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City Council Packet 06.19.2018 (3)
NEXT RES. NO. R18-29 NEXT ORD. NO. 018-01 CITY COUNCIL AGENDA TUESDAY — JUNE 19, 2018 — 6:45 P.M. UELCOME ... By your presence in the City Council Chambers, you are participating in the process of representative government. To encourage that participation, the City Council has specified times for citizen comments on its agenda -- once following the Consent Agenda, at which time citizens may address the Council concerning any brief community announcement not to exceed one minute in duration for any speaker,- and again following Items Removed from the Consent Agenda, at which time citizens may address the Council on any matter of City business that is not on tonight's agenda. Each speaker will be limited to three minutes, unless the time limit is extended by the Mayor with the consent of the Council. Citizens may also comment on any item removed from the consent agenda prior to council action, with each speaker limited to three minutes, unless the time limit is extended by the Mayor with the consent of the Council. If a citizen would like to comment on an agenda item, we ask that you wait until the agenda item is presented to the Council by the Mayor and the public is asked to comment by the Mayor. Once again, each speaker is limited to three minutes. Any person who has any question concerning any agenda item may call the City Clerk -Treasurer's office to make an inquiry concerning the nature of the item described on the agenda. Your City government welcomes your interest and hopes you will attend the Laurel City Council meetings often. 1. Pledge of Allegiance. 2. Roll Call of the Council. 3. Approval of Minutes of June 5, 2018. 4. Correspondence. ® Laurel Chamber of Commerce minutes of May 10, 2018; Laurel Chamber of Commerce Agenda of June 14, 2018. 5. Council disclosure of ex parte communications. 6. Public Hearing. 7. Consent Items. NOTICE TO THE PUBLIC The Consent Calendar adopting the printed Recommended Council Action will be enacted with one vote. The Mayor will first ask the Council members if any Council member wishes to remove any item from the Consent Calendar for discussion and consideration. The matters removed from the Consent Calendar will be considered individually at the end of this Agenda under "Items Removed from the Consent Calendar. " (See Section 12) The entire Consent Calendar, with the exception of items removed to be discussed under 'Items Removed from the Consent Calendar, " is then voted upon by roll call under one motion. a. Claims for the month of June 2018. b. Clerk/Treasurer Financial Statements for the month of May 2018. C. Approval of Payroll Register for PPE 6/3/2018 totaling $188,106.13. d. Receiving the Committee/Board Minutes into the Record. 1) Budget/Finance Committee minutes of June 5, 2018. 2) Council Workshop minutes of June 12, 2018. 3) Laurel Airport Authority minutes of May 22, 2018. 4) Park Board minutes of June 7, 2018. 5) Laurel Urban Renewal Agency minutes of May 21, 2018. 6) Insurance Committee minutes of June 7, 2018. 7) Insurance Committee minutes of June 12, 2018. 8. Ceremonial Calendar. 9. Reports of Boards and Commissions. 10. Audience Participation (Three -Minute Limit). Citizens may address the Council regarding any item of City business that is not on tonight's agenda. Comments regarding tonight's agenda items will be accepted under Scheduled Matters. The duration for an individual speaking under Audience Participation is limited to three minutes. While all comments are welcome, the Council will not take action on any item not on the agenda. 11. Scheduled Matters. a. Confirmation of Appointments. o Re -appointment of Walter Widdis to the Tree Board for a three-year term ending 6/30/2021 ® Re -appointment of Arron Christiansen to the Tree Board for a three-year term ending 6/30/2021 * Re -appointment of Council Member Herr to the Cemetery Commission for a two- year term ending 6/30/2020 • Re -appointment of Dixie Feller to the Library Board for a five-year term ending 6/30/2023 • Appointment Ray Ezell, Karen Courtney, and Bethany Langve to their respective positions. b. Resolution No. R18-29: A resolution of the City Council resetting its July 3 regular Council meeting to July 2 in order to avoid conflicts with events and festivities planned for the July 4`h Celebration. C. Resolution No. R18-30: Resolution authorizing the Mayor and City Clerk to utilize available revenue in the City's water fund to prepay and retire DNRC loan WRF-10-188. d. Resolution No. R18-31: A resolution of the City Council adopting a Management Budget to assist the City's Department Heads with projecting and managing their respective budgets for the Fiscal Year. e. Resolution No. R18-32: A resolution approving agreements between the City of Laurel and Laurel Fire District No. 5, said agreements relating to fire protection. f. Resolution No. R18-33: A resolution approving agreements between the City of Laurel and the Laurel Urban Fire Service Area ("LUFSA") said agreements relating to fire protection. g. Resolution No. R18-34: A resolution authorizing the Mayor to execute a contract for the Chief Administrative Officer position between the City of Laurel and Matthew R. Lurker, Sr. 12. Items Removed From the Consent Agenda. 13. Community Announcements (One -Minute Limit) This portion of the meeting is to provide an opportunity for citizens to address the Council regarding community announcements. The duration for an individual speaking under Community Announcements is limited to one minute. While all comments are welcome, the Council will not take action on any item not on the agenda. 14. Council Discussion. Council members may give the City Council a brief report regarding committees or groups in which they are involved. 15. Mayor Updates 16. Unscheduled Matters. 17. Adjournment. Public Works Committee - Monday, June 18'h @ 6:00 p.m. Council Chambers Laurel Urban Renewal Agency - Monday, June 18" @11:00 a.m. TBD Budget/Finance Committee - Tuesday, June 10 @ 5:30 p.m. Council Conference Room Laurel City Council - Tuesday, June 19'h @ 6:30 p.m. Council Chambers Tree Board - Thursday, June 21' @ 9:30 a.m. PWD Conference Room Emergency Services Committee - Monday, June 25' @ 5:30 p.m. Council Chambers Council Workshop - Tuesday, June 26'h @ 6:30 p.m. Council Chambers Laurel Airport Authority - Tuesday, June 26'h @ 7:00 p.m. Laurel Airport The City makes reasonable accommodations for any known disability that may interfere with a person's ability to participate in this meeting. Persons needing accommodation must notify the City Clerk's Office to make needed arrangements. To make your request known, please call 406-628-7431, Ext. 2, or write to Bethany Langve, PO Box 10, Laurel, MT 59044, or present your request at City Hall, 115 West First Street, Laurel, Montana. JUNE 5, 2018 A regular meeting of the City Council of the City of Laurel, Montana, was held in the Council Chambers and called to order by Mayor Tom Nelson at 6:32 p.m. on June 5, 2018. COUNCIL MEMBERS PRESENT: COUNCIL MEMBERS ABSENT: OTHER STAFF PRESENT: Emelie Eaton Bruce McGee Richard Herr Scot Stokes Iry Wilke Richard Klose Bill Mountsier Heidi Sparks Kurt Markegard, Public Works Directo Tim Reiter, Utility Plant Superintender Forrest Sanderson, Interim Planner Mayor Nelson led the Pledge of Allegiance to the American flag. Mayor Nelson asked the council to observe a moment of silence. MINUTES: Motion by Council Member McGee to approve the minutes of the regular meeting of May 15, 2018, as presented, seconded by Council Member Eaton. There was no public comment or council discussion. A vote was taken on the motion. All seven council members present voted aye. Motion carried 7-0. CORRESPONDENCE: • Executive Order No. EO -01-18 • CHS Letter — June 19`x' and 20`' Road Closure • Governor Bullock & Attorney General Fox in Billings for Yellowstone River Recreation Project Priority Plan COUNCIL DISCLOSURE OF EX PARTE COMMUNICATIONS: None PUBLIC HEARING: • Intent to adopt an official Schedule of Fees and Charges (Resolution No. RI 8-19 approved on May 15, 2018) Mayor Nelson stated this is the time and place set for the public hearing on the City of Laurel's Intent to adopt an official Schedule of Fees and Charges (Resolution No. RI 8-19 approved on May 15, 2018). Mayor Nelson opened the public hearing and asked Staff to present the item prior to hearing the public comments. Kurt Markegard, Public Works Director, present the Schedule of Fees and Charges. He explained what the Schedule of Fees and Charges is and how it is used. Some examples he gave jwere for water repairs, fire suppression, ambulance fees, and charges, etc. These are fees the public would need to pay. He spoke to the various changes made to the document. There were changes to the cemetery charges for Saturdays. The Ambulance Department updated a significant portion of their fees. Mayor Nelson opened the floor for public comment and stated that copies of the rules governing the public hearing were posted in the council chambers. Mayor Nelson asked three times if there were any proponents. There were none. Council Minutes of June 5, 2018 Mayor Nelson asked three times if there were any opponents. There were none. Mayor Nelson closed the public hearing. CONSENT ITEMS: • Claims for the month of May 2018 in the amount of $708,838.21. A complete listing of the claims and their amounts is on file in the Clerk/Treasurer's Office. • Approval of Payroll Register for PPE 5/20/2018 totaling $174,051.80. y Receiving the Committee/Board/Commission Reports into the Record. L_._ --Budget/Finance Committee minutes of May 15, 2018, were presented. --Council Workshop_ minutes of May 8, 2018, were presented. --Council Workshop minutes of May 29, 2018, were presented. --LURA minutes of April 16, 2018, were presented. --Tree Board minutes of May 10, 2018, were presented. --Laurel Airport Authority minutes of April 24, 2018, were presented. --Transit Authority Committee minutes of March 28, 2018, were presented. --Cemetery Commission minutes of May 22, 2018, were presented. The mayor asked if there was any separation of consent items. There was none. Motion by Council Member Eaton to approve the consent items as presented, seconded by Council Member McGee. There was no public comment or council discussion. A vote was taken on the motion. All seven council members present voted aye. Motion carried 7-0. CEREMONIAL CALENDAR: None. REPORTS OF BOARDS AND COMMISSIONS: None. AUDIENCE PARTICIPATION ('THREE-MINUTE LIMIT): None. Karl Dan Koch, 320 Colorado Avenue, spoke regarding the handicap parking located at Thompson Park. He did note that the Public Works Director had placed a large sign, but that people were still parking in the designated area. He requested that this issue be resolved. SCHEDULED MATTERS: • Confirmation of Appointments. o Re -appointment of Wallace Hall to Cemetery Commission for a two-year term ending June 30, 2020. Motion by Council Member Herr to approve the re -appointment of Wallace Hall to Cemetery Commission for a two-year term ending June 30, 2020, seconded by Council Member Eaton. There was no public comment or council discussion. A vote was taken on the motion. All seven council members present voted aye. Motion carried 7-0. • 1, Resolution No. R18-22: A resolution to adopt an official Schedule of Fees and Charges for the City of Laurel, repealing all previous resolutions that set fees or charges that conflict with the schedule attached hereto upon its effective date. Motion by Council Member Stokes to approve Resolution No. R18-22, seconded by Council Member McGee. There was no public comment or council discussion. A vote was taken on the motion. All seven council members present voted aye. Motion carried 7-0. Council Minutes of June 5, 2018 • Resolution No. R18-23: A resolution approving an agreement between the City of Laurel and Yellowstone Boys and Girls Ranch, relating to fire protection. (Fiscal Year 2018-2019) Motion by Council Member Wilke to approve Resolution No. R18-23, seconded by Council Member Mountsier. There was no public comment or council discussion. A vote was taken on the motion. All seven council members present voted aye. Motion carried 7-0. • Resolution No. R18-24: A resolution approving an agreement between the City of Laurel and Fire District No. 8, relating to Erre protection. (Fiscal Years 2018-2019; 2019-2020;2020-2021) Motion by Council Member Klose to approve Resolution No. R18-24, seconded by Council Member Mountsier. There was no public comment or council discussion. A vote was taken on the motion. All seven council members present voted aye. Motion carried 7-0. • Resolution No. R18-25: A resolution accepting the Bid from COP Construction, LLC and authorizing the Mayor to sign all related contract documents for the project know as Phase 3 WTP SED Basin Removal and Replacement Project. Motion by Council Member Mountsier to approve Resolution No. R18-25, seconded by Council Member Klose. There was no public comment or council discussion. A vote was taken on the motion. All seven council members present voted aye. Motion carried 7-0. • Resolution No. RIS -26: A resolution of the City Council amending the Purchase and Procurement Policy for the City of Laurel Motion by Council Member Eaton to approve Resolution No. R18-26, seconded by Council Member McGee. There was no public comment. The Mayor was thanked for expediting updating this policy. It was requested that discussion continue to clearly define Budget/Finance Committee's roles and responsibilities. A vote was taken on the motion. All seven council members present voted aye. Motion carried 7-0. -- • Resolution No. R18-27: A resolution authorizing and approving additional services by KLJ under the task order for planning services approved via Resolution No. Rib -12 constituting the preparation of and assistance with the adoption of new floodplain regulations for the City of Laurel, Montana. Mayor Nelson reminded Council that this item was discussed at the previous Council Workshop. It was discussed that the City was in the rears on this policy and with the record flows in the river Council's desire to move expeditiously was made known to the Mayor and placed on this week's Council agenda. Forrest Sanderson, the Interim Planner, recapped the discussion from the previous Council Workshop. The City of Laurel had received a letter from DNRC dated May of 2016. There were identified deficiencies; the most notable is the floodplain regulations. The City of Laurel's floodplain regulations did not meet the minimum requirements imposed by the State of Montana and required by FEMA for the City to participate in the National Floodplain Insurance Program. The City had been given six months to become compliant with the floodplain regulations. At Workshop, it was stated the benefits of participating in this program, including allowing its residents to be able to purchase flood insurance that is not part of their homeowner's insurance. This insurance is available regardless of the resident's risk zone and is the only insurance that will protect their investment in the event of a flood. He had stated that KLJ could complete all work required to bring the City current for approximately $5,000. This would include the preparation of compliant regulations, navigate the adoption process, and submit them to the State and FEMA for final approval. If Council approves this resolution, this item will be scheduled for a public hearing at the City/County Planning Board on July 19, 2018. City/County Planning Board will them give a recommendation to City Council for a public hearing and adoption according to the standard City ordinance adoption procedure. It was questioned what timeline the City is looking at to be able to fully adopt this ordinance and be compliant. Council Minutes of June 5, 2018 It was responded that the City Council could see a recommendation the end of July or beginning of August. The Interim Planner did contact DNRC and informed them that the City is taking corrective action in this matter as quickly as the City is able. At this time the citizens NFIP coverage is not in jeopardy as the City is working towards compliance and is a protected status. Motion by Council Member McGee to approve Resolution No. R18-27, seconded by Council Member Eaton. There was no public comment or council discussion. A vote was taken on the motion. All seven council members present voted aye. Motion carried 7-0. ITEMS REMOVED FROM THE CONSENT AGENDA: None. COMMUNITY ANNOUNCEMENTS (ONE -MINUTE LIMIT): None. COUNCIL DISCUSSION: Council Member Mountsier and Wilke offered to discuss the handicap parking issue with Mr. Koch after tonight's meeting to see what needs to be done to resolve this issue. Cemetery Commission will not be meeting in the month of June. Their next meeting will be held July 10, 2018. Park Board will meet June 7, 2018, at 5:30 p.m. in Council Chambers. It was requested for discussion on Budget/Fiances roles and responsibilities. This item will be placed on the June 26, 2018, Council Workshop Agenda. It was clarified that when Council voted to approve the SED Basin Project that Council approved the base bid and all additive alternative. It was requested that Council receive an update on where in the process the City is on improving West Railroad. City/County Planning Board has been canceled for the month of June as there is no new business. MAYOR UPDATES: The state of emergency declared in May is still in effect. The Mayor is grateful the City did not receive the predicted flooding. The wall donated by CHS will be built during the SED Basin construction. UNSCHEDULED MATTERS: None. ADJOURNMENT: Motion by Council Member Hen to adjourn the council meeting, seconded by Council Member Eaton. There was no public comment or council discussion. A vote was taken on the motion. All seven council members present voted aye. Motion carried 7-0. There being no further business to come before the council at this time, the meeting was adjourned at 7:06 p.m. Brtttneyoo an, Administrative Assistant Approved by the Mayor and passed by the City Council of the City of Laurel, Montana, this 19`h day of June 2018. I i� Thomas C. Nelson, Mayor Attest: Bethany Langve, Clerk/Treasurer Board Meeting Minutes The Meeting was held nnMay 10.2018 atFowl Play, Inattendance were: Executive Board Members: Vice President- Chase Anderson, Treasurer- Sandy Reese and executive secretary- Marcia Hafner and Chamber Assistant Camilla Nelson. Directors: Beth Hofener, Patsy Woody, R£neeSLudiD8r, Bruce Larson, Brent Renier, Katie VVhitrnoyerand Billie Lehman Members: Ken Gomer, Amanda POvx8U, and Evan Bruce. Chase called the meeting bnorder. The minutes were approved: Katie, Renee nd The treasurer's report was accepted. NOout Vfbudget bills were presented. w July 4th- Met with community committee yesterday May 9th. Volunteer sheet passed around for members t0sign up to help u Food vendors are full o Craft vendors 10registered sofar o Run 4runners signed up. Shirt sponsors are coming into uS o Parade 2signed up, talked about not throwing/handing out candy this year o Grand Marshall RUchard Klouse was nominated and voted to be the Grand Marshal. Billie, Renee 2rd -approved ° Budget Committee- Done ° By -Laws Committee- Changes were passed around to review. Changes were voted to be approved. Sandy, Beth 2 nd New BUSINESS ° Job page/Organization-Job Fair- We have started aJob Listings page onthe website and need help notifying us when you have an opening and when it is filled. Also we want to start a Job/Organization fair. It was discussed maybe doing |tinSept and May. Talked about doing it with the schools nrthe senior center. ° Truck to move Xmas d6con- Beth said she will bring atruck and some help from the crossings un Friday Ribbon cuttings OPEN FORUM � ° Coffee with ������- Evan reported that ��� Eaton will be May 2from 5:306:30pm at Harmony. Business after Hours — o May- Maurer Chiropractic o June- Harmony o July-Kona-Iceand the Crossings o August-Thornae Meeting Adiourned Next meeting - 3une 14th, 2018 Sid's ___ Agenda Laurel Chamber of Commerce 3une 14th,, 2018 at Sid's Yellowstone Checking - $ 74,555.07 Altana CD $ 8,235.96 Altana Saving $ 748.31 Christmas Repair Fund TOTAL $84,195.90 OLD BUSINESS * July 4th- Finalize volunteers. We are still accepting crafter registrations. Run signups are a little low this year. • By-amns—Dideveryonegattheircopythatvvasernai/ed? Ribbon Cuttings 0 Culligan - Has not set a date yet. � . ° . Business After Hours _ If you vvuu|d like to host an event, please contact the Chamber. u June- Harmony o JuKy-Kona-IceandtheCnoseinga o August- Thonnae Next Meeting July 12 th Chamber Log Cabin MINUTES BUDGET/FINANCE COMMITTEE JUNE 05, 2018 5:30 P.M. CONFERENCE ROOM MEMBERS PRESENT: Emelie Eaton Richard Klose Scot Stokes Bruce McGee OTHERS PRESENT: Tom Nelson Bethany Langve Chairwoman Emelie Eaton called the meeting of the Budget/Finance Committee to order at 5:30 p.m. The next regular Budget/Finance meeting will be on Tuesday June 19, 2018 at 5:30 p.m. The minutes of the May 15, 2018 meeting were reviewed. Richard made a motion to approve the minutes, Bruce seconded the motion, all in favor, motion passed. Claims entered through 06/01/2018 which totaled $708,838.21 were presented to the committee. Richard reviewed both the Claims Detail Register and the Check Register to ensure accuracy. Bethany explained the electronic payment to WEX Bank for fuel charges. Richard made a motion to approve the claims, Emelie seconded the motion, all in favor, motion passed. No purchase requisitions were presented. The Comp/OT report for PPE 05/20/2018 was reviewed by the Committee. The Committee questioned why spraying the parks was overtime. Bethany stated she would ask and bring the answer to the next meeting. The Payroll Registers for PPE 05/20/2018 totaling $174,051.80 was reviewed by the Committee. Bruce made a motion to recommend Council approval of the payroll register, seconded by Richard, all in favor, motion passed. Clerk/Treasurer Comments: Bethany stated that she has had no comments. A brief discussion regarding the SED Basin finances did occur. Bethany explained the loan and reserves. Mayor's Comments: The Mayor stated that new tablets for the Council had been purchased and one of them was presented. The Mayor stated that information regarding the MLCT annual conference would be distributed to Council for review. The Mayor stated that the CAO top candidate, Matthew Lurker, would be signing a contract with the City tomorrow and he would be presented to Council at the next workshop. There was a brief discussion regarding CAO pay scale and benefits. The Committee asked if the past CAO received any stipends. Bethany stated that she didn't believe so but would check and get back to the Committee at the next meeting. The Mayor stated that he was trying to gather the numbers associated with Clean-up Day and present them at the next Budget and Finance meeting. Other: Bethany presented the hauling fee numbers as these were requested at the last meeting. The Committee asked what the monthly revenue was required to see a ROI. Bethany said she would get those numbers for the next meeting. For next agenda: o Clean-up Day numbers Dumping Station figures o Spraying OT o Stipends The meeting adjourned at 6:26 p.m. R spect lly submitted, *Bletlyve, Clerk/Treasurer MINUTES COUNCIL WORKSHOP JUNE 12, 2018 6:30 P.M. COUNCIL CHAMBERS A Council Workshop was held in the Council Chambers and called to order by Mayor Tom Nelson at 6:33 p.m. on June 12, 2018. COUNCIL MEMBERS PRESENT: x Emelie Eaton x Bruce McGee x Scot Stokes x Richard Klose OTHERS PRESENT: Public Input There was none. _x Heidi Sparks x Richard Herr x Iry Wilke x Bill Mountsier Bethany Langve, Clerk/Treasurer Kurt Markegard, Public Works Director General Items • Re -appointment of Walter Widdis to the Tree Board for a three-year term ending 6/30/2021 • Re -appointment of Arron Christiansen to the Tree Board for a three-year term ending 6/30/2021 • Re -appointment of Council Member Herr to the Cemetery Commission for a two-year term ending 6/30/2020 • Re -appointment of Dixie Feller to the Library Board for a five-year term ending 6/30/2023 