Commissioners Court - Regular

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AI-4466 4.A.3.       
Meeting Date: 07/09/2013  
Approve a Revised Master Plan Document and Plan Description of the Nueces County Employee Health Benefit Plan
Submitted By: Tyner Little, Commissioners Court Admin
Department: Commissioners Court Admin  

Discuss and consider approving the Revised Master Plan Document and Plan Description of the Nueces County Employee Health Benefit Plan.
Approximately 7 years ago, a Plan Document for the Nueces County Employee Group Health Plan was created. This Plan has been amended several times since for numerous reasons, such as modified benefits, as required by law, changes in network providers, etc. As a result, a new Plan Document has been drafted. The document created is an updated version drafted to ensure the highest degree of regulatory accuracy and legal protection for the Plan itself. Changes made are described in the Discussion section below.
Changes were made to accommodate health care reform including:

1. Grandfathered status
2. Preventive services
3. Internal appeals and external review (i.e., new claims appeals procedures)
4. Changes in the annual benefit limits

Also, changes in language were made to address applicable case law involving plan document disputes (dispersed throughout document and intended to protect the plan sponsor).  The plan was reorganized to make it more user-friendly for plan participants and definitions were revised to ensure that all definitions are consistent throughout the document.

Budget Information
Information about available funds
Budgeted: Funds Available: Adjustment: Amount Available:
Unbudgeted: Funds NOT Available: Amendment:
Account Code(s) for Available Funds
Fund Transfers
No file(s) attached.


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