12/6/1994 - Laserfiche WebLink

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"PEAL/L.-POS The Board reviewed a Memorandum of November 28, 1994: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To: James Chandler, County Administrator From: Jack Price, Personnel ' Date: November 28, 1994 Sub: Appeal -L. Post . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lorraine M. Post was employed by Indian River County September 1, 1989. She works as an Account Clerk III in Water Production. Her appeal concerns the eligibility of her grandchild for coverage through the employee health care program. Mrs. Post added her daughter (the baby's mother) to her insurance plan as a dependent in June, 1993. In August, 1994 she attempted to add the baby (age 18 months) to her plan as a dependent also. The insurance plan requires that Mrs. Post be legal guardian of the child in order to obtain dependent coverage (attachment "A"). Mrs. Post appealed the matter to you -September 29, 1994 - (ittachment "B") under Section 100.06, Indian River County code. Your meeting with her October 6, 1994 and research of the legal guardianship rule led you to uphold the earlier determination that the grandchild was not eligible for coverage as a dependent. On November 10, 1994 Mrs. Post requested a review of the matter by the Board of County Commissioners (attachment "C"). Since the earlier appeal had been heard under Section 100.06 of the Indian River County code, Assistant County Attorney O'Brien opined that her request to be added to the Board of County Commissioners agenda should be granted (attachment "D"). For information, the health plan does provide for coverage of the children of dependents up to age 18 months. The plan is not funded for the coverage of grandchildren beyond that age and the underwriters don't have data to indicate what the potential exposure would be for the county work force. Any change would normally involve measurement of that liability and funding for it, in addition to the philosophical considerations involved. After discussion regarding the basis for the appeal, Chairman Tippin announced the consensus was that the matter be tabled for one week and instructed staff to obtain a written response from Anthem to bring to that meeting or to have a representative present. ON MOTION by Commissioner Adams, SECONDED by Commissioner Macht, the Board by a 4-0 vote (Commissioner Eggert being absent), tabled the matter for one week pending an opinion from Anthem, the insurance agent, pursuant to staff's tions. 14 31 BOOK��,, 8