HomeMy WebLinkAboutCity of Tamarac Resolution R-2020-114 Temp. Reso. 13519
October 20, 2020
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CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-2020 •
A RESOLUTION OF THE CITY COMMISSION OF THE CITY
OF TAMARAC, FLORIDA, APPROVING THE AGREEMENT
WITH CIGNA AND AUTHORIZING THE APPROPRIATE CITY
OFFICIALS TO EXECUTE THE AGREEMENT WITH CIGNA,
PROVIDING FOR A VOLUNTARY VISION INSURANCE
PROGRAM, AND TO MAKE CERTAIN MODIFICATIONS TO
THE PROGRAM FOR EMPLOYEES AND RETIREES;
PROVIDING FOR CONFLICTS; PROVIDING FOR
SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE
DATE.
WHEREAS, the City of Tamarac seeks to provide the most cost efficient
and effective health benefits for employees and their families; and
WHEREAS, in February 2020, the City's benefit consultant, Lockton Companies
and City staff were preparing to market Employee Benefits for City of Tamarac employees
to include a Voluntary Vision Insurance plan providing participant with coverage for
prescription glasses and contact lenses effective January 1, 2021; and
WHEREAS, as a result of preparing to market Employee Benefits, Lockton
Companies presented the City with a proposal from CIGNA which included a Voluntary
Vision Insurance program; and
WHEREAS, City staff and Lockton Companies negotiated with CIGNA to include
Administrative Costs for Voluntary Vision Insurance claims in the negotiated renewal of
Administrative Services with a two (2) year rate hold effective January 1, 2021; and
WHEREAS, there is no fiscal impact to the City in the implementation of a
Voluntary Vison Insurance program due to the negotiated Administrative Services
renewal; and
WHEREAS, it is the recommendation of the City Manager and the Director of
Human Resources that the City approve the Voluntary Vison Insurance program provided
by CIGNA, subject to any revisions consistent with the benefit plan as may be negotiated
Temp. Reso. 13519
October 20, 2020
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by and between City staff and CIGNA and as approved by the City Manager and the City
Attorney for two (2) years effective January 1, 2021; and
WHEREAS, the City Commission has deemed it to be in the best interest of the
health, safety and welfare of citizens and residents of the City of Tamarac to execute the
Voluntary Vision Insurance contract with CIGNA for vision insurance for City of Tamarac
employees, as outlined in Exhibit A, attached hereto and made a part hereof, subject to
any revisions consistent with the benefit plan as may be negotiated by and between City
staff and CIGNA and as approved by the City Manager and the City Attorney effective
January 1, 2021 for a two year period.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF
TAMARAC, FLORIDA:
SECTION 1: That the foregoing "WHEREAS" clauses are hereby ratified
and confirmed as being true and correct and are hereby made a specific part of this
Resolution. All exhibits attached hereto are incorporated herein and made a specific
part of this Resolution.
SECTION 2: That the Agreement with CIGNA is approved and the
appropriate City officials are hereby authorized to execute the CIGNA agreement for
Voluntary Vision Insurance coverage for City of Tamarac employees, dependents and
retirees as outlined in the City's Administrative Services Contract, subject to any
revisions consistent with the benefit plan as may be negotiated by and between City
staff and CIGNA and as approved by the City Manager and the City Attorney for two (2)
years effective January 1, 2021.
SECTION 3: The following monthly premium rates are adopted effective
January 1, 2021 for Voluntary Vision Insurance:
VISION PPO
Employee Only = $8.65
Employee+ One Dependent = $16.54
Employee+ Two or More Dependents = $26.16
Temp. Reso. 13519
October 20, 2020
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SECTION 4: That all resolutions or parts of resolutions in conflict
herewith are hereby repealed to the extent of such conflict.
SECTION 5: That if any clause, section, or 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 6: This Resolution shall become effective immediately upon
adoption.
PASSED, ADOPTED AND APPROVED this D day of lar06€72-- , 2020.
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MICHELLE J. GOMEZ
MAYOR
ATTEST:
NN E JOHNS N
CITY CLERK RECORD OF COMMISSION VOTE:
MAYOR GOMEZ
DIST 1: V/M BOLTON 'eb
DIST 2: COMM.GELIN _ 7
DIST 3: COMM. FISHMAN
DIST 4: COMM. PLACKO 66
I HEREBY CERTIFY that I
Have approved this
R SOLUTION as to f rm.
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SAMUEL S. GORE
CITY ATTORNEY
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Summary of Benefits Cigna Health and Life Insurance Company „le,"AC,
Cigna Vision
CITY OF TAMARAC (FI VOL OPTION3) Cigna.
