Ordinance 81-2278ORDINANCE NO, 81-2278
AN ORDINANCE AMENDING CHAPTER 2 OF "THE CODE
OF THE CITY OF MIAMI BEACH, FLORIDA" TO
PROVIDE TO EACH REGULAR EMPLOYEE THE RIGHT
TO ELECT PARTICIPATION IN THE CITY OF MIAMI
BEACH EMPLOYEES' BENEFIT PLAN OR A HEALTH
MAINTENANCE ORGANIZATION; REPEALING ALL
ORDINANCES OR PARTS THEREOF IN CONFLICT
THEREWITH AND ESTABLISHING AN EFFECTIVE
DATE.
BE IT ORDAINED BY THE CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA:
SECTION 1. That Section 2.52 of "The Code of the City of Miami
Beach, Florida," be amended as follows:
It is the intent of this plan to provide regular
employees of the city protection against serious
financial reverses arising out of non -service
connected physical disablities of the employees
and their immediate families, which are not
intentionally self-inflicted or the result of
their own misconduct; and this plan is intended
to supplement benefits provided for service
connected injuries by the workmen's compensation
law in offering regular employees an opportunity
for protection against other physical
exigencies. The general scope of benefits shall
as nearly as practicable conform to the
following: and shall afford to each regular
employee the right to elect participation in one
of two plans.
I. Group Health Insurance
(a) HOSPITALIZATION: Hospitalization shall
be provided for all cases involving
surgery, and for illnesses under such
limitations as the board shall
determine. Rates may be separately
established, and optional, for private,
semiprivate or ward accommodations.
(b) MEDICAL SERVICE: Medical service shall
be provided for all illnesses requiring
hospitalization, and for convalescence
following hospitalization when
required, not to exceed one call per
day. This medical service may be made
available in cases of illnesses which
would normally involve hospitalization,
but which because of special
circumstances are treated in a home.
(c) SURGICAL SERVICE: Surgical service
shall be provided for all illnesses and
accidents requiring the use of a
medical surgeon for purposes of
operating.
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I. Group Health Insurance (continued)
(c-1)DENTAL SERVICE. Dental service shall
be provided for care and treatment of teeth
as provided by a registered dentist.
(d) Any employee, retirant, pensioner or
dependent who is a member of the city
employees' benefit plan and who is age
sixty-five or over on or before July 1,
1966, and who is eligible for the
benefits of that certain health and
welfare plan of the United States
Government commonly known as Medicare,
Parts A and B, or who, had he or she
registered for such Medicare benefits
on or before March 31, 1966, would have
been eligible for such benefits
effective July 1, 1966, shall continue
to receive the benefits of "The City of
Miami Beach Employees' Benefit Plan,"
in the following manner:
(1) Eighty percent of the remaining balance
of costs for hospitalization, medical
and surgical service after Medicare
payments, as prescribed for all regular
employees participating in the city
employees' benefit plan, shall continue
to be furnished to such employees,
retirants, pensioners and dependents.
II. Health Maintenance Organization (HMO)
(a) HOSPITALIZATION: Hospitalization shall
be provided for all cases involving
illness and accident.
(b) MEDICAL SERVICE: Medical service shall
be provided for all illnesses and
accidents.
(c) SURGICAL SERVICE: Surgical service
shall be provided for all illnesses and
accidents requiring the use of a
medical surgeon for purposes of
operating.
(d) Benefits for
retirants, or
same as under
or pensioners
benefits paid
duplicated by
over age 65 employees,
pensioners shall be the
65 employees, retirents,
with the exception that
by medicare will not be
the HMO.
SECTION 2. That all ordinances or parts of ordinances in
conflict herewith be and the same are hereby
repealed.
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SECTION 3 This ordinance shall become effective as of November
1, 1981.
PASSED AND ADOPTED this
Attest:
G�fLv��J
City Clark
16th day of September , 1981
1st Reading - September 2, 1981
2nd Reading - September 16, 1981
Words underlined are added.
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