HomeMy WebLinkAbout173-01 RESOLUTIONRESOLUTION NO. 173-01
•
A RESOLUTION APPROVING THE RENEWAL OF EMPLOYEE
GROUP POLICIES WITH US ABLE LIFE TO PROVIDE LIFE,
ACCIDENTAL DEATH AND DISMEMBERMENT, AND LONG
TERM DISABILITY INSURANCE COVERAGE AND TO
ADMINISTER THE SECTION 125 CAFETERIA PLAN FOR
POLICY YEAR 2002.
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1. That the City Council hereby approves the renewal of employee
group policies with US Able Life to provide Life, Accidental Death and
Dismemberment, and Long Term Disability insurance coverage and to
administer the Section 125 Cafeteria Plan for policy year 2002.
PASSED AND APPROVED this 18th day of December, 2001.
ATTEST:
By
APPROVED:
By
EATHER WOODRUFF, Ci Clerk
NAME OF FILE.
CROSS REFERENCE:
Resolution No. 173-01
12/18/01
Resolution No. 173-01
Renewal of Employee Group Policies with US Able Life to provide Life,
Accidental Death and Dismemberment and Long Term Disability
Insurance Coverage and to administer the Section 125 Cafeteria Plan for
Police Year 2002
12/18/01
Staff Review Form
12/20/01
Memo to Don Bailey, Personnel Director, from Heather Woodruff, City
Clerk
NOTES:
FAYETTEVItLE
THE CITY OF FAYETTEVILLE, ARKANSAS
DEPARTMENTAL CORRESPONDENCE
•
TO:
FROM:
DATE:
SUBJECT:
Mayor Dan Coody and The City Council
Ted Webber, Administration Service D rect
Dori Bailey, Personnel Director
November 30, 2001
Employee Group Life, AD&D, LTD, Voluntary AD&D and Cancer policies,
and Cafeteria Plan Administration renewal for calender year 2002.
The expiration date for each of the policies and Cafeteria Plan Administration is
12-31-01. The rates for these coverages were set through competitive bidding for plan
year 2000. We received a two year rate guarantee which continued these same rates
through the plan year 2001. U.S. Able Life notified us by letter dated November 9,
2001 that there would be no increase for 2002.
Life
AD&D
LTD
Vol AD&D*
Vol AD&D*
Cancer*
Cafeteria Plan
(Per $1,000 coverage)
(Per $1,000 coverage)
(Per $100 of covered payroll)
(Per $25,000 coverage)
(Per $25,000 coverage)
.21
.05
.46
1.50 Employee only
2.00 Family
Various
No cost
Employer pays for $25,000 of voluntary AD&D coverage on each employee. The
employee pays 100% of premium for coverage above $25,000 or for Family coverage.
The employee pays 100% of premium for Cancer coverage he or she may elect.
U.S Able, in consideration of employee participation in two of their Voluntary Group
Plans (Cancer and Voluntary AD&D), serves at no cost as a third party administrator for
our Section 125 Cafeteria Plan. Internal Revenue regulations permit Group premiums,
employee and dependent unreimbursed medical care, deductible and co -payment
expense and dependent care cost for eligible children and other dependents to be
incurred on a pre-tax basis through payroll contributions to a flexible spending account.
These expenses are reimbursed to the employee as projected expense occurs.
R
Er
P.
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The estimated cost to be incorporated in the 2002 Budget has been calculated by the
Budget & Research Division and is attached as a schedule. An annualized cost
forecast of these plans is relatively simple and we are confident the projected costs will
not be exceeded.
