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CI't. OF SAN BERNARDI._D - REQUL ~T FOR COUNCILFICf..ON
Dept:
Personnel
REctO. - AD MiN. OFF.Subject:
1987 JAN '3 Fi.1 3: 2 t.
Resolution to amend a~reement with
Private l1edical-Care Inc., to extend
term of anreement an additional year
e+fective January 1, 1987.
From:
M . J. Pe rl i c k
Date: January 12, 1987
Synopsis of Previous Council action:
The City previously entered into an agreement with Private Medical-Care Inc.,
on November 1, 1981, to make available a Vision Care Plan to City employees.
Recommended motion:
Approve the resolution to extend the terms of agreement an additional year with ~
Private Medical-Care Inc., effective January 1, 1987, with no chan~es in rates. ~
-q~
Contact person: ~1. J. Perl i ck
Supporting data attached: Yes
Phone:
5161
N/A
Ward:
FUNDING REOUIREMENTS:
Amount:
N/A
Source:
Fin.nC8~~
"1 C ~
Council Notes:
1-12-87
Agenda Item No. /~
75-0262
..
C11, OF SAN BERNARDI~ ;) - REQUI IT FOR COUNCIL Acr ~ -iON
STAFF REPORT
Bargaining unit members use their cafeteria contribution amounts towards the cost
of the Vision Care Plan.
There is no increase in rates over last year. These rates are:
Employee Only
Employee + 1 dependent
Employee + 2 dependents
or more
$ 7.68 per month
$10.56 per month
$15.36 per month
MJP: kj
75-0264 1-12-87
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RESOLUTION NO.
RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE
EXECUTION OF AN AMENDMENT TO AGREEMENT WITH PRIVATE MEDICAL-
CARE, INC., EXTENDING THE TERM FOR AN ADDITIONAL YEAR EFFECT-
IVE JANUARY 1, 1987.
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE
CITY OF SAN BERNARDINO AS FOLLOWS:
6 SECTION 1. The Mayor of the City of San San Bernardino
7 is hereby authorized and directed to execute on behalf of
8 said City an amendment to agreement with Private Medical
9 Care, Inc., extending the term for an additional year,
10 effective January 1, 1987, relating to an Optical Plan for
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employees and dependents, a copy of which is attached hereto,
marked
Exhibit "A"
and incorporated herein by reference
as
fully as though set forth at length.
I HEREBY CERTIFY that the foregoing Resolution was duly
adopted by the Mayor and Common Council of the City of San
Bernardino at a
meeting thereof, held on the
day of
, 1987, by the following
vote, to wit:
AYES:
Council Members
NAYS:
ABSENT:
City Clerk
1-9-87
1 The foregoing resolution is hereby approved this
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2 day of
Approved as to form:
.:~/7 / -"., ..../'/,
'2/r::) ~--/ (;.-
.. ('//~/ ~4ULL.'
Cl.ty A orney
1/9/87
, 1987.
Mayor of the City of San Bernardino
..
II
DENTAL HEALTH PLAN
Affiliated with Delta Dental Plan
AMENDMENT
TO
OPTICAL HEALTH CARE AGREEMENT
(PREPAID)
THIS AGREEMENT is made by and between PRIVATE MEDICAL-CARE, INC. and the CITY OF
SAN BERNARDINO, PMI GROUP #9040, for the purpose of amending the original Prepaid
Optical Health Care Agreement as follows:
1. The term of the Agreement as noted on page 1, number 1, shall be amended to
read January 1, 1987 through December 31, 1987.
2. Group shall provide a list of eligible subscribers each month shall be amended
to read commencing January 1, 1987 as noted on page 2, number 2.
All other aspects of the Prepaid Optical Health Care Agreement currently in effect
remain the same.
IN WITNESS WHEREOF, the parties have executed this Agreement and have affixed their
signatures on the ____ day of , 198
CITY OF SAN BERNARDINO
PMI GROUP #9040
PRIVATE MEDICAL-CARE, INC.
By:
By:
Signature
Date
Signature
Date
Print Name and Title
Tft 1 e
Address
City
State
Zip
Telephone Number
015.6.6
5122 Katella Avenue. 5uite 206. Los Alamitos, CA 90720 (213) 493-6661. (714) 978-6624
So. California 1-800-325-4529 No. California 1-800-422-4234 Nationwide 1-800-821-2058
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