Cl - Standard PPO Comprehensive Plan
Welcome to Cigna Vision
Schedule of Vision Coverage
Coverage In-Network Out-of-Network Frequency
Benefit*** Benefit Period **
Exam Copay $10 N/A 12 months
Exam Allowance (once per frequency period) Covered 100% after Copay Up to $45 12 months
Materials Copay $20 N/A 12 months
Eyeglass Lenses Allowances:
(one pair per frequency period)
Single Vision 100% after Copay Up to $32 12 months
Lined Bifocal 100% after Copay Up to $55 12 months
Lined Trifocal 100% after Copay p to $65 12 months
Lenticular 100% after Copay Up to$80 12 months
Contact Lenses Allowances:
(one pair or single purchase per frequency
period)
Elective Up to $130 Up to $105 12 months
Therapeutic Covered 100% Up to $210 12 months
Frame Retail Allowance
(one per frequency period) Up to$130 Up to$71 12 months
MONTHLY RATES
Employee Only $8.65
Employee+ 1 $16.54
Employee + 2 or more $26.16
**Your Frequency Period begins on January 1 (Calendar year basis)
To receive in-network benefits, you cannot use this coverage with any other discounts, promotions, or prior orders. If you
use other discounts and/or promotions instead of this vision coverage, or go to an out-of-network eye care professional,
you may file an out-of-network claim to be reimbursed for allowable expenses.
In-Network Coverage Includes***:
• One vision and eye health evaluation including but not limited to eye health examination, dilation, refraction, and
prescription for glasses;
• One pair of standard prescription plastic or glass lenses, all ranges of prescriptions(powers and prisms)
o Polycarbonate lenses for children under 19 years of age
o Oversize lenses
o Rose#1 and#2 solid tints
o Minimum 20% savings*on all additional lens enhancements you choose for your lenses, including but not
limited to: scratch/ultraviolet/anti-reflective coatings; polycarbonate (adults); all tints/photochromic(glass or
plastic); and lens styles.
o Progressive lenses covered up to bifocal lens amount with 20% savings on the difference;
1/1/2021
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CITY OF TAMARAC (FI VOL OPTION3) �l•(�
C1 -Standard PPO Comprehensive Plan
Cigna.
• One frame for prescription lenses—frame of choice covered up to retail plan allowance, plus a 20% savings on
amount that exceeds frame allowance;
• One pair of contact lenses or a single purchase of a supply of contact lenses— in lieu of lenses and frame benefit,
(may not receive contact lenses and frames in same benefit year). Allowance applied towards cost of
supplemental contact lens professional services (including the fitting and evaluation) and contact lens materials
* Provider participation is 100%voluntary; please check with your Eye Care Professional for any offered discounts.
'k** Coverage may vary at participating discount retail and membership club optical locations, please contact Customer
Service for specific coverage information.
Coverage for Therapeutic contact lenses will be provided when visual acuity cannot be corrected to 20/70 in the
better eye with eyeglasses and the fitting of the contact lenses would obtain this level of visual acuity; and in certain
cases of anisometropia, keratoconus, or aphakis; as determined and documented by your Vision eye care
professional. Contact lenses fitted for other therapeutic purposes or the narrowing of visual fields due to high minus or
plus correction will be covered in accordance with the Elective contact lens coverage shown on the Schedule of
Benefits.
Healthy Rewards®-Vision Network Savings Program:
• When you see a Cigna Vision Network Eye Care Professional*, you can save 20% (or more) on additional frames
and/or lenses, including lens options, with a valid prescription. This savings does not apply to contact lens
materials. See your Cigna Vision Network Eye Care Professional for details.
What's Not Covered:
• Orthoptic or vision training and any associated supplemental testing
• Medical or surgical treatment of the eyes
• Any eye examination, or any corrective eyewear, required by an employer as a condition of employment
• Any injury or illness when paid or payable by Workers' Compensation or similar law, or which is work-related
• Charges in excess of the usual and customary charge for the Service or Materials
• Charges incurred after the policy ends or the insured's coverage under the policy ends, except as stated in the policy
• Experimental or non-conventional treatment or device
• Magnification or low vision aids not shown as covered in the Schedule of Vision Coverage
• Any non-prescription (minimum Rx required) eyeglasses, includes frame, lenses, or contact lenses
• Spectacle lens treatments, "add-ons", or lens coatings not shown as covered in the Schedule of Vision Coverage
• Prescription sunglasses
• Two pair of glasses, in lieu of bifocals or trifocals
• Safety glasses or lenses required for employment not shown as covered in the Schedule of Vision Coverage
• VDT(video display terminal)/computer eyeglass benefit
• Claims submitted and received in excess of twelve (12) months from the original Date of Service
1/1/2021
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