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R-93-11-23-9I - 11/23/1993 r { t • A RESOLUTION NO. WHEREAS, the Council of the City of Round Rock has previously determined that it is in its best interest to self-fund its employees' health care benefits, and WHEREAS, it is necessary to provide for stop loss insurance for the City's health benefit plan, Now Therefore BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, TEXAS, That the Mayor is hereby authorized and directed to execute on behalf of the City an agreement with Ii-_)P_\RV3we- AM&Y�NC.,(�r'l L,1 �C, for stop loss insurance for the City's health benefit plan, a copy of which is attached hereto and incorporated herein. RESOLVED this 23rd day of November, 1993 . d1_14/2r:=42 CHARLES CULP P , Mayor City of Round ock, Texas ATTEST: (O�"E LAND, City Secretary M"BOLMON RSI 1233K t R i DATE: November 22, 1993 SUBJECT: City Council Meeting, November 23, 1993 ITEM: 9.1. Consider a resolution authorizing the Mayor to enter into an agreement for City health plan stop—loss insurance. STAFF RESOURCE PERSON: David Kautz NARRATIVE AND STAFF RECOMMENDATION: The City will implement a self—funded health plan beginning December 1, 1993. To protect the City's financial exposure under self—funding, a"safety net" is purchased in the form of stop—loss insurance. The stop—loss insurance covers all health claim expenses in excess of contractual limits agreed to by the City and the stop—loss carrier. The stop—loss insurance was bid along with the third party administrator and staff recommends entering into an agreement with Delaware American Life as the stop—loss carrier. The cost of the insurance is dependent upon the number of employees/families covered by the plan: Individual (*1) Approximate Approximate Stop Monthly Employee Annual Loss Cost Units Cost Employee Only Unit $22.17 200 $53,208 Employee & Dependent Unit $59.85 100 $71,820 Aggregate (*2) Stop Loss Employee Only Unit $2.37 300 $8,532 Employee & Dependent Unit n/a n/a $0 Total Approximate Annual Cost $133,560 (*1) The Individual Stop Loss provides coverage for individual claims which exceed $30,000 (*2) The Aggregate Stop Loss provides coverage for claims which exceed a contractually established annual aggregate. The annual aggregate is referred to as the Attachment Point. EXECUTED DOCUMENT FOLLOWS K. f J3 DELAWARE AMERICAN LIFE INSURANCE COMPANY 200 State Street Boston, Massachusetts 02109 EXCESS LOSS INDEMNITY POLICY In consideration of the payment of premium, the statements in the application, a copy of which is attached to and made a part of the Policy, and subject to the terms, conditions and limitations of this Policy, Delaware American Life Insurance Company, herein called the Company, does insure: Insured: City of Round Rock Policy: 864-6783 Address: 221 E. Main Street, Round Rock, TX 78664 The first payment of premium is due and payable on or before the Effective Date shown in the Schedule and all other premiums are due and payable as set forth in the Payment of Premiums provision while the Policy is in force. The Policy Year shall begin and end at 12 :01 a.m. Standard Time at the address of the principal office of the Named Insured. � Y: Countersigned at Boston Mass B g _ + Authorized Representative Date: 1/21/94 c l � I - DEFINITIONS ACTIVELY AT WORK means that the Covered Person is performing on a full time basis all regular duties of his or her normal occupation on the Effective Date of this Policy, or on his or her last regularly scheduled work day prior to that Effective Date, or the date a Covered Person becomes eligible if after the Effective Date of this Policy. ANNUAL AGGREGATE RETENTION AMOUNT for the Policy Year or 'any fraction _ thereof if this Policy terminates or is cancelled during the Policy Year, means that portion of the Eligible Expenses that is wholly retained by the Named Insured calculated by multiplying the number of Covered Units by the Covered Units' corresponding Monthly Aggregate Retention Amount Factor applied for each policy month, or the Minimum Aggregate Retention Amount shown in the Schedule, whichever is greater. BENEFIT PLAN (also called the Plan) means the welfare benefits the Named Insured has agreed to provide under a plan of benefits for the Covered Units, as defined in the written form of such Plan which is in effect on the Effective Date of this Policy, including any amendments to such Plan to which this Policy applies. BENEFIT PLAN PAYMENTS ON AN INCURRED AND PAID BASIS means, for a Policy Year, the total dollar amount of benefits to which Covered Units or Covered Persons become entitled under the Plan subject to any limitations of this Policy. Such amount of benefits