2009-12-01 Work SessionKodiak Island Borough
Assembly Work Session
Tuesday, December 1, 2009 7:30 p.m., Borough Conference Room
Work Sessions are informal meetings of the Assembly where Assembly members review the upcoming regular meeting agenda
packet and seek or receive information from staff. Although additional items not listed on the work session agenda are discussed
when introduced by the Mayor, Assembly, or staff, no formal action is taken at work sessions and items that require formal
Assembly action are placed on regular Assembly meeting agenda. Citizen's comments at work sessions are NOT considered part of
the official record. Citizen's comments intended for the "official record" should be made at a regular Assembly meeting.
CITIZENS' COMMENTS (Limited to Three Minutes per Speaker)
ITEMS FOR DISCUSSION
1. KIB /City of Kodiak/KIBSD Health Insurance
2. Code of Ethics - Direction to Borough Clerk
PACKET REVIEW
PUBLIC HEARING — None.
UNFINISHED BUSINESS - None.
NEW BUSINESS
CONTRACTS — None.
RESOLUTIONS
*Resolution No. FY2010 -19 Certifying the FY2010 Shared Fisheries Business Tax Program Application
To Be True and Correct.
ORDINANCES FOR INTRODUCTION — None.
OTHER ITEMS
*Declaring a Seat on the Planning and Zoning Commission Vacant.
*Declaring a Seat on the Monashka Bay Service Area Board Vacant.
*Declaring a Seat on the Bay View Service Area Board Vacant.
*Declaring a Seat on the Parks and Recreation Committee Vacant.
State of Alaska Alcoholic Beverage Control Board Request for Renewal of Liquor License
Applications.
Hiring of Assessor at Salary Range 24, Step I
MANAGER'S COMMENTS
CLERK'S COMMENTS
MAYOR'S COMMENTS
ASSEMBLY MEMBERS COMMENTS
Kodiak Island Borough
Monthly Premium Cost Employee KIB TOTAL
Employee Only 86.10 587.70 673.80
Child/ Children 163.93 1,089.39 1,253.32
Spouse 198.91 1,300.33 1,499.24
Spouse and Children (Family) 274.33 1,803.29 2,077.62
POLITICAL SUBDIVISION HEALTH PLAN
BENEFIT SUMMARY
PLAN II
This is a summary of coverage's provided by the selected plan. Please refer to the Insurance Information Booklet for
State of Alaska Political Subdivisions.
Medical Benefits
Deductibles
Calendar Year $100 per person/ $300 per family
Physician Office Visit $10 per visit
Coinsurance
Most Medical Expenses
Second Surgical Opinions
Preoperative Testing
Outpatient Testing
Hospital Expenses
Chemical Dependency Treatment
Mental or Nervous Disorders
80% of covered expenses
80% of covered expenses
80% of covered expenses
80% of covered expenses
80% of covered expenses
80% of covered expenses
50% of covered expenses
Please note: Services received at an out of network Hospital in Anchorage, AK or lower 48 states will be paid at
60% of covered expenses.
Out -of- Pocket Limit
After the deductible, the plan will pay the 80% coinsurance shown above until paid claims for an individual reach $4,900,
or, in other words, until out -of- pocket expenses for covered claims reach $980 (not including the deductible). After paid
claims reach $4,900, the plan will pay 100% of most covered medical expenses for that person for the remainder of the
calendar year. Expenses paid at a coinsurance different than 80% are not credited to this limit.
The out of pocket limit on hospital expenses is $1,960 per calendar year.
Benefit Maximums — Individual
Chemical Dependency Treatment
Inpatient and Outpatient Calendar Year Maximum $16,380
Inpatient and Outpatient Lifetime Maximum $32,750
Mental and Nervous Disorders
Inpatient Calendar Year
Outpatient Calendar Year
21 days
25 visits
Prescription Drugs
The Plan pays normal plan benefits for a brand name drug after deductible.
Generic drugs are covered at 100% after deductible.
Mail Order Drugs up to a 90 day supply through Aetna Rx Home Delivery
Generic Drugs: You pay $10.00 up to a 90 day supply.
Brand Name Drugs: You pay $30.00 up to a 90 day supply.
Dental Benefits
Deductible
Individual Calendar Year (Class II and III coml $50
Coinsurance
Class I (preventive) services 80%
Class II (restorative) services 80%
Class III (prosthetic) services 50%
Benefit Maximum
Individual Calendar Year $1,500
Vision Benefits
Coinsurance
Examinations 80%
Lenses 80%
Frames 80%
Benefit Maximums
Examinations 1 per calendar year
Lenses 2 per calendar year
Frames 1 set every 2 calendar years
Audio Benefits
Coinsurance
All Covered Services
80%
Benefit Maximum
Individual /3 consecutive calendar years $800
Monthly Premium Cost Employee KIBSD TOTAL
Employee Only 66.87 601.85 668.72
Child/ Children 124.18 1,117.66 1,241.84
Spouse 145.33 1,308.02 1,453.35
Spouse and Children (Family) 202.61 1,823.49 2,026.10
Medical Benefits
Deductibles
Calendar Year
Emergency Room
Kodiak Island Borough School District
$100 per person/ $300 per family
$75 per incident
Coinsurance
Outpatient Surgery 80% after deductible
Outpaitent Diagnostic X -Ray and Lab Charges 80% after deductible
Pre - Admission Testing 80% after deductible
Chemotherapy and Radiation Charges 80% after deductible
Skilled Nursing Facility 80% after deductible
Home Health Care 80% after deductible
Home Infusion Therapy 80% after deductible
Physician Services 80% after deductible
Hospice Care 80% after deductible
Ambulance Service 80% after deductible
Speech Therapy 80% after deductible
Occupational Therapy 80% after deductible
Home Infusion Therapy 80% after deductible
Please note: Services received at an out of network provider will be paid at 60% of covered expenses.
