15- years after installation of the denture, but not
within two (2) years after the Covered Person's or
Dependent's Effective Ddate;
(G) replacement of congenitally missing teeth; and
(H) dental implants as reviewed on a case by case basis.
(I) full and partial dentures
(J) denture adjustments during first six (6) months after
obtaining dentures or having them repaired, provided that
the services are performed by someone other than the
dentist or his associates who provided or repaired the
dentures;
Replacements of crowns, bridges or dentures are not covered (1) until five (5) years
have elapsed since the original acquisition of the crowns, bridges or dentures, or
unless additional teeth have been extracted, and (2) unless the original crowns,
bridges or dentures could not have been repaired and made serviceable.
(b) Limitations
(1) Deductible Expenses
During each calendar year, except where specifically indicated to the contrary, each
Covered Person or Covered Dependent shall be responsible for the first 550 of
covered Expenses Incurred ("Deductible Expenses") pursuant to this Dental Benefits
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Section. This limitation does not apply to Expenses Incurred for Preventative Dental
Services as defined herein.
If a Covered Person or Covered Dependent incurs Deductible Expenses during the last
three (3) months of a calendar year, such expenses shall be considered Deductible
Expenses for the next calendar year as well.
Notwithstanding any provision in this Section to the contrary, the total number of
Deductible Expense limits to be paid by a Covered Person and his Covered
Dependents during one calendar year under the provisions of this Section shall not
exceed three (3).
The Deductible Expenses incurred under this Section of the Plan shall not be applied
to satisfy the Deductible Expense requirement under any other Section of the Plan.
(2) Shared Expenses
Notwithstanding any provision herein to the contrary, during each calendar year, a
Covered Person or Covered Dependent shall be responsible for a portion of
Reasonable and Customary Expenses Incurred pursuant to this Dental Benefits
Section, in excess of the expenses excluded pursuant to Subsection (1) above,
determined in accordance with the following schedule:
Benefits:
Preventative 100%
Primary 80%/20%
Major 50%/50%
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13- Maximum Dental Benefits
Notwithstanding any provision herein to the contrary, the maximum benefits available
for each Covered Person or Covered Dependent pursuant to this Dental Benefits
Section shall not exceed $1,000 per calendar year for all benefits provided for
Preventative, Primary, or Major Dental Services.
(4) Precertification
If a dentist recommends a course of treatment with an estimated cost of more than
$200, the dentist may submit a report describing the planned treatment, including
copies of necessary x-rays, photographs and models and an estimate of the total cost
of the course of treatment. The Contract Administrator will review the proposed
course of treatment and will notify the Covered Person or Covered Dependent and
dentist of the benefits available under the Plan.
(5) Alternate Benefits
If more than one (1) course of treatment is available, benefits will be computed and
paid based on the least costly course of treatment.
(6) Care By More Than One 11- Dentist
If a Covered Person or Covered Dependent switches dentists during a particular
course of treatment, benefits will be provided as if the course of treatment had been
provided under the original treatment plan.
(7) Limitations
The following limitations apply to benefits provided pursuant to this Dental Benefits
Section, in addition to those limitations specified in the General Limitations Section
which are applicable to all benefits provided under the Plan. Pursuant to these
additional limitations, no benefits will be provided under this Dental Benefits Section
for:
(A) Dental Services not ordered by a Physician or dentist;
(B) Dental Services which do not meet the standards set by
the American Dental Association;
(CI Dental Services incurred due to loss or theft of dentures or
bridges;
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(D) Dental Services obtained from a health department
maintained by the Employer, a union, a trustee or a similar
type of entity;
(E) Dental Services obtained for cosmetic reasons, including
altering or extracting and replacing sound teeth to change
appearance;
(F) The following items:
(i) myofunctional therapy;
(ii) athletic mouthguards
(iii) implants;
(iv) oral hygiene, dietary, plaque control and other
educational programs;
(v) duplicate prosthetic appliances;
(vi) porcelain veneered crowns or pontics placed on or in
place of a tooth behind the second bicuspid, to the
extent the charges would be more than the charges
that would have been a Covered Dental Charge for
acrylic veneered crowns or onlays; and
(vii) gold inlays or onlays;
diagnosis and treatment of temporomandibular joint syndrome including intraoral
prosthetic devices, or any other procedure to alter vertial dimension
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ADDENDUM B
SUMMARY PLAN DESCRIPTION
OF THE CITY OF CANTON
HEALTH BENEFIT PLAN PER
HEALTH ALLIANCE
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