2006-10-30
Special October Meeting
Held October 30, 2006
THE STATE OF TEXAS !i
!i
COUNTY OF CALHOUN. !i
BE IT REMEMBERED, that on this 30th day of September A.D., 2006 there was begun and
holden in the Commissioners' Courtroom in the Memorial Medical Plaza in the City of Port Lavaca,
said County and State, at 10:00 A.M., a Special Term of the Commissioners' Court within said
County and State, and there were present on this date the following members of the Court, to-
wit:
Michael J. Pfeifer
Roger C. Galvan
Michael J. Balajka
Neil E. Fritsch
. Shelby Sebastian
County Judge
Commissioner, Precinct #1
Commissioner, Precinct 2
Commissioner, Precinct 3
Deputy County Clerk
Absent from the meeting was Commissioner Kenneth W. Finster.
Thereupon the following proceedings were had:
COUNTYCHOICE SILVER PLAN OFFERED BY THE TEXAS ASSOCIATION OF COUNTIES
FOR CALHOUN COUNTY EMPLOYEES:
A Motion was made by Judge Pfeifer and seconded by Commissioner Balajka to accept the
CountyChoice Silver Plan offered by the Texas Association of Counties for Calhoun County
Employees. Commissioners Galvan, Balajka, Fritsch and Judge Pfeifer all voted in favor.
g. :~;hei'
'.
J . Choice..
Texas Association of Counties
Retiree Medical Program
CountyChoice Silver
Authorization Form
Employer
Contact name RHONDA S. KOKENA
CALHOUN COUNTY
Date 10-3ID-06
Phone 361-553-4620
Mailing Address
201 W. AUSTIN,
Email
City/StatelZip
rkokena@tisd.net
PORT LAVACA, TEXAS
77979
Fax (361) 553-4614
2)
flYor CJ N CALHOUN COUNTY (entity name) wishes to offer health coverage for
its Medicare eligible retirees through TAC HEBP's CountyChoice Silver Plan. (If yes,
please proceed with steps 1 through 4;) Signature required on Page 2.
1) Select a Billing Option and indicate here:
Q LIST (if the Employer pays 100% of premiums) the bill will be sent to the Employer.
5d'OIRECT (if the Employer pays $0) the bill will be sent to the retiree.
o SPLIT (ifthe Employer pays a portion) the bill will be divided between Employer
and Retiree as designated.
Select which Plan will be offered to your Retirees (details in CCS Presentation):
NOTE: If you choose only the medical plan, retirees may elect Rx coverage at their own
expense..
Ii:I1rIGH PLAN, RX optional
a HIGH PLAN WITH RX
a BASIC PLAN, RX optional
CJ BASIC PLAN WITH RX
3} Indicate amount employer will. pay toward the coverage.
;;;:r Per retiree per month
4) . Are you interested in the Retirement Reimbursement Account (RRA)?
lJ Y or If N (If yes, T AC will follow up with you.)
Employer's Administrative Responsibilities will include:
· Provide T AC with a list of current retiree's names, addresses and dates of birth; over and
under 65 years of age in Excel format.
· Agree to regularly update TAC with your list of retirees so that we can send enrollment
forms.
· Agree to provide CountyChoice Silver information to future retir~~s (as employees retire)
· Agree to terminate retirees from T AC HEBP's health plan (if ap~ljcable.)
For T AC use only;
CountyChoice Silver
Entity code;
1
Inter10caJ rec'd:
1012006
.11' · .,,;i,.,.,
. . . . . , .
· Choice~J
Texas Association of Counties
Retiree Medical Program
CountyChoice Silver
Authorization Form
'\
Prior to enrollment of retirees on CountyChoice Silver, the court must approve the
following and sign below:
· Allow eligible retirees to continue participation in CountyChoice Sliver.
· Approve the amount the Employer will contribute toward coverage.
· CountyChoice Silver will be the only program offered to the Medicare eligible retirees. No
other Medicare supplement or Medicare Advantage program will be offered to these
retirees.
· Agree that this coverage will not be offered to any ACTIVE employee, regardless of age.
Calhoun Coun1fintity name) elects to offer CountyChoice Silver and authorizes its
retirees to participate in the CountyChoice Silver Retiree Program and agrees to the
aforementioned.
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5ig tit
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Print Name
~ut\h ~,,-'
Title
JD- Jt)-Oh
Date
Please send completed document to:
TAC Health and Employee Benefits Program
FAX: 512-481-8481
or P.O. Box 2131
Austin, TX 78768
Billing Option Descriptions
DIRECT BILLED:
LIST BILLED:
SPLIT BILLED:
Retiree is billed monthly.
Employer agrees to pay monthly billing.
Employer must indicate the contribution levels for Employer and for Retirees.
Bills will be created and sent to the Employer for the Employer portion and to
the Retiree for any remaining balance.
To ensure that each eligible retiree has the opportunity to enroll, the Employer must provide a list, in
Excel format if possible, of all current retirees. The list should include- name, mailing address, and date
of birth. If the Employer does not maintain this list, a copy may be requested from TCDRS. The
Employer must also provide T AC regular updates of new retirees so that we may provide the enrollment
ForTAC use only:
CountyChoice Silver
Entity code:
2
Interlocal rec'd:
1 D/2006
materials to those individuals as welL TAC and Aetna will work together to mail Enrollment Kits to each
retiree at the addresses provided.
CountyChoice Sliver
3
1012006
ACCOUNTS ALLOWED - HOSPITAL:
Claims totaling 2,354,461.06,were presented by the County Treasurer and after reading and
verifying same, a Motion was made by Commissioner Balajka and seconded by Commissioner
Fritsch that said claims be approved for payment. Commissioners Galvan, Balajka, Fritsch and
Judge pfeifer all voted in favor.
ACCOUNTS ALLOWED - INDIGENT HEALTHCARE:
Claims totaling $112,170.31 were presented by the County Treasurer and after reading and
verifying same, a Motion was made by Commissioner Balajka and seconded by Commissioner
Fritsch that said claims be approved for payment. Commissioners Galvan, Balajka, Fritsch and
Judge Pfeifer all voted in favor.
PETITION TO VACATE LOTS 1-9 AND PART OF LOTS 10-12. BLOCK 13. LOTS 1. 2. 11.
12 AND PARTS OF LOTS 3 &. 10. BLOCK 12 AND PART OF THE ALLEY IN BLOCK 12 &.
13. TILKE AND CROCKER FIRST ADDITION TO ALAMO BEACH AND APPROVE FINAL
PLAT OF BAYSIDE ESTATES. A 3.18 ACRE TRACT:
A Motion was made by Commissioner Galvan and seconded by Commissioner Balajka to approve
the Petition to Vacate Lots 1-9 and part of Lots 10-12, Block 13, Lots 1, 2, 11, 12 and Parts of
Lots 3 & la, Block 12 and Part of the Alley in Block 12 & 13, Tilke and Crocker First Addition to
Alamo Beach and Approve Final Plat of Bayside Estates, a 3.18 Acre Tract. Commissioners
Galvan, Balajka, Fritsch and Judge Pfeifer all voted in favor.
Court adjourned @ 10:20 am