Mayor Nelson asked if there were any questions regarding each of these re -appoints, listed above. There were none. « Appointment Ray Ezell, Karen Courtney, and Bethany Langve to their respective positions. Mayor Nelson stated it was brought to his attention that Ray Ezell, Karen Courtney, and Bethany Langve were not appointed to their respected positions of Building Inspector, Code Enforcement, and City Clerk/Treasurer. It was questioned why after celebrating a couple years of employment was this needed. Mayor Nelson stated that the City Attorney advised him to appoint as it is stated in LMC this would occur. Executive Review • Resolution — A resolution of the City Council resetting its July 3 regular Council meeting to July 2 in order to avoid conflicts with events and festivities planned for the July 4th Celebration. Council Workshop Minutes of June 12, 2018 The last time the Council had a meeting scheduled on July Yd was in 2012. At that time the Council elected to move the meeting to July 2nd due to the July 4d' festivities. It was questioned if Budget/Finance Committee would also move their meeting to Monday, July 2nd Correct, Budget/Finance Committee will meet on July 2nd, as well. • Resolution — Resolution authorizing the Mayor and City Clerk to utilize available revenue in the City's water fund to prepay and retire DNRC loan WRF-10-188. It was explained that when the City takes out bonds, it required to set aside a certain amount of money once the loan is close to retiring these funds are used to pay the loan off. The City has two loans with similar balances. However, one of those loans had more payments left and was selected to be retired. Loan WRF-10-188 had approximately 10 years remaining. This will save the City on interest and will allow the City to use the saved interest in other areas. It was questioned how much interest the City would save. The resolution listed the principal amount as $355,424.83. It was questioned if the $4,424.83 is annual interest. It was stated that like any loan there is monthly interest. The City has paid a loan payment since the loan pay off amount was given, and this will reduce the total payoff amount. It was questioned if the $4,424.83 is the monthly interest. It was clarified that the $4,424.83 is the interest that has paid since January 1, 2018, to June 26, 2018. That is approximately $8,000 to $9,000 a year. However, the interest does decrease over the life of the loan as the principal is reduced, but this will save the City a considerable amount. The decision to retire this loan instead of putting those funds towards the SED Basin project was made because the interest rate is 2.75% is greater than the interest rate for the SED Basin project of 2.5%. This is the better option of the City. Resolution — A resolution of the City Council adopting a Management Budget to assist the City's Department Heads with projecting and managing their respective budgets for the Fiscal Year. There have been some format changes to the Management Budget than what Council has seen in the past. The City has not reviewed its taxable valuation. This means the Clerk/Treasurer is unable to present any of the Leavy funds or any tax revenue for General Fund. Therefore these budgets have been omitted at this time. This budget is strict to help the management team operate until the Final Budget is passed at the end of August or beginning of September. This budget is a tool for Council to clearly see major changes that will be made to the Final Budget. The Clerk/Treasurer has made notes of line items that will be changing. For example, the SRO revenues have been omitted, Union 303 is in negotiations and until those negotiations are finalized the value is not known. The City has not received the Fire District Contracts for Fire District No. 7 or Airport Authority. Therefore these have been omitted. The Council will receive a memo with their Final Budget that lists any and all changes made, line by line. 2 Council Workshop Minutes of June 12, 2018 If Council has any questions regarding the Mangement Budget, please contact the Mayor or the Clerk/Treasurer for further clarification. It was questioned if each department was able to reduce their budgets by ten percent. It was further questioned if the documents presented to Council reflect those reductions. Yes, each department was able to reduce their budget by ten percent. The Council will see those items noted in their budget documents. It was clarified that any line item 200 or above is discretionary spending. These are the line items that departments were able to reduce by ten percent. Council will see where the Mayor has taken those savings and redistributed them to other areas. One is for an additional Police Officer, and the remainder is budgeted for Ambulance. Line items in the 100's are associated with wages and benefits and are not able to be reduced. It was clarified that Council would vote on the Management Budget to allow all departments to continue to run appropriately. The Council will vote on the Final Budget at the end of August. The Clerk/Treasurer will be present at Workshops if requested by Council to answer any Council questions. The Mayor would need to know the Friday before the Workshop to add the discussion to the agenda. The Clerk/Treasurer placed a budget memo in their Council packets. This memo explains what changes were made to the budget, see attached. All notes are also placed on the budget sheets located under the line item. • Resolution — A resolution approving agreements between the City of Laurel and Laurel Fire District No. 5, said agreements relating to fire protection. There were no questions. • Resolution — A resolution approving agreements between the City of Laurel and the Laurel Urban Fire Service Area ("LUFSA") said agreements relating to fire protection. There were no questions. • Resolution — A resolution authorizing the Mayor to execute a contract for the Chief Administrative Officer position between the City of Laurel and Matthew R. Lurker, Sr. Mayor Nelson gave a brief overview of the selection process. There were two interview committees. The first interview committee consisted of Mayor Nelson, Former Mayor Olsen, Council President Eaton, and Mich Kratovil who is the City's contracted HR. The second interview committee consisted of Mayor Nelson, City Attorney Sam Painter, Interim Planner Forrest Sanderson, and Council Vice President McGee. The CAO candidate was ranked first 6 out of 8 times, second 1 out of 8 times, and fourth 1 out of 8 times. The CAO candidate has signed a contract with the City and was invited to introduce himself to Council this evening. The CAO candidate is willing to relocate to the City of Laurel or as close as possible. Matthew Raymond Lurker Sr. of 4005 Pine Cove Road in Billings Montana, introduced himself to Council. He gave a brief background of his personal and work history. He addressed why he has short-term employment on his resume, as he worked as a contractor for the government. These contracts are for a specific task, and once that is complete, they would move to a new contract. He ended up jumping between a few agencies over a three year period. 3 Council Workshop Minutes of June 12, 2018 It was questioned what paragraph 2.2 of the contract meant regarding reimbursement of expenses to the employee. Is this in addition to their budget. It was clarified that there are times in which an employee may expend their own funds for non - personal use and these expenses would be reimbursable. These are items that have been budgeted for and is not in addition to their budget. An example is if CAO were to travel and need to pay for something on their personal credit card that was a work expense it would be reimbursable. Mayor Nelson spoke to his goals as the City's new CAO. It was questioned if the Council had access to the candidate's resume. Mr. Lurker stated that he could make his resume available and if the Mayor had a copy he could distribute the resume to Council. Mayor Nelson stated that he would add this document to the Council's Dropbox tomorrow and for Council to watch for the email. Council Member McGee reminded Council that everyone is on the same side. There have been times when it feels that is not the case. However, he wanted to reiterate that everyone is on the same side. He welcomed the CAO candidate. • Council Issues: o Update on 2011 Yellowstone River flooding event The City has a meeting scheduled with the Army Corps of Engineers on Thursday (June 14th) for the site visit to review the wetland survey. There will also be a meeting regarding what to do with the intake. It was questioned what was meant by "what to do with the intake." It was clarified that the City had had issues with being able to backwash the intake to clear the screens. This has reduced the flow from the intake. It was questioned if the potential for sediment was discussed when decided where the intake would be placed. It was clarified that the discussion was that the intake could be buried and still work. It was questioned why there are issues. It was responded that the flows in the river are higher than has ever been recorded in the past 85 years. Typically the river flows are approximately 20,000 to 30,000 fps currently the river is running at approximately 60,000 fps. The 2003 intake experienced scour during the 2011 flood. This lowered the river bed and exposed the City's intake. It was questioned if the issues are because no one knows how to run it, if it was installed incorrectly, or if it was not planned for properly. n Council Workshop Minutes of June 12, 2018 Mayor Nelson stated the intake was installed according to the governing agencies. Those agencies were DEQ and ACOE. He is working to get to the bottom of this issue. Is there something the City needs to do on a regular basis so as not to run into this issue in the future, such as blowing the screens out. This was a $12 million dollar project in which the City should not have paid the $3 million State match for. This intake is located in a different portion of the river the City has not dealt with in the past. It was questioned if instead of listing the update of the 2011 flooding event if the discussion item could be upgraded to an intake update. It was questioned if the City is on the 2011 intake or 2003 intake. It was clarified that the City is using the 2003 intake. The new intake was shut down as the river rose. This allowed the City to keep personnel at the plant instead of sending them to the intake location. Last year the City turned off the new intake as the river sediment increased. This was to reduce the amount of sediment entering into the 3 miles of pipe to get to the Water Treatment Plant. The City may continue to use the 2003 intake in the summer and the new intake in the fall and winter months. The goal is to ensure both intakes are operable so in the event, one intake is not functioning the City has a backup intake. It was questioned if the 2003 intake will not function after September when the rock weir is removed. It was clarified once the rock weir is removed that the City cannot guarantee the water is high enough to use the 2003 intake. It was clarified that back in 2011 when this issue began the City had identified the number one solution for this problem would have been to install a grouted weir. The City was unable to receive a permit to install a grouted wier unless they were able to prove that the fish could exit the weir. Because this option was no longer available the City working to find alternate solutions. The option of placing the intake 3 miles upstream was the best option out of the presented alternatives. o Update on 2018 Flooding event Riverside Park is, as of today, open to the public. The river is down, and the risk for flooding has subsided. The State of Emergency is still in effect until the majority of the snowmelt has occurred. The Mayor will re-evaluate after the 4th of July on if he can rescind the State of Emergency. While the City did not experience river flows as expected, they did have water coming in through the storm drains. The Public Works Director had the drains plugged so as to keep the water out of the parking lot at the Water Treatment Plant. o West Railroad There was an update on where the City is with West Railroad. The Public Works Director contacted State regarding the urban routes in the City. See attached map showing the urban routes within the City's urban limits. The map shows the urban routes are both in the City limits as well as in the County. This is why the City and County have to present a joint project to the State in order for those funds to be used. The Public Works Director looked at the Transportation plan that was done in 2014. West Railroad was identified as needing improvements. The estimate at the time was that West Railroad would cost 5 Council Workshop Minutes of June 12, 2018 approximately $2.7 million to update. The Public Works Director will have the Mayor send a letter to the County requesting discussion of West Railroad as a project. Other projects identified in the Transportation Plan was the intersection of S 1St Avenue and Railroad which is listed as an F intersection. This is the worst rating an intersection can be given. The other project identified is E. 6th Street, which the City is taking care of with the Street Maintenance Fund as it is not identified as an urban route. The Public Works Director looked into the option of adding E. 6th Street to the City's urban routes. However, it would need to give up its urban route somewhere else to accommodate this. At this time, that is not advisable. The Public Works Director spoke with the County Engineer and Public Works Director who stated they needed a letter to move forward. The City would need a joint resolution with the County to send to the State. The State would then come in and do their feasibility study and review all options for West Railroad. It was questioned if the City would be able to get West Railroad addressed before the intersection would need to be taken care of as well and would the intersection trump West Railroad. It was clarified that the City and County could list priority to the projects to assist with this. The TIF District can also help pay for the intersection allowing West Railroad to be improved by urban route funds. The person who had been doing the traffic study for either a traffic signal or round -a -bout at the intersection of S. 1St Avenue and Railroad is no longer at the State. It is unclear what will happen with that traffic study at this time. The Interim Planner had brought it to the attention of the Public Works Director that the Transportation Plan was conducted in 2014, it is due to at least be reviewed and updated. It was questioned if the City can request that East Railroad become a one way and not to allow citizens to turn left to go to Walmart. The Public Works Director stated that most of the day residents are able to make that turn without affecting traffic significantly. However, there is a portion of the day when this is not the case. The Mayor stated that the City would review all their options on this issue. It was stated that previously a Council Member had contacted the State regarding a sign saying no left turn onto East Railroad. There was no issue with placing the sign, but that it would need to be enforced by the local law enforcement. He stated that this where he was met with resistance. It was requested that West Railroad stay on the Workshop agenda for continued updates. It was requested that Council not gets sidetracked with the traffic study issues and look over the need on West Railroad. Mayor Nelson re -assured the Council that West Railroad will not be overlooked and that the update will remain on the Workshop to give periodic updates. o Community Garden Follow-up Vi Hill, 2707 N. Ramshorn Drive, reached out to the other Community Gardens in the area to see what they do for water, what the associated costs are, and how they are reminding these issues. She on Council Workshop Minutes of June 12, 2018 handed out her findings to Council, and that document is attached to these minutes. Songbird and Amend Park are the only Community Gardens owned by the City of Billings. All gardens are non- profit, and collected funds are used to improve the garden. Songbird stated their cost for water last summer was approximately $2,500. They know that there was abuse in over watering with nearby residents turning on the water and leaving. They are addressing the overwatering issue with a fine and building a well. Friendship House collects roof runoff to water their garden. It was requested the Council consider a grant program for residents to be able to make improvement for the betterment of the community, one such project being a Community Garden. It was questioned if the property has water services to it. No the Church did have a curb box installed while 81h Avenue was being redone, but there is no water meter or service connected to that curb box. It was questioned what was meant by the Council considering a grant program. It was clarified that Pastor Jason came up with this idea, he had to leave tonight's meeting due to an emergency. Vi did not have a chance to speak with Pastor Jason further on the matter. It was questioned where the money would come from. Vi stated she was unsure; she would leave that to the City Council. It was questioned who community garden members would pay. Vi clarified with Songbird that the City does not collect the funds. In the Songbird Community Garden, the Josephine Crossings Council manages the area. There is no monetary exchange with the City of Billings. Songbird is in the process of installing a well. They also fundraise to be able to make these necessary improvements. It was questioned if bulk water would be a solution to this problem. Mayor Nelson stated that another option would be to discuss the possibility of leasing a portion of a park for this use. He requested that Park Board discuss this issue further. o Constituent Questions from Coffee with a Council Member Council Member Eaton attended the first Coffee with a Council Member. A constituent presented her with a list of concerns. These concerns were forwarded to the Public Works Director to address. The first issue was three vehicles parked on the first block of 81h Avenue. The Public Works Director clarified if the vehicles, such as in this case, are parked on public property that is a law enforcement issue, and they will be able to issue a parking violation. If the vehicles are located on private property, then it is a code enforcement issue would need to contact code enforcement. When the Public Works Director went to see if the vehicles were still parked on the first block of 81h Avenue, he did not see 7 Council Workshop Minutes of June 12, 2018 the vehicles in question. It is unknown if this issue has resolved itself as the vehicles are no longer parked in the area. The second issue was the abandoned home on the second block of 8th Avenue. It is located on the west side of the street across for the Library. This house used to be in the County, recently a developer put in an annexation request and this is now part of the City. Code Enforcement has sent a letter to the owners to take care of the overgrowth problem. The third issue was the weeds growing through the river rock on 8th Avenue. When the State redid 8th Avenue, the rocks were used to direct children to use the crosswalks. The City did not have a comment on their installation. The adjoining property owners are responsible for taking care of this property. The City would need to investigate if those rocks could be removed or not. One side of the street received concrete; the other side received grass and rocks. Trees were also planted. However, these trees are not maintained either. The homeowners may not have had the buy -in on this project. The City could do further education for those who live on 81h Avenue. The fourth issue was the right of way the City owns between the condos and the Town and Country. The City mows this location, however with the record snowfall and melt it is now a pond with ducks included. There is no storm drains in this area. The only option at this point would be to pump the water out. The City will mow this area once it dries out. The long-term solution would be to install storm drainage. This would be costly and require the City to cut into 8t1' Avenue to accomplish. It was questioned if the area is located in the floodplain. The Public Works Director was unsure if this property is located in the floodplain. Because this property is not in the floodway the City can fill as needed, would need to go through the City permitting process, which is through the Planner. The Public Works Director did check the location before tonight's meeting, there was still water present, and the City is unable to mow at this time. The fifth issue was being able to see RN Appliances extra inventory and if the City could make them install a fence to conceal the extra inventory. Currently, the City does not have an ordinance that requires a business owner to install a fence as this is the businesses primary use [and is located in a Commercial Zoned District]. The Code Enforcement Officer did state that Billings does have an ordinance for this issue. The Code Enforcement Office is willing to look into options and work with the City Attorney when she addresses the nuisance ordinances. The sixth issue is the shoes hanging from wires. One set was hanging from an internet wire across 81h Avenue, and the other was on the Chamber of Commerce powerline for the Christmas decorations near Hardee's. These have been removed. It was stated that these could signify where to purchase drugs. It was questioned if citizens are able to remove them themselves. It is not advisable for citizens to remove the shoes themselves, but to contact the owner, such as the power company, of the line to remove the item. Council Workshop Minutes of June 12, 2018 Council Member Eaton thanked Code Enforcement and the Public Works Director for their work on resolving these issues. There were two additional issues brought forward by this constituent. One was a noise ordinance, which had been brought forward previously and had been sent to the Emergency Services Committee. Due to the main industries within the City, a noise ordinance is not being pursued for the time being. The complaint was due to a business snow removal of their parking lot, in particular, the muffler on the vehicle. Law enforcement could speak with the individual if they once they moved off ofprivate property. The final issue brought forward by this constituent was to only allow parking on one side of the road on the south side of town. One objection was who would determine which side of the street would have parking. Some homeowners do have driveways others do not. Council Member Eaton will write a letter to the constituent will update on what has been doing for each of the stated complaints. Mayor Nelson stated that he would be participating in the next Coffee with a Council Member on July 16, 2018. He will also be writing his second-quarter update for the Outlook. Other Items Mayor Nelson stated Council would see the recommendation from Insurance Committee before them at the next Workshop scheduled for June 26, 2018. Review of Draft Council Agenda for 6/19/2018 There were no changes. Attendance at the 6/19/2018 Council Meeting All present will be in attendance. Announcements Multiple Council Members expressed their thanks for the tablets. Mayor Nelson stated that the tablets should help the effective communication with Council Members, the process changes will also reduce material and labor costs. The total cost for all tablets, cases, and screen protectors was under $2,500. One Council Member thanked the work of our Code Enforcement Officer for her work in notifying property owners of code violations. He had called the City regarding one property, and the issue had already been noticed and addressed by the Code Enforcement Officer. Thursday, June 14th is Flag Day. The American Legion will be doing a ceremony at the Cemetery along with proper disposal of unusable American flags. Request for Council to discuss the purpose of Budget/Finance Committee. Mayor and the Council thanked the church group who painted all the fire hydrants in the City. They did an excellent job and the City thanks them for their time. 0 Council Workshop Minutes of June 12, 2018 Public Works Committee will meet on June 18, 2018, at 6:00 p.m in Council Chambers. If the Council has any agenda items to please send them to the Public Works Director. It was questioned who started the Coffee with a Council Member. It was clarified that the Outlook started this and will continue to organize this event. The Outlook will contact a Council Member and request if they would like to participate. Recognition of EmDlovees • Rick Musson a Brian Kline o William Brew III • Daniel Griffin ® Raymond Ezell III 36 years on June I" 13 years on June 22nd 12 years on June 7"' 9 years on June 15`x' 1 year on June 141" The council workshop adjourned at 8:53 p.m. Respectfully su tted, Brittney Moonnan Administrative Assistant Police Chief City Shop Police Police Public Works NOTE: This meeting is open to the public. This meeting is for information and discussion of the Council for the listed workshop agenda items. 