[Adopted 7-10-2006 by L.L. No. 9-2006]
The Town Board finds that some of its eligible
employees who could otherwise receive health insurance coverage through
the Town's group health insurance provider for themselves and/or their
families may already have health insurance coverage available to them
from another source. In cases such as this, the Town Board finds that
it is an unnecessary expense for the Town of Tuxedo to provide such
an employee health insurance coverage where an otherwise eligible
employee of the Town already has sufficient health insurance coverage
available from another source. It is therefore the intent of this
article to authorize Town employees who already have health insurance
coverage available to them to elect cash payments in lieu of the Town
providing health insurance coverage for them and/or their families
as set forth more fully below.
A.
Alternate coverage; cash payments. Subject to the
conditions listed below, eligible employees of the Town of Tuxedo
who have alternative health insurance coverage available to them from
other sources may elect to receive cash payments in lieu of receiving
health insurance benefits from the Town of Tuxedo health insurance
provider.
B.
Reinstatement in Town plan.
(1)
Should an otherwise eligible employee who has elected
this option subsequently desire to join the Town's health insurance
plan or be reinstated in said plan, such employee must notify the
Town Supervisor or his or her designee, in writing, of the request
to join or be reinstated, together with the reasons therefor. The
Town shall then promptly transmit such request to the Town's health
insurance provider.
(2)
The otherwise eligible employee will then be enrolled
or reinstated, upon confirmation from the health insurance provider
of the Town that such enrollment or reinstatement of coverage has
become effective.
(3)
At the time of entry or reinstatement to the Town's
plan, the employee shall be subject to the same cost sharing, if any,
of said health insurance coverage in effect for other eligible Town
employees based on his or her date of initial employment with the
Town of Tuxedo or as same may be modified for all other eligible employees
in the future.