2002 Budget Summa ByFunc?
9 rY
- Long Term Disability (LTD)
- Accidental Death & Dismemberment (AD&D)
- Life Insurance
Fund
LTD AD&D Life Insurance
Budget Budget Budget
General (1010) $ 62,641 $ 7,646 $ 63,731
Street (2100) 4,333 666 4,409
Community Development (2180) 468 54 476
Parks Development (2250) 1,940 267 1,974
Drug Law Enforcement (2930) 471 59 480
Water & Sewer (5400) 7,563 1,169 7,694
Solid Waste (5500) 5,815 907 5,916
Airport (5550) 898 136 914
Shop (9700) 1,862 270 1,894
C:\DATA\ 123-DATA\02ADDLTD. WK4
$ 85,991 $ 11,174 $ 87,488
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USAble Life
November 30, 2001
City of Fayetteville
BeffRay
113 W. Mountain
Fayetteville, AR 72701
RE- Policy Number 1000246701
Dear Beff Ray:
•
Your group life insurance plan with USAble Life renews January 1, 2002. We have completed
the annual review of the rates for your plan. Based on this analysis, we are pleased to inform
you that for the upcoming plan year your rates will remain the same. Your rates are shown
below:
Benefit Current Rate
Life $0.21
AD&D $0.05
Long Tern Disability $0.46
VAD&D Employee Plan $1.50 per $25,000 Benefit Amount
VAD&D Family Plan $2.00 per $25,000 Benefit Amount
Thank you for giving us the opportunity to serve your employees' insurance needs. Please feel
free to contact our office (375-7200 or 800/648-0271) or your local insurance representative
whenever we can be of assistance.
Sincerely;
Henry W. Reed
Director, Group Underwriting
Barbara Lavin 0185
P.O. Box 1650
Licle Rock, Arkansas 7222034550
(501) 375-7200
• •
Schedule of Insurance
Policy Number
R2467
Waiting Period: Present Employees:
Future Employees:
Policyholder Effective Date
City of Fayetteville January 1, 2000
30 days
30 days
Benefits for eligible employees shall be determined in accordance with the following schedule:
igner tnousand.
REDUCTIONS, TERMINATIONS AND SPECIAL PROVISIONS
Class 1: Employee Life and Accidental Death & Dismemberment: Benefits reduce 33 1/3 % of the
pre -age 67 amount at ages 67 and 70, and terminate at retirement.
Class 2: Employee Life and Accidental Death & Dismemberment: Benefits reduce 33 1/3 % of the
pre -age 67 amount at ages 67 and 70, and terminates the earlier of age 75 or retirement.
CLASSIFICATION
LIFE AND
AD&D
Class 1: All Full -Time Employees customarily
working at least 40 hours per week
1 1/2 Times Annual
Salary Maximum
$ 150,000•
Class 2: Any Employee previously employed full-time who is a
designated staged retiree and who works an average of 20
hours per week on a regular basis
1 1/2 Times Annual
Salary Last Earned When
Working Full -Time
Maximum $150,000*
igner tnousand.
REDUCTIONS, TERMINATIONS AND SPECIAL PROVISIONS
Class 1: Employee Life and Accidental Death & Dismemberment: Benefits reduce 33 1/3 % of the
pre -age 67 amount at ages 67 and 70, and terminate at retirement.
Class 2: Employee Life and Accidental Death & Dismemberment: Benefits reduce 33 1/3 % of the
pre -age 67 amount at ages 67 and 70, and terminates the earlier of age 75 or retirement.
•
•
Employee Accidental Death
and Dismemberment Benefit
If an insured employee suffers a loss described below, we will pay the amount of insurance that
applies. The insured employee or his beneficiary must give us proof that:
1. injury occurred while the insurance was in force under this section;
2. loss occurred within 90 days after the injury; and
3. loss was due to injury independent of all other causes.
AMOUNT OF INSURANCE
We will pay the full benefit shown in the Schedule of Insurance for loss of:
1. life;
2. both hands or both feet;
3. one hand and one foot;
4. sight of both eyes;
5. one hand and sight of one eye; or
6. one foot and sight of one eye.
We will pay one-half the full benefit shown in the Schedule of Insurance for loss of:
1. one hand;
2. one foot; or
3. sight of one eye.
