HomeMy WebLinkAbout~Master - Modification to Self-Insured Health Insurance Summary Plan Document RESOLUTION NO. 15-703
RESOLUTION APPROVING MODIFICATION TO SELF-INSURED HEALTH
INSURANCE SUMMARY PLAN DOCUMENT
FOR THE CITY OF AMES
WHEREAS, as a self-funded health insurer,the City of Ames has the ability to select from
among qualifying events that allow employees to enroll in health benefits; and,
WHEREAS,this criterion is defined in the Summary Plan Descriptions which are provided
through Wellmark each year; and,
WHEREAS, under these Summary Plan Descriptions, employees are able to sign up for
health insurance and qualify for a City premium contribution when they experience a "qualifying
event," such as when they are initially hired; and,
WHEREAS, in the past, these qualifying events have not included a change in status that
occurs when an employee is promoted from a less than full-time position to a full-time position,and
in those cases,employees must wait until the following year's open enrollment period to elect health
coverage; and,
WHEREAS, it is within the City's power to alter this enrollment process and allow
employees to elect coverage upon promotion into full-time positions; and,
WHEREAS,the current policy denies employees the opportunity to have an expanded City
contribution to their health premiums until the following year, and to eliminate this hardship, the
amendment is proposed to expand the qualifying event criterion for all Summary Plan Descriptions;
and,
WHEREAS, the City's annual open enrollment period begins on July 1, and the proposed
amendment applies to the City's plan document effective December 1, 2015; and,
WHEREAS, this change will apply to all promotions that occur moving forward; and,
WHEREAS,it is also staff s request that the change apply retroactively to one position where
the employee was promoted to full-time in 2015,and the retroactive application will allow this one
full-time employee to elect health insurance effective December 1, 2015.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Ames, Iowa,
that the aforementioned amendment to the City's health insurance Summary Plan Descriptions is
hereby approved.
ADOPTED THIS 24t'day of November, 2015.
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A. tom• ���
Diane R. Voss, City Clerk Ann H. Campbell, Mayor
Introduced by: Goodman
Seconded by: Betcher
Voting aye: Betcher, Corrieri, Gartin, Goodman,Nelson, Orazem
Voting nay: None Absent: None
Resolution declared adopted and signed by the Mayor this 24t'' day of November, 2015.