10 June 12, 2018 To: Mayor and Council From: Bethany Langve, Clerk/Treasurer The Management Budget is being presented to you tonight. The levied funds are not included in the Management Budget as they will require receipt of the mill values before they can be finished. These funds include: • 2190—Comp Insurance Fund • 2260 — Emergency Disaster Fund • 2370 — PERS Fund • 2371— Health Insurance Fund • 2372 — Permissive Insurance Fund • 7120 — Fire Disability Fund • 7850 — Airport Authority Fund The General Fund revenues for taxes are omitted as they require receipt of the taxable valuation to finalize the revenues. The SRO Program revenues are omitted due to ongoing Union 303 negotiations. Fire District #7 and AA revenues are omitted as signed contracts for Fiscal Year 2019 have not been received. Revenues for the Permissive Medical transfer and Group Health transfer are omitted until the taxable valuation is received. Staff were asked to reduce their budgets by 10% of their discretionary total, and most departments were able to accommodate the request. The largest change in the General Fund is due to increase in wages. Non-union employees are requesting a 3% raise. The Public Works Union is receiving a $0.45 per hour increase and a $100 increase to their flex accounts for a total of $600 in flex this fiscal year. The Police/Dispatch Union will be entering negotiations so a $0.25 per hour increase has been entered for budgeting purposes until a contract has been signed. Some items that have changed over the entire budget are the Workmen's Comp rates, which increased 5%, PERS employer rate has gone up to .0857 from .0847, an increase of .001 per employee's gross salary. MMIA has increased the overall aggregate rate for liability insurance by 16.2%. The mill revenue that covers the Comp Insurance is deducted from the total General Fund mill revenue, thus causing less tax revenue into the General Fund. The City requested quotes from several health insurance providers. These quotes have been analyzed by the Insurance Committee and a recommendation should be made to Council. The changes to health insurance, if any, will be reflected when the Fiscal Year 2019 budget is presented in August. The next section will go through some of the highlights in the balance of the budget. Fund2250 — Planning Department --------------------------------------------------------------------------------------------- 0 General Fund will be transferring $33,105 into this fund to balance the budget. Fund 2310—TIF • There will be $1,200,000 available for Capital Projects in the TIFD. • $125,000 has been budgeted for the Large "Business" Project Grants. Fund2500 — Street Maintenance -------------------------------------------------------------------------------------------- * The entire R -O -W fees will be given to the Street Department this year to build the reserve for the next "Small Caps Project." • $200,000 has been budgeted for repairs and maintenance. • $1,000,000 has been budgeted for the East 6t" Street project. Fund 2600— Elena Park Maintenance District--------------------------- • Planting of Boulevard Trees is planned for this fiscal year. Fund 2820 — Gas Tax « Gas Tax allocation amounts have not been released for Fiscal Year 2019, so this fund has not been included in the Management Budget. Fund2821— HB 473 Gas Tax ----------------------------------------------------------------------------------------------- • Gas Tax allocation amounts have not been released for Fiscal Year 2019, so this fund has not been included in the Management Budget. Fund 2850 — 911 Emergency • The General Fund will contribute $27,00 for 911 contracts this year. Fund 2917 — Crime Victims • This fund is not being presented as the funds are being returned to the State of Montana. Fund2928 —Transit Grant ------------------------------------------------------------------------------------------------------ • General Fund will continue to support this fund with $5000/year. • There are still enough funds in reserves to pay 15% of a new bus, should one become available. Fund 4000 — Capital Projects Fund --------------------------------------------------------------------- • Staff is requesting the following projects or equipment be purchased this year: 1. City Hall —Purchase of VOIP $150,000. Fund 5210 — Water Fund • The SED Basin Project has been budgeted in the amount of $10,257,732, the City will borrow $4,921,000 from DNRC and the balance will be paid with reserves and $625,000 in grants. ® The Intake Project is complete and awaiting final reimbursement from FEMA in the amount of $1,500,000. 5310 — Sewer Fund • The capital budget includes: 1. Dewatering Facility Installation - $998,000 2. Digestor Rehabilitation - $235,000 3. Screw Pump Rehabilitation - $420,000 4. Manhole Rehabilitation - $100,000 5. Sewer Camera/Trailer - $100,000 6. H2S Remediation at Village Lift Station - $156,250 5410 — Solid Waste The capital budget includes: 1. Garbage Truck - $285,000 2. Truck w/ Tommy Life - $35,000 3. Shed for Container Site - $10,000 While this is a brief overview of the Management Budget, please take the time to look through it and ask questions. We appreciate the time you spend on reviewing this Management Budget. Ic ;§�; = e _ /;\. ! ! ! ) $ ! $ a ƒ ! ! ! « ! , 2 ; , / 2 _ e 2 ) _ 15i !§[[ jbgmp exist along E 61h Street near the school and athletic fields, particularly during sporting events. There may be opportunity to enhance parking amenities with the development of this project. Estimated Cost: $3.OM MSN -7: W Railroad Street (US 212 to S 81h Avenue) W Railroad Street is an urban route and serves as the main connection to the south side of Laurel. The existing typical section does not meet urban design standards as there is no curb and gutter and there are areas that lack sidewalks. It is recommended that the roadway be reconstructed to meet current urban design standards. This improvement could be implemented as a stand-alone project or in conjunction with SR -3. Estimated Cost: $23M MSN -8: S 1St Avenue - Railroad Underpass The existing S Is' Avenue railroad underpass is a bottleneck for the transportation system in Laurel. This location is narrow (consists of one travel lane in each direction), has steep grades, and has height clearance restrictions. Existing traffic analysis shows that this location lacks capacity to accommodate existing traffic volumes. The overpass structure is likely in need of repair / replacement in the near future. It is unknown at this time, however, the best approach to remedy this bottleneck location. Existing topography and land use constraints exist making the development of a new underpass difficult. Ultimately, it is recommended that a new crossing structure be constructed to increase capacity, flatten grades, increase vertical clearance, and address existing structural issues. An engineering study will be needed to determine the best course of action to address the needs at this location. Estimated Cost: Unknown, additional analysis needed City of laurel ; Long Range Transportation Plan - 2014 15.7 Am b - Billin 314 acre cit City has Y Park They are Provided a hydrant and the and Presently workinWater g on a licensing agreement with the Josephine Garden Council Managed the a welt's being dug and Paid for with funds raised by the subdivision. Th maintene city garden for S garden and Years and even after the agreement will continue to do has made by council. approval of any changes last made to property. Small decisions can be Year water usage Some who cost $2500 throe gh the hydrant. Water was available to anyone. changing lived clOse-by u I and will be enforced. Would turn the water on and go home. Those rules are Workshops rced. were held re: rules and water conservation. Plots are 20, X 20' for $45 Per season. or $2S. Can be divided into smaller Plots renting for $35 No monetary exchange Of funds with the city Amend Park: City Water. . Put in and maintainec, Area just sho 46 plots:Of I acre With the Park, not metered. 12-)(20 , 10, X 20 , raised beds , Rental fees are $25" to $4S Per sea -scan ftWO—W,er. Property Have own Owned by Mayflower well.Churc:-h St. And ® Property Have own Owned by church Well, One faucet available t(> U who manage the siteusers bum arcll=�n * atering is controlled by those (2x Per k durir-zE season„ WV , gar. e:n; -,vith weather) • Started with 40 plots, now have 104. 8 or 9 of them are for flowers and herbs. There is a Mission Garden with produce to go to Food Bank. All with plots have to put is so - many hours in the Mission Garden. • Plots are 8' x 8'. You can have up to 4 plots at $15 each per season • Must apply in the spring before March 15. Returnees get first priority. • Workshops on rules and general gardening • Web site: garden@standrewbillings.or Friendship House: • All owned by Friendship House • Small raised beds for children to work in and use in House kitchen or share with their families) • Store water from roof run-off. LaurelAirport P.O. Box 242 A Laurel, IVIT 59044-0242 Laurel Airport Rd. May 22, 2018 Meeting called to order @ 19:00 hours by Chairman John Smith. Members present John Smith, Shane Linse, Randy Hand Guests present: Nathan Schroft and Craig Canfield of KLJ. Mark Smith (John's son) Minutes approved of last meeting. (4-24-2018) Claims approved: Normal and recurring for utilities, and fuel. Snow removal of $428.50 to Jason Lindell, and $24,533.37 to KLJ as part of the Runway project. Reports: Craig of KLJ 1. Notice to proceed on June 4, 2018 has been issued. 2. Earthwork will commence as soon as weather window allows, anticipate mid-June at this time. 3. With delay in start project should be done in late August or early September, assuming normal weather patterns. 4. Change order #3, approved, with relocation of bldg. #4 and #6 included. Old Business: 1. Web Page ...... in progress for revisions 2. Date for FAA funding discussion ...... pending 3. Will need updated signature card for check register, Randy has contacted bank. Cards are now available at branches.... Pending 4. Prior to next snow season we will need to re -visit snow removal policies to co-ordinate with Northern Skies. New Business: 1. Decided to go with existing building relocation, not new building to stay closer to budgets 2. We will need to locate a new board member, Doug Meyers has relocated to ND for a couple of years. 3. Motion made by Shane to re -use existing building, passed by voice vote. (part of change order) 4. Second letter needed, along with check for buyout of lease to owners effected by RPZ re -location. 5. Motion made by Shane to reach out to city/county for help with Fox road repairs after heavy equipment finished at airport. Meeting adjourned, 20:50 hrs. Secretary City of Laurel Park Board Minutes Thursday, June 7, 2038 In attendance were Park Board Members: Scot Stokes, Amy Pollock, Iry Wilke, Richard Herr, Ken Gomer, Phyllis Bromgard; Kurt Markegard, Public Works Director; and Citizens, Curt Lord and Rick Bailey, Laurel Rod & Gun Club; Jamie Krug, 4-H Shooting Program; Jason O'Rear, Laurel Shooting Education 1. Public Comment: Curt Lord expressed frustration that the Mayor and Sam Painter weren't in attendance. Feels like everything has been pushed off for years with nothing getting resolved. Others agreed that the question of the lease and shooting in the park has been going on for far too long and a decision needs to be made. Emails were collected from those in attendance and interested to know if the Mayor and Sam will NOT be attending next month as mentioned. 2. Minutes: Reviewed and approved minutes from May meeting. Iry moved to accept, Phyllis seconded, and they were unanimously approved. 3. Lease Negotiations: Horseshoe Club: Scot has been unable to contact Nick Kisch concerning the need for insurance for the Horseshoe Club. He left a message on the only phone number we have for Mr. Kisch but has not received a return call. He will keep trying. '*UPDATE: Scot received a return call from Mr. Kisch on June 8, 2018. He told Mr. Kisch he would need to have insurance by the July Park Board Meeting. Mr. Kisch said he would look for cheaper insurance and let us know. Laurel Rod & Gun Club: Again, frustration was expressed that the lease and shooting has not been addressed/remains unresolved. Mayor Nelson told Scot he and Sam would be at the July 5th Park Board Meeting to address the lease and shooting in the park. 5. Swimming Pool: The Mayor has given the go ahead to purchase the awning/shade for the pool using the INTEREST from the Billie Riddle funds. Kurt asked a contractor to give a bid on installing the awning. The City does not have the necessary equipment or staff to have it installed at this time. We are also looking at purchasing benches @ $30o each from the sign company that has benches around town. We need to see how much the total cost for the shade will be and then we will look at the benches. Kurt said we have already sold four swim passes and the numbers at the pool are up every day. In order to get it ready he had to have a toilet fixed, but all seems to be going well. We are not leaking water like we once did which helps keep the temperature up on the water in the pool and saves money on water. 6. Update on Funds from Dept. of Justice: Alicia has contacted Kurt and would like to move forward right away with the vault toilet by the boat access ramp we are coordinating with the FWP on. There was a question as to whether we wanted a single or double vault toilet there. The single vault would be half the price and the Park Board agreed that would be OK believing the saved funds would then be given to other projects in Riverside Park as agreed in the plan. ($50,000 was allocated to Riverside Park if other projects fell through or were cheaper than originally estimated.) Iry motioned we recommend moving forward with a dual gender single vault toilet for the boat access ramp. Amy seconded the motion and it passed unanimously. Kurt expressed the only concern was that the City has no way to take care of the waste with the single vault toilets but DOES have a way to take care of it in the double vaults. Kurt will contact the FWP and find out how/who they use because they have those types of vault toilets around the State. Other: Riverside Park has been closed due to the possibility of ground water going through the septic/drainfield. Kurt says he hopes to have it opened again this weekend. Kurt also looked into the sign at Riverside Park and said it needs to be redone. He felt like it would be a great Eagle Scout Project, suggesting the City could maybe provide the paint. Phyllis provided photos of Arbor Day that was held in May. Looked like a very successful day. She also mentioned Lions has received over $3000 in donations toward the path around the park. They are looking at getting an estimate. Kurt said Matt might know who to contact to get the estimate. Kurt also commended the Tri -County Sports Group for a `job well-done" on their annual banquet. He said the food was great and for him, it brought three generations together. Meeting was adjourned at 6:30 pm. Respectfully submitted by Amy Pollock, Park Board Member Minutes Laurel Urban Renewal Agency (LURA) May 21St, 2018 City Hall Conference Chambers The meeting was called to order by Judy Goldsby. Roll Call/ Attendance: Quorum of voting members present: Judy Goldsby, Don Smarsh, Dean Rankin. Non-voting members: Steve Solberg. City Staff: Kurt Markegard. Big Sky EDA: Dianne Lehm. Laurel Chamber of Commerce: Marcia Hafner. Introductions: None Approval of the minutes from the previous meeting: Dean made the motion to accept the minutes and Don seconded the motion. All were in favor. Old Business: a. Large Grant Application F18 Update- Kurt informed the committee about the grant review process and how the Mayor has asked the City Attorney to review the grants to see if they meet the criteria allowed in State Statute. Don talked about project criteria in order to award grant funds from the submitted applications. Dean also expressed that determining what projects meet the criteria is getting complicated. Dean stated that the projects in the large grant requests are great projects and due to the success of getting the word out there are more applications being submitted. Judy said it would be great to keep giving out the funds for projects that have been submitted. Don stated that many of the projects in the submitted applications are already completed or have started. Don asked about the timeline for finding out about the large grants and Judy stated legal has it and we will not know how long that will take. b. Grants Pending- Steve asked whatever happens to the Technical Assistance Grants funds that have been given out. Don stated that some of the projects will never happen because what is identified in the technical assistance reports that they have funded end up costing too much to complete the proposed projects. Marcia asked about having the applicants present a report about their project once completed. Judy stated that this was added to the grants this year and we should have the project sponsors report back to this committee. Kurt stated that the technical assistance grant for the King Koin Laundry was being used and the new owner of the building has received a building permit to renovate the structure to reopen the laundry business. c. Planner Vacancy Update- Kurt stated that the Mayor will be posting for a department head type position for the Planning Department to garner more interest in the position. The posting for the Planning positon should be out in the next month or so. Discussion that is old business but was not on agenda- Dean asked about the bondable project for Railroad streets. Judy stated that the grain elevators need to be taken down to make the intersection better. Kurt informed the committee that he has been asked to look at the downtown streets for a bondable project. Many of the downtown street need to have major repairs. Den asked what the next process was and Judy said that the Mayor needs to give some direction on what projects he would like to see completed. Dean said a list should be made of what projects need to be done and they make a priority list. The committee discussed a list should be completed so everyone knows what the projects are and what needs to be fixed. New Business: None Reports: a. City Administration: None b. City Planner: None c. City Treasure: Discussion took place about monthly reports not being submitted to the Committee d. Big Sky EDA: Dianne told the committee about the High Plains Business Alliance meeting. They had 60 attendees. Public Comment on Non Agenda Topics: None Next Meeting: June 18th in the City Hall Conference Chambers Adjournment: Don motioned for adjournment and Dean seconded it. All were in favor and the meeting adjourned at 12:00pm. Respectfully submitted Kurt Markegard, Public Works Director MINUTES INSURANCE COMMITTEE JUNE 7, 2018 9:00 A.M. COUNCIL CHAMBERS CONFERENCE ROOM MEMBERS PRESENT: OTHERS PRESENT: Kelly Strecker, Clerk's Office Stan Langve, Union 303 Monica Salo, Union 316 Sheri Phillips, Union 316 Roy Voss, Union 316 Dave Allen, Allen and Associates Eric Allen, Allen and Associates Amanda Burkhart, MMIA Dave Allen introduced himself to the group. The Insurance Committee was presented each of the options to consider for their recommendation. The presentations started with Blue Cross Blue Shield of Montana since they are the current insurance provider. Allen and Associates handed out a spreadsheet to quickly compare each of the policies, see attached. Blue Cross Blue Shield of Montana Renewal Blue Cross Blue Shield of Montana (BCBS) looked at the City's last 18 to 24 months of claims. They used this data to determine if the City would see a rate change. There would be no increase for the Fiscal Year of 2018/2019 insurance premiums. BCBS did provide a claims report that was used to obtain the other bids presented to the Committee. There is a wellness credit of $10,000 first month's premium credit. While the City would not pay this amount to BCBS, they would need to use these funds to promote wellness. Employees would receive their cards within a month of renewal. MMIA Amanda Burkhart, MMIA, presented what MMIA can offer the City. MMIA is a co-op of cities and towns. Most small cities and towns are lumped into the same pool to share the costs; some are self- funded. MMIA does not process any claims; they manage the reserve the claims are paid from. They contract with third -party companies to administer that process. MMIA requires a five-year commitment from the City; this helps ensure stability across the pool. The City of Laurel's rate was fifteen percent higher than the standard rate. After five years the City of Laurel could drop to the standard rate. If a city or town chooses to leave MMIA, they are required to wait three years before they are able to return. Every hospital in the State of Montana has signed on to accept MMIA coverage. Hospitals have the ability to set their costs for services given. MMIA found that different hospitals charged a wide range for the same procedure. To help reduce the cost they used the Medicare rate plus a percentage as the allowable billable cost, this has helped reduce costs. MMIA only offers four plans. Many Cities have set the rate they are willing to pay and allow the employee to choose the plan that will suit them best. MMIA uses Allegiance to process medical claims in the state. Out of State would be the Cigna network. The State of Montana has worked to offer Montana Health Centers, those on the MMIA plan would be able to receive care at no cost. These centers offer primary care providers, do lab work, CT, and MRI's at no cost to the employee. Council Workshop Minutes of June 7, 2018 The City would have two options for pharmacy. There is a percentage option and a copay option. The percentage option is of less cost to the City, however, may not be well liked by the employee. The copay option, through our current provider, is what the City currently uses for its phannacy coverage. MMIA does not have pharmacy's that are not covered by their prescription plan. MMIA does participate in a program for mail -in pharmacy. This program is international, there is no copay and may be at no cost to the employee. The medications come from other tier one countries and can save the pool 60-70% on the cost of the medication. MMIA focuses on wellness and risk management. Instead of offering a premium credit like BCBS did they offer $250 to the employee if they meet certain criteria. If the City had 80% or greater participation in the wellness program, all employees would receive an additional $50.00. MMIA focuses heavily on disease and case management. As an example, the most expensive claim is for a premie baby. By having a case manager check in with an expectant mother the insurance company can ensure all possibilities to reduce the possibility of a premie baby have been taken. MMI also offers employee assistance. The offer six visits/per household member/per issue to a mental health provider or counselor for no cost. MMIA uses Delta Dental and VSP to manage their dental and vision benefits. This does require 80% participation for a City in order to participate in the dental benefit. The City would have the option to add an additional orthodontic benefit. For their vision benefits, they offer the 12/12/12 plan. This is one visit to the eye doctor every 12 months, with new glasses or contracts every 12 months. MMIA offers basic life insurance as well. MMIA employees do use the health insurance offered by MMIA. However, the MMIA plans do not directly mirror the current BCBS policy. Pacific Source Initially offered a five percent discount as compared to BCBS. Once the new claims statement carne in Pacific Source refigured their quote and reduced their quote to seven percent. The Pacific Source plan mirrors the current BCBS policy. Pacific Source is based out of Oregon and has focused on the Pacific Northwest. They are currently in the process of building a storefront in Billings. They pride themselves on providing excellent customer service. Their goal is to be able to answer a customer's questions within one phone call. There are four plans to choose from including a $500 deductible and $2,500 out of pocket max. All hospitals in the state are in -network, and approximately 89%-90% of all doctors are in -network. BCBS has approximately 94% to 95% of all doctors in their network. These plans do have a $25 copay as opposed to the MMIA that does not use copays. They use tiers for their pharmacy benefits, similar to what BCBS uses. Employees can use CVS Pharmacy for their pharmacy needs. Pacific Source does offer gym memberships for $25.00 per month, however, unlike BCBS employees must choose one gym to use their benefit at. They also have an extensive preventative drug list. Drugs listed on this list are at no cost to the employee. Pacific Source moved into the Montana market approximately 10 years ago, but have been around for many years. 