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ON MOTION by Commissioner Scurlock, SECONDED by Com- <br />missioner Wheeler, the Board unanimously authorized <br />termination of the First Amendment to Lease Agreement <br />with the City of Sebastian effective October 15, 1990, <br />as recommended by staff. <br />CONTRACTS - INSURANCE <br />The Board reviewed memo from Personnel Director Jack Price: <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />To: James Chandler, Date: September 19, 1990 <br />County Administrator <br />From: Jack Price, PersonnelA4-e� Sub: Contracts -Insurance <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Negotiations with Anthem Life Insurance Company of Florida <br />(Formerly American General Group Insurance Company) for the coming <br />fiscal year are complete. Attached for your review and <br />recommendation to the Board of County Commissioners are specific <br />elements of the agreement for endorsement by the Chairman. <br />The Preferred Provider Organization (PPO) is a new feature for the <br />coming year. Designed to serve as a cost control program <br />benefitting both the County and individual employees (at employee <br />option), the agreement guarantees that the County will at least <br />recover its' cost through reduced claims experience. The agreement <br />for the PPO element is with American Health Network, Inc. dba <br />Florida Health Network,'a wholly owned subsidiary of Anthem Life <br />Insurance Company of Florida. <br />Also intended to reduce costs is a change in the way claims for <br />pre-existing conditions are viewed. In the past, claims have been <br />paid for conditions being treated within 3 months prior to the <br />effective date of insurance, up to a maximum of $2,500. The <br />revised "12-12-0" approach means that conditions being treated <br />within .12 months prior to the effective date of insurance will not <br />be covered at all until �12 months after the effective date of <br />insurance. <br />Thanks for your assistance... <br />Chairman Eggert inquired if the provision in regard to <br />claims for pre-existing conditions is just to apply for future <br />employees, and Administrator'Chandler confirmed that it is. He <br />explained that actually the way we have been doing this is not <br />the normal way to handle such claims. <br />P 8oaK F <br />69 <br />