HomeMy WebLinkAboutCity of Tamarac Resolution R-96-198Temp. Reso. # 7535 1
August 30, 1996
Revised Sept. 5, 1996
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-96--Bg
A RESOLUTION OF THE CITY COMMISSION OF
THE CITY OF TAMARAC, FLORIDA, APPROVING
THE SELECTION OF THE PRUDENTIAL AS THE
CITY'S DENTAL PROVIDER EFFECTIVE
OCTOBER 1, 1996; PROVIDING FOR
CONFLICTS; PROVIDING FOR SEVERABILITY;
AND PROVIDING FOR,AN EFFECTIVE DATE.
WHEREAS, an Expression of Interest Letter was issued for Dental Care Providers and in
response eight (8) proposals were received; and
WHEREAS, the Risk Management Department analyzed and reviewed the benefits and
coverages offered by the providers; and
WHEREAS, The Prudential offers a Dual Choice Program which allows the employee the
opportunity to select from a group of dental providers at a higher benefit level or the freedom to go
outside the network at a reduced benefit level, and
WHEREAS, after careful evaluation, it is the recommendation of the Risk Manager to
approve The Prudential as the new dental provider for the employees of the City; and
WHEREAS, the City Commission of the City of Tamarac, Florida deems it to be in the best
interests of the citizens and residents of the City of Tamarac to approve The Prudential as the new
dental provider for City of Tamarac employees.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF
TAMARAC, FLORIDA:
S-EQIION 1: The foregoing "WHEREAS" clauses are hereby ratified and confirmed
as being true and correct and is hereby made a specific part of this Resolution.
SECTION 2: That the Prudential is approved to provide dental coverage for the
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Temp. Reso. # 7535 2
August 30, 1996
Revised Sept. 5, 1996
employees of the City of Tamarac effective October 1, 1996. The appropriate City Officials are
authorized to negotiate an agreement with The Prudential subject to the approval of the City
Commission.
SECTION 3: All resolutions or parts of resolutions in conflict herewith are hereby
repealed to the extent of such conflict.
5=I0N 4; If any clause, section, other part or application of this Resolution is
held by any court of competent jurisdiction to be unconstitutional or invalid, in part or application,
it shall not affect the validity of the remaining portions or applications of this Resolution.
SECTION 5: This Resolution shall become effective immediately upon its passage
and adoption.
PASSED, ADOPTED AND APPROVED this
ATTEST:
d/2 & W� -; X �
CAROL A. EVANS
CITY CLERK
I HEREBY CERTIFY that I
have approved this
R,5439LUTION as to for
�r
MITCHELL S. KRAFT
CITY ATTORNEY
(c:\wpdata\reso7535\.sms)
1 I day of , 1996.
NORMAN ABRAMOWITZ
MAYOR
RECORD OF COMMISSION VOTE
MAYOR
DIST 1:
DIST 2:
DIST 3:
DIST 4:
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ThePrudential (k
/ - 96- / q6'
REQUEST FOR GROUP INSURANCE
The Prudential Insurance Company of America
JTaxpayer Identification Number
1. RACT HOLDER'S
(P LICYHOLDER'S) LEGAL NAME The City o f Tamarac
Show full or corporate name - exact name as needed for the contract (policy)
2. STREET ADDRESS
(AND P.O. IF APPLICABLE)
7525 N.W. 88th Ave.
3. CITY, COUNTY, STATE OR PROVINCE
AND ZIP OR POSTAL CODE Tamarac Broward F L 33321
City County State Zip Code
4. Form of Organization: ❑Corporation ❑Partnership* ❑Proprietorship* XQ Other (explain) m ii n i s i n�a 1 i t y
*Are partners or proprietors to be eligible for insurance? 17 No ❑ Yes
5. Associated Companies to be included:
Name of Company
Location Number of Subsidiary or Corporation,
City and State or Province Employees Affiliate Partnership, or
Proprietorship
6. Coverages Requested:
Emp. Dep.
Emp.
Dep. Emp. Dep.
Managed Medical (HMO)
❑ ❑ Dental(DMO)
Weekly Disab. Income (A&S)C7
Managed Medical (POS)
❑ ❑ Dental(Indemnity)
Long Term Disability ❑
Major Medical(Indemnity)
Cl Cl Term Life
❑
❑ Prescription Drug ❑ Cl
❑ 1 ❑ Survivor Benefit
❑
❑ ❑ C7
Wrap
❑ ClPersonal Accident
❑
❑ ❑ O
7. Premiums will be payable on
a monthly basis. Monthly premiums may be paid in advance
for 12 month periods subject to the applicable discount.
Final rates will be calculated
after receipt of enrollment data. The percentage of the premium to be paid by the employer is:
Employee Health
%; Dependent Health %; Life
%; Accidental Death & Dismemberment, N /N A %;
Other N / A
%;Other N / A %;Other
%
8. Amount of Advance Payment $ N I A (Approximately the first month's premium required)
9. Employment Waiting Period: What period of continuous service on a full-time basis must be completed by an employee before becoming eligible
for insurance? First of the month following: 0 Date of Hire X1 month ❑ 3 months C7 6 months
Other ;Will this apply to present employees? ❑ No ❑ Yes
10. Has this group been insured previously with Prudential or any other insurance carrier or service plan for any coverages requested? )(No M Yes
If yes, indicate coverages, full name of carrier and date of cancellation:
Name of Insurance Carrier Date of Cancellation
If Prudential, show Contract (Policy) number ; Effective Date ; Due Date ; Amt of last paid premium
11. Effective Date
(If Contributory, insurance may not become
/O
r �
before the required percentage of persons eligible have enrolled.)
It is understood that no employee shall become insured while not actively at work on full time at the normal place of business, and only full-time
employees shall be eligible. If coverage other than Personal Accident Insurance is requested for dependents, no dependent shall become covered
while confinement for medical care or treatment at home or elsewhere.
It is further understood that an application for each contract (policy) will be made at the time the contract (policy) is delivered; and also that no
agent has power on behalf of The Prudential Insurance Company of America to make or modify an application for insurance, or to bind said
any by making any promise or representation or by giving
at�/ �L
On 19 ��
(rrtnt ivame anu t me of utticer, rartner or rroprietor)
Ell. 3/1/96
RG MK 0028 White Copy - Prudential • Canary Copy - Client • Pink Copy - Broker - Goldenrod Copy - Group Rep