ORD-2012-028 Amendment to the Orange County Personnel Ordinance Article IV, Section 28-36, Health Insurance

Browse Search

[total Orange County Prescription service Coverage *The County pays the percentage shown of the cost not to exceed the amount it contributes for individual/dependent coverage for current employees. For employees hired on or after July 1, 2012, the County cost may not exceed 50% of the amount it contributes for individual/dependent coverage for current employees. The retiree pays the cost for any group health insurance or Medicare supplement coverage for the retiree or the dependent costing more than the County contribution. If the retiree waives coverage,the County provides no cash payment in lieu of such coverage. (5) Payment of Premiums for Which the Retiree Is Responsible. The retiree pays Orange County any required premiums monthly. With appropriate notice, the County terminates coverage when premiums are more than 30 days past due. The health insurance provider bills the retiree directly for any Medicare supplement coverage for a dependent. (6) Dependent Under Age 65 at Death of Eligible Retiree. Upon the death of the retiree enrolled in the County retiree health insurance, the County offers a dependent on group health insurance continuation of coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA). The dependent is eligible for such coverage for up to 36 months (or until attaining age 65) provided the dependent pays the full cost of this coverage. (7) Eligible Retiree Returning to Work in NC Local Government. If the retiree returns to work with another North Carolina Local Government employer in a position which offers group health insurance coverage (whether the employee elects it or not), Orange County cancels the retiree's health insurance coverage through Orange County and such coverage may not be reinstated. (c) COBRA Coverage. Under the Consolidated Omnibus Reconciliation Act (COBRA), Orange County continues health care coverage to persons who would otherwise lose coverage under a health care plan due to specific events provided the employee, covered spouse, domestic partner, and/or dependent child agrees to pay, and pays, the cost of this coverage. (1) When coverage ceases due to termination or reduction in hours of employment, the employee, covered spouse, domestic partner, and/or dependent child is entitled to up to 18 months of coverage. (2) If the employee, covered spouse, domestic partner, or dependent child is determined disabled under Social Security at the time of termination or reduction in hours, he or she is entitled to purchase coverage for up to 29 months. (3) The spouse, domestic partner, or dependent child of an employee is entitled to up to 36 months of coverage if any of the following occurs: a. Death of the covered employee b. Divorce or legal separation of the covered employee from the .employee's spouse or termination of a domestic partner relationship