Loss of sight means total and irrecoverable loss of sight. Loss of hands or feet means severance at
or above the wrist or ankle, unless the State in which this policy is issued defines the loss differently.
In paying this benefit, we will consider only losses sustained while insured under this section of the
policy. We will pay no more than the full amount shown in the Schedule of Insurance for losses
resulting from any one injury.
LIMI FATIONS
We will not pay a benefit for a loss caused directly or indirectly by:
1. disease, bodily or mental infirmity, or infection (except bacterial infection of a visible injury);
2. suicide or intentionally self-inflicted injury, whether sane or insane;
3. participation in a riot or insurrection, or commission of an assault or felony;
4. war or any act of war, declared or undeclared;
5. use of any drug, hallucinogen, controlled substance, or narcotic unless prescribed by a
physician;
6. travel or flight in, or descent from, any aircraft unless as a fare paying passenger on a
commercial airline flying between established airports on: (a) a scheduled route, or (b) a
charter flight; or
7. participation in parachute or hang gliding sports, or an organized race or speed contest.
"Participation" in a riot shall include promoting, inciting, conspiring to promote or incite, aiding,
abetting, and all forms of taking part in, but shall not include actions taken in defense of public or
private property, or actions taken in defense of the person of the insured, if such actions of defense
are not taken against persons seeking to maintain or restore law and order including but not limited
to police officers and firemen.
i •
Employee Accidental Death and Dismemberment (continued)
"Riot" shall include all forms of public violence, disorder or disturbance of the public peace, by three
or more persons assembled together, whether or not acting with common intent and whether or not
damage to persons or property or unlawful act or acts is the intent or the consequence of such
disorder.
"War" means declared or undeclared war or a conflict involving the armed forces of any country,
group of countries, governments, or international organization.
•
Schedule of Insurance — Optional Benefit
Voluntary: Accidental Death & Dismemberment
(VAD&D)
Any eligible employee may select Voluntary AD&D coverage in units of $25,000 up to a maximum
of $250 000 by completing an application during the enrollment period and paying the required
premium. Amounts over $150,000 are subject to a limit of ten (10) times the employee's annual
salary rounded to the next higher $25,000 increment.
FAMILY PLAN COVERAGE
The insured employee may also choose to cover his spouse and/or dependent children. If he does,
the amount of insurance applicable to members of the family is based on the composition of the
family at the time of loss and is expressed as a percentage of the employee's benefit amount as
follows:
REDUCTIONS, TERMINATIONS AND SPECIAL PROVISIONS
Employee VAD&D: Benefits reduce 35 % at age 70. A further reduction of 20% will occur at age
75, as well as additional 15% reductions at ages 80 and 85. All reductions are based upon the pre -
age 70 benefit amount. Benefits terminate at retirement.
Dependent VAD&D: Coverage for a dependent spouse terminates at the spouse's age 70. Coverage
for dependent children terminates on the date the employee's coverage terminates or the date as
defined under Termination of Dependent Insurance.
PERCENTAGE OF
' INSURANCE FOR:
-...
FAMILY COMPOSITION AT TIME OF LOSS
Employee &
-.Spouse
Employee &
Children
Employee, Spouse,
& Children
Employee
100%
100%
100%
Spouse
50%
N/A
40%
Each Child
N/A
10%
5%
REDUCTIONS, TERMINATIONS AND SPECIAL PROVISIONS
Employee VAD&D: Benefits reduce 35 % at age 70. A further reduction of 20% will occur at age
75, as well as additional 15% reductions at ages 80 and 85. All reductions are based upon the pre -
age 70 benefit amount. Benefits terminate at retirement.
Dependent VAD&D: Coverage for a dependent spouse terminates at the spouse's age 70. Coverage
for dependent children terminates on the date the employee's coverage terminates or the date as
defined under Termination of Dependent Insurance.