shall only include the Eligible Expenses incurred on or after the Effective Date of this Policy and paid by the Named Insured during the Policy Year. Such amount of benefits shall not include deductibles, coinsurance amounts, or any other expenses or claims which are not payable or reimbursable under the terms of the Plan, nor shall it include expenses which are payable or reimbursable from any other source. No cost of claim payment or expense of litigation shall be included. An Eligible Expense will be considered to be incurred at the time the service or the supply to which it relates is provided. Drafts or checks issued shall be counted as amounts paid provided sufficient funds are then available to cover such payments. COVERED PERSON means each person, individually, who is a Covered Unit, or, in the case of a dependent, a member of a Covered Unit. COVERED UNIT means an employee, an employee and his or her dependents, or such other defined unit as agreed upon in writing between the Company and the Named Insured. DATE OF ISSUE means the date printed on the draft or check, but no later than the last day of the Policy Year. ELIGIBLE EXPENSES means the charges which are covered and paid under the Plan subject to any limitations of this Policy. ELIP 1 of 10 c EXPERIMENTAL PROCEDURE means any medical procedure, equipment, treatment or course of treatment, or drugs or medicines that are: (a) limited to research; (b) not proven in an objective manner to have therapeutic value or benefit; (c) restricted to use by medical facilities capable of carrying out scientific studies; (d) of questionable medical effectiveness; or (e) would be considered inappropriate medical treatment. To determine whether a procedure is experimental, the Company will consider, among other things, commissioned studies, opinions and references to or by the American Medical Association, the federal Food and Drug Administration, the Department of Health and Human Services, the National Institutes of Health, the Council of Medical Specialty Societies and any other association or program or agency that has the authority to review or regulate medical testing or treatment. LIMIT OF LIABILITY means the amount shown in the Schedule which is the maximum payable under this Policy to the Named Insured for the Policy Year. MINIMUM AGGREGATE RETENTION AMOUNT means the amount shown in the Schedule which is wholly retained by the Named Insured regardless of how long this Policy remains in force. MONTHLY AGGREGATE RETENTION AMOUNT FACTOR means the factor which is multiplied by the number of Covered Units each policy month of the Policy Year to determine the Annual Aggregate Retention Amount. NAMED INSURED means the Insured named in this Policy. NUMBER OF COVERED UNITS means the total number of Covered Units existing in any one policy month. The Number of Covered Units anticipated for the first policy month of the Policy Year is shown as Initial Enrollment in the Schedule. The Number of Covered Units for subsequent policy months will be determined on a monthly basis in accordance with the definition of Covered Units and with the eligibility requirement of the Plan. ORGAN TRANSPLANT PROCEDURES means kidney, cornea, heart, lung, heart- lung, liver, pancreas and bone marrow (including autologous bone marrow) transplants POLICY YEAR means the period from 12:01 a.m. Standard Time on the Effective Date to 12 :01 a.m. Standard Time on the Expiration Date, as shown on the Schedule of this Policy except as provided in the Cancellation and Payment of Premiums Conditions of this Policy. Unless otherwise stated and endorsed, the Policy Year will be assumed to be twelve (12) months. ELIP 2 of 10 REIMBURSEMENT FACTOR means the percentage shown in the Schedule which will determine the dollar amount of the Limit of Liability which will be paid to the Named Insured. Separate Reimbursement Factors may apply each to the Aggregate Excess Insurance and to the Specific Excess Insurance. SPECIFIC RETENTION AMOUNT means the amount shown in the Schedule which is wholly retained by the Named Insured per Covered Person for the Policy Year. TOTALLY DISABLED means that the Covered Person is hospital confined or is unable to engage in the normal activities of a person in good health of like age and sex on the Effective Date of this Policy or on the date a Covered Person becomes eligible under the Plan if other than the Effective Date of this policy. II - SPECIFIC EXCESS INSURANCE A. The Company will, subject to the terms, conditions and limitations of this Policy, reimburse the Named Insured for the amount, if any, of the Specific Excess Benefit, within sixty (60) after the receipt by the Company of