Department: Human Resources and Talent
Department Head/Elected Official: Sakita Douglas
Regular or Supplemental RCA: Regular RCA
Type of Request: Policy
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWDBE Contracted Goal (if applicable): N/A
MWDBE Current Participation (if applicable): N/A
Justification for 0% MWDBE Participation Goal: N/A - Goal not applicable to request
Request Summary (Agenda Caption):
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Request for approval of a revised policy on reinstatement of retiree and dependent health insurance.
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Background and Discussion:
On September 19, 2024, Commissioners Court directed Human Resources to revisit the policy on reinstatement of retiree and dependent health insurance and present recommendations to Commissioners Court. The current policy allows retirees whose group health and related benefits are terminated because of failure to make premium payments, to have their coverage reinstated prospectively if payment of all past due premiums are made within 60 days of termination of coverage. If a retiree's financial institution refuses two (2) direct debits within a calendar year, coverage is not reinstated unless the payment was refused because of a bank error or delay in an expected Social Security or retirement payment. If a retiree is receiving the County's 100% contribution for retiree only coverage, the policy does allow the retiree a one-time option to re-enroll in the medical plan at open enrollment if they pay the outstanding premium balance.
The proposed policy attached allows a retiree whose group health and related benefits are terminated because of failure to make premium payments, to have their coverage reinstated without loss of coverage if payment of all past due premiums are made within 15 calendar days from the date the debit was refused by the retiree's financial institution. If payment is not made within 15 calendar days, retirees can still reinstate their coverage if payment is made withi...
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