2 Council Workshop Minutes of June 7, 2018 Health Co -Oa Like Pacific Source the Health Co -Op did come in at five percent under the BCBS quote. However, Dave Allen cautioned the Committee that while the rate quote was attractive, the plans were not identical to the City's current BCBS plan. They would need to review what was included carefully. Allen and Associates' recommendation is Pacific Source. They offer year to year plans, the City would not be locked into a five-year contract, their rates came in under the current rates for BCBS, and their plans are most similar to what the City currently has. Amanda Burkhart clarified why MMIA requested health questionnaires from all employees. MMIA works on money in money out system. For this reason, they needed an accurate overview of the rate utilization. Dave Allen clarified the City could look into extending their contract with BCBS for one month and pushing the start date with another insurance company to August I". Dave clarified that he does work on commission if the City chooses to go with MMIA the City could still retain his services. The Insurance Committee adjourned at 10:33 a.m. Respectfully submitted, JKIW_� Brittn oo an Administrative Assistant 3 -< 0 a I Z 0 @ 0 =3 0 Z 0 M CD < rD I w -M N m 2: w -n m N L/! fu M m :u 0 2 0 ;r 0 M m X 1U. �q ID (D + OQ rn n Q. > 91: "n w 0 'C M- m m m 0 n M C) 10, -,u , m 0 (D 6: M , 0 - CL < M (D -= -:;T -:F = . m 0 0 0 C) li C x x c m : 0 ow 0-��'2=' �10 0 -0 -h 00 0 =$ w 9 - Ln m < 5 < 7Di 0 @ :0 fD A! n =3 n Ln 0 m CD FD 0 7r AD "a cm (D C) r M w 03 lw VA Y 00 co n rl) c > co o C" 0 CC) 03 �l i 0 (A m to co Ln 4h -4 li C) -0 m rD tD 0 00 co Lo C) < (D CD co ID ID ;o -< cn Ili F� ID --j (D C) Ln 0 ;D" Zg c C) w V �n 00 tj N CR — — — — — 0 0 M (D m m V� rL Q. F� co 0 0 Jj CD 0 C) J� cr co m m N, "D -'j (" 9� , 0 < I m -o- s to (ID (<b M 5n il (D w Pi P, p M , z < r :0 cm w 0 L rL N.P m00 > -0 ri i- w gi cn 0 F� Ln Ln (D (Da LO Vt I -0, w w rD q o w 0 a a to 0 Z z .< 0, tD NJ CL � , n j(U w -,i ;;! -< -< m :2, M :3 1:1 w Di C bo o (D I;D< I Ln Ln IL m 0 C) @ m OIL.I=, 0 rt ID (D IA 00 Ln m t'j 0 0 ow cu 0 0 Lu Ln 0 -4 C. w Z ti p C, 0. 0 C, 0 0 Cl cu C, m CL rl Ln L0 0 0 C) 0 8 0 LU 0 Ln Z (D 0 0 M 0 (D M4 to :E x t.0 0 F .8� m 0 -0 0 O 0 NJ ::3 W 00 tD 'E. w m rl =3 =1 9) 0 0 0 - o PO CD 3 m -- :8, 0 Ul Ln 0 0 Xr, 90 x fl) 0 0 w :0 uj CD =r x C) =w n Y 00 V1 AW m0 o o 0 0 a 91 0 R, z� (D C) 0 0 C) 0 0 C3 m -M, (D C)cc 0 O w Cc) L" m LU 1- 0 4On NO Ln0 0 w n j C 0 C) C) C 0 Tl V 101 c C) 00 CD -0 0, 0ru D CL > IN 211-0 ih Y00 < rl. (n FA (D tD NJ 14 0 0) 00 4� Nj j 0 (1) n Ln 0 R C: p p. P �j p p . o 0 fl) l.Pl m R Ch bo m li 0) w In Ln (p mUJ m Ln Z O 0 0 Ln 3: fD Ln M CD - Z 00 w to ko :E (D w C) Q. N a) li O1 0 00 Ln Am< ;< X- 0 m s p PO R C) 00 w O W (DOLn 0 CD m co W cn N t� 0 0 0 "1 w Ln o a Ln co p- L" ;< c) m 0 co Ww O Ln '-"Z 0 0 0 0 m 3 i N Y'n cu w tD t1i Ln w 03 v LO co C C) m 0 I Ll W 1-0; m (n to C) m N 4� N .1 0 0 m o -.I 0 > > .4 m 0 iaz Ln 0 m CO Y Y 4�- t4Dh @n CD 0 m �C-1 0 6 Ln N FN�j f:;D 0 (D M (D 0 li Ll 4� w Lu 2: 0 0 0 < 0) t, C 0 10 C) 03 V in :P. Lo ul 0 :3 (D 8 0 0 On (D 0 0 =r LU 0 m Ln 0 h 0 0 0 co 0 r, co P, Lq g 0 fD = m < Z W N Lu tD P� (M. w 0 00 tD 14 m ;a m:3 w 0 �o UQ b) tD Lu NOLn (.n =1 1, w li co li -j 0 V 0 0 Oz fu OS <. OJ of to LO w Ul -rl fQ LOm m M 0 0 w wlwlo Do rD O 0 o FO Pi 91 0 w d w w Ln P. P-IlLni I fl cc C-:) C) April 26, 2018 Kelly Strecker City of Laurel P.O. Box 10 Laurel, MT 59044-0010 Dear Kelly: PO Box 80826 Billings, Montana 59108 Customer Information Line: 800.447.7828 www.bcbsmt.com Blue Cross and Blue Shield of Montana (BCBSMT) is proud to present a fully insured renewal that underscores the value of our health plans. We appreciate the opportunity to continue serving you, your employees and their families. At BCBSMT, our goal is to build a stronger health care system for tomorrow while giving employers immediate solutions to the issues they are facing today — like rising health care costs and the need to engage employees in making smart decisions about their health. To drive long-term change, BCBSMT launched the most robust Value -Based Care initiatives in Montana. These programs are transforming our health care system — shifting the emphasis of health care from volume to quality, transparency and accountability — while reducing costs. BCBSMT launched the most robust transparent pricing initiative in Montana, giving City of Laurel employees L.. the power to easily shop for health care based on quality and cost. The Cost Estimator is powered by BCBS AxisO, the largest database of health care quality and cost information in the health care industry — and the only data resource that includes health care information from every ZIP code in the United States. We also continue to provide the greatest savings on medical care in the industry. A January 2016 Milliman National Benchmark Comparison found that health care providers offer Blue Cross and Blue Shield (Blue) plan members almost 14 percent better savings than our competitors. In addition, it found that in -network utilization was approximately six percent higher for Blue plan members than for our competitors. As the industry leader and your health benefits partner for the past year, BCBSMT is well equipped to support your goals and objectives with cost-effective programs, exceptional account management, and new tools and resources to improve the quality and reduce the cost of your employees' health care. Your Agent, Dave Allen will contact you soon to set up a personal visit to discuss your renewal and available options. Our goal is to ensure that your annual plan renewal is understandable, that desired benefit options are promptly delivered for your consideration, and that the required documentation to complete the renewal is processed efficiently. We appreciate the continued opportunity to serve you, your employees, and their dependents. If you have questions about your renewal or if I can help in anyway, please contact me at (406) 437-6363. Sincerely, Shellie Wherley Account Executive Enclosures/cc: Dave Allen A DIVISION OF HEALM CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY, AN INDEPENDENT LICENSEE OF THE BLUE CROSS AVID BLUE SHIELO hSSOCIMION Kelly Strecker City of Laurel Page 2 7.f11R RenPwnl Tnfnrmntinn! Effective 7/1/2019 Triple Option: Blue Dimensions 80/20 PPO Plan Type Blue Dimensions PPO: 80/20 co -ins In -network; Single 65/35 Co -Ins Out -of -Network Office Visit Co a . $25 Par Professional Provider services done in office setting. Deductible $1,000 Individual/$2,000 Family Out -of -Pocket Maximum $2,500 Individual/$5,000 Family Efficient RX $100 Deductible — waived on Generics Performance Forinulary Retail/Value Pharmacy: $10/$40/60% up to max $200 per fill; 90 -day supply at Value Pharmacy Retail only at 3 Copays. Retail/Prime Network: $15/$50/60% up to max of $250 per fill; Mail Order: $20/$80/60% up to max of $400 per fill 90 -day supply Specialty RX: $100/$200 copays after deductible. OON Specialty: 50% co-insurance; *Performance Formulary applies at renewal `Accident Process off Standard Medical Benefits Preventive Benefit In -Network: 100% coverage up to allowable fee for routine/preventive services including Well Child and routine Mammograms. Out -of -Network: Ages 19+ - Deductible applies; Well Child under 19 — deductible waived; Routine Mammo ams — first $70 is aid; deductible applies EAP* If group wishes to purchase EAP services — we can provide pricing thru Magellan Behavioral Health. COBRA HCSC Renewal Rates below do not include the $75 COBRA administered Administration Fee and Activity Fees. Blue Dimensions 80/20 ]PPO Renewal Single $803.52 Two Party $1,782.60 Employee/Child/Children $1,278.42 Family $2,048.18 Single Medicare $450.15 2P/Med $899.17 Kelly Strecker City of Laurel Page 3 2fl1R RPnpwal Tnfarmntinn! Effective 7/1/2018 Triple Ontion: Blue Dimensions 70/30 PPO Plan Type Blue Dimensions PPO: 70/30 co -ins In -network; Single 55/45 Co -Ins Out -of -Network Office Visit C6pay $35 Par Professional Provider services done in office setting. Deductible $1,500 Individual/$3,000 Family Out -of -Pocket Maximum $3,500 Individual/$7,000 Family Efficient RX $100 Deductible — waived on Generics Performance Formulary Retail/Value Pharmacy: $10/$40/60% up to max $200 per fill; 90 -day supply at Value Pharmacy Retail only at 3 Copays. Retail/Prime Network: $15/$50/60% up to max of $250 per fill; Mail Order: $20/$80/60% up to max of $400 per fill 90 -day supply Specialty RX: $100/$200 copays after deductible. OON Specialty: 50% co-insurance; *Performance Formulary applies at renewal Accident Process off Standard Medical Benefits Preventive Benefit In -Network: 100% coverage up to allowable fee for routine/preventive services including Well Child and routine Mammograms. Out -of -Network: Ages 19+ - Deductible applies; Well Child under 19 — deductible waived; Routine Mammo rams — first $70 is aid; deductible applies EAP If group wishes to purchase EAP services — we can provide pricing thru Magellan Behavioral Health. COBRA HCSC Renewal Rates below do not include the $75 COBRA administered Administration Fee and Activity Fees. Blue Dimensions 70/30 PPO Renewal Single $755.13 Two P $1,675.68 Employee/Child/Children $1,199.65 Family $1,924.39 Single Medicare $423.14 2P/1\4ed $846.28 Kelly Strecker City of Laurel Page 4 Blue Choice HSA PPO $3.500 Deductible Plan— effective 7/1/18 Plan Type Blue Choice PPO/HSA Compatible Plan $627.84 100/0 co-insurance feature after deductible is met Deductible $3,500 Individual/$7,000 Family In -network $998.26 $7,000 Individual/$14,000 Family Out -of -network Out-of-pocket Maximum $3,500 Individual/$7,000 Family In -network $7,000 Individual/$14,000 Family Out -of -network Performance Formulary Non -Preventive Covered Brand/Generic Drugs apply to Medical Deductible/OOP Out -of -Network Specialty Drugs: 50% co-insurance after deductible. *Performance Formulary applies: Non -Covered drugs; Step Therapy, Prior Authorization and dispensing limits apply. 90 -Day at retail only available thru Extended Supply Value Preferred Pharmacies Accident Process off Standard Medical Benefits Preventive Benefit 100% coverage In -Network up to allowable fee for routine/preventive services including Well Child and Mammograms. Out -of -network routine/preventive Mammograms — First $70 paid; deductible and Co-insurance applies Out -of -Network Routine/Preventive — 19+ (Adult) — Deductible and co- insurance applies Out -of -Network Well Child Services — Under 19 — co-insurance a lies deductible waived COBRA — Vendor Our records indicate COBRA is not administered thru Administered HCSC/BCBSMT. Blue Choice HSA $3,500 Renewal Single $627.84 Two P $1,393.17 Em l/Child ren $998.26 Family $1,600.36 Kelly Strecker City of Laurel Page 5 Important Notices and Enclosures: ✓ Renewal Paperwork: I will forward the Merit Group Application once you finalize the review of the renewal and determine if you are electing to make any benefit modifications. ✓ Open Enrollment Notice: Please share a copy of the enclosed open enrollment notice with your employees. ✓ HIPAA/Special Enrollment Rights Notice: Please share a copy of the enclosed Special Enrollment notice with your employees. ✓ Summary of Benefits and Coverage (SBC): BCBSMT is required to provide a Summary of Benefits and Coverage (SBC) with your renewal packet. You, as the employer, must distribute a copy of the enclosed SBC to all individuals eligible for your group health insurance policy. The requirements and timelines are detailed in the enclosed attachment. 2018 SBCs for your Blue Dimensions PPO and Blue Edge Plus PPO plans offered at renewal are enclosed for your reference. ✓ 2018 Pharmacy Changes: 2018 Notice of Pharmacy changes is enclosed that highlights the changes incorporated to applicable BCBSMT group plans effective 1/1/18 or at renewal. ✓ Participation Requirement Notice: Please review the requirement with your agent/consultant to ensure your group is meeting participation requirements. ✓ Value Added Services/Resources/Tools: The enclosed brochures provide you an overview of the additional services, resources and tools that are provided to your employees and their families. We encourage you to share this information with them. If you would like to order any of these materials, please contact me. Blue tana Cross s.. 2018 Fully Insured Large Group Business Pharmacy Changes BCBSMT has identified the following opportunities that will help manage costs while still offering our members a high quality and effective prescription drug program. The following is a summary of the changes for our customers. This is effective January 1, 2018 or upon a group's renewal unless specifically noted: ✓ Six -Tier Benefit Design: o Blue Choice/Blue Options - Standard Plans will move to a Six -Tier benefit design upon their 2018 renewal/effective date. Preferred and Non -Preferred Tiers for Generics, Brand Name Drugs and Specialty Drugs. Current Blue Choice/Blue Options Plan Designs will be discontinued and replaced with the following Plan Designs: o $0/$10/$50/$100/$150/$250 — at Value Preferred Pharmacies. Blue Choice Efficient RX and 5 Tier Drug Plan replaced by plan design above. Blue Options 4 Tier Drug Plan replaced by plan design above. Separate RX Out of Pocket on Blue Options Plans removed. o $0/$10/$35/$75/$150/$250 - at Value Preferred Pharmacies Blue Choice 4 Tier Drug Plan $8/$35/$75/$150 replaced by plan design above. o 10%/10%/20%/30%/40%/50% -at Value Preferred Pharmacies Blue Choice HSA Plans with co -ins after deductible replaced by plan design above. ✓ HDHP/HSA Eligible Plans - $0 Copay Preventive Drug List: o Revised Drug List effective 1/1/18 and upon renewal. ✓ Terminology Change: o Formulary & Non -Formulary Drug Changing to Preferred and Non -Preferred Drug. ✓ Drug List and Pharmacy Networks: o MT Standard Insured and Custom Insured Plans will remain on their Current 2017 Drug List and Pharmacy Network for 2018. Performance Drug List • Value Network (Pharmacy Network) CVS/Target Pharmacies — Out -of -Network as of 1/1/17. ✓ Want more information? ® Find a Pharmacy or search the Performance drug list on www.myprime.com. C See www.bcbsmt.com for Drug List, Value Pharmacy and additional Pharmacy Resources. a Please work with your Account Executive with any questions. Please note: This is a general overview of changes and not a guarantee of payment. Please reference the specific benefit materials and information on your plan. -`'Blue C. k os s B1 ueontana Account Name CITY OF LAUREL Account Number 138674 Rate Effective Date 07/01/2018 Experience Period: Incurred: 11/01/2015-10/31/2017 Active Contracts as of 02/28/2018 66 Projected Claims PCPM based on Experience with Pooling: $788.14 Credibility 64.59% Adjusted Manual Claims PCPM: $756.34 Credibility 35.41% Total Projected Claims PCPM: $776.88 Desired Loss Ratio* 81.79% Calculated Premium PCPM** $949.85 Premium at Current Rates PCPM $949.85 Calculated Premium Rate Action 0.0% Final Premium Rate Action 0.0% ® Change in Demographics -0.2% o Annual Trend 7.5% *Includes provisions for Administrative Costs, State Taxes & Assessments, and Commissions **Reflects the effects of Health Insurer and Reinsurance Fees, plus any federal and state taxes applicable to these fees. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. 04/05/2018 Registered Marks Blue Cross and Blue Shield Association 6 ;v ot-1. ;- Ja LI y7s Y �Si'431ev :5., .'...i`�`w n'..� ;7;yY�e`�,�.. SIn ? a v�n i� - �� �� tom'1 �a �• `��Y Taking acivanta e ofmiend3-ve heafth cars sa1`Aces Preventive check-ups and screenings can help find illnesses and medical problems early and improve the health of you and everyone in your family. Your health plan covers screenings and services with no out-of-pocket costs like copays or coinsurance as long as you visit a doctor in your plan's provider network. This is true even if you haven't met your deductible. Some examples of preventive care services covered by your plan include general wellness exams each year, recommended vaccines, and screenings for things like diabetes, cancer or depression. Preventive services are provided for women, men and children of all ages. For more details on what preventive services are covered at no cost to you, refer to the back of this flier for a listing of services, or see your benefits materials. Learn more on immunization recommendations and schedules by visiting the Centers for Disease Control and Prevention website at www.cdc.gov/vaccines. These preventive services are covered by your plan at no cost to youl SCREENINGS FOR ❑ Abdominal aortic aneurysm ❑ Alcohol abuse and tobacco use f , ❑ Cardiovascular disease (CVD) including cholesterol screening and statin use for the prevention of CVD ❑ Colorectal and lung cancer ❑ Depression ❑ Falls prevention and vitamin D use for stronger bones ❑ High blood pressure, obesity, diabetes and depression ❑ Sexually transmitted infections, HIV, HPV and hepatitis p Tuberculosis COUNSELING FOR ❑ Alcohol misuse ❑ Domestic violence p Healthy diet and physical activity counseling for adults who are overweight or obese and have additional cardiovascular disease risk factors ❑ Obesity p Sexually transmitted infections ❑ Skin cancer prevention ❑ Tobacco use, including certain medicine to stop ❑ Use of aspirin to prevent heart attacks vrs �rr3. p Aspirin for preeclampsia prevention ❑ Breast cancer screening, genetic testing and counseling ❑ Breastfeeding support, supplies and counseling ❑ Certain contraceptives and medical devices, morning after pill, and sterilization to prevent pregnancy ❑ Cervical cancer screening ❑ Chlamydia, gonorrhea, syphilis, HIV and hepatitis B screenings ❑ Counseling for alcohol and tobacco use during pregnancy ❑ Folic acid supplementation during pregnancy ❑ Human papillomavirus (HPV) DNA test ❑ Osteoporosis screening ❑ Screenings during pregnancy, including screenings for anemia, gestational diabetes, bacteriuria, Rh(D) compatibility, pre- eclampsia SCREENINGS FOR ❑ Autism ❑ Cervical dysplasia ❑ Critical congenital heart defect screening for newborns ❑ Depression ❑ Developmental delays ❑ Dyslipidemia (for children at higher risk) ❑ Hearing loss, hypothyroidism, sickle cell disease and phenylketonuria (PKU) in newborns ❑ Hematocrit or hemoglobin ❑ lead poisoning ❑ Obesity ❑ Sexually transmitted infections and HIV ❑ Tuberculosis ❑ Vision screening ASSESSMENTS AND COUNSELING ❑ Alcohol and drug use assessment for adolescents ❑ Obesity counseling ❑ Oral health risk assessment, dental caries prevention fluoride varnish and oral fluoride supplements ❑ Skin cancer prevention counseling ❑ Diphtheria, Pertussis, Tetanus ❑ Haemophilus Influenzae Type B (Hib) ❑ Hepatitis A and B ❑ Human Papillomavirus (HPV) ❑ Inactivated Poliovirus (Polio) ❑ Influenza (Flu) ❑ Measles, Mumps, Rubella (MMR) ❑ Meningitis ❑ Pneumococcal ❑ Rotavirus ❑ Varicella (Chicken Pox) ❑ Zoster (Herpes, Shingles) 0 BlueCross BlueShield of Montana Well onTargeto Flake Your Fitness Program Membership V\Jork #fly You! Fitness can be easy, fun and affordable. Well onTarget makes it possible with the Fitness Program. Since you are a Blue Cross and Blue Shield of Montana member, the Fitness Program is available exclusively to you and your covered dependents (age 18 and older). The program gives you unlimited access to a nationwide network of more than 10,000 fitness locations. If you want, you can choose one gym close to home and one near work. You can visit gyms while you're on vacation or traveling for work. Other program perks include: No long-term contract: Membership is month to month. Monthly fees are $25 per month per member, with a one-time enrollment fee of $25 per member.' Complementary and Alternative Medicine (CAM) discounts: Save money through a nationwide network of 40,000 health and well-being providers, h t 't h Blue Pointss`4: Get 2,500 points for joining the Fitness Program. Earn additional points for weekly visits. You can redeem points for apparel, books, electronics, health and personal care items, music and sporting goods." Web resources: You can go online to locate gyms and track your visits. suc as acupunc uris s, massage t erapists and ® Convenient payment: Monthly fees are paid via automatic personal trainers. credit card or bank account withdrawals. ARE YOU READY FOR FITNESS? It's easy to sign up: 1. Go to bcbsmt.com and log in to Blue Access for MemberssM 2. Under "Quick Links," choose "Fitness Program." On this page, you can enroll, search for nearby fitness locations and learn more about the program. 3.Click "Enroll Now." Then search and select the fitness location that is best for you. Remember, you can visit any participating fitness location after you sign up. 4.Verify your personal information and method of payment. Print or download your Fitness Program membership ID card. You may also request to receive the ID card in the mail. 5.Visit a fitness location today! Prefer to sign up by phone or have questions about the Fitness Program? Just call the toll-free number 888 -762 -BLUE (2583) Monday through Friday, between 7 a.m. and 7 p.m. CT (6 a.m. and 6 p.m. MT). ` The one-time enrollment fee and monthly membership fee for the Fitness Program are both subject to applicable taxes. Blue Points Program Rules are subject to change without prior notice. See the Program Rules on the Well onTarget Member Wellness Portal for more information. The Fitness Program is provided by Tivity Health'", an independent contractor that administers the Prime Network, of fitness locations. The Prime Network is made up of independently owned and operated fitness locations. Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 350150.0218 49 BlueCross-Montana Well 6,nTargeto A New Way to Experience, Wellness Well onTarget offers Well onTarget can give you the support you need to make healthy choices — while rewarding you for your hard work. personalized tools and resources to MEMBER WELLNESS PORTAL help you — no The heart of Well onTarget is the member portal, available at wellontarget.con It uses the latest technology to offer you an enhanced online experience. This matter where you engaging portal links you to a suite of innovative programs and tools. mai/ be on the o Self-directed courses: These courses let you work at your own pace to reach path to health your health goals. Learn more about nutrition, fitness, losing weight, quitting smoking and managing stress. Track your progress and reach your milestones as you make and wellness. your way through each lesson. Reach your milestones and earn Blue PointssM ' o Health and wellness content: The health library teaches and empowers through evidence -based, reader -friendly articles. fl Tools and trackers: These resources can help keep you on course while making wellness fun. Use a food and exercise diary, symptom checker and health trackers. Blue Points Program Rules are subject to change without prior notice. See the Program Rules on the Well onTarget Member Wellness -- Portal at wellontarget.com for further information. CJ O _ Q ]� minim LO - atra....1 _ IZZ4- Dom ... . -T HEALTH ASSESSMENT (HA) The HA uses adaptable questions to learn more about you. After you take the HA, you will get a personal wellness report. This confidential report offers you tips for living your healthiest life. Your answers will help tailor the Well onTarget portal with the programs that may help you reach your goals. BLUE POINTS PROGRAM Blue Points can help motivate you to maintain a healthy lifestyle. Earn points for participating in wellness activities. You can redeem points in the online shopping mall. The program gives you points instantly, so you can use them right away. If you want a larger reward, you can purchase additional points when you check out. FITNESS PROGRAM' ' Fitness can be easy, fun and affordable. The Fitness Program is a flexible membership program that gives you unlimited access to a nationwide network of more than 9,000 fitness centers. If you want, you can choose one gym close to home and one near work. And you can visit gyms while you're on vacation or traveling for work. Other program perks include: a No long-term contract: Membership is month to month. Monthly fees are $25 per month per member, with a one-time enrollment fee of $25 per member. * Blue Points: Get 2,500 points for joining the Fitness Program. Earn additional points for weekly visits. * Convenient payment: Monthly fees are paid via automatic credit card or bank account withdrawals. Web resources: You can go online to locate gyms and track your visits. Heath and wellness discounts: Save money through a nationwide complementary and alternative medicine network of 40,000 health and well-being providers, such as massage therapists, personal trainers and nutrition counselors. It's easy to join the Fitness Program! Just call the toll-free number 888 -762 -BLUE (2583) Monday through Friday, from 8 a.m. to 9 p.m. in any continental U.S. time zone. FITNESS TRACKING Track your fitness activity using popular fitness devices and mobile apps. WELLNESS PROGRAM QUESTIONS? Call Customer Service at 877-806-9380. " The Fitness Program is provided by Healthways, Inc., an independent contractor that administers the Prime Network of fitness centers. The Prime Network is made up of independently owned and operated fitness centers. Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 350148.0616 09 BlueCross BlueShield of Montana Getting sick is never convenient, and finding time to get to the doctor can be hard. Blue Cross and Blue Shield of Montana (BCBSMT) provides you and your covered dependents access to care for non- emergency medical issues and behavioral health needs through MDLIVE. Whether you're at home or traveling, access to a board-certified doctor is available 24 hours a day, seven days a week. You can speak to a doctor immediately or schedule an appointment based on your availability. Virtual visits can also be a better alternative than going to the emergency room or urgent care center.' MDLIVE doctors or therapists can help treat the following conditions and more: General Health Pediatric Care Behavioral Health Allergies Cold Anxiety/depression Asthma Flu Child behavior/learning issues Nausea Ear problems - Marriage problems Sinus infections Pinkeye I Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Ucansee of the Blue Cross and Blue Shield Association y BlueCross'. Blue Shield' and the Cross and Shield Symbols are registered ser vice marks of the Blue Cross and Blue Shield Association, an association of independent BlceCross and Blum Shield Plans. MDLIVE. an independent company. provides virtual visit services for Blue Cross and Blue Shield of Montana. MDLIVE operates and administers the virtual visit program and is solely responsible for its operations and that of its contracted providers. MDLIVE and the MDLIVE logo are registered trademarks of MOLIVE.In.. and may not be used without written permission. 352512.0217 Website: Visit the website MDLiVE.comlbcbsmt Choose a doctor Video chat with the doctor You can also access through Blue Access for Members"' Mobile App: r, Download the MDLIVE app from the Apple App Store', Google Playy' Store or Windows° Store Open the app and choose an MDLIVE doctor Chat with the doctor from your mobile device -a .?v� Sao da" hectc.d today 16 recols-Ier, o I'll need to payre vide You first 9—nd last B3's'rse. date of i-uh and BUSMT member 'ID inumbn [it the event of aneureigeric"j, thissei vice should not like I lie place of air einutgencytoomin tugentconecurnar. MOLIVEdochus do not take the place olyout ptimatycine ductuOmpattdiagnosisshouldcomefromyourdoctor,andmedicaladvice is always between you and your doctor. Internel/Wi-Pi connection is needed for computer access. Data charges may apply when using your tablet or smartphone. Check your phone carrier's plan for details. Video on -demand consultations for behavioral health are available by appointment. Service is limited to interactive -audio consultations (phone only), along with the ability to prescribe, wiimn chnically appropriate, m texas. Service is limited to interactive-audio/video (video only), along with the ability to prescribe, when clinically appropriate. in Idaho, Montana, New Mexicoand Oklahoma. Virtual visits are currently rwtavadable in Arkansas. Service availability depends on member's bcation. Virtual visits may not be available on all plans, MDLIVE is not an insurance product not a prescription fulfillment warehouse. MDLIVE operates subject to state regulations and may not be available in certain states. MDLIVE does not guarantee dial a prescription will be written. MDLIVE does not prescribe DEA -controlled substances, non -therapeutic drugs and certain other drugs that maybe harmful because of their potential for abuse. MDLIVE physicians reserve the right to deny care for potential misuse of services. App Store is a service mark of Apple Inc. Google Play Store is a trademark of Google Inc. ('Google ). Windows is a registered mark of Microsof e" Provider Finder®, from Blue Cross and Blue Shield of Montana (BCBSMT), is an innovative tool using the nation's largest claims database that helps your employees find in -network doctors and hospitals, compare the costs and quality for more than 1500 procedures, and estimate out-of-pocket costs before making treatment decisions. Members can log in to Blue Access for Memberss%! on mobile or the web to use Provider Finder to: a Find a network primary care physician, specialist or hospital. • Filter search results by doctor, location, specialty, ZIP code, language and gender — even get directions from Google Mapem a Estimate the cost of a provider's procedures, treatments and tests — and estimate their out-of-pocket expenses. a Determine if a Blue Distinction°.Center is an option for treatment. View patient feedback and add a provider review. a Check the clinical quality data from Blue Cross and Blue Shield as well as independent third parties. 3 Search in Spanish. * Review providers' certifications, recognitions, awards and publications. Searches on Provider Finder are: Accurate~ This tool helps members estimate the overall cost of procedures, treatments, and tests, while calculating their out-of-pocket expenses, all based on the search parameters they choose. Members are able to compare estimated costs between different providers, based on typical episodes of care. With information on over 20,000 healthcare facilities and more than 400,000 professional providers, as well as cost information for more than 1,500 treatment categories, Provider Finder is a robust database. Personal This tool provides information and costs that apply to a specific member's health benefit plan to estimate the cost of care. This means members can instantly see how much they will need to pay in deductible, coinsurance or copayments, in addition to seeing how much their plans may pay. Data are presented in a.format that's easy to navigate and helps your employees better understand how their benefits work. Active, Engaged Employees Lower Health Gare Costs You want your employees to live healthier, happier lives while lowering your costs for their health care. Provider Finder does just that — giving accurate, transparent and personal information based on the employee's specific benefit plan. This tool is available on mobile as well, helping members where they are and when they need access to this information. Blue Cross and Blue Shield of Montan, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 350808,0315 aspirin chew tab 81 mg aspirin tab delayed release 81 mg -� 10 `T 711-1 '*5 r 2 183.r 1 �8 Medication Covered at 0 Cost to You Fffec:, ivy= .1a,7. 1. 20 1 U Your health plan may include certain prescription and over-the-counter (OTC) preventive medicines, as a benefit of membership, at no cost to you when you use a pharmacy or doctor in your health plan's network. There is no co -pay, deductible or coinsurance, even if your deductible or out-of-pocket maximum has not been met. Coverage for these medicines can vary according to the type of plan you are enrolled in. Call the Customer Service number listed on your member ID card to find out what drugs are covered at no cost share under your plan. Below are the preventive care drugs that may be covered under your plan for both adults and children. Please see the Women's Contraceptive Coverage List for a list of contraceptive methods that may be covered at no cost to you. Age limits, restrictions and other requirements may apply.* peg 3350-1ccl-na bicarb-naci-na sulfate for soln 236 gm, 240 gm peg 3350-kcl-sod bicarb-nacl for soln 420 gm raloxifene tamoxifen sodium fluoride chew tabs; 0.25 mg t (from 0.55 mg naf), 0.5 mg f (from 1.1 mg naf),1 mg f (from 22 mg naf) sodium fluoride cream 1.1% sodium fluoride gel 1.1%(0.5%f) sodium fluoride paste 1.1% sodium fluoride rinse 02% sodium fluoride soln; 0.125 mg/drop f (0.275 mg/drop naf), 0.5 mg/mL f (from 1.1 mg/mL naf) sodium fluoride/potassium nitrate paste 1.1-5% stannous fluoride cone 0.63% stannous fluoride gel 0.4116 folic acid caps, 0.8 mg folic acid tabs, 400 mcg, 800 mcg carbonyl iron suspension FERROUS SULFATE LIQUID, 220 MG/5 ML FERROUS SULFATE SYRUP ferrous sulfate elixir, solution IRON UP NOVAFERRUM PEDIATRIC DROPS lovastatin 20 mg, 40 mg bupropion hcl (smoking deterrent) tab sr 12hr 150 mg CHANTIX nicotine polacrilex gum 2 mg, 4 mg nicotine polacrilex lozenge 2 mg, 4 mg nicotine td patch 24hr 7 mg/24hr, 14 mg/24hr, 21 mg/24 hr NICOTINE TRANSDERMAL KIT NICOTROL INHALER NICOTROL NS "" Generic Drugs = bold Brand Drugs = CAPITAL LETTERS 354674.1017 ACTHIB ADACEL AFLURIA/ PF/QUADRIVALENT _ BEXSERO BOOSTRIX CERVARIX CQMVAX DAPTACEL DIPHTHERIA/TETANUS TOXOID ENGERIX-B FLUAD FLUARIX QUADRIVALENT FLUBLOK FLUCELVAX/QUADRIVALENT FWLAVAL QUADRIVALENT FLUVIRIN FLUZONE/HIGH-DOSE/INTRADERMAL/QUADRIVALENT/SPLIT GARDASIL GARDASIL 9 HAVRIX HIBERIX INFANRIX IPOL INACTIVATED IPV KINRIX M-M-R II MENACTRA MENHIBRIX MENOMUNE-A/C/Y/W-185 MENVEO PEDIARIX PEDVAX HIB PENTACEL Generic Drugs = bold Brand Drugs = CAPITAL LETTERS PNEUMOVAX 23 PREVNAR 13 PROQUAD QUADRACEL RECOMBIVAX H8 ROTARK ROTATEQ _ TENIVAC TETANUS/DIPHTHERIA TOXOIDS TRUMENBA TWINRIX VAQTA VARIVAX cholecalciferol cap 400 unit, 1000 unit cholecalciferol chew tab 400 unit, 1000 unit cholecalciferol drops 400 unit/0.03 mL (per drop), 5000 unit/mL (1000 unit/0.2 ml) cholecalciferol oral liquid 400 unit/mL cholecalciferol tab 400 unit, 1000 unit x Some of these products may be covered tinder your medical benefit it provided by a doctor in your health plan's network. Prescription coverage for these drugs may vary according to the terms and conditions of the plan. A prescription may be required to cover vvidtoul cost-sharing under the pbmmacr benefit lot nowiltand tathered plans. The plan may also require a generic irug to be vied fist Indere the brand wtsion. This information is ler informational purposes only. does not constitute legal or other advice and should not be relied upon to delenuine coverage. freabruent decisions at ketealcn the member and his or her health care punider. Coverage is always subject to tlo limitations and exclusions of the benefit plan. for details about your plan. check your benefit materials or call the Pharmacy Program member on your mc�:er 10 card. Third -parry brand names are tlo property of their respective ewers. 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K ?. c3n m ¢O p ;o°pa °`o «PU.c .c�o<a c'= o namx mc�:aE�6 .ac��v �a o'ag o'aeo'a0 o'o iu m9�mwwww � .gym �oL RUN m au.ot¢u".Ga`u°.`au�¢`u.,ggcLc°o � i e i 2 x Z Z O o.T- ICD-9 Codes for Disclosure Notification Please list all Plan Participants who have been diagnosed with or treated for any of the codes listed under the following categories during the current Benefit Period: 001-139 Infectious and Parasitic Diseases 038-038.9 Septicemia 042 AIDS/ HIV 070-070.9 Viral Hepatitis 140-239 Neopiasnrs 140-149.9 Malignant Neoplasm of Lip, Major Salivary Glands, Gum, Mouth, Oropharynx, Nasopharynx, and/or 150-150.9 151-151.9 153-153.9 154-154.8 155-155.2 157-157.9 161-161.9 162-162.9 170-170.9 174-174.9 179-182.8 183-183.9 185 186-186.9 188-189.9 191-191.9 192-192.9 194-194.9 195-195.8 196-196.9 197-197.8 198-198.89 200-208.9 235 239.2 Hypopharynx Malignant Neoplasm of Esophagus Malignant Neoplasm of Stomach Malignant Neoplasm of Colon Malignant Neoplasm of Rectum Malignant Neoplasm of Liver Malignant Neoplasm of Pancreas Malignant Neoplasm of Larynx Malignant Neoplasm of Lung Malignant Neoplasm of Bone Malignant Neoplasm of Female Breast Malignant Neoplasm of Uterus or Cervix Malignant Neoplasm of Ovary Malignant Neoplasm of Prostate Malignant Neoplasm of Testis Malignant Neoplasm of Bladder, Kidney, Urinary Malignant Neoplasm of Brain Malignant Neoplasm of Nervous System Malignant Neoplasm of Endocrine Glands Malignant Neoplasm of Other Ill -Defined Sites Secondary Malignant Neo. Lymph Nodes Secondary Malignant Neo. Respty and Digestive Systems Secondary Malignant Neo. Other Specified Sites Lymphoma and/or Leukemia Neoplasm Uncertain Behavior Neoplasm Unspecified Nature- Bone, Skin 240-279 Endocrine, Nutritional, Metabolic. Irnnruni. 250-250.9 Diabetes 277.0 Cystic Fibrosis 278.0 Obesity/Hypemliment 280-289 Diseases ofthe Blood and Blood -Forming Organs 282.6 Sickle -Cell Anemia 284.9 Aplastic Anemia NOS 286-286.9 Coagulation Defects and/or Hemophilia 320-389 Diseases ofthe Nervous System mrd Sense Organs 330 Cerebral degenerations 344.0-344.09 Quadriplegia and Quadriparesis 331.0-331.9 Reye's Syndrome 344.1 Paraplegia 348.0-348.9 Encephalopathy 357,358 Neuropathy/ Myasthenia Gravis 390-459 Diseases of the Circulatory Spstenr 410410.9 Acute Myocardial Infarction 4111111.89 Acute and Subacute Ischemic Heart Disease 414414.05 Coronary Atherosclerosis (ASHD) 415415.19 Acute Pulmonary Heart Disease 416416.9 Chronic Pulmonary Heart Disease 417.1 Aneurysm of Pulmonary Artery 421421.9 Acute and Subacute Endocarditis 424-424.9 Valve Disorders 425425.9 Cardiomyopathy 426426.9 Conduction Disorders 427427.9 Cardiac Dysrhythmias 4281128.9 Heart Failure 430,431 Subarachnoid / Intracerebral Hemorrhage 434.9 Occlusion of Cerebral Arteries 436 Acute Cerebrovascular Accident (CVA) 440441.9 Atherosclerosis / Aortic Aneurysm 460-519 Diseases ofthe Respiratory System 480.486 Pneumonia 490496 Chronic Obstructive Pulmonary Disease (COPD), etc. 515 Postinflammatory Pulmonary Fibrosis 518-518.89 Pulmonary Collapse and/or Respiratory Failure 520-579 Diseases ofthe Digestive System 555-555.9 Regional Enteritis (Crohn's Disease) 560.0-560.9 Intestinal Obstruction 562.1 Diverticulitis of Colon 567-567.9 Peritonitis 569.0-569.9 Other Disorders of Intestine 570-571.9 Liver Diseases and Cirrhosis 572.8 Other Sequela ofChronic Liver Disease 573-573.9 Other Liver Disorders 577-577.9 Pancreas Diseases 578-578.9 Gastrointestinal Hemorrhage 580-629 Diseases ofthe Genitourinary System 584-584.9 Acute Renal Failure 585 Chronic Renal Failure 586 Renal Failure, Unspecified 588 Disorders resulting from impaired renal function 592 Calculus of Kidney & Uerter 630-677 Complical ons ofPreanancv. Childbirth 641.1 Placenta Previa 642.5-642.7 Eclampsia, pre-eclampsia 644.0-644.2 Premature Labor 648.0 Gestational Diabetes 651 Multiple Gestation 654.5 Cervical Incompetence 710-739 Diseases ofthe Musculoskeletal System and Connective Tissue 715.0-715.9 Osteoartrhosis 721.3 Lumbosacrel Spondylosis 722.0-722.9 Intervertebral Disc Disorders 730-730.9 Osteomyelitis and/or Periostitis 737.3 Kyphoscoliosis and scoliosis 740-759 ConzenitalAnmaalles 747.2 Aortic Atresia / Stenosis 751.6 Biliary Atresia 759-759.9 Other and Unspecified Congenital Anomalies 760-779 Conditions Originating in the Perinatal Period 765-765.1 Prematurity 769 Respiratory Distress Syndrome 770.0-770.9 Other Respiratory Conditions of Newborn 780-799 Symptoms Sigrrs and Ill -Defined Cmrditions 785-785.9 Symptoms Involving Cardiovascular System 786.5-786.59 Chest Pain 800-999 Injury and Poisoning 800-804.9 Fracture of Skull 805-805.9 Fracture of Vertebral Column 806-806.9 Fracture of Vertebral Column with Spinal Cord Injury 828-828.1 Multiple Fractures 853-854.1 Intracranial Injury 869-869.1 Internal Injury 887-887.7 Traumatic Amputation of Arm and Hand 897-897.7 Traumatic Amputation of Leg 949-949.5 Bums 952-952.9 Spinal Cord Injury 996-997.0 Complications peculiar to certain specified conditions V23 Supervision of High Risk Pregnancy V42 - V58.9 Transplants, etc t~A s ! s i N ! N oo } N � N � o j o�^o N # oma I M N y a • .O L yNj i 0 0 0 yNy i O p Y I d a d d ! a � n $ 3 m Ln '�Encu { uoi • >a i, w a v ow 2 o' N { N N ! .n io ..,°c o O a p n. p n a m d CL Q m N u u c HQ 1 E C Q e o. vai .K�a ,K C: to O Q h N > �. o o o dvv i �'vv E c w w I C C > v o i t > o v o a(( o j n u LL -- 1 u Ln O N m ( y >. in c v c j u j m IIi ,`o ! H CL a w I OC, noou a w ov u m! . ! a I o C, a a E o v _ E o- o 'c° o u o N N .-s d c Y i i v Eo ° E a m >> ui m " 'y5• a g o i i x u w x -o co v a m o th i .. 03 3 v N o Q a a W o c d o. i u C) N d o c o 1O d .o c>= a v °' U E v m m E E .. v o `m c i v A d c o m = E vs E c sn a E o U m ti m N m r V~} N N h o in _ �{} O O { O O O d OD 0 F i 2 ( d > t ( c d ' •.q N N N N � N � N N N d h ! ? d C - 06 0 I c ` E o o o d d d d d a d v 0 i o d X v m y f v c m v c 1a m N w o o d d ; `o n E- a? E i E i E n E I � h t~A ( H H i N ! N oo c N � N � o j • .O L O I d a d d ! mo d yo -3 $ 3 m Ln '�Encu { uoi • >a i, w a v ow 2 o' N { N N ! .n io ..,°c c a ,a O a p n. p n a m d m W N d v 4i E Q e o. vai .K�a ,K C: to O Q h N o ! o o o E w w w I > v o i t > o v o a(( o j n u LL ( c c v c j u j m IIi ,`o ! H CL a w I a! w a w u u m! . ! I t~A ( H H i N ! N oo c N � N � o j • .O L O c d u ! mo d O } { uoi • >a t w a Q m n v 4i E (o vai U i ti o ! o o o E w w w I mmu PO Box 6669 - Helena, MT 59604-6669 MONTANA MUNICIPAL INTERLOCAL AUTHORITY Toll Free: (800) 635-3089 • Tel: (406) 443-0907 • Fax: (406) 449-7440 '��N OV The MMIA is pleased to offer what we believe are very competitive rates for a group term life insurance product for our membership. UNUM Life Insurance Company has rates specifically for members of the MMIA Employee Benefit program that may generate savings for your city/town. Basic Life & AD&D Plan Description Eligibility Each active full-time employee working the minimum hours required per your city or town, and no less than 20 hours, is eligible to participate in the MMIA Life Insurance program. Participation: 100% of eligible employees. Employer Contribution: 100% of employee premium cost. Benefit Amount and Cost: The cost per $1,000 basic life and AD&D is $0.28. Listed in the table below are varying levels of insurance coverage and the applicable monthly cost per employee. .Life and ADHD Benefit Monthl Cost eKEmplo ee $10,000 $2.80 $15,000 $4.20 $20,000 $5.60 $25,000 $7.00 $50,000 $14.00 $100,000 $28.00 Each employee within the group or bargaining unit must have the same benefit level. Benefit Descriptions: Guarantee Issue: Per schedule AD&D Included Waiver of Premium Included Conversion of Benefits Available Travel Assistance Included Age Reduction: The Principal sum of the life insurance coverage will be reduced by 50% at age 70. NMIA PO Box 6669 • Helena, MT 59604-6669 MONTANA MUNICIPAL INTERLOCAL AUTHORITT Toll Free: (800) 635-3089 • Tel: (406) 4430907 •Fax: (4 06) 449-7440 Accidental Death and Dismemberment: In the event of death, loss of limbs, loss of eyesight, loss of speech or hearing due to an accidental injury, additional benefits, based on the selected life insurance amount, will be paid based on the selected life insurance amount. Additional benefits include: Seat Belt Benefit Airbag Benefit Common Carrier Benefit Accelerated Benefits Living Care Benefit Pays up to additional $25,000 Pays up to additional $5,000 Included Included Included This benefit is paid in addition to any other benefits provided by the Plan subject to the terms and conditions contained in the Group Insurance Policy. Dependent Group Life Insurance is also available at $0.35 per $1,000 of benefit. Each employee with dependents (spouse or children) must have the same dependent benefit leve( The monthly unit cost covers an employee's eligible dependents. Eligible children must be less than 26 years of age. MMIA PO Box 6669 • Helena, MT 59604-6669 MONTANA MUNICIPAL INTERLOCAL AUTHORITY 7.771111110177 4 :a Toll Free: (800) 635-3089 • Tel: (406) 443-0907 ■ Fax: (406) 449-7440 VOLUNTARY TERM LIFE AND AD&D The MMIA Employee Benefits Program now offers a very competitively -priced Voluntary Term Life and AD&D program for our membership. The carrier is the same as the Basic Group Life and AD&D - UNUM Life Insurance Company. Voluntary Life can be offered without providing the Basic Life. Each employee can select an amount of life insurance benefits that best fits their circumstances and needs. Rates are based on the age of the covered person. Employer Contribution: None; this program requires the premium be paid 100% by the employee. Coverage Amount: The maximum amount an employee can apply for is 5x their salary up to the maximum of $500,000. Employees may purchase benefits increments of $5,000. Spouses may receive coverage, up to 100% of the employee amount, not to exceed $500,000. Guarantee Issue Amount: Up to $200,000 for Employee; $25,000 for spouse. Amounts in excess of the Guarantee Issue Amount will require a health statement. Voluntary Life and AD&D Monthly Premium Rates per Thousand: Rates are age -banded and are shown below. Age � Voluntary [.tfe Voluntary Life,Wtth ;Category _ _ _ °Rate Per � „ AD&D Rate Per' j =� Thousand °Thousand „ , 15-34 $0.08 $0.13 35-39 $0.11 $0.16 40-44 $0.15 $0.20 45-49 $0.26 $0.31 50-54 $0.47 $0.52 55-59 $0.72 $0.77 60-64 $1.37 $1.42 65-69 $2.17 $2.22 70+ $3.82 $3.87 Dependent Child Benefit: Employees can cover their child(ren) in increments of $2,000, up to a maximum of $10,000. The cost is the same for one child or multiple children. The rate is $.16 per $1,000 of coverage. Employee coverage is required. AD&D coverage is not available for children. Eligible children must be less than 26 years of age. Benefit Descriptions: Waiver of Premium: Included Portability Available Accelerated Benefits Included Travel Assistance Included Benefits are paid subject to the terms and conditions contained in the Group Insurance Policy. Please share this information with your employees, whether or not they are covered by our group health benefits. All employees are eligible to participate in this program if minimum participation requirements are met. For additional information or enrollment forms, contact the MMIA Employee Benefits Department at 1-800-635-3089. fV MIA Employee Benefits Programs - Standard plan Offerings Effective Date 7/1/18 This Document is a Summary of Coverage Only. The MMIA Employee Benefits Program Plan Documents are available at www.mmia.net and must be referenced for details of all coverages. Medical Benefits - Cost Sharing Provisions grldger Plan Madison Plan Mission Plan HDHP - HSA Qualified Annual Deductible (January 1 - December 31) S500 (Individual) - $1,000 (Family) $500 (Individual) - $1,000 (Family) $1,000 (Individual) - S2,000 (Family) $2,700 (Individual) - S5,400 (Family) Benefit Percentage of Allowable - All Montana & Non -Montana Participating' Before satisfaction of Out -of -Pocket Maximum 80% 70% 60% 80% After satisfaction of Out -of -Pocket Maximum 100% 100% 100% 100% 'Applies to all bonerits unless otherwise listed in schedule below or SPD Benefit Percentage of Allowable - Non -Montana, Non -Montana Participating' Before satisfaction of Out-of-pocket Maximum 60% 50% 40% 60% After satisfaction of Out -of -Pocket Maximum 100% 100% 100% 100% Applies to all benefits for Non -Montana Nan -Participating prividers Annual Out -of -Pocket Maximum Includes Deductible $1.5005dividua0-S3,000(Family) $2,000( Individual)-$4,000(FamilyL 1 $3,000 Individual-S6,000j_Family)S5,250 Individual -$10:500 Famil Preventive Care I All MT & Non -MT Participating All MT & Non -MT Participating All MT & Non -MT Participating All MT & Non -MT Participating Preventive Benefit (as recommended by US Preventive Services Task Force, CDC, and Health Resources & Services Administration atI Deductible waived, 100% Deductible waived, 100% Deductible waived, 100% Deductible waived. 