documentation acceptable to the Company of both proof of loss and verification of Payment of Benefits under the Plan. B. The Specific Excess Benefit for the Policy Year is the total amount of Benefit Plan Payments On An Incurred And Paid Basis for a Covered Person less the Specific Retention Amount, multiplied by the Reimbursement Factor. The amount of this benefit shall not exceed the Limit of Liability shown in the Schedule for . Specific Excess Insurance. C. If a Covered Person incurs Eligible Expenses, a single Specific Retention Amount shall apply for such Covered Person to those Eligible Expenses which are incurred and paid during the Policy Year. III - AGGREGATE EXCESS INSURANCE A. After the end of the Policy Year, (whether by normal expiration, termination, or cancellation) , the Company will reimburse the Named Insured for the amount of the Aggregate Excess Benefit, if any, within sixty (60) days after the receipt by the Company of documentation acceptable to the Company of both proof of loss and verification of Payment of Benefits under the Plan. B. The Aggregate Excess Benefit for the Policy Year is the total amount of Benefit Plan Payments On An Incurred And Paid Basis, less: (1) the Annual Aggregate Retention Amount, and (2) the Specific Excess Benefit which has been or will be reimbursed by ELIP 3 of 10 the Company under the Specific Excess Insurance, multiplied by the Reimbursement Factor. The amount of this Benefit shall not exceed the Limit of Liability shown in the Schedule for Aggregate Excess Insurance. IV - LIMITATIONS OF COVERAGE A. The Company has no responsibility or obligation under this Policy to reimburse directly any Covered Person or provider of professional or medical service for any benefits which the Named Insured has agreed to provide under the terms of the Plan. The Company's sole liability hereunder is to the Named Insured, subject to the terms, conditions, and limitations of the Policy. B. If a Covered Person is not Actively At Work or is Totally Disabled on the Effective Date of this Policy, Eligible Expenses shall include only those expenses incurred on and after the date the Covered Person returns to work full-time or the Total Disability ends and the Covered Person meets the eligibility requirements of the Plan. C. Coverage of expenses for the treatment of Mental and Nervous Conditions is limited to $25, 000.00 in excess of the Specific Retention Amount. D. Any reimbursement amount payable to a Named Insured who has retained the services of a Preferred Provider Organization or any other organization providing discounted provider services or supplies to the Named Insured will be the actual amount paid by the Named Insured after the application of all discounts. V - EXCLUSIONS This Policy will not reimburse the Named Insured for any loss or expense caused by or resulting from any of the following: 1. Expenses incurred while the Plan is not in force. 2 . Expenses resulting from the provision of weekly income benefits or any dental, vision, hearing, or prescription drug program, unless specifically endorsed hereon. 3 . Liability assumed by the Named Insured under any contract or service agreement other than the Plan. ELIP 4 of 10 a 4. Expenses resulting from services or supplies which are not medically necessary, are in excess of the usual and customary charge for the locality where supplied or administered, or are in excess of the Plan benefits. 5. Expenses for any accidental bodily injury or sickness for which the Covered Person would be entitled to benefits under any Worker's Compensation or occupational Disease policy whether or not such policy is actually in force. 6. Expenses for the administration of claims or other service(s) provided by the Administrator. 7. Any consulting fee(s) . 8. Expenses of litigation. 9. With respect to each Covered Person who is eligible for benefits under Medicare, a benefit otherwise payable under this Policy shall be reduced by the amount of any similar Medicare benefit so that the total reimbursements hereunder on behalf of a Covered Person shall not exceed one hundred percent (100%) of the Covered Person's actual expenses. It will be conclusively presumed that each Covered Person eligible for benefits under Medicare became covered for all parts of Medicare to which he or she is entitled on the earliest possible date and thereafter maintained such coverage in force. 10. Expenses for any bodily injury or sickness incurred by a Covered Person that was the result of a Covered Person committing or attempting to commit an assault or a felony or from a Covered Person engaging in an illegal occupation. 