Out -of- Pocket Limit, per calendar year
The plan will pay the percentage of covered charges designated until the following amounts of out -of- pocket payments are
reached, at which time the Plan will pay100% of the remainer of covered charges for the rest of the Calendar Year unless
stated otherwise.
Preferred Facililty $1000 per covered person
$3000 per family unit
Non - Preferred Facility Unlimited
Benefit Maximums — Individual
Substance Abuse Treatment Limits
Inpatient and Outpatient Calendar Year Maximum $14,985
Inpatient and Outpatient Lifetime Maximum $28,985
Mental and Nervous Disorders
Inpatient Calendar Year
Outpatient Calendar Year
15 days (preferred facility) , 6 days (non - preferred facility)
40 visits
Prescription Drugs
Pharmacy Option - 30 day supply
Formulary name brand drugs $20
Non - Formulary name brand drugs $30
Generic drugs $10
Mail Order Prescription Drug Option - 90 day supply
Formulary name brand drugs $40
Non - Formulary name brand drugs $60
Generic drugs $20
If the covered person requests a brand name drug when a generic equivalent is available, the Covered Person will pay the
brand name copayment and the difference in cost between the Generic Drug and the brand name drug. If the Physician
has prescribed the brand name drug with "Dispence As Written" on the prescirption, the Covrered Person will pay only
the brand name copayment.
Dental Benefits
Deductible
Individual Calendar Year (Class B and C comb $50
Per Family Unit $150
Coinsurance
Class A (preventive) services 100%
Class B (basic) services 80%
Class III (major) services 50%
Benefit Maximum
Individual Calendar Year (Class A,B and C) $2,000
Vision Benefits
Coinsurance
Examinations Up to $45.00 (after copayment)
Lenses Up to $125.00 (after copayment)
Frames Up to $47.00 (after copayment)
Benefit Maximums
Examinations 1 per calendar year
Lenses 1 per calendar year
Frames 1 set every 2 calendar years
Audio Benefits
Coinsurance
All Covered Services
80% after deductible
Benefit Maximum
Individual /3 consecutive calendar years $400
City of Kodiak
Monthly Premium Cost Employee CITY TOTAL
Employee Only 528.83 528.83
Child/ Children 1,013.31 1,013.31
Spouse 1,209.16 1,209.16
Spouse and Children (Family) 1,693.36 1,693.36
** City pays monthly premiums for employees and dependents (except temporary hires)
POLITICAL SUBDIVISION HEALTH PLAN
BENEFIT SUMMARY
PLAN III
This is a summary of coverage's provided by the selected plan. Please refer to the Insurance Information Booklet for
State of Alaska Political Subdivisions.
Medical Benefits
Deductibles
Calendar Year
Physician Office Visit
Coinsurance
Most Medical Expenses
Second Surgical Opinions
Preoperative Testing
Outpatient Testing
Hospital Expenses
Chemical Dependency Treatment
Mental or Nervous Disorders
Mental and Nervous Disorders
Inpatient Calendar Year
Outpatient Calendar Year
$500 per person
$10 per visit
80% of covered expenses
80% of covered expenses
80% of covered expenses
80% of covered expenses
80% of covered expenses
80% of covered expenses
50% of covered expenses
Out -of- Pocket Limit
After the deductible, the plan will pay the 80% coinsurance shown above until paid claims for an individual reach $10,000,
or, in other words, until out -of- pocket expenses for covered claims reach $2,000 (not including the deductible). After paid
claims reach $10,000, the plan will pay 100% of most covered medical expenses for that person for the remainder of the
calendar year. Expenses paid at a coinsurance different than 80% are not credited to this limit.
Benefit Maximums — Individual
Chemical Dependency Treatment
Inpatient and Outpatient Calendar Year Maximum $12,475
Inpatient and Outpatient Lifetime Maximum $24,950
21 days
25 visits
Prescription Drugs
The Plan pays normal plan benefits for a brand name drug after deductible.
Generic drugs are covered at 100% after deductible.
Mail Order Drugs up to a 90 day supply through Aetna Rx Home Delivery
Generic Drugs: You pay $10.00 up to a 90 day supply.
Brand Name Drugs: You pay $30.00 up to a 90 day supply,
Dental Benefits
Deductible
Individual Calendar Year (Class II and III coml $50
Coinsurance
Class I (preventive) services 80%
Class II (restorative) services 80%
Class III (prosthetic) services 50%
Benefit Maximum
Individual Calendar Year $1,500
Vision Benefits
Coinsurance
Examinations 80%
Lenses 80%
Frames 80%
Benefit Maximums
Examinations 1 per calendar year
Lenses 2 per calendar year
Frames 1 set every 2 calendar years
Audio Benefits
Coinsurance
All Covered Services
80%
Benefit Maximum
Individual /3 consecutive calendar years $800
KODIAK ISLAND BOROUGH
ASSEMBLY WORK SESSION
Work Session of:., (., 1 i cbD9
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