100% www.healthcare.gov) Medical Services All MT & Non -MT Participating All MT & Non -MT Participating All MT & Non -MT Participating I All MT & Non -MT Participating Accidental Injury Benefit 100% to $300; then standard benefits 100% to $300; then standard benefits 100% to $300; then standard benefits Deductible Applies, 80% Alternative Medicine Benefit Deductible Waived, 80% up to 5500 Deductible Waived, 70% up to $500 Deductible Waived, 60% up to 5500 Deductible Applies. 80% up to $500 Chiropractic Care Deductible Waived, 80% to $400 plus Deductible Waived, 70% to S400 plus Deductible Waived, 60% to S400 plus Deductible Applies, 80% to $400 plus $100 x-ray benefit S100 x-ray benefit $100 x-ray benefit $100 x-ray benefit Diabetic Education Benefit Deductible Waived, 100% Deductible Waived, 100% Deductible Waived. 100% Deductible Applies, 100% Diagnostic Services Professional Provider Expenses Deductible Waived, 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies, 80% Facility Provider Expenses Deductible Applies, 80% Deductible Applies, 70% Deductible Applies, 60% Deductible Applies, 80% Durable Medical Equipment Rental or purchase Deductible Waived, 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies, 80% Repair and Replacement Deductible Waived, 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies, 80% Emergency Room Care (regardless of Participating Provider status Deductible Applies. 80% Deductible Applies, 70% Deductible Applies, 60% Deductible A plies, 80% Home Health Care Deductible Waived, 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies, 80% Hospice Care Deductible Waived, 100% Deductible Waived, 100% Deductible Waived, 100% Deductible Applies, 80% Hospital Facility Services Deductible Applies, 80% Deductible Applies, 70% Deductible Applies, 60% Deductible Applies, 80% Maternity Services Professional Provider Expenses Deductible Waived, 80% Deductible Waived. 70% Deductible Waived, 60% Deductible Applies, 80% Facility Provider Expenses Deductible Applies. 80% Deductible Applies. 70% Deductible Applies, 60% Deductible Applies. 80% Newborn Initial Care Deductible Waived, 80% Deductible Waived, 70% Deductible Waived. 60% Deductible Applies, 80% Nutritional Counseling limit of 10 visits per ear Deductible Waived. 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies, 80% Obesity Surgery - One per lifetime Deductible Applies, 80% Deductible Applies, 70% Deductible Applies, 60% Deductible Applies, 80% Benefit Max for Procedure S30,000 S30.000 $30,000 S30,000 OrganTssue Transplants - Center of Excellence only Professional Provider Expenses Deductible Waived, 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies. 80% Facility Provider Expenses Deductible Applies, 80% Deductible Applies. 70% Deductible Applies. 60% Deductible Applies. 80% Professional Provider Services Deductible Waived. 80% Deductible Waived. 70% Deductible Waived. 60% Deductible Applies. 80% Rehabilitation Therapy Professional Provider Expenses - Deductible Waived, 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies, 80% Facility Provider Expenses Deductible Applies, 80% Deductible Waived, 70% Deductible Applies, 60% Deductible Applies. 80% Mental Illness Professional Provider Expenses Deductible Waived. 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies, 80% Facility Provider Expenses Deductible Applies, 80% Deductible Applies, 70% Deductible Applies, 60% Deductible Applies. 80% Therapies - Physical, Occupational, Speech, Cardiac Professional Provider Expenses Deductible Waived, 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies, 80% Facility Provider Expenses Deductible Applies, 80% Deductible Waived, 701% Deductible Applies. 60% Deductible Applies, 80% Chemical Dependency Treatment Professional Provider Expenses Deductible Waived, 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies, 80% Facility Provider Expenses Deductible Applies, 80% _ DeductibleWaived, 70%__ _ _ Deductible Applies, 60% DeducBble Applies, 80% Prescription Drug Plan - Group Choice of: 1) Prescription Drug Percentage, or Generic Deductible Waived, 80% Deductible Waived, 70% Deductible Waived, 60% Deductible Applies, 80% Brand - Formulary or Non -Formulary Deductible Applies, 80% Deductible Applies, 70% Deductible Applies, 60% Deductible Applies, 80% 2) Prescription Drug Copay Plan Generic $4Co-pay Retalr38Co-payMal Order 34 Co -pay Retail $8CopayMal Order S4CopsyR.W'V58CopayMaoOrder Deductible Applies, 60% Brand -Formulary $20CopayRatal/$40Co-pay Mail Order $20Co-pay Retal/S40Co-pay Mad Order $20CopayRetail S40covey Mal order Deductible Applies,80% Non -Formulary $50Co-pay Retat'$100CapayMad Order $50 CG-payRetaar$100CopayMaa order SSOCopayReUlrS100Co-pay Mal Order Deductible Applies, 80% 2018 -2019 Monthly Contributions - Rx Percentage EE - Employee Only $683 $661 $610 $515 ES - Employee & Spouse $1,366 $1,322 $1,220 $1,030 EC - Employee & Child $1,195 $1,157 $1,068 $901 EF - Employee & Family $1,878 $1,818 $1,678 $1,416 Med - Retiree Only Medicare $444 $430 $397 $335 2Med - Retiree & Spouse Medicare $888 $860 $794 $670 1-/1+65 - One with Medicare & One without Medicare $1,127 _ _ _ _ $1,0.91 _ $1,007 $850 2018 - 2019 MonthlyContributions - Rx Copay EE - Employee Only $792 $768 $706 $515 ES - Employee & Spouse $1,584 $1,536 $1,412 $1,030 EC - Employee & Child $1,386 $1,344 $1,236 $901 EF -Emplo ee&Family $2,178 $2,112 $1,942 $1,416 Med - Retiree OnlyMedicare $515 $499 $459 $335 2Med - Retiree & Spouse Medicare $1,030 $998 $918 $670 1-/1+65 - One with Medicare & One without Medicare $1,307 $1,267 $1,165 $850 This rate quote expires after 9/30/18. New claims data will be required to provide updated rates after that date. Exclusions: All claims will be excluded from coverage if they were not disclosed prior to the effective dale of coverage (7/1/18), and were known to: 1. Be currently disabled, confined to Medical Facility, or have been precertified within the last three months. 2. Have received medical services during the current plan year the cost of which exceeds $50,000, and for which bills have been received by the Claims Administrator and entered into their Claims System. 3. Have been identified as a candidate for Case Management and has having the potential to exceed during the policy period 550,000. 4. Have been diagnosed, during the current plan year, with a condition represented by any of the ICD-9 codes contained in the attached list and have also received medical services costing $5,000 during the same period. mmuPO Box 6669 • Helena, MT 59604-6669 MONTANA MUNICIPAL INTERLOCAL AUTHORITY (800) 635-3089 (406) 443-0907 ie.: (406) 449-7440 BASIC GROUP DIFF AND AD&D The MMIA is pleased to offer what we believe are very competitive rates for a group term life insurance product for our membership. UNUM Life Insurance Company has rates specifically for members of the MMIA Employee Benefit program that may generate savings for your city/town. Basic Life & AD&D Plan Description Eligibility: Each active full-time employee working the minimum hours required per your city or town, and no less than 20 hours, is eligible to participate in the MMIA Life Insurance program. Participation: 100% of eligible employees. Employer Contribution: 100% of employee premium cost. Benefit Amount and Cost: The cost per $1,000 basic life and AD&D is $0.28. Listed in the table below are varying levels of insurance coverage and the applicable monthly cost per employee. Life and AD&D Benefit Monthly Cost per Employee $10,000 $2.80 $15,000 $4.20 $20,000 $5.60 $25,000 $7.00 $50,000 $14.00 $100,000 $28.00 Each employee within the group or bargaining unit must have the same benefit level. Benefit Descriptions: Guarantee Issue: Per schedule AD&D Included Waiver of Premium Included Conversion of Benefits Available Travel Assistance Included Age Reduction: The Principal sum of the life insurance coverage will be reduced by 50% at age 70. YUHIn PO Box 6669 • Helena, MT 59604-6669 MONTANA MUNICIPAL INTERLOCAL AUTHORITY -' -: (800) 635-3089 (406) 443-0907 • I; - (406) 449-7440 - FEN F -d 1 N The MMIA Employee Benefits Program now offers a very competitively -priced Voluntary Term Life and AD&D program for our membership. The carrier is the same as the Basic Group Life and AD&D - UNUM Life Insurance Company. Voluntary Life can be offered without providing the Basic Life. Each employee can select an amount of life insurance benefits that best fits their circumstances and needs. Rates are based on the age of the covered person. Employer Contribution: None; this program requires the premium be paid 100% by the employee. Coverage Amount: The maximum amount an employee can apply for is 5x their salary up to the maximum of $500,000. Employees may purchase benefits increments of $5,000. Spouses may receive coverage, up to 100% of the employee amount, not to exceed $500,000. Guarantee Issue Amount: Up to $200,000 for Employee; $25,000 for spouse. Amounts in excess of the Guarantee Issue Amount will require a health statement. Voluntary Life and AD&D Monthly Premium Rates per Thousand: Rates are age -banded and are shown below. Age Category Voluntary Life Rate Per Thousand Voluntary Life With AD&D Rate Per Thousand 15-34 $0.08 $0.13 35 —39 $0.11 $0.16 40-44 $0.15 $0.20 45-49 $0.26 $0.31 50-54 $0.47 $0.52 55— 59 $0.72 $0.77 60-64 $1.37 $1.42 65 —69 $2.17 $2.22 70+ $3.82 $3.87 Dependent Child Benefit: Employees can cover their child(ren) in increments of $2,000, up to a maximum of $10,000. The cost is the same for one child or multiple children. The rate is $.16 per $1,000 of coverage. Employee coverage is required. AD&D coverage is not available for children. Eligible children must be less than 26 years of age. Benefit Descriptions: Waiver of Premium: Included Portability Available Accelerated Benefits Included Travel Assistance Included Benefits are paid subiect to the terms and conditions contained in the Group Insurance Policy. Please share this information with your employees, whether or not they are covered by our group health benefits. All employees are eligible to participate in this program if minimum participation requirements are met. For additional information or enrollment forms, contact the MMIA Employee Benefits Department at 1-800-635-3089. - .wO 7 Q Ow L ~ ti Q Z = JO O m Q Qz z Q W J W 2 N N 00 a O Cl N Lli Ln co LZOL£ Nl'POOMIuaa8 OSE ajinS'AeM eiu16ain Lt LS Q >_ N O / m N U � O N y O O Y `—' vi 7 C a) p C U N D fo u N �, s dj >d U LO N :9 C mNa) u J a) m N O O t v O Q O m > c I N Z o m O u >+ D. a O c O -2 -O O t 1a- ° 2° 0 0 0 s a' o m e 0 1 Z a, s +� �, m i m c o' m CD En En X mEn ,rn cfl rn o .• '� m m `o Z C U Z 41 = t/Y m o E E E U D- c N O m ami o V m ca cn m •� U CL) z a; c Q m 3 vi F m �3 _ N a -U to u o m Z a' fO a' t df O J O c W m O s a) 0 3 �- j � ul � O -O s O m .� a) T m o O W O t N r }• n C .r n .�. a) O C _Ll .U. Teladoc AV Getting started 31HU. MONTANA MUNICIPAL INTERLOCAL AUTHORITY -0 _ 1 i* Teladoc's U.S. hoard -certified doctors are available 24/7/365 to resolve many of your medical issues through phone or video consults. Set up your account today so when you need care now, a Teladoc doctor is just a call or click away. SET UP YOUR ACCOUNT It's quick and easy online. Visit the Teladoc website at Teladoc.com, click "Set up account" and provide the required information. You can also call Teladoc for assistance over the phone. REQUEST A CONSULT Once your account is set up, request a consult anytime you need care. PROVIDE MEDICAL HISTORY Your medical history provides Teladoc doctors with the information they need to make an accurate diagnosis. Online: Log into the Teladoc website at Teladoc.com and click "My Medical History". Mobile app: Log into your account and complete the "My Health Record" section. Visit Teladoc.com/mobile to download the app. Call Teladoc Teladoc can help you complete your medical history over the phone. Teladoc.com r 1-800-Teladoc (835-2362) 0■ r ❑■ Facebook.com/Teladoc C? Teladoc.com/mobile 0, .. pan aiy caipl �_l„. Tclt�dodcit aa. �uall uc��u�. lcl:doc of c: eas ubtca o statc3v1 nay :i: Lc n C—,"T)Icl,tioc docs. nut 4N, A e a n C e MATERNITY MANAGEMENT Care Management PROVIDING SUPPORT AND REDUCING THE RISK OF COMPLICATIONS The Allegiance Care Management maternity management program provides support to expectant parents with pregnancy related education and support offerings. Experienced maternity nurse specialists are connected with the member and their family as early in the pregnancy as possible to ensure the member receives the right care at the right time. Allegiance ensures the best possible outcome is achieved through: • Collaboration with their attending physician • Prenatal and lifestyle education • Educational material on prenatal care, trimester expectations and newborn care • One-on-one support throughout the pregnancy and following the birth of the child • Customized incentives offered to members who participate in the program PROGRAM HIGHLIGHTS Allegiance works to minimize potential / complications through health management and continuous assessment The program provides early intervention ry and management of high-hisk pregnancy and neonatal cases by referring to case management as appropriate Provides support and education while also watching for potential complications throughout the term of the pregnancy The EAP (Employee Assistance Program) helps you privately solve problems that may interfere with your work, family, and life in general. EAP services are FREE to you, your dependents, all household members. EAP services are always confidential and provided by experts. Confidential Counseling 24-hour Crisis Help - toll-free access for you or a family member experiencing a crisis. In-person Counseling - up to 6 face-to-face counseling sessions are available for each new issue. Simply call for access to qualified, local counselors who can help you with a variety of problems such as family, parenting, relationship, stress, anxiety, and other challenges. Online Consultations - convenient access to online consultations with licensed counselors through RBH eAccess at MyRBH.com. Online consultations are a great way to get support for brief issues, even when time is limited. Worksite Tools All supervisors have fast access to phone consultations, trainings about the EAP and management topics, critical incident response, and online supervisor resources for using the EAP and making employee referrals during workplace challenges. MyRBH.com At MyRBH.com you can access current health news, tools for parenting, health topic movies, wellness resources, financial calculators, legal forms, and over 50 online trainings. Lunch + Learn Webinars Free supervisor and employee webinars are presented each month. Visit MyRBH.com for more information or to register. Archived webinars can be accessed on the RBH YouTube channel. RBH Reliant Behavioral Health MyRBH.com 1866.750.1327 financial issue, such as debt counseling, budgeting, and college or retirement planning. Mediation Services - request free consultations for personal, family, and non -work related issues such as divorce, neighbor disputes, or real estate. Online Legal Forms- create, save, print, and revise online legal forms including wills, contracts, leases, and many more. Home Ownership Program - get free support and information about making smarter choices when shopping for a new home; making financing decisions; relocating; or selling a home. Identity Theft Services - access support in planning the recovery process for restoring your identity and credit after an incident. To find out more about your EAP services call, 866.750.1327, or visit us online at MyRBH.com. Once you're in MyRBH.com, use the same access code for Personal Advantage. Your MyRBH Access Code is: Far. re lir ornmtiori: Call 1-866-488-7874 Toll Free j ABILIFY DISCMELT 10MG CLIMARA PATCH (G) 75MCG GLEEVEC 100MG NESINA 25MG SUTENT 12.5MG ABILIFY DISCMELT 15MG CLIMARA PRO 0.045/0.015MG GLEEVEC 400MG NEUPRO 1MG SUTENT 25MG ACCOLATE (G) 20MG COMBIGAN 0.2-0.5% GLUCAGEN HYPOKIT 1 MG NEUPRO 2MG SUTENT 50MG ACIPHEX (G) 20MG COMBIVENT RESPIMAT GLUMETZA ER 1000MG NEUPRO 3MG SYNAREL NASAL ACTONEL 5MG 20MCGIIOOMCG IMITREX AUTOINJECTOR STATDOSE NEUPRO 4MG SYNJARDY 5MG1500MG ACTONEL 30MG COMPLERA 200/251300MG (G) 6MG/0.5ML NEUPRO 6MG SYNJARDY 5MG/1000MG ACTONEL 35MG CORGARD (G) 80MG IMITREX NASAL SPRAY (G) NEUPRO 8MG SYNJARDY 12.5MG/500MG ACTONEL 150MG CRESTOR 5MG 5MG-2DOSE NEXAVAR 200MG SYNJARDY 12.5MG11000MG ACTOPLUS (G) 15MG-850MG CRESTOR 10MG IMITREX NASAL SPRAY (G) NEXIUM 20MG TABLOID 40MG ACULAR LS SOL (G) 0.4% CRESTOR 20MG 20MG-2DOSE NEXIUM 40MG TARKA 2/180MG ACZONE 5% CRESTOR 40MG INCRUSE ELLIPTA 62.5 MCG NEXIUM DR 10MG TARKA 4/240MG ACZONE 7.5% CRINONE GEL 8% INLYTA 1MG NORITATE CREAM 1% TASIGNA 150MG ADCIRCA 20MG CRIXIVAN 200MG INLYTA 5MG NORVIR TABLET 100MG TASIGNA 200MG ADVAIR DISKUS 100MCG CRIXIVAN 400MG INSPRA (G) 25MG ODEFSEY 200MG-25MG-25MG TASMAR 100MG ADVAIR DISKUS 250MCG DALIRESP 500MCG INSPRA (G) 50MG OLYSIO 150MG TAZORAC CREAM 0.05% ADVAIR DISKUS 500MCG DERMOTIC OIL 0.01 % INTELENCE 100MG OMNARIS NASAL SPRAY 50MCG TAZORAC CREAM 0.1% ADVAIR HFA 45/21MCG DESCOVY 200MG/25MG INTELENCE 200MG ONGLYZA 2.5MG TAZORAC GEL 0.05% ADVAIR HFA 115/21MCG DETROL LA 2MG INVEGA 3MG ONGLYZA 5MG TAZORAC GEL 0.1% ADVAIR HFA 230/21MCG DETROL LA 4MG INVEGA 6MG ORACEA 40MG TECFIDERA 120MG AFINITOR 2.5MG DEXILANT DR 30MG INVEGA 9MG OTEZLA 30MG TECFIDERA 240MG AFINITOR 5MG DEXILANT DR 60MG INVIRASE 500MG PATADAY 0.2% TEGRETOL (G) 200MG AFINITOR 10MG DIFFERIN CREAM (G) 0.1% INVOKAMET 50MG-500MG PATANOL OPHTH SOL 0.1% TEGRETOL XR (G) 200MG AGGRENOX 200/25MG DIFFERIN GEL (G) 0.1% INVOKAMET 50MG-IOOOMG PENTASA 500MG TEGRETOL XR (G) 400MG ALOCRIL OPHTH 2% DIFFERIN GEL 0.3% INVOKAMET 150MG-500MG PLAQUENIL (G) 200MG TEKTURNA 150MG ALOMIDE 0.1% DIPENTUM 250MG INVOKAMET 150MG-1000MG PRADAXA 75MG TEKTURNA 300MG ALPHAGAN-P OPHTH SOL (G) DIPROLENE LOTION (G) 0.05% INVOKANA 100MG PRADAXA 150MG TEKTURNA HCT 150-12.5MG 0.15% DIPROLENE DINT (G) 0.06% INVOKANA 300MG PRIED FORTE (G) 1% TEKTURNA HCT 150-25MG ALREX 0.2% DIVIGEL 0.5MG ISENTRESS 400MG PREMARIN 0.3MG TEKTURNA HCT 300-12.5MG ALVESCO 80MCG 100MCG DIVIGEL 1MG ISOPTO CARPINE 1% PREMARIN 0.625MG TEKTURNA HCT 300-25MG ALVESCO 160MCG 200MCG DOVONEX CREAM (G) 50MCG ISOPTO CARPINE 2% PREMARIN 1.25MG TIVICAY 50MG AMITIZA 24MCG DUAVEE 0.45-20MG ISOPTO CARPINE 4% PREMARIN VAG 0.625MG/GM TOBREX OINT 0.3% ANORO ELLIPTA 62.5125MCG DULERA 100MCG/5MCG JADENU 90MG PREMPRO 0.3MG/1.5MG TOVIAZ 4MG ANZEMET 100MG DULERA 200MCG/5MCG JADENU 180MG PREMPRO 0.625MG/5MG TOVIAZ 8MG ARCAPTA NEOHALER 75MCG DYMISTA NASAL SPRAY JADENU 360MG PREVACID SOLUTAB 15MG TRACLEER 62.5MG ARNUITY ELLIPTA 100MCG 137/50MCG JAKAFI 5MG PREVACID SOLUTAB 30MG TRACLEER 125MG ARNUITY ELLIPTA 200MCG EDARBI 40MG JAKAFI 10MG PREZCOBIX 800MG1150MG TRADJENTA 5MG ARTHROTEC (G) 50MG EDARBI 80MG JAKAFI 15MG PREZISTA 600MG TRAVATAN Z OPHTH SOL 0.004% ARTHROTEC (G) 75MG EDARBYCLOR 40MG/25MG JAKAFI 20MG PREZISTA 800MG TRIBENZOR 20/5/12.5MG ASACOL HD 800MG EDECRIN 25MG JALYN 0.5MG/0.4MG PRISTIQ 50MG TRIBENZOR 4015/12.5MG ASMANEX TWISTHALER 110MCG EDURANT 25MG JANUMET 501500MG PRISTIQ 100MG TRIBENZOR 40/5/25MG ASMANEX TWISTHALER 220MCG EFFIENT 5MG JANUMET 5011000MG PROMETRIUM (G) 100MG TRIBENZOR 40110/12.5MG ASTAGRAF XL 5MG EFFIENT 10MG JANUMET XR 50MG/500MG PROTOPIC DINT 0.03% TRIBENZOR 40/10/25MG ATACAND(G)4MG ELIDEL 1% JANUMET XR 50MG/1000MG PROTOPIC OINT 0.1 % TRINTELLIX 5MG ATACAND(G)8MG ELIQUIS 2.5MG JANUMET XR 100MG/1000MG QVAR 40MCG 50MCG TRINTELLIX 10MG ATACAND (G) 16MG ELIQUIS 5MG JANUVIA 25MG QVAR 80MCG 100MCG TRINTELLIX 20MG ATACAND (G) 32MG ELMIRON 100MG JANUVIA 50MG RANEXA 500MG TRIUMEQ TABLET ATACAND HCT (G) 16MG/12.6MG EMADINE 0.05% JAN LIVIA 100MG RAPAFLO 4MG TRUVADA 200-300MG ATACAND HCT (G) 32MG/12.5MG ENABLEX 7.5MG JARDIANCE 10MG RAPAFLO 8MG TUDORZA PRESSAIR 400MCG ATELVIA DR 35MG ENABLEX 15MG JARDIANCE 25MG RAPAMUNE (G) 0.5MG TWYNSTA 40/5MG ATRIPLA 600-200-300MG ENTOCORT (G) 3MG JENTADUETO 2.5MG-500MG RAPAMUNE (G) IMG TWYNSTA 40/1OMG ATROVENT HFA 20UG ENTRESTO 24MG-26MG JENTADUETO 2.5MG-850MG RAPAMUNE (G) 2MG TWYNSTA 80/5MG AUBAGIO 14MG ENTRESTO 49MG-51MG JENTADUETO 2.5MG-1000MG RELPAX 20MG TWYNSTA 80110MG AVANDAMET 4MG/500MG ENTRESTO 97MG-103MG JUBLIA 10% RELPAX 40MG ULORIC 60MG AVANDAMET 4MG/1000MG EPIDUO GEL PUMP 0.1 %/2.5% KAZANO 12.5/1000MG RENAGEL 800MG UROCIT-K (G) 10MEO AVANDIA 2MG EPIPEN 0.3MG KOMBIGLYZE XR 2.5MG/1000MG RENVELA 800MG URSO (G) 250MG AVANDIA 4MG EPIPEN JR 0.15MG KOMBIGLYZE XR 5MG/500MG RESTASIS VIALS 0.05% VAGIFEM 10MCG AVANDIA 8MG EPIVIR (G) 156MG KOMBIGLYZE XR 5MG11000MG RETIN A CREAM (G) 0.05% VECTICAL (G) 3MCGIGM AVODART 0.5MG EPIVIR / HBV (G) 100MG LATUDA 20MG RETIN A MICRO GEL PUMP (G) VENTOLIN HFA 90MCG AXERT 6.25MG EPZICOM LATUDA 40MG 0.04% VESICARE 5MG AXERT 12.5MG ESTROGEL 0.06% LATUDA 60MG RETIN-A MICRO GEL PUMP (G) VESICARE 10MG AZILECT 0.5MG EVISTA 60MG LATUDA 80MG 0.1% VIMOVO 376120MG AZILECT IMG EXELON 3MG LATUDA 120MG REXULTI 0.25MG VIMOV0500120MG AZOPT OPHTH DROPS I% EXELON 6MG LESCOL XL 80MG REXULTI 0.5MG VIRAMUNE XR 400MG AZOR 20/5MG EXELON 4.6MG/24HR LEXIVA 700MG REXULTI 2MG VIREAD 300MG AZOR 40/5MG EXELON 9.5MG/24HR LIALDA 1.2GM REXULTI 4MG VIVELLE-DOT 25MCG AZOR 40110MG EXELON 13.3MG/24HR LINZESS 145MCG REYATAZ 150MG VIVELLE-DOT 37.5MCG BACTROBAN NASAL OINT 2% EXFORGE HCT 160/12.515MG LINZESS 290MCG REYATAZ 200MG VIVELLE-DOT 50MCG BANZEL 200MG EXFORGE HCT 160112.5/10MG LIPITOR (G) 10MG REYATAZ 300MG VIVELLE-DOT 75MCG BANZEL 400MG EXFORGE HCT 160/2515MG LIPITOR (G) 20MG SAPHRIS 5MG VIVELLE-DOT 100MCG BARACLUDE 0.5MG EXFORGE HCT 160/25/10MG LIPITOR (G) 40MG SAPHRIS 10MG VOLTAREN GEL BARACLUDE 1MG EXFORGE HCT 320/25110MG LIPITOR (G) 80MG SEASONIQUE (G) VYTORIN 10/10MG BECONASE AD 42MCG EXJAOE 125MG LOCOID LIPOCREAM 0.1% 0.1510.03/0.01MG VYTORIN 10/20MG BENICAR 20MG EXJADE 250MG LOTEMAX GEL 0.5% SENSIPAR 30MG VYTORIN 10140MG BENICAR 40MG EXJADE 500MG LOTEMAX SUSP 0.5% SENSIPAR 60MG VYTORIN 10180MG BENICAR HCT 20MG/12.5MG FARESTON 60MG LOTRISONE CREAM (G) SENSIPAR 90MG WELCHOL 625MG BENICAR HCT 40MG/12.5MG FARXIGA 5MG 1%10.05% SEREVENT DISKUS 50MCG XALKORI 200MG BENICAR HCT 40MG/25MG FARXIGA 10MG LOVENOX (G) 40MG SEROQUEL XR 50MG XALKORI 250MG BENZACLIN PUMP FELDENE 10MG LOVENOX (G) 60MG SEROQUEL XR 150MG XARELT010MG BETIMOL 0.25% FELDENE 20MG LOVENOX (G) 80MG SEROQUEL XR 200MG XARELT015MG BETIMOL 0.5% FETZIMA 20MG LOVENOX (G) 100MG SEROQUEL XR 300MG XARELTO 20MG BETOPTIC S OPHTH 0.25% FETZIMA 40MG LUMIGAN OPHTH 0.01 % SEROQUEL XR 400MG XELJANZ 5MG BONIVA (G) I60MG FETZIMA 80MG MESNEX 400MG SIMBRINZA 1%10.2% XELODA (G) 150MG BREO ELLIPTA 100/25MCG FETZIMA 120MG MESTINON TS 180MG SOLARAZE (G) 3% XELODA (G) 500MG BREO ELLIPTA 200/25MCG FINACEA GEL 15% METRO CREAM (G) 0.75% SOOLANTRA 1% XIGDUO XR 5/1000MG BRILINTA 60MG FLAREX 0.1% METROGEL PUMP 1% SPIRIVA 18MCG XIGDUO XR 101500MG BRILINTA 90MG FLOVENT 44MCG 50MCG MICARDIS HCT (G) 40/12.15MG SPIRIVA RESPIMAT 2.5MCG XIGDUO XR 10/100OMG BYSTOLIC 2.5MG FLOVENT 11OMCG 125MCG MICARDIS HCT (G) 80/12.5MG SPRYCEL 20MG ZANAFLEX (G) 2MG BYSTOLIC 5MG FLOVENT 220MCG 250MCG MICARDIS HCT (G) 80125MG SPRYCEL 50MG ZELAPAR 1.25MG BYSTOLIC 10MG FLOVENT DISKUS 100MCG MIGRANAL NASAL SPRAY 4MG/ML SPRYCEL 70MG ZETIA 10MG BYSTOLIC 20MG FLOVENT DISKUS 250MCG MIRAPEX ER 0.375MG SPRYCEL 100MG ZOMIG NASAL SPRAY 5MG CADUET (G) 5/10MG FORADIL + AEROLIZER 12MCG MIRAPEX ER 0.75MG STIOLTO RESPIMAT 2.5/2.5MCG ZORTRESS 0.25MG CADUET (G) 5/20MG FOSRENOL CHEW 500MG MIRAPEX ER 1.5MG STIVARGA 40MG ZORTRESS 0.5MG CADUET (G) 5140MG FOSRENOL CHEW 750MG MIRAPEX ER 2.25MG STRATTERA 10MG ZORTRESS 0.75MG CADUET (G) 10/10MG FOSRENOL CHEW 1000MG MIRAPEX ER 3MG STRATTERA 18MG ZOVIRAX CREAM 5% CADUET (G) 10120MG FOSRENOL POWDER 750MG MIRAPEX ER 3.75MG STRATTERA 25MG ZYCLARA 3.75% CAMBIA 50MG FOSRENOL POWDER 1000MG MIRAPEX ER 4.5MG STRATTERA 40MG ZYTIGA 250MG CARDIZEM CD (G) 360MG FROVA 2.5MG MIRVASO 0.33% STRATTERA 60MG CARDIZEM LA (G) 180MG GELNIQUE 10% MULTAQ 400MG STRATTERA 80MG CARDIZEM LA (G) 360MG GENVOYA 150-150-200-10MG MYRBETRIQ 25MG STRATTERA 100MG CARDURA XL 4MG GILENYA 0.5MG MYRBETRIQ 50MG STRIBILD CARDURA XL 8MG GILOTRIF 20MG NASONEX 50MCG SUSTIVA 50MG CLIMARA PATCH (G) 25MCG GILOTRIF 30MG NESINA 6.25MG SUSTIVA 200MG CLIMARA PATCH (G) 50MCG GILOTRIF 40MG NESINA 12.5MG SUSTIVA 600MG NOTE: Medication names appearing with (G) are available in a Generic version from your local or U.S. mail order pharmacy. This list is subject to change. Please call 1-866-488-7874 toll free to verify the availability of your medication through this program. JET THY, MMIA Employee Benefits HealthSpectiwe WELLNESS PROGRAM 2018 Engage httt ns://portaLhealthspective. com/mmia The MMIA Employee Benefits Program is continuing to build on its successful Wellness Program. In 2018, we are making some changes to make the program even more effective. Big Changes • Five new incentive categories reward you for taking proactive steps to improve your health and make the most of your benefits. • A new way to trackyour well-being. Register on the HealthSpective Engage portal found at https:/-/portal.healthspective.com/mmia. This system shows what incentives you've earned, your screening results, and more. No physical gift cards. You must log into the Engage portal at to access your incentive. You can select from multiple vendor gift cards, direct deposit to your bank account, or a combination of both. Incentive Activities You must register in the Engage portal in order to access your incentive. See more details on each activity and how to register for the portal on the next page or by visiting www.mmia.net aetwellthx. �•� $50 —Fill out the Health Risk Assessment and watch a short video on the Engage platform. j'' L $50 — Get a biometric screening through It Starts With Me or the Montana Health Center '%F between July 1 and September 30. • • M�r $50 — If 80% of eligible employees get health screenings, all eligible employees, spouses and retirees who get health screenings will get an extra $50. O$50 — Engage with a Get Wellthy Health Coach. 