11. Expenses incurred in connection with a suicide or any intentionally self-inflicted injury or illness, whether the Covered Person were sane or insane when he or she committed the act. 12. Expenses for experimental procedures, drugs, or research studies, or for any services or supplies not considered legal in the United States. 13. Expenses incurred by a live organ donor unless the donor is a Covered Person under this Policy. Expenses of a live organ donor shall not be considered as eligible expense of the organ recipient unless the donor is without insurance, in which case a maximum of $10,000 shall be considered as Eligible Expenses of the recipient. ELIP 5 of 10 14. Expenses resulting from war, whether declared or undeclared, hostilities, invasion, or civil war. 15. Expenses resulting from injury or illness that is the result of a nuclear or radioactive accident. VI CONDITIONS PREMIUM: The premium basis and rates for this Policy will be as shown in the Schedule. Upon termination of the Policy, the earned premium shall be computed in accordance with the premium and exposure basis shown in the Schedule. If the earned premium exceeds the premium paid, the Named Insured shall pay the excess to the Company; if less, the Company shall return the unearned portion the premium paid to the Named Insured subject to the minimum premium, if any, shown in the Schedule. MINIMUM PREMIUM: The Minimum Premium payable will be the amount shown in the Schedule or, in the event of termination or cancellation, the sum of all monthly premium rates payable, multiplied by the Minimum Enrollment shown in the Schedule multiplied by the number of policy months. PAYMENT OF PREMIUMS: Premium payments are due in advance on the first day of each month. A period of fifteen (15) days from the first day will be granted for payment of each premium, during which period this Policy will continue in force, except that should a premium otherwise due not be paid during such period, this Policy will terminate without notice on the. first day of the month in which the unpaid premium was due. DATA REQUIRED: The Named Insured will maintain adequate records acceptable to the Company and provide any information required by the Company in its sole judgement, to administer this Policy. The Company may periodically examine any of the Named Insured's records including those of the Named Insured's Administrator, relating to the insurance under this Policy and any claims filed under this Policy. CLERICAL ERROR: Clerical error, whether by the Named Insured or by the Company in keeping any records pertaining to this insurance, will not invalidate coverage otherwise validly in force or continue coverage cancelled or otherwise terminated. AMENDMENTS TO THE POLICY: This Policy may be amended at any time with the mutual consent of the Company and the Named Insured, however, no such amendment shall be effective unless confirmed by an endorsement issued to form a part of this Policy. ELIP 6 of 10 AMENDMENTS TO THE PLAN OR AGREEMENT WITH ADMINISTRATOR: The Named Insured will provide the Company with a copy of all Benefit Plan documents (i.e. booklets, brochures, sub-group variations, etc. ) prior to the Effective Date of this Policy. The Named Insured shall also provide the Company with prompt written notice of any change in the Benefit Plan. The Company reserves the right to refuse to apply- this Policy to any change in the Benefit Plan unless and until and only to the extent provided in an endorsement issued by the Company to form a part of this Policy. At the time it provides the Company with the Benefit Plan documents, the Named Insured shall also provide the Company with a copy of the Agreement between the Named Insured and the Administrator. The Named Insured shall provide the Company with a copy of any and all changes to such Agreement prior to their effective date. The notices required by this Condition shall be sent directly to the Company at 200 State Street, Boston, Massachusetts 02109 to the attention of the Special Accident Department. NOTICE: For the purpose of any notice required from the Company under the provisions of this Policy, notice to the Administrator shall be considered notice to the Named Insured. TAXES: The Named Insured shall reimburse and hold the Company harmless from any premium tax liability, including interest, penalties, or costs assessed against the Company by law, administrative ruling, or judicial decision because of Benefit Plan Payments paid under the Named Insured's Benefit Plan. The Named Insured shall pay such amounts upon receipt of notification of the assessment. ADMINISTRATION OF CLAIMS UNDER THE PLAN: 1. The Named Insured shall undertake at all times to employ the services of an Administrator, who shall be deemed the agent of the Named Insured. 