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HomeMy WebLinkAbout#5092 Guardian Dental Plan RESOLUTION NO. 5092 A RESOLUTION APPROVING A GROUP ENROLLMENT AGREEMENT BETWEEN THE CITY OF CANTON AND GUARDIAN INSURANCE FOR THE GROUP DENTAL PLAN AND DIRECTING THE MAYOR AND THE CITY CLERK TO EXECUTE AND DELIVER SAID AGREEMENT ON BEHALF OF THE CITY OF CANTON, ILLINOIS. WHEREAS,the City of Canton, Illinois has determined that it is necessary and in the best interest to enter into an agreement with Guardian Insurance to administer the City's Group Dental Plan as set forth in Exhibit A attached and incorporated hereto. NOW,THEREFORE, BE IT RESOLVED BY THE MAYOR AND THE CITY COUNCIL OF THE CITY OF CANTON, FULTON COUNTY, ILLINOIS AS FOLLOWS: I. That the agreement attached hereto and incorporated herein as Exhibit A is hereby approved by the Canton City Council. 2. That the Mayor and the City Clerk of Canton, Illinois, are hereby authorized and directed to execute and deliver said agreement on behalf of the City of Canton. 3. That this Resolution shall be in full force and effective immediately upon its passage by the City Council of the City of Canton, Fulton County, Illinois,and approval by the Mayor thereof. PASSED by the City Council of the City of Canton, Illinois,at a regular meeting this 18th day of April, 2017, upon a roll call vote as follows: AYES: Aldermen Justin Nelson,Gerald Ellis,John Lovell, Angela Hale,Craig West,Tad Putrich, Ryan Mayhew NAYS: None ABSENT: None APPROVED: Jere4 ,ri yor AT2 tF� iipt DiaW�:viel�k,' Clerk Please print clearly b ensure accurate processing ® Yes •C C Banca eeW1Ari Baas Iv 11110 as Me SAM PIN GUARDIAN' teatPIUSIm %sebum anw NM Ren.Wn aea Miaa aewS Y: Mita TM Oaardip US Dianna Company Of Ameba I7 Howie Square,New Yak.NY 19901 til mo APPLICATION FOR A PLAN OF GROUP INSURANCE REQUESTED COVERAGE y, Covamge(a): UFlannigan Is CAyofColon Dotal Mond elk yea 2NMai StSte A Wien Ineurenco WSW en CANTON,IL mea BuieSallublitfr *NS epaulet 81C cede all Volubly LIN BUSINESS 1160WATION Typn d OlgaluBac Nature deuNssn . oCapmsko OPabwMp OPrspmardlp CI D8 Cap 10 Other. 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Requested Eike*,Dote O6/01Rp1T CMA2dQ/ 1011111111111111111111111H1111m11111111111111111111 • A • 001e01/209744• PIM dae MiA -- --- • • • • City of Can on Guardian Insurance - effective date 5-1-2017 Basic Life/AD&D Benefit Police $20,000 Fire Department $40,000 All other eligible $40,000 Life(per$1,000) $0.26 AD&D(per$1,000) $0.04 Monthly Premium $993.86 PPO Dental Plan Mo.Prem Employee Only 20.78 Employee&Spouse 42.19 Employee&Child 55.16 Family 81.84 Voluntary Vision Mo. Prem Employee Only 10.94 Employee&Spouse 18.42 Employee&Child 18.79 Family 29.74 Voluntary Life Age Bracket Rate Per$1,000 < 30 $0.10 30 - 34 $0.12 • 35 - 39 $0.15 40 - 44 $0.21 45 - 49 $0.34 50 - 54 $0.57 55 - 59 $0.85 60 - 64 $1.30 65 - 69 $2.47 70 + $5.20