Ordinance 81-22794
ORDINANCE NO. 81-2279
AN ORDINANCE AMENDING SECTION 2.55 OF "THE
CODE OF THE CITY OF MIAMI BEACH, FLORIDA"
ESTABLISHING CONTRIBUTIONS BY EMPLOYEES AND
THE CITY TO HEALTH MAINTENANCE ORGANIZA-
TIONS FOR MEDICAL AND HOSPITALIZATION
COVERAGE, PROVIDING FOR SEVERABILITY, PRO-
VIDING FOR EFFECTIVE DATE.
BE IT ORDAINED BY THE CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA:
SECTION 1. That Section 2.55 of "The Code of the City of Miami
Beach, Florida," be amended as follows:
I. Group Health Insurance
(a) MEMBER: The contribution of a member
shall be one-half of the costs of the
benefits provided for in his agreement,
as such costs are determined by the
board.
(b) CITY: The contribution of the City on
behalf of the members shall be one-half
of the cost of the benefits provided for
in the agreements as such costs are
determined by the board, but not to
exceed thfee hutidfed f-ifty four hundred
fifty dollars per year for an agreement
covering a member only, nor to exceed
n4 a hendfed twenty-€4ve one thousand
two hundred fifty dollars per year for
agreements covering a member and his
family. The City shall continue to
contribute at the same rate for members
who are absent on authorized leave,
sickness or military service and shall
contribute at the same rate on behalf of
retirants who elect to continue their
agreements and pensioners who elect to
become members of the plan. The board
shall ascertain annually the total
amount of contribution to be made by the
City on behalf of members of this plan
and shall certify such amount together
with an estimate of administrative
costs to the City Manager for his
review, recommendation and submission
to the City Council for its approval and
inclusion in the annual budget.
PAGE 1
I. Group Health Insurance (Continued)
(c) The contribution of those employees,
retirants, pensioners and dependents
age sixty-five and over, eligible for
Medicare benefits and who are members
of the City employees' benefit plan
shall be one-half the cost of the
benefits provided for in the City
employees' benefit plan for those
employees, retirants, pensioners and
dependents age sixty-five and over,
eligible for Medicare benefits as such
costs are determined by the governing
board, plus one-half the cost of the
contribution for Medicare benefits, but
in no event shall such total
contribution exceed the contribution of
members of the City employees' benefit
plan who are not eligible for Medicare
benefits and have a similar agreement
for individual membership or for a
family basis.
(d) The contribution of the City on behalf
of the members of the City employees'
benefit plan age sixty-five and over
and eligible for Medicare benefits
shall be one-half the costs of the
benefits provided for in the agreements
as such costs are determined by the
governing board plus one-half the cost
of contribution for Medicare benefits
but in no event shall the total of such
contribution by the City exceed the
amount of contribution respectively for
any other agreements under the City
employees' benefit plan which covers
members only who are not eligible for
Medicare benefits or which covers
members and their families, none of
whom are eligible for Medicare
benefits.
(e) Whenever a husband and wife are both
members of the plan, and either has an
agreement with the plan providing for
benefits on a family basis, and either
is making contributions for the same,
then the other spouse shall not be
required to contribute to the plan. Any
members believing they qualify under
this provision shall file a notice with
PAGE 2
I. Group Health Insurance (Continued)
the Personnel Director on a form
prescribed by him. Such notice shall be
signed by both husband and wife and
shall indicate from which spouse's pay
contruibutions are to be deducted.
Such notice shall become effective as
of the first day of the first pay period
following the date of the election,
subject to review by the governing
board, which shall disallow any
election which it finds to be improper.
Thereafter contributions shall be made
as provided in the notice, provided
further, that there shall be no refund
of any contributions made prior to the
effective date of any notice.
II. Health Maintenance Organization (HMO)
(a) MEMBER: The contribution of a member
shall be the difference between the
dollar amount paid by the City and the
HMO rate.
(b) CITY: The cost to the City shall be the
same dollar cost as paid to the group
insurance carrier. The cost is not to
exceed four hundred dollars per year
for an agreement covering a member
only, nor to exceed one thousand one
hundred twenty dollars per year for
agreements covering a member and his
family.
1. The City
contribute
members
authorized
military
contribute
behalf of
continue
pensioners
shall
at the
who are
leave,
service
continue to
same rate for
absent on
sickness or
and shall
at the same rate on
retirants who elect to
their agreements and
who elect to become
members of the plan. The board
shall ascertain annually the total
amount of contribution to be made
by the City on behalf of members of
this plan and shall certify such
amount together with an estimate of
administrative costs to the City
Manager for his review,
recommendation and submission to
the City Council for its approval
and inclusion in the annual budget.
PAGE 3
II. Health Maintenance Organization (HMO)
(Continued)
(c) The contribution of those employees,
retirants, pensioners and dependents
age sixty-five and over, eligible for
Medicare benefits and who are members
of the City employees' benefit plan
shall be the difference between the
dollar amount paid by the City and the
HMO rate for those employees,
retirants, pensioners and dependents
age sixty-five and over, eligible for
Medicare benefits as such costs are
determined by the governing board, plus
one-half the cost of the contribution
for Medicare benefits, but in no event
shall such total contribution exceed
the contribution of members of the City
employees' benefit plan who are not
eligible for Medicare benefits and have
a similar agreement for individual
membership or for a family basis.
(d) The contribution of the City on behalf
of the members of the City employees'
benefit plan age sixty-five and over
and eligible for Medicare benefits
shall be the same dollar cost as paid to
the group insurance carrier as such
costs are determined by the governing
board plus one-half the cost of
contribution for Medicare benefits but
in no event shall the total of such
contribution by the City exceed the
amount of contribution respectively for
any other agreements under the City
employees' benefit plan which covers
members only who are not eligible for
Medicare benefits or which covers
members and their families, none of
whom are eligible for Medicare
benefits.
(e) Whenever a husband and wife are both
members of the plan, and either has an
agreement with the plan providing for
benefits on a family basis, and either
is making contributions for the same,
then the other spouse shall not be
required to contribute to the plan. Any
members believing they qualify under
this provision shall file a notice with
the Personnel Director on a form
prescribed by him. Such notice shall be
signed by both husband and wife and
shall indicate from which spouse's pay
contributions are to be deducted. Such
notice shall become effective as of the
PAGE 4
II. Health Maintenance Organization (HMO)
(Continued)
first day of the first pay period
following the date of the election,
subject to review by the governing
board, which shall disallow any
election which it finds to be improper.
Thereafter contributions shall be made
as provided in the notice, provided
further, that there shall be no refund
of any contributions made prior to the
effective date of any notice.
SECTION 2. That all ordinances or parts of ordinances in
conflict herewith be and the same are hereby
repealed.
SECTION 3 This ordinance shall become effective as of November
1, 1981.
PASSED AND ADOPTED this
Attest:
//</.1"%,L'Ae
City Cle
16th day of
1st Reading - September 2, 1981
2nd Reading - September 16, 1981
Words stftiek thfetdgh are deleted.
Words underlined are added.
September
FORM APPROVED
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Gy
Date l 0044
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