2. The Administrator, acting- on behalf of the Named Insured, shall: a. supervise the administration and adjustment of all claims and verify the accuracy and computation of all claims; -b. maintain accurate records of all claims payments; C. provide the underwriting department of the Company on or before the 15th day of each and every policy month, on a reporting form supplied by the Company, the following data for the immediately preceding policy month: ELIP 7 of 10 1. Number of Covered Units 3. Amount of paid claims 2 . Premium paid 4. Amount of unpaid processed claims on hand d. supervise funding of the Benefit Plan by the Name Insured. AUDIT: The Company shall have the right to inspect and audit all records and procedures of the (1) Named Insured, (2) its Administrator, or (3) any other organization involved in the administration or adjudication of claims, and to require, upon request, proof of records satisfactory to the Company that payment has been made to the provider of such services or benefits which are the basis for any claim hereunder. NOTICE OF CLAIM: The Name Insured shall provide immediate written notification to the Company when it becomes evident that benefits have been or will be incurred which will exceed the Specific Retention Amount of this Policy. The Named Insured shall provide immediate written notification to the Company when a Covered Person incurs Eligible Expenses for any of the following diagnoses: 1. Head or Spinal Cord Injuries 5. Acquired Immune Deficiency Syndrome 2 . Severe Burn Cases 6. Cancer 3. Severe Trauma 7 . Severe Strokes 4 . Premature Birth 8. Organ Transplants In addition to the above notice requirements, the Named Insured shall provide written notification to the Company within thirty (30) days after Plan benefit payments for any Covered Person exceeding fifty (50%) percent of the Specific Retention Amount have been made. Notwithstanding the above, failure to furnish written notification within the time required shall not invalidate nor reduce any claim if it was not reasonably possible to furnish written notification within such time, provided that such notification is furnished as soon as reasonably possible but in no event later than six (6) months after the date that written notification of Plan benefit payment is otherwise required. No claim for reimbursement shall be considered under this Policy unless it is received by the Company in writing no later than (2) years after the date of receipt of the first written notification to the Company of the payment by the Named Insured under the Plan. ELIP 8 of 10 NOTICE OF APPEAL: Any objection, notice of legal action, or complaint received on a claim processed by the Named Insured or its Administrator and on which it reasonably appears benefits will be payable under this Policy shall be brought to the immediate attention of the Claims Department of the Company. SUBROGATION: The Named Insured or Administrator shall pursue all actions that the Named Insured may have against a third party because of any claim resulting in a Plan benefit payment by the Named Insured. The Named Insured or Administrator shall account to the Company for all amounts recovered. If the Named Insured or Administrator fails to pursue any action against a third party and the Company has made excess benefit payments to the Named Insured under this Policy, the Company shall be subrogated to all rights of the Named Insured. The Named Insured shall cooperate fully and do all things necessary and required for the Company to pursue any action to recover against the third party. Any amounts recovered by the Named Insured, Administrator, or the Company in such action shall be used first to reimburse the expenses of recovery and then to reimburse the Company for any payments made to the Named Insured. Any remaining amount shall be paid to the Named Insured. CHANGES: Notice to any broker or agent or knowledge possessed by any broker or agent or by any other person shall not effect a waiver of a change in any part of this Policy or stop the Company from asserting any right under the terms of this Policy; nor shall the terms of this Policy be waived or changed, except by endorsement issued to form a part of this Policy. ASSIGNMENT: Assignment of interest under this Policy shall not bind the Company until its consent is endorsed hereon. CANCELLATION: This Policy may be cancelled by the Named Insured by surrender thereof to the Company or by mailing to the Company written notice stating when thereafter such cancellation shall be effective. This Policy may be cancelled by the Company by mailing to the Named Insured at the address