CLASSES TO BE COVERED
All Full Time Employees
AMOUNT OF INSURANCE
DISABILITY BENEFIT
a. 601 (benefit percentage) of basic monthly earnings not
monthly benefit, less other income benefits.
b. The maximum monthly benefit is $6,000.
c. The minimum monthly benefit is $50.00.
MAXIMUM BENEFIT PERIOD
Age At Disability
Less than age 60
60
61
62
63
64
Benefit Period
To
60
48
42
36
30
Age 65
months
months
months
months
months
ELIMINATION PERIOD 180 days
MINIMUM REQUIREMENT FOR ACTIVE EMPLOYMENT
30 regularly scheduled hours per week.
WAITING PERIOD: If you were
If you were hired after the
CONTRIBUTIONS
You are not required to contribute to the cost of your insurance.
•
to exceed the maximum
Age At Disability
65
66
67
68
69 and over
Benefit Period
24 months
21 months
18 months
15 months
12 months
hired on or before the policy effective date:
policy effective date: 90 days
00 days
•
ICY AGENDA REQUEST
CONTRACT REVIEW
GRANT REVIEW
•
STAFF REVIEW FORM
For the Fayetteville City Council meeting
•
266/
of DECEMBER 18,'2006
FROM:
DON BAILEY PERSONNEL
Name Division
ADMIN. SERVICES
Department
ACTION REQUIRED:
RENEW EMPLOYEE GROUP POLICIES FROM U S ABLE LIFE TO PROVIDE LIFE, AD&D, LTD COVERAGE
AND SEC. 125 CAFETERIA PLAN ADMINISTRATION
COST TO CITY:
$ 184,653 EST. YR. 2002
Cost of this Request
VARIOUS
Account Number
Project Number
$ 184,653 EST. YR. 2002
Category/Project Budget
$ 0
Funds Used To Date
$ 184,653
Remaining Balance
LIFE/AD&D, LTD INS.
Category/Project Name
CITY WIDE
Program Name
CITY WIDE
Fund
BUD ET
Bu Manager
Budgeted Item
Budget Adjustment Attached
Administrative Services Director
CONTRACT/GRANT/LEASE
itv At
•
rney
A
REVIEW:
Purchasing Officer
/2,4/o!
Date
/4/4/
Date
14k4=o1
Date
GRANTING AGENCY: /
ABLv ig/4401
t@rnal lyL diEor Date
ADA Coord
nator Date
STAFF RECOMMENDATION:
APPROVE CONTRACT
Depsrtment Director
• Date
Administrative Services Director
Mayor
C:\DATA\BLANKFOR\AGENDA.BLK
Date
Cross Reference
New Item: Yes No
Prev Ord/Res #:
Orig Contract Date:
Orig Contract Number:
s
F
FAYETTEVfLLE
THE CITY OF FAYETTEVILLE, ARKANSAS
DEPARTMENTAL CORRESPONDENCE
•
To: Don Bailey, Personnel Director
From: Heather Woodruff, City Clerk
Date: December 20, 2001
Please find attached a copy of Resolution No. 173-01 approving the renewal of employee group
policies with US Able Life. The original will be microfilmed and filed with the City Clerk
cc: Nancy Smith, Internal Audit
c
010 03
Update
Document
Reference
RES
Date
12182001
Cit Fayetteville
ndex dex Maintenance
it Action
Ref. Taken Brief Description
173
•
12/26/2001
16:43:32
RENEWAL OF EMPLOYEE GROUP POLICIES
Enter Keywords
File Reference #
Security Class
Expiration Date
Date for Cont/Referred:
Name Referred to
RES. 173-01
RENEWAL
BMPLOYEE GROUP POLICIES
!JS ABLE LIFE
LIFE
ACCIDENTAL DEATH
DISMEMBERMENT
LONG TERM DISABILITY INSURANCE`
SECTION 125 CAFETERIA PLAN
POLICY YEAR 2002
MICROFILM
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