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Home My Public Portal About02619 O R D I N A N C E NO. 2619 AN ORDINANCE repealing Ordinances No. 909, adopted January 11, 1963, and No. 2465, adopted August 10, 1973, and enacting a new ordinance in lieu thereof on the same subject, providing a participating group insurance plan for officers and employees, and establishing a revised schedule of benefits and payroll deductions therefor. BE IT ORDAINED BY THE BOARD OF TRUSTEES OF THE METROPOLITAN ST. LOUIS SEWER DISTRICT: Section One. Ordinance No. 909, adopted January 11, 1963, and No. 2465, adopted August 10, 1973, are hereby repealed effective August 1, 1974, and a new ordinance in lieu thereof hereby enacted, also effective August 1, 1974, without, however, altering or extinguishing the legal relationships established by such ordinances. Section Two. The District hereby extends to all officers and employees as defined in Section Three hereof, the benefits of participating group insurance as compensation for services in addition to salaries, compensation and benefits otherwise provided by ordinance. The net premium cost to the District shall not exceed eighty per cent (80%) of the aggregate of the individual premiums for employee medical insurance and employee life insurance of participating officers and employees. Section Three. Eligible officers and employees shall be all officers and employees who are subject to ordinances prescribing salaries, vacations, sick leave or other compensation or benefits, except the following: 1. Those serving on temporary or emergency appointments. 2. Those paid on daily, hourly, or per-performance rates. 3.Those having served less than three months since date of original appointment. Section Four. Except for such reduction in benefits at age 65 as may be customary and necessary, the benefits hereunder shall be as follows: A.Officer or Employee Class Life Insurance Annual Earnings Amount Less than $ 5,000.00 $ 5,000.00 $ 5,001.00 - 6,000.00 6,000.00 6,001.00 - 7,000.00 7,000.00 7,001.00 - 8,000.00 8,000.00 8,001.00 - 9,000.00 9,000.00 9,001.00 - 10,000.00 10,000.00 10,001.00 - 11,000.00 11,000.00 11,001.00 - 12,000.00 12,000.00 12,001.00 - 13,000.00 13,000.00 13,001.00 - 14,000.00 14,000.00 14,001.00 - 15,000.00 15,000.00 15,001.00 - 16,000.00 16,000.00 16,001.00 - 17,000.00 17,000.00 17,001.00 - 18,000.00 18,000.00 18,001.00 - 19,000.00 19,000.00 19,001.00 - and above 20,000.00 B. Accidental death and dismemberment insurance shall be an amount equal to the life insurance, (A. above). C. For various types of medical care, the maximum amounts shall be as follows: hospitalization room and board $26.00 per day, $1,820.00 maximum per disability; miscellaneous hospitalization charges maximum $300.00 per disability; ambulance benefit $30.00; surgical $300.00 maximum schedule; maternity, normal delivery $500.00 caesarean section $1,000.00, miscarriage $250.00; maternity major medical coverage applicable after $300.00 3 deductible amount; in-hospital doctor visits $4.00 per call, maximum $280.00; diagnostic X-ray and laboratory $50.00 maximum in any twelve-month period (non-scheduled); maximum payment for emergency accident $100.00; major medical $25,000.00 maximum with automatic reinstatement of $1,000.00 annually. Group coverage hereunder shall be convertible into an individual insurance policy on termination of employment on such terms as are provided in the Group Insurance Contract. Section Five. There shall be deducted from the earnings of each participating officer and employee twenty per cent (20%) of the premiums for his individual employee medical insurance coverage and individual life insurance coverage. Such deduction shall ordinarily be made in equal installments from earnings for the first and second pay periods ending within each calendar month. The aggregate of such deductions from each payroll shall be transferred to the "Group Insurance Account" as previously established by Ordinance No. 909. All group insurance premium payments from the District treasury shall be made from such account. Section Six. The amount of the District's group insurance participation with respect to any officer or employee shall not be considered as taxable income to him and it shall not be deemed to be a part of his compensation for tax reporting purposes, notwithstanding that for the purposes of this ordinance such participation shall be considered partial compensation for services rendered to the District. 4 Section Seven. Except for the accounting procedures hereinabove provided, the administration of the group insurance plan shall be vested in the Personnel Department. The Personnel Director, with the approval of the Executive Director, is authorized to prescribe rules and regulations not inconsistent herewith for efficient administration of the plan. Section Eight. The Secretary-Treasurer shall submit to the Board of Trustees not less than three proposals for providing group insurance coverage meeting the standards herein set out or as otherwise specified in ordinances setting both the general procedures for providing for the District's insurance coverage. He shall solicit duly authorized insurors having local facilities for processing claims, prescribing such uniform specifications as he may consider appropriate. 5 The foregoing Ordinance was adopted July 31, 1974.