0 $50 — Get an immunization or preventive cancer screening. The Fine Print Total Possible Incentive: $250 In order to receive an incentive, you must be enrolled on an MMIA medical plan and registered with the Engage portal. If you are no longer on an MMIA plan, you will not have access to Engage and will not be eligible to receive an incentive. Montana Municipal Interlocal Authority Employee Benefits reserves the right to alter the Wellness Program at any time. This program is developed in compliance with the EEOC wellness rules and does not violate anti -discrimination laws as determined by the Americans with Disabilities Act and Genetic Information Nondiscrimination Act. Participation in this program is voluntary. MMIA maintains the privacy and security ofyour personally identifiable health information. For more information, visit www.mn ia.net/eeoc-notice,. N Montana Municipal Interlocal Authority EMPLOYEE BENEFITS PROGRAM ENROLLMENT FORM Please fax to: 406-449-7440 or submit to: PO Box 6669 — Helena, MT 59604-6669 Please use this form for New Enrollments, Changes and Terminations- disregard all previous Enrollment, Change & Termination forms Please print dearly on entire form. Last Name First Name Initial Work Phone Home Phone Cell Phone Current Address City State Zip Employee's Email Address: Employer Group Number: if waiving coverage stop here and proceed to the back side of this form SECTION 1 - Please fill out the section below that applies to a new enrollment, enrollment changes or termination of coverage Part - New Enrollment Parts - Enrollment Changes Event Date Effective Date of Coverage: First Day of Work: Hours worked per week: Plan Status: ❑ Active Employee ❑ Retiree ❑ Elected Official ❑ Surviving Spouse Marital Status: ❑ Single ❑ Married ❑ Divorced ❑ Widowed ❑ Separated Medical Plan Choice - Please check only one appropriate box below: ❑ Bridger ❑ Madison ❑ Mission ❑ HDHP ❑ Custom Add/Drop spouse or dependent (Open enrollment & Qualifying Event Orgy) Medicare eligible(provide copy of card or letter Retiree Status Death Other (reason): Ineligible Dependent (reason): Address Change (former address): Name Change (former name): Part - Termination ofCovW a Ifstaying on co!22E as a retiree see Part B Medical Plan Choice - Open Enrollment & Qualifying Events Only ❑ Bridger ❑ Madison ❑ Mission ❑ HDHP ❑ Custom (if applicable) Last day worked Last day eligible for benefits ❑ Voluntary by employee ❑ Involuntary by employer .Type of Qualifying Event (Term, Resignabon, Reduce Hm, Death): Coverage will end the last day of the month in which employee was terminated. Must provide supporting legal documentation of divorce, marriage, adoption, etc, with this form Notes: Use this s ce for clarification on ant of the above SEC7I01112— ZNDIcATEENRQLLMENTREQUESTsoycHEcAmvGONLYBDXEs THATAPPLYTOCURRENTCNANGE(s)oRNEWENROLLMENr Note: Yourgroup may not offer all coverages listed FIRST MI LAST SOCIAL SECURITY # (Required)mX New enrollee - must complete employee info also DATE OF BIRTH RELATIONSHIP a gQ c` O� y JA a g ,o Add Drop Add Drop add Drop add Drop Add Dr Employee: ❑ ❑ ❑ ❑ ❑ 0101010101010101010 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Spouse: Child(ren): (list) NOTE: IF YOU OR YOUR DEPENDENTS ARE ENROLLING DUE TO A LOSS OF OTHER COVERAGE, PLEASE ATTACH VERIFICATION OF CREDITABLE COVERAGE PARTICIPATION CERTIFICATION: 1 CERTIFY THAT THE ABOVE ANSWERS ARE TRUE TO THE BEST OF MY KNOWELDGE AND 1 HAVE READ AND UNDERSTAND THE PARTICIPANT AUTHORIZATION AND STATEMENT OF HIPAA PORTABILITY RIGHTS ON THE REVERSE SIDE OF THIS FORM. I HEREBY AUTHORIZE MY EMPLOYER TO DEDUCT FROM MY EARNINGS ANY REQUIRED CONTRIBUTIONS FOR THE COST OF BENEFITS FOR WHICH 1 AM OR MAY BECOME ELIGIBLE. Participant's Signature (New enrollment or changes only) Date: Employer's Signature Date: Please refer to reverse side of form SECTION 3 — OTHER INSURANCE: Will you, your spouse or your children have any other coverage while on any of the coverages listed above? If yes, please provide the required information below: Employer Name, Insurance Carrier Name & Address ❑ Yes ❑ No Self TYPE OF COVERAGE MED DEN VIS Spouse ❑ ❑ ❑ Child (ren) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ PARTICIPATION CERTIFICATION: 1 CERTIFY THAT THE ABOVE ANSWERS ARE TRUE TO THE BEST OF MY KNOWELDGE AND 1 HAVE READ AND UNDERSTAND THE PARTICIPANT AUTHORIZATION AND STATEMENT OF HIPAA PORTABILITY RIGHTS ON THE REVERSE SIDE OF THIS FORM. I HEREBY AUTHORIZE MY EMPLOYER TO DEDUCT FROM MY EARNINGS ANY REQUIRED CONTRIBUTIONS FOR THE COST OF BENEFITS FOR WHICH 1 AM OR MAY BECOME ELIGIBLE. Participant's Signature (New enrollment or changes only) Date: Employer's Signature Date: Please refer to reverse side of form Group Name: City Of Laurel Effective Date: July 1, 2018 Agent: Eric Allen Enrollment: Enrolled Employees: 67 If enrollment differs by 10% or more, the rate guarantee is void and subject to a new rating evaluation. If plants) quoted below are not purchased with 75 days of effective date stated above, the rate guarantee is void and subject to a new rating evaluation. Contract Period: 12 month rate only Medical Deductible Credit: Included at no charge Medical OOP Credit: NOT Included, unavailable option Rx, Dental, Vision and other deductible and OOP credits are not available. Commissions: 1.32% COBRA Administration: COBRA administration through PacificSource Administrators is included in premium. Eligibility: Employees must work a normal workweek minimum of 20 or more hours PacificSource requires a minimum of 75% of all eligible employees to participate in the plan. Note: Waiving to Individual coverage is counted against participation • PacificSource requires that the employer contribute a minimum of 75% to the employee rate or 50% of the total rate. Based on the information submitted, this is at 100% EE and fixed varying amount for dep and must be maintained by employer. Yes No ✓ Are there retirees under 65 (Early Retirees)? ✓ Are there retirees over 65 (Medicare Eligible)? ✓ Are there COBRA participants? Other: Refer to Value Added Services Quote Information: Standard PacificSource benefit structure, limitations and exclusions apply. Yes No ✓ Matching, as best as possible, Groups Ded/Coins/OOP/Copay structure ONLY? ✓ Benefits are Standard "chassis" PacificSource structure, limitations and exclusion? ✓ Matching Groups current benefit limitations and exclusions? ✓ If applicable, is the Copay bundling option defined (PS Standard, Option B, Option A)? MD--L--Rx Formulary? ]Which Copay bundling option? Any other Notes: ER Copay match does not apply 0.0 JtJ IcSource HEALTH PLANS City of Laurel Rates: Medical Plans: PSN 500 25 20 2500 $779.77 $1,729.93 $1,240.65 $1.987.66 $584.83 $1,169.66 2x Family Ded/OOP Rx 100, 10/40/60% to $200 2x Mail Order Note: EAP is not included Benefit Period: Calendar Year PSN 1500 35_30 PSN 1000 25_20 3500 2500 $701,93 EE $746.91 $1,557.63 $1,295.02 ES $1,657.02 $1,788.82 $1,487.62 EC $1,188.36 $1,052.90 EF $1,903.89 Rx 100, 10/40/60% to $200 2x CON Ded/OOP Smed $560.18 Prev Rx 2P Med $1.120.36 2x Family Ded/OOP Rx 100, 10/40160% to $200 2x Mail Order PSN 500 25 20 2500 $779.77 $1,729.93 $1,240.65 $1.987.66 $584.83 $1,169.66 2x Family Ded/OOP Rx 100, 10/40/60% to $200 2x Mail Order Note: EAP is not included Benefit Period: Calendar Year PSN 1500 35_30 3500 PSN 3500+Rx $701,93 $583.61 $1,557.63 $1,295.02 $1,115.14 $927.94 $1,788.82 $1,487.62 $526.45 $1,052.90 2x Family Ded/OOP 2x Family Ded/OOP Rx 100, 10/40/60% to $200 2x CON Ded/OOP 2x Mail Order Embedded Ded Prev Rx Conditions: Offer assumes the contract situs and issuance of contract is in Montana This quote assumes PacificSource will be the only carder providing coverage to the employer group's employees Open Enrollment will be one month prior to the renewal date Regulations require PacificSource to determine, based on the information provided in the quoting process, whether an employer is subject to Chapter 26 of the Montana Code Annotated. This proposal is made on the condition you are not a Small Employer Employer will promptly notify PacificSource of any change in participation and Employer contribution ACA established a number of taxes and fees that are incorporated Into your premiums. Two of those fees are: (1) the Annual Fee on Health Insurers or "HIT(Health Insurer Tax)"; and (2) the Transitional Reinsurance Fee. Both fees began in 2014. (1) Section 9010(a) of ACA requires that ("health insurers) pay an annual fee to the federal government, commonly referred to as the Health Insurer Fee. The amount of this fee will be determined by the federal government. This fee helps fund premium tax credits and cost-sharing subsidies offered to certain individuals who purchase coverage on health insurance exchanges. As of late 2015, this fee currently has been suspended for 2017 only. The fee still applies in 2016 and, pending any further legislation, could reconfinue in 201 B. (2) Section 1341 of ACA provides for the establishment of a temporary reinsurance program (for a three year period (2014-2016) which is funded by Reinsurance Fees collected from health insurance issuers and self-funded group health plans. Federal and state governments provide information as to how these fees are calculated. Federal regulations establish a flat, per member, per month fee. The temporary reinsurance programs, funded by these Reinsurance Fees, help to stabilize premiums in the individual market. iTsdifl'Sdiircc cort( Paciticsource HEALTH PLANS Outline of Coverage PSN 500+2520 S2 City of Laurel Option B Bundling This outline of coverage provides a very brief description of important policy features. Please note: this outline is not intended to be part of the insurance contract. Only the actual policy provisions are final and binding. The policy details your rights and obligations, as well as those of PacificSource. PLEASE READ YOUR MEMBER HANDBOOK CAREFULLY. Provider Network: PSN All Providers E W1 t W, W Q e r. WIN W fisl E"�ffllffl M""'N"'M Providers Trend Data PacificSource bases large group premiums on data accumulated from the entire Montana large group population. Certain factors such as demographics are incorporated into the rating process. PacificSource bases trend projections on a combination of PacificSource Montana large group data and the PacificSource Oregon group book of business. The large group premium increases for the last five years were 2017 7.4%, 2016 15.0%, 2015 4.6%, 2014 10.1 %, and 2013 9.7%. The member is responsible for the above deductible and the following amounts: Service Well baby/Well child care No charge* Preventive physicals Well woman visits No charge*N gel Preventive mammograms 6 -T -A Narge- Immunizations Preventive colonoscopy P -- Prostate cancer screening Office and home visits if@@Offl Naturopath office visits D,e;1ethe Via_ - y Specialist office and home visits Telemedicine visits PSGOOC.MT.LG.0118 Service Office procedures and supplies , Surgery Deductible then 20°!o Co insurancegt3e {ti . e e =°o Outpatient rehabilitation 'S o _ c�tt en �o nca.=` rance then 20 � co ►nsurance services Fosp�tal Services Deductible . } �'z }� Fr .:��,z inpatient room and board Deductible then 20% co msgrance Inpatient rehabilitation � ° �=1; Deductible then 20 /o co insurance 1ed'u ib Skilled nursing facility care D`educt�ble then 20% co msurance F ed tib est tee= °01:rae `*,'*� '�w'�¢.. ,,,uyz, .:."" .-,, ,£.�.€t K-1-15t4.F"Pi S'33, J. �aiJ �Whw +Clutpat�enfi Sexy ces�� w 2 3 Y $..a . w Outpatient surgery/services Deductible then 20% co insurance �®eduett� : 5° coy_ "WE-, Advanced diagnostic NEVER MEN o o°t�lr, r1su eek Deductible then 20 /o co msurance �De =.uc 1 imaging7_ Diagnostic and therapeutic o ° x ,� Deductible then 2010 ca insurance . "10"bi �b e then 5 o Go, i s a ae /lab radiology/lab �M�?.r,,.'�r,. Urgeni and Emergency Services �,�'a'� Urgent care center visits $25 co pay/Visit* �ed t bile fih 35/001U 'd CGS Emergency room visits — Deductible then $100 co payJuisatedctt t tee#e`~°0`Oco a`v�s t medical emergencylus 20°!0 co msurance^ IVs 0°o cn Vac Emergency room visits — Deductible ihen`$100 co pay/visit De cfib e111 oiJ ts�non-emer enc L ce Ambulance, ground x NEW Deduct�U(e then 20°toFco insurance D e t . 20 ��e Ambulance, air Deductible then'20% co msurance Dei c,� '. e0°= e zs Y3 %'st .P_id"J YC.in �"Y.`..^ 'L?i?�'.T.3� �is�.3tF �.'S._,a.._111r Y � '.. b i%� '"" N.✓' '�i .v �C �rt � � I 5 «.'b.i" iY' Physician/Provider services ®d ebbe fieb Deductible then20%'co insurance .>coOs ;arch (global charge)r._ Hospital/Facility services Deductible then 20°!o b5iinsurran,ce a,t ura ce ; Health/Gtthemjcal Sery�ces��� _.: 11V1�,en�al Dependency `....4?..a3'._"�n�Yix''✓EA: iJL':,."G3.. � .•.L':. .ai7,,.T..'.`.... r...-. t k $25 co `pair/visit* 'AMME-1 D. `�I(�t1 ` leoOr1 Office wsits & Inpatient care Deduetiple,then 20%=co msurance D.ed�c tb Vie. ° c ura Residential programs ?. Deductible then 20% co msurance �'`✓.re, �" zr1 �� = Gf � `.Y` �4� � � `�*r;p; Y� 't'�c ��'+�"'.r��+=��� '��'��La,t�'� { °�v ���v�`' Qther�Cavere�d�SerV�c�es �_?+a.�' $ � 7 u $$�� t �X4�'.f�Ls}C Fri�"....t h'Y^ �3far"3`. "�i iysy- .L�i�. C...G}� 1S "..chsJ3 �e'k�..�h'"Tfw`�.2+uY:.�t`§�,'b'J.°�:u ...,�,-.l�:.s:..'V..x �"A:.e..s.*Ye3_... w_Sw..Y ....• Allergy injections Durable equipment DeductibJe$then 20% co msurancee=. cfib a e: medical Home health care 041 Deductible then 20% co msurance ed s o ' e vg:o ° a Chiropractic manipulations and acupuncture Transplants ,` Deductible thenNo charge Dd ' �. e. he . of : r c This is a brief summary of benefits. Refer to your handbook for additional information or a further explanation of benefits, limitations, and exclusions. ^ Co -pay waived if admitted into hospital. PSGOOC.MT.LG.0118 * Not subject to annual deductible. + Non -participating air ambulance coverage is covered at 200 percent of the Medicare allowance, except as required by law. You may be held responsible for the amount billed in excess. Please see your handbook for additional information or contact our Customer Service team with questions. PSGOOC.MT.LG.0118 cii o . �` _ bd. re HEALTH PLANS City of Laurel Prescription Drug Benefit Summary MT 10-40-60P 100D S2 MDL This PacificSource health plan includes coverage for prescription drugs and certain other pharmaceuticals, subject to the information below. This plan complies with federal health care reform. PRESCRIPTION DRUG DEDUCTIBLE $100 per person The deductible is an amount of covered pharmacy expenses the member pays for brand medications each calendar year before the following benefits begin. Co -payments, differential between brand and generic drugs, drugs obtained without using the PacificSource member ID card, and non -participating pharmacy charges do not accumulate toward the deductible. The deductible does not apply to Tier one drugs. The amount you pay for covered prescriptions at participating and non -participating pharmacies applies toward your plan's participating medical out-of-pocket limit, which is shown on the Medical Benefit Summary. The co -payment and/or co-insurance for prescription drugs obtained from a participating or non -participating pharmacy are waived during the remainder of the calendar year in which you have satisfied the medical out-of-pocket limit. Each time a covered pharmaceutical is dispensed, you are responsible for the amounts below: Kemember to show your PacificSource member ID card each time you fill a prescription at a retail pharmacy. if your ID card is not used, your benefits cannot be applied and may result in higher out-of-pocket cost. * Not subject to annual prescription drug and/or medical deductible. *Compounded medications are subject to a preauthorization process. Compounds are generally E� covered only when all commercially available formulary products have been exhausted and all the ingredients in the compounded medication are on the applicable formulary. MAC B - Unless the prescribing provider requires the use of a brand name drug, the prescription PSGBS.MT.LG.RX.0118 will automatically be tilled with a generic drug when available and permissible by state law. If you receive a brand name drug when a generic is available, you will be responsible for the brand name drug's co -payment and/or co-insurance plus the difference in cost between the brand name drug and its generic equivalent after the deductible is met. If your prescribing provider requires the use of a brand name drug, the prescription will be tilled with the brand name drug and you will be responsible for the brand name drug's co -payment andlor co-insurance after the deductible is met. The cost difference between the brand name and generic drug does not apply toward the medical plan's deductible or out-of-pocket limit. See your member handbook for important information about your prescription drug benefit, including which drugs are covered, limitations, and more. PSGBS.MT.LG.RX.0118 PaciticSource HEALTH PLANS Outline of Coverage PSN 1000+2520 S2 City of Laurel Option B Bundling This outline of coverage provides a very brief description of important policy features. Please note: this outline is not intended to be part of the insurance contract. Only the actual policy provisions are final and binding. The policy details your rights and obligations, as well as those of PacificSource. PLEASE READ YOUR MEMBER HANDBOOK CAREFULLY. Provider Network: PSN Trend Data PacificSource bases large group premiums on data accumulated from the entire Montana large group population. Certain factors such as demographics are incorporated into the rating process. PacificSource bases trend projections on a combination of PacificSource Montana large group data and the PacificSource Oregon group book of business. The large group premium increases for the last five years were 2017 7.4%, 2016 15.0%, 2015 4.6%, 2014 10.1 %, and 2013 9.7%. The member is responsible for the above deductible and the following amounts: Service Le 1- 0. 0 Well baby/Well child care „No charge..;_ „__ . ���3�5�o�col�s�uran�e Well woman visits " W =nW'V WI W; IEPreventive mammograms NIhe It MN Immunizations Preventive colonoscopy=No char e* beducttblet en35%occa'=rince Prostate cancer screening WIT ROOM 11 Office and home visits co ..P'y al. giVIRM11, U RM MVL Naturopath office visits Z__ Specialist office and home visits $25 co pay/vis Telemedicine visits ............. . . . . . ...... PSGOOC.MT.LG.0118 mi All Providers $1,000 $2,000 All Providers $2,500 $5,000 Please note: Your actual costs for services provided by a non -participating provider may exceed this policy's out-of-pocket limit for non -participating provider services. In addition, non -participating providers can bill you for the difference between the amount charged by the provider and the amount allowed by the insurance company, and this amount is not counted toward the non -participating out- of-pocket limit. Trend Data PacificSource bases large group premiums on data accumulated from the entire Montana large group population. Certain factors such as demographics are incorporated into the rating process. PacificSource bases trend projections on a combination of PacificSource Montana large group data and the PacificSource Oregon group book of business. The large group premium increases for the last five years were 2017 7.4%, 2016 15.0%, 2015 4.6%, 2014 10.1 %, and 2013 9.7%. The member is responsible for the above deductible and the following amounts: Service Le 1- 0. 0 Well baby/Well child care „No charge..;_ „__ . ���3�5�o�col�s�uran�e Well woman visits " W =nW'V WI W; IEPreventive mammograms NIhe It MN Immunizations Preventive colonoscopy=No char e* beducttblet en35%occa'=rince Prostate cancer screening WIT ROOM 11 Office and home visits co ..P'y al. giVIRM11, U RM MVL Naturopath office visits Z__ Specialist office and home visits $25 co pay/vis Telemedicine visits ............. . . . . . ...... PSGOOC.MT.LG.0118 Service Office procedures and supplies Surgery Outpatient rehabilitation Deductible then 20 l° co insurance e�tuct�i e #Ho WIN an services Inpatient room and board _ Deductible then 2Q°lo co insurance: Ded,�uce�e�0� CO ��-���; .'N �4111LMMII '1I co insurance " Skilled nursing facility care -20%W Outpat�e% Servicesdt Outpatient surgery/servicesinsurance Advanced diagnostic 'tibl'&'. fhen ","56d' b then imaging Diagnostic and therapeutic radiology/lab Urgenf and Emergency Services 2- 41� t; Ft LWII 11 Urgent care center visits t Deductible thea°IoGo Emergency room visits AV -0 Deductible medical emergency i 4 cir n . Emergency room visits y''VI s! enc �j �oo(n' '01-grice non-emerg Ambulance, groundinsurance RM q.,co nsu ancel, �:"-/ , "I Ambulance, air �'Zdddfittibl ' .2- 0-90- I -MM ----------- Physic{ahtPravider services ,Deductible Cheri 20% eco insurance �De �uct�bl�e ther�l3��lo co,��nsu�ance= Hospita!