shown in this Policy written notice stating when, not less than thirty (30) days thereafter such cancellation shall be effective. The mailing of notice shall be sufficient proof of notice. The time of surrender or the effective date and hour of cancellation stated in the notice shall become the end of the Policy Year. Delivery of such written notice either by the Named Insured or by the Company shall be equivalent to mailing. If the Named Insured cancels, earned premium shall be computed in accordance with the customary short rate table and procedure. If the company cancels, earned premium shall be computed pro rata. ELIP 9 of 10 Premium adjustments may be made either at the time cancellation is effected or as soon as practicable after cancellation becomes effective, but payment or tender of unearned premium is not a condition of cancellation. LEGAL ACTION: No action at law or in equity shall be brought to recover on this Policy prior to the expiration of sixty (60) days after written proof of loss has been furnished in accordance with the requirements of this Policy. No such action shall be brought after the expiration of two (2) years after the time written proof of loss is required to be furnished. REPRESENTATIONS: By acceptance of this Policy, the Named Insured agrees that the statements in the application, the Schedule, and any information supplied by or on behalf of the Named Insured are its agreements and representations; that this Policy is issued and continued in reliance upon the truth of such representations; and that this Policy embodies all agreements existing between the Named Insured and the Company. Any misrepresentations or omissions, shall make the coverage null and void. SERVICE OF SUIT: In the event of failure of the Company to pay any amount claimed to be due hereunder, the Company, at the request of the Named Insured, will submit to the jurisdiction of a court of competent jurisdiction within the United States. Nothing in this condition constitutes or should be understood to constitute a waiver of the Company's rights to commence an action in any court of competent jurisdiction in the United States, to remove an action to a United States District Court or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States. It is further agreed that service of process in such suit may be made upon Counsel, Legal Department, Delaware American Life Insurance Company, 200 State Street, Boston, Massachusetts, 02109, or his or her representative, and that in any suit instituted against the Company upon this policy, the company will abide by the final decision of such court or of any appellate court in the event of an appeal. Further, pursuant to any statute of any state, territory, or district of the United Sates which makes provision therefor, the Company hereby designates the Superintendent, Commissioner or Director of Insurance, other officer specified for that purpose in the statute, or his successor or successors in office as its true and lawful attorney upon whom may be served any lawful process in any action, suit, or proceeding instituted by or on behalf of the Named Insured arising out of this Policy of insurance and hereby designates the above named Counsel as the person to whom the said officer is authorized to mail such process or a true copy thereof IN WITNESS WHEREOF, the Company has caused this Policy to be signed by its President and Secretary, but this Policy shall not be valid unless countersigned by a duly authorized representative of the Company August, 1992 ELIP 10 of 10 SCHEDULE - Excess Loss Indemnity Policy POLICY # 864-6783 EFFECTIVE DATE: 12/1/93 - 12/1/94 Coverage is only applicable to the category for which a retention amount is shown below. If no retention amount is shown, coverage is not provided for that category. (A) SPECIFIC EXCESS INSURANCE (1) Specific Retention Amount per Covered person for the Policy Year $ 30,000 (2) Limit of Liability $970,000 (3) Reimbursement Factor 100% (4) Monthly Premium Rates Payable per Covered Unit for the Policy Year ( ) Composite (xx) Single/Family Basis $22.17/59.85 (5) Monthly Optional Transplant Endorsement Rate Payable per Covered Unit for the Policy Year $Included (B) AGGREGATE EXCESS INSURANCE (1) Monthly Aggregate Retention Amount Factor $154 . 