83-03 OrdinanceRECORD OF ORDINANCES
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Ordinance No.
83-03 Passed 20
AN ORDINANCE AMENDING SECTION 10 ("MEDICAL, DENTAL,
VISION, AND LIFE INSURANCE") OF ORDINANCE N0.98-96
(COMPENSATION PLAN FOR NON-UNION PERSONNEL).
WHEREAS, Council has directed the Administrative Committee to conduct a study of the
City's medical benefits program and provide recommendations to Council regarding changes
to the program; and
WHEREAS, the Administrative Committee has completed the study and presented
recommendations to Council regarding changes to the City's medical benefits programs; and
WHEREAS, Council has determined that Section 10 ("MEDICAL, DENTAL, VISION,
AND LIFE INSURANCE"), paragraph A of Ordinance No. 98-96 (Compensation Plan for
non-union personnel) should be amended to adopt the recommendations of the
Administrative Committee; and
WHEREAS, Council has determined that Section 10 ("MEDICAL, DENTAL, VISION,
AND LIFE INSURANCE"), paragraph B of Ordinance No. 98-96 (Compensation Plan for
non-union personnel) should be amended for "housekeeping" purposes;
NOW, THEREFORE, BE IT ORDAINED by the Council of the City of Dublin, State of
Ohio, ~ of the elected members concurring:
Section 1. That Section 10 ("MEDICAL, DENTAL, VISION, AND LIFE INSURANCE"),
paragraph A be amended by deleting the language contained therein and replacing it with the
following:
A. The City shall make available group medical, prescription drug, dental, and vision
benefits to employees serving in Full-Time Permanent positions and their
dependents and to all Council Members and dependents in accordance with the
City's current Master Plan Document. However, the City's Master Plan
Document shall be amended to reflect the following medical plan design changes:
Prescription Drug Plan
Effective January 1, 2004, the co-payment for brand name drugs obtained at the
retail pharmacy shall be increased from $15.00 to $20.00 and effective January
1, 2005 the co-payment shall be increased to $25.00. Should no generic drug be
available, or should the employee's doctor prescribe a brand name drug under
"dispense as written" instructions, the employee shall only be required to pay the
generic co-payment.
Effective January 1, 2005, the co-payment for generic drugs obtained at the retail
pharmacy shall be increased to $10.00. (The current co-payment of $8.00 for
generic drugs obtained at the retail pharmacy shall be maintained during 2004.)
Effective January 1, 2004, the co-payment for athree-month supply of generic
drugs obtained through mail order shall be increased from the current co-
payment of $1.00 to $5.00; effective January 1, 2005, this co-payment shall be
increased to $10.00; and effective January 1, 2006, this co-payment shall be
increased to $15.00.
RECORD OF ORDINANCES
Dayton Legal Blank, Inc. Form No. 30043
Ordinance No. 83-03 _ Passed Page 2 . 20.
Effective January 1, 2004, the co-payment for athree-month supply of brand
name drugs obtained through mail order shall be increased from $1.00 to
$10.00; effective January 1, 2005, this co-payment shall be increased to $20.00;
and effective January 1, 2006, this co-payment shall be increased to $30.00.
Should no generic drug be available, or should the employee's doctor prescribe a
brand name drug under "dispense as written" instructions, the employee shall only
be required to pay the generic co-payment.
Co-Insurance Provision
Effective January 1, 2004, an 80/20 Co-Insurance Provision (Plan pays 80%, plan
member pays 20%) shall be implemented for "out-of-network" general medical
services. (The current 90/10 Co-Insurance provision shall be retained for "in-
network" services.)
Effective January 1, 2004, the coverage level for "in-network" diagnostic testing,
x-rays, and lab work shall be improved by changing the Co-Insurance from the
current 80/20 to 90/10. (The current 80/20 Co-Insurance for diagnostic testing, x-
rays, and lab work shall be retained for "out-of-network" diagnostic testing, x-
rays, and lab work.)
Out-of-Pocket Maximums
Effective January 1, 2004 the following schedule of Out-of-Pocket Maximums for
"in-network" and "out-of-network" services shall be implemented:
OUT-OF-POCKET MAXIMUMS
IN-NETWORK
Year Sin le Covera e Famil Covera e
1-1-04 $500 $750
1-1-OS $500 $1,000
OUT-OF-NETWORK
Year Sin le Covera e Famil Covera e
1-1-04 $500 $750
1-1-OS $750 $1,250
1-1-06 $1,000 $1,500
The annual Out-of-Pocket Maximum can be reached by a family in two ways.
Should any one family member reach the single annual out-of-pocket amount
under this schedule, his/her claims shall be paid at 100% from that point forward
the remainder of the calendar year; or should all family members' out-of-pocket
expenses combined reach the family annual maximum out-of-pocket amount,
every family member's claims shall be paid at 100% from that point forward the
remainder of the calendar year.
RECORD OF ORDINANCES
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Ordinance No.
83-03
Passed Page 3 , 20
Section 2. That Section 10 ("MEDICAL, DENTAL, VISION, AND LIFE INSURANCE"),
paragraph B be amended by deleting the language contained therein and replacing it with the
following:
B. All employees serving in Full-Time Permanent positions shall be entitled to group
term life and accidental death and dismemberment insurance coverage in
accordance with the City's Life lisurance Plan Document.
Section 3. That this Ordinance shall take effect and be in force on the earliest date permitted
by law.
Passed this ~ ~"r~~3;~u-e~1.X~.~~/1~2003.
Mayor -Presiding Officer
ATTEST:
~ ~~,~t--
Clerk ofCouncil
I hereby certify that copies of this
Ordinance/Resolution were posted in the
City of Dublin in accordance with Section
731.25 of the Ohio Revised Code.
.~
Cl of Council, Dublin, Ohio
Office of the City Manager
5200 Emerald Parkway, Dublin, Ohio 43017-1006
Phone: 614-410-4400 /Fax: 614-410-4490
Memo
To: Members of Dublin City Council
From: Jane S. Brautigam, City Manager.."c,.,.r.,~5
Date: July 16, 2003
Initiated By: David L. Harding, Director of Human Resources
Re: Amendments to the Compensation Plan for Non-Union Personnel -Administrative
Committee Recommendations
SUMMARY:
During the July 7, 2003 Council Meeting, the Administrative Committee presented its recommendations
regarding changes to the City Medical Benefits Plan. As discussed during the presentation, Staff has
prepared the attached legislation amending Section 10 ("MEDICAL, DENTAL, VISION, AND LIFE
INSURANCE") of the Compensation Plan (Ordinance No. 98-96) to reflect the medical plan design changes
recommended by the Administrative Committee.
As mentioned in the Administrative Committee's report, these plan design changes will only affect non-
unionemployees at this time. Staff will attempt to negotiate similar plan design changes for union personnel
during future union negotiations scheduled to begin in 2004 and 2005.
The attached legislation also contains a "housekeeping" amendment to the Life Insurance paragraph under
Section 10 of the Compensation Plan. Council will recall that via the 2003 Operating Budget, the Life
Insurance program was modified to provide life insurance coverage for non-union personnel in the amount
ofone-and-a-half (1.5) times each employee's annual base compensation/salary, with a minimum coverage
level of $50,000 and a maximum coverage level of $150,000. The Life Insurance paragraph in Section 10 of
the Compensation Plan should be amended to delete the old coverage language referring to $50,000 in
coverage for each employee.
RECOMMENDATION:
Staff recommends adoption of Ordinance No. 83-03.
Attachment