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2006-074RESOLUTION: 2006-74 ILZ Resolution Designating Health Insurance Providers for Town Employees At the regular meeting of the Town Board of the Town of Wappinger, Dutchess County, New York, held at Town Hall, 20 Middlebush Road, Wappingers Falls, New York, on the 27th day of February, 2006, at 7:30 P.M. The meeting was called to order by Joseph Ruggiero, Supervisor, and upon roll being called, the following were present: PRESENT: Supervisor - Councilmember- ABSENT: Joseph Ruggiero Robert Valdati Vincent F. Bettina Joseph P. Paoloni Maureen McCarthy The following Resolution was introduced by Mr. Paoloni and seconded by WHEREAS, The Town Board of the Town of Wappinger has received bids for health care coverage for Town employees, and WHEREAS, the Town Board has reviewed said bids for their compatibility to the needs of the Town, and WHEREAS, the Town Board of the Town of Wappinger has determined that the CDPHP EPO 20 plan is best suitable for the needs of the town while decreasing the costs of healthcare coverage. NOW, THEREFORE, BE IT RESOLVED, as follows: 1. The recitations above set forth are incorporated in this Resolution as if fully set forth and adopted herein. 2. The Town Board hereby authorizes Supervisor Joseph Ruggiero to take whatever steps necessary to offer the CDPHP EPO 20 plan for Town healthcare coverage, and further authorizes Supervisor Ruggiero to sign a contract with CDPHP for services. ✓ Vote Record - Resolution 2006-74 Adopted_.__......_............_.. ..... ...... _............ _...... _._._......a............ Yes/A.: e....._.._... ......... No Na.Y............. ..!.._...._.Absent.._........ .. ❑ Adopted as Amended ❑ Defeated .Josep_h._Ruggiero........_.............. Vincent Bettina ..... _ ........_� .............._...................................._...._ ❑ j ......_......___.'..................._ ❑ 1 ..................... ❑ ❑ Tabled ......_......_..__..__...._.._...._.._..................._ Joseph Paoloni ........................__.©.._._.__.._..__........._..._o__.-_...._..... ...o.............._............._......._.o........._......... ❑ Withdrawn Maureen McCarthy❑ _. i.._......_._..._ ......... ....... ..................._........._....._...._...,._............_.._............__....._...._ ..............__...Q......_........._. ❑ f Dated: Wappingers Falls, New York February 27, 2006 The Resolution is hereby duly declared adopted. C2L e W�A� J C. MAST RSON, TOWN CLERK HEALTH INSURANCE PREMIUM SAVINGS INITIATIVE ADVANTAGE BENEFITS CONSUTLING 1 EXISTING PLAN WITH AND WITHOUT STUDENT DEPENDENT COVERAGE EXISTING PLAN ALONGSIDE MULTIPLE PREMIUM'SAVING ALTERNTIVES FOR TOWN HALL EMPLOYEES-) (INCLUDING STUDENT TO AGE 25) EXISTING PLAN ALONGSIDE MUT_TIPLE PREMIUM SAVING ALTERNTIVES FOR TOWN HALL EMPLOYEES (DEPENDENTS TO AGE 19 ONLY TOWN HIGHWAY DEPARTMENT PLANS W Existing Plan Option 1 Option 2 10 MVP HMO 20+ MVP HMO 15 MVP HMO 15 Benefits: In Network Only In Network Only In Network Only Referrals Required Referrals Required Referrals Required PREVENTATIVE CARE: Physical Exams $20 co -payment $15 co -payment $15 co -payment Well BabyAVVell Child Care $0 co -payment $0 co -payment $0 co -payment Pediatric Immunizations $0 co -payment $0 co -payment $0 co -payment Mammograms $0 co -payment $0 co -payment $0 co -payment OUTPATIENT CARE Primary Care Office Visits $20 co -payment $15 co -payment $15 co -payment Specialist Office Visits $20 co -payment $15 co -payment $15 co -payment Surgery $100 or 20% co -payment $100 or 20% co -pay $100 or 20% co -pay Lab services $0 co -payment $0 co -payment $0 co -payment MRI/CAT SCAN/X-Ray $0 co -payment $0 co -payment $0 co -payment Chiropractic $15 co -payment $15 co -payment $15 co -payment Home Health Care $20 co -payment $15 co -payment $15 co -payment Allergy Services $20 co -payment $15 co -payment $15 co -payment HOSPITAL CARE Inpa{ianl I $v r merit 1 pay,,, 2')4� .- 11 W� o pay^ e„nt 2'7^rl n nt o I payme,. Surgery $0 co -payment $0 co -payment $0 co -payment Ancillary services $0 co -payment $0 co -payment $0 co -payment EMERGENCY SERVICES Inpatient $0 co -payment $0 co -payment $0 co -payment Outpatient $50 co -payment $50 co -payment $50 co -payment MATERNITY SERVICES Physician Services $0 co -payment $240 co -payment $240 co -payment Delivery $0 co -payment $0 co -payment $0 co -payment Inpatient $0 co -payment $0 co -payment $0 co -payment MENTAL HEALTH SERVICES Outpatient $20 co -payment (1st visit) $15 co -pay (1st visit) $15 co -pay (1st visit) $30 co -payment (visits 2-5) $25 co -pay (visits 2-5) $25 co -pay (visits 2-5) 50% or $50 visits (6-20) 50% or $45 visits (6-20) 50% or $45 visits (6-20) Inpatient (30 day max) $0 co -payment $0 co -payment $0 co -payment SUBSTANCE ABUSE Detoxification $0 co -payment $240 co -payment $240 co -payment Inpatient Not covered Not covered Not covered Outpatient (60 visits max) $20 co -payment $15 co -payment $15 co -payment SKILLED NURSING No co -payment (60 days) No co -pay (60 days) No co -pay (60 days) KIDS PREVENTIVE DENTAL Yes Yes Yes RIX CARDS Generic $10 co -payment $5 co -payment $5 co -payment Brand $30 co -payment $20 co -payment $20 co -payment Non -Formulary $50 co -payment Not covered Not covered Annual Deductible N/A N/A N/A Annual Maximum N/A N/A N/A Mail Order Yes Yes Yes DEDUCTIBLES Single None None None Family None None None CO-INSURANCE N/A N/A N/A OUT-OF-POCKET MAXIMUM Unlimited Unlimited Unlimited ANNUAL MAXIMUM Unlimited Unlimited Unlimited STUDENTS DEPENDENTS Toa e 25 Toa e 25 Toa e 19 RATES: Single $389.96117—$$1,043.50 403.44 $403.44 Family$1,008.63 $1,008.60 10 I INPr1TIENT HOSPITr1L COPAYMENTS All Town employees existing MVP plan covers hospitalization at no cost. For Town Hall employees, the alternative options A, B, and D require a $500 hospital copayment for admission to the hospital. Plan C requires only a $240 hospital copayment. Hospital co -payments are per person and may not have an annual limitation. The following table illustrates the different options for Town Hall employees, and the applicable limitations (f any) for each. Plan Option Carrier Amount of Hospital Copay Limit on Hospital Copay (Single) Limit on Hospital Copay (Family) IVI V r" .p.IVV I per ji.ur -i or mcmner noir vaar I' �..., /" B MVP $500 Per occurrence separated by 90 days Per occurrence separated by 90 days C CDPHP $240 2 per benefit period 3 per benefit period D CDPHP $500 No limit 2 per year "All limitations are based on a Calendar Year with the exception of plan C. 13