65 (2) Anticipated Annual Aggregate Retention Amount $554,884 (3) Minimum Aggregate Retention Amount $499,396 (4) Limit of Liability $1,000,000 (5) Reimbursement Factor $ 100% (6) Monthly Premium Rate Payable Per Covered Unit for the Policy Year $ 2.37 (7) Minimum Premium $124 ,008 (C) COVERED BENEFITS (xx) Medical (xx) Dental ( ) Weekly Indemnity (xx) Prescription Drug ( ) Other (D) PAYMENT BASIS (xx) Incurred & Paid ( ) Paid ( ) other (E) ENDORSEMENTS ( ) Other (F) ADMINISTRATOR OF BENEFIT PLAN Healthcare Benefits, Inc. 12-13-1993 09:46 2146698663 HBI P.05 1200/93 13:50 IM21 14 0093 S.R.S.DAUAS W002/003 � r DELAWARE, AMERICAN LI F2 INSURANCE COMPANY rf P. 0. box �67, Wilmington, Delavare 19899 A capital stock company (herein called the Company) EXCESS LOSS INDEMNITY COVERAGE APPLICATION The Applicant is applying for the insurance specified below. 1. Name at Applicant City of laaund Rn&k Address 321 B. Hien Street, Round Rocks= Zip Code 78664 Type of Business m uniglaiity Other Locations YES ( NO (E) If so, Where 2. Platt Administrator Eealtbearl DgMefits, Inc. Address 1201 S. Sherman. Suits 2001 R chardson, Zip Code 3 . Broker Southern Risk Soecialiats, Inc. Address 1999 Bryan Street, suite 1820. Dallas, TX Zip Code 7520I 4. Initial Enrollment 299 Minimum Enrollment 169 (5:189, f:110) (A) SPECIFIC EXCESS INSURANCE (1) Specific Retention Amount per $ 01000 Covered Person for the Policy Year (2) Limit of Liability $ 970.000 (3)- Reimbursement Factor ioo (4) Monthly Premium Rated Payable per Covered Unit for the policy Year ( ) Composite Basis [x ] Single/Family Basis $ 22.17/59.85 (S) Monthly Optional Transplant Endorsement Rate Payable per Covered Unit for the Policy Year $ Included 462511 1 ENDORSEMENT This endorsement. effective 12:01 (A' M. 12/1/93 forms a part of policy No. 864--6783 issued to City of Round Rock by Delaware American Life Insurance Company AGGREGATE__,.ONLY It is hereby understood and agreed that Section V - EXCL-USIONS of the Policy is hereby amended to read: This policy will not reimburse the Named Insured for any loss or expense caused by or resulting from any of the following : V_-2...._E.x..P_enses resp_2_t i n_qf r_om_-_the._..orov i,s i,on_ of_.....-weekly inco =.Jsion, hearin.gca,re, or, unless specifically endorsed hereon. . Authorized Representative i '-. r ENDORSEMENT This endorsement,effective 12:01 A. M 12/1/93 forms a part of policy No. 86)4-6783 issued to City of Round Rock by Delaware American Life Insurance Company It is hereby understood and agreed that the provisions of Section IV-LIMITATIONS of Coverage Part B "Actively at Work" are hereby waived. YW� Authorized Representative EXCESS CLAIM SUBMISSION PROCEDURE Here is a supply of claim forms. They are two different types: 1) NOTIFICATION OF CLAIM 2) REIMBURSEMENT REQUEST FOR HOSPITAL SPECIFIC EXCESS LOSS. NOTIFICATION OF CLAIM is to notify Delamlife of any and all claims that exceed 50% of the Hospital Specific Retention amount. Also, for early notification of any of the following diagnosis. 1. Head or spinal cord injuries 5. Acquired Immune Deficiency Syndrome - 2 . Severe Burn cases AIDS 3. Severe Trauma 6. Malignant tumors of the brain, liver, and pancreas. 4. Premature Birth 7 . Severe Strokes Reimbursement request for Hospital Specific Excess Loss is to be used when a potential claim has exceeded the specific retention amount, and reimbursement is requested. The form should be used in conjuction with the actual submission of claim documentation. The Lexington requires the following documentation, prior to Excess Loss reimbursement: - Enrollment verification - Hospital admission and discharge summaries - Operative reports - Prognosis statement from attending physicians - Independent claim audit correspondence - Accident / police reports if applicable - Subrogation information -A it •= PLAN DOCUMENT NO.: 1169 PLANHOLDER: City of Round Rock PLANHOLDER'S PRINCIPAL LOCATION: Round Rock, Texas PLAN EFFECTIVE DATE: December 1, 1993 PLAN ANNIVERSARIES: December 1, 1994 and each year thereafter STOP LOSS CARRIER: Delaware American Life Insurance Company The Planholder has established a self-funded Employee Welfare Benefit Plan, and the Planholder has adopted this'PLAN DOCUMENT" (hereinafter'PLANJ providing for certain medical benefits as herein described for certain Employees and certain Dependents of such Employees of the Planholder and other Participant Employers as herein listed. The Planholder AGREES to pay, subject to all the provisions of this Plan, including any amendments to this Plan, the benefits hereinafter described to the person or persons entitled to such payments while covered hereunder. The provisions of the following pages are a part of this Plan. Such provisions alone constitute the agreement under which payments will be made and are a part of this 'Plan' as fully as if recited over the signatures hereto affixed. IN WITNESS HEREOF, City of Round Rock has caused this Plan to be executed this 1 st day of December, 1993. SIG D WITNESSED BY: A51-57AWr &TV lWNIAI;6elw True Title /Ty s6cf 671W y d&�12 0.4� 111199 Dat Date 2