/Facility services Deductible then 20% co insurance �beiucf�blensu��ce FT? i"u' : Office visits $25 co . a /visits e M AMIJ91111", 1 - MID ' MAU Inpatient care Deductible then 20%° co insurance 'h -5 i Residential programs Deductible tOMMUOMI"s3 �z- 4Allergy injections t.... $5 co 1;,Ye Durable medical equipment Deductible then b6 ihsu'rah' ; NO I�rC b�insura 'th-eh". nc' " Home health careDeductible �Dedduc#idle the : v40 co ace Chiropractic manipulations and acupuncture pYS "",a pgoe M, Deductible then N Transplants— This is a brief summary of benefits. Refer to your handbook for additional information or a further explanation of benefits, limitations, and exclusions. A Co -pay waived if admitted into hospital. PSGOOC.MT.LG.0118 * Not subject to annual deductible. + Non -participating air ambulance coverage is covered at 200 percent of the Medicare allowance, except as required by law. You may be held responsible for the amount billed in excess. Please see your handbook for additional information or contact our Customer Service team with questions. PSGOOC.MT.LG.0118 O.Pacitic-Source HEALTH PLANS Outline of Coverage PSN 1500+3530 S2 City of Laurel Option B Bundling This outline of coverage provides a very brief description of important policy features. Please note: this outline is not intended to be part of the insurance contract. Only the actual policy provisions are final and binding. The policy details your rights and obligations, as well as those of PacificSource. PLEASE READ YOUR MEMBER HANDBOOK CAREFULLY. Provider Network: PSN w All Providers $11500 $3,000 All Providers $3,500 $7,000 Please note: Your actual costs for services provided by a non -participating provider may exceed this policy's out-of-pocket limit for non -participating provider services. In addition, non -participating providers can bill you for the difference between the amount charged by the provider and the amount allowed by the insurance company, and this amount is not counted toward the non -participating out- of-pocket limit. Trend Data PacificSource bases large group premiums on data accumulated from the entire Montana large group population. Certain factors such as demographics are incorporated into the rating process. PacificSource bases trend projections on a combination of PacificSource Montana large group data and the PacificSource Oregon group book of business. The large group premium increases for the last five years were 2017 7.4%, 2016 15.0%, 2015 4.6%, 2014 10.1 %, and 2013 9.7%. The member is responsible for the above deductible and the following amounts: Service Well baby/Well child care No charge . _. ���=��5lo�co�,�nsc� ��� U r Well woman visits No charge�No arge Preventive mammograms -INA Immunizations No c)1ar e* eV NO OR 11" I.0 " Preventive colonoscopy No charge,�� PW Prostate cancer screening 0 51 Office and home visits $35 co a /visit* � , Naturopath office visits _$35 co pay/visit* . , _,; �,D.e 0�le�:t ens �', oe Specialist AT U191 mi FeA $35,c q pah vpjqik I visits - W Telemedicine visits 351*p e( PSGOOC.MT.LG.0118 Service KOM Office procedures and x :r supplies . r SurgeryDeductible then 30% co ins'urancedtib]efie. 5° s -rsu Outpatient rehabilitation Deductible then 30% co msur'ance D, ` c �blr t e = %o ,, _ , su ante, services 44 :y, 1 ° S tr%`� `;r `^,.... "i'f :. �v".'P r s '*'4$ :. ii'Y��a i4'*'� M:.�a-k ,rb 2'a'a,.f x•c . Inpatient room and board Deductible Cheri 30% co insurance; ��De�Icti�bi� �he� � 5 c?``�'insu an e Inpatient rehabilitation Deductible Cheri 30'% co insurance ��Qed'�ct�b�e� et�� ��"fioco tnst�i a� services Skilled nursingfacility care Deduct�bte #hen 30°lo Co insurance peduc# x #h�er3i''5°o�coi asua ace ty :` ' � \�7'= s"$;`+w, •s8.„ e'`; +,'"a Y ',c. Outpatient surgery/servicemn s Deductible then 30% co insuranceL3educf�b e hey q% o nsu i�Fc`It Advanced diagnostic Deductible then 30% co insuranceDeduct�b est, e °o co �rtsuance: imaging Diagnostic and therapeutic = o�� Deductible then 30 /o co insurance �aed cable th �5 o�coPpsUr�es. radiology/lab rx�p�, 'll'rgent andEmergency Servrces k � � .�. �. �� � _ r=,. � ;2 Urgent care center visits ': $35 co a /v+sits . ,. ��Deduetibte�h�n��5°o ao�msu�ari cep Emergency room visits — Deductible then $100 co pay/visit ��I?edu�ctiblehthen#$,'1E0"0 co,�paylu„�si� medical emer enc lus_30 lo,..cg insurance_ _ w, r�usoo �nsurance� Emergency room visits — Deduct�bfe then f'00 co pay/u�sitDeduct�fl fhen� oa'�/vitt non-emergencylus 30 Jo co insurance fi , Ambulance, ground Deductible Cheri 30% co insurance �Deductrleen/o cons�uce Ambulance, air Deductible then 30°lo co insurance �eacrbfe et CiO°Co��nsu,ai e W. Physician/Provider services Deductible then 30°/o co insurance d�ctibletE�en%ca�msuaje (global charge) Hospital/Facility services Detluctibe then 30% co insuranuran MW Office z Office visits $35 co pay/visa D�uEblthe5�°fin race, Inpatient care Deductible then 30% co insurance ��h 5x4! c Residential programs Deducttbleathen 30% co insuranced�cfi�,t, � e.; 4 corsi a .4xt Other Covered ServicesNEI Allergy injections Deductiblefe:�oC��o tsrace Durable medical equipment Deductible then 30% co insurancetw!�kt ;er�,4� consuraree Home health care Deductible then 30% co rnsurancede"o cem Chiropractic manipulations F �� l - and acupuncture $35 co pay/Visit Ductibe the 5 /� a rnsrart Transplants Deductible'thenyNo chargeedctblet5°trlse This is a brief summary of benefits. Refer to your -handbook for additional information or a further explanation of benefits, limitations, and exclusions. ^ Co -pay waived if admitted into hospital. PSGOOC.MT.LG.0118 * Not subject to annual deductible. + Non -participating air ambulance coverage is covered at 200 percent of the Medicare allowance, except as required by law. You may be held responsible for the amount billed in excess. Please see your handbook for additional information or contact our Customer Service team with questions. PSGOOC.MT.LG.0118 ePaciticSource HEALTH PLANS City of Laurel Outline of Coverage PSN HSA 3500+Rx S2 This outline of coverage provides a very brief description of important policy features. Please note: this outline is not intended to be part of the insurance ance contract. Only the actual policy provisions are final and binding. The policy details your rights and obligations, as well as those of PacificSource. PLEASE READ YOUR MEMBER HANDBOOK CAREFULLY. Provider Network: PSN Trend Data PacificSource bases large group premiums on data accumulated from the entire Montana large group population. Certain factors such as demographics are incorporated into the rating process. PacificSource bases trend projections on a combination of PacificSource Montana large group data and the PacificSource Oregon group book of business. The large group premium increases for the last five years were 2017 7.4%, 2016 15.0%, 2015 4.6%, 2014 10.1 %, and 2013 9.7%. The member is responsible for the above deductible and the following amounts: Service 'Z. 11 PE Participating Providers $3,500 $7,000 Non -participating Providers $7,000 $14,000 -4,1EW rZ 19, WN 10 � Participating Providers $3,500 $7*1000 Non -participating Providers $7,000 $14,000 Please note: Participating provider deductible and out-of-pocket limit accumulates separately from the non -participating provider deductible and out-of-pocket limit. Even though you may have the same benefit for participating and non -participating providers, your actual costs for services provided by a non -participating provider may exceed this policy's out-of-pocket limit for non -participating provider services. In addition, non -participating providers can bill you for the difference between the amount charged by the provider and the amount allowed by the insurance company, and this amount is not counted toward the non -participating out-of-pocket limit. Trend Data PacificSource bases large group premiums on data accumulated from the entire Montana large group population. Certain factors such as demographics are incorporated into the rating process. PacificSource bases trend projections on a combination of PacificSource Montana large group data and the PacificSource Oregon group book of business. The large group premium increases for the last five years were 2017 7.4%, 2016 15.0%, 2015 4.6%, 2014 10.1 %, and 2013 9.7%. The member is responsible for the above deductible and the following amounts: Service a I I d I RN AW. -Mi Well baby/Well child care -4,1EW rZ 19, WN 10 � Preventivephysicals Well woman visits 3WIN-5-41-N WM �_MOAI N 01 J MEMO W-01 -I Preventive mammograms MO I Immunizations U; -C - b f WORT, V W -A 01Mr M., -d MEN Preventive colonoscopy 'If M !Le Prostate cancer screeningOffice No char e*:�Rk? xg W WW-�lll ON and home visits � � pew' �ctible teen Ded�ucfible then No:char e :o �c a e�```� gNaturopath _ , _ office visits Deductible then NoJcharge - �etb�ten � ��, PSGOOC.MT.LG.0118 PSGOOC.MT.LG.0118 This is a brief summary of benefits. Refer to your handbook for additional information or a further explanation of benefits, limitations, and exclusions. * Not subject to annual deductible. + Non -participating air ambulance coverage is covered at 200 percent of the Medicare allowance, except as required by law. You may be held responsible for the amount billed in excess. Please see your handbook for additional information or contact our Customer Service team with questions. PSGOOC.MT.LG.0118 CC c i HEALTH PLA145 of Laurel Prescription Drug Benefit Summary MT 3500D S2 MDL This PacificSource health plan includes coverage for prescription drugs and certain other pharmaceuticals, subject to the information below. This plan complies with federal health care reform. MEDICAL PLAN DEDUCTIBLE You must meet the medical plan deductibles, which are shown on the Medical Benefit Summary, before your prescription drug benefits begin for Tier one, Tier two, Tier three, compound, and/or Tier four prescription drugs. The amount you pay for covered prescriptions at participating and non -participating pharmacies applies toward your plan's participating medical out-of-pocket limit, which is shown on the Medical Benefit Summary. The co -payment and/or co-insurance for prescription drugs obtained from a participating or non -participating pharmacy are waived during the remainder of the calendar year in which you have satisfied the medical out-of-pocket limit. PACIFICSOURCE PREVENTIVE RX Your prescription benefit includes certain outpatient drugs as a preventive benefit at no charge. This includes specific drugs that are taken regularly to prevent a disease or to keep a specific disease or condition from progressing. Preventive drugs are taken to help avoid many illnesses and conditions. These preventive drugs are not subject to the deductible. You can get a list of covered preventive drugs by contacting our Customer Service team or visit PacificSource.com/dru -Ig ist/. Each time a covered pharmaceutical is dispensed, you are responsible for the amounts below: _ � F Par;trctpat�ng_Ftetai! Phar•macY" ,_ _;�-� �.� DetluctibleDeductible hen Dedubtible then Up to a 30 day supply: . r...,No cbai e . ...... No, char e ._._.: , _ ,. - .. Noachar "e....... , Partin atm -Mail Order Pharrnac ' x +a Deductible then Deductible hen ' Deductible then Up to90 day supply: No.;cha.r. eLL Non part�cEpating ryPharmacY.._n ..' .:.... _. 30 day max fill, no more than Deductible then 90% co insurance three fills allowed per year: Tier 4 Specialty Drugs i'artrcijaatirig-SpecialtyyPharmacy, ' _Y:� ._r. _ _ Up to a 30 day supply: Deductible then No charge _... Tier 4 SpecialtyTDrugs `Not`f�lled fhraugh Specialty,Pharmacy ,Part�ctpaf�ng +j=_ .,� ,,y�..,. �s�.f 30 day max fill, no more than Deductible t % eo insurance three fills allowed per year: Compound15, Up to a 30 day supply: z_ _ __ ._.___. 4 Detluctible then No charge „ Remember to show your PacificSource member ID card each time you fill a prescription at a retail pharmacy. If your ID card is not used, your benefits cannot be applied and may result in higher out-of-pocket cost. Not subject to annual medical deductible. "Compounded medications are subject to a preauthorization process. Compounds are generally covered only when all commercially available formulary products have been exhausted and all the ingredients in the compounded medication are on the applicable formulary. MAC B - Unless the prescribing provider requires the use of a brand name drug, the prescription PSGBS.MT.LG.RX.0118 will automatically be filled with a generic drug when available and permissible by state law. If you receive a brand name drug when a generic is available, you will be responsible for the brand name drug's co -payment andlor co-insurance plus the difference in cost between the brand name drug and its generic equivalent after the deductible is met. If your prescribing provider requires the use of a brand name drug, the prescription will be filled with the brand name drug and you will be responsible for the brand name drug's co -payment and/or co-insurance after the deductible is met. The cost difference between the brand name and generic drug does not apply toward the medical plan's deductible or out-of-pocket limit. If your physician prescribes a non -formulary drug due to medical necessity it may be subject to preauthorization. See your member handbook for important information about your prescription drug benefit, including which drugs are covered, limitations, and more. PSGBS.MT.LG.RX.0118 `hat is the annual deductible? Your plan's deductible is the amount of money that you pay first, before your plan starts to pay. You'll see that many services, especially preventive care, are covered by the plan without you needing to meet the deductible. The individual deductible applies if you enroll without dependents. If you and one or more dependents enroll, the individual deductible applies for each member only until the family deductible has been met. Deductible expense is applied to the out-of-pocket limit. Note that there is a separate category for participating and non -participating providers when it comes to meeting your deductible. Only participating provider expense applies to the participating provider deductible and only non -participating provider expense applies to the non -participating provider deductible. What is the *out-of-pocket limit? The out-of-pocket limit is the most you'll pay for covered medical expenses during the plan year. Once the out-of-pocket limit has been met, the plan will pay 100 percent of covered charges for the rest of that year. The individual out-of-pocket limit applies only if you enroll without dependents. If you and one or more dependents enroll, the individual out-of-pocket limit applies for each member only until the family out-of-pocket limit has been met. Be sure to check your Member Handbook, as there are some charges, such as non-essential health benefits, penalties and balance billed amounts that do not count toward the out-of-pocket limit. Note that there is a separate category for participating and non -participating providers when it comes to meeting your out-of-pocket limit. Only participating provider expense applies to the participating provider out-of-pocket limit. Only non -participating provider expense applies to the non -participating provider out-of-pocket limit. Payments to providers Payment to providers is based on the prevailing or contracted PacificSource fee allowance for covered services. Participating providers accept the fee allowance as payment in full. Non -participating providers are allowed to balance bill any remaining balance that your plan did not cover. Services of non -participating providers could result in out-of-pocket expense in addition to the percentage indicated.. Allowable fee for non -participating providers Outside the PacificSource service area and in areas where our members do not have reasonable access to a participating provider through one of our third party provider networks, the allowable fee, depending upon the services and supply, will be based on the use of the UCR or the participating provider contracted rate, whichever is greater. For more detailed information, please refer to the Non- participating Providers section of your policy. Preauthorization Coverage of certain medical services and surgical procedures requires a benefit determination by PacificSource before the services are performed. This process is called 'preauthorization'. Preauthorization is necessary to determine if certain services and supplies are covered under this plan, and if you meet the plan's eligibility requirements. You'll find the most current preauthorization list on our website, PacificSource.com/member/preauthorization.aspx. PSGOOC.MT.LG.0118 The Patient's right to know the costs of medical procedures. The insured, or the insured's agent, may request an estimate of the member's portion of provider charges for any service or course of treatment that exceeds $500. PacificSource shall make a good faith effort to provide accurate information based on cost estimates and procedure codes obtained by the insured from the insured's health care provider. The estimate may be provided in writing or electronically. It is not a binding contract between PacificSource and the member, and is not a guarantee that the estimated amount will be the charged amount, or that it will include charges for unforeseen conditions. Contact Customer Service at (877) 590-1596 to request an estimate. Emergency medical conditions For emergency medical conditions, non -participating providers are paid at the participating provider level. Emergency medical condition means a medical condition that manifests itself by acute symptoms of sufficient severity, including severe pain that a prudent layperson possessing an average knowledge of health and medicine would reasonably expect that failure to receive immediate medical attention would place the health of a person, or an unborn child in the case of a pregnant woman, in serious jeopardy, result in serious impairment to bodily functions; or result in serious dysfunction of any bodily organ or part. With respect to a pregnant woman who is having contractions, for which there is inadequate time to affect a safe transfer to another hospital before delivery or for which a transfer may pose a threat to the health or safety of the woman or the unborn child. PSGOOC.MT.LG.0118 C-) PacificSource HEALTH PLANS pi PacIfIcSource Health Plans Member Guide We're Here to Help At PacificSource, everything we do revolves around taking care of people. That's why we offer quality customer service that you can access by phone or email. Our average hold time for calls is less than 20 seconds. If you call, you'll talk with a live person—not an automated response system. Or email us, if you prefer. Our friendly, professional Customer Service Representatives will be happy to help you. Your PacificSource ID Card Your ID cards will be mailed directly to your home within a few weeks of enrollment. Once you receive them, you can discard any old cards. Please begin using your new card for your healthcare services. When you visit your doctor or pharmacy, be sure to present your card. This ensures they have the correct insurance information. If you need your ID card before it arrives, you can print a temporary ID card on our secure member site at InTouch.PacificSource.com/members/lDcard/ temporary. You may also access your ID card using our free myPacificSource mobile app. See the "Online and MobileTools" section for more information. If you have any questions or haven't received your ID cards, please contact our Customer Service Department Provider Network Your plan uses a participating provider network to ensure maximum access to providers for all members. Visit PacificSource.com/find-a-provider or call Customer Service for assistance finding participating providers in your plan's network. Tip: Be sure to select the appropriate network for your area and plan. Your network information is listed on your ID card. You can search by specialty, last name, location, or other details to access a list of providers. Or you can create your own personalized provider directory to download and print. Note that some health plans require you to select a primary care provider (PCP). Outside Our Service Areas If you live or are traveling outside of Idaho, Montana, Oregon, or select Washington counties (Clark, Cowlitz, Klickitat, Pacific, Skamania, and Wahkiakum counties), use one of these networks: • Alaska and Washington (except for the counties noted above): First Choice Health" Network • All other states (except Alaska, Washington, and those noted above): First Health® Network To find providers in the First Choice Health Network or the First Health Network, visit PacificSource.com/find-a- provider. Dental Network Plans For Dental Advantage Network plans (Idaho and Oregon only), you can save money by using Dental Advantage Network providers. You'll pay your plan's co -pay and/or co-insurance at the participating provider (in -network) level. In most cases, when you visit an Advantage dentist, we'll waive your deductible. For Dental Advantage Essentials plans, you're only covered when you see a provider who participates in the Dental Advantage Essentials Network. Pharmacy PacificSource Drug Lists The PacificSource drug lists are guides to help your doctor identify medications that can provide the best clinical results at the lowest cost. To find out which list applies to your prescription drug plan, check your Summary of Benefits or PacificSource member ID card. If no "drug list",' is noted on your card, use the "PDL" list. Access our drug lists at PacificSource.com/drug-list. Using the CVS Caremark° Pharmacy Network We contract with CVS Caremark for pharmacy management services. If your health plan includes a prescription drug benefit, you can enjoy automatic savings from CVS Caremark. Just show your PacificSource ID card when you buy your prescriptions. CVS Caremark's network includes nearly 98% of all walk-in pharmacies in the United States. Ask your local pharmacy's staff if they participate with CVS Caremark, or look up the pharmacy at Caremark.com/wps/portal. Mail Order Services If your plan includes prescription drug coverage, mail order service may be a convenient, cost-saving option for you. We partner with both CVS Caremark and Wellpartner Pharmacy to provide you this service. Visit PacificSource. com/member/mail-order-rx for more information. PacificSource Pharmacy Serilices (541) 225-3784 1 (800) 624-6052, ext. 3784 Caremark.com j (866) 329-3051 Wellpartner.com 1 (877) 568-6460 � l Online and Mobile Tools At PacificSource.com, and the myPacificSource mobile app, you can access tools, information, and resources to help you make the most of your PacificSource benefits. InTouch You can access coverage and benefit information through InTouch, our secure web portal at PacificSource.com. It allows you to easily and conveniently manage your insurance coverage and health, 24/7. Sign into InTouch to: • Look up coverage information in your member handbook/policy, or read benefit summaries. • Look up claims. • View explanations of benefits. • Review your family's enrollment history. • Check deductible and your out-of-pocket status. • Track preauthorizations. • Look up your share of your family's healthcare expenses. • Change your address. • Order replacement ID cards. • Estimate healthcare costs using ourTreatment Cost Navigator. • Access the CafeWell health and wellness resource. myPacificSource Mobile App Our free mobile app gives you secure, on -the -go access to all your coverage information, no matter where you are. The myPacificSource app is available for both iPhone° and Android". Visit PacificSource.com/mobile for more information. Health Management Programs and Services Condition Support Our Condition Support Program offers education and support to members with asthma, diabetes, heart failure, chronic obstructive pulmonary disease, coronary artery disease, or juvenile diabetes. This program is available to eligible PacificSource members with medical coverage. AccordantCare With AccordantCare, we offer rare disease management and specialty pharmacy programs that provide individual support and coordination for our members with certain rare diseases, or those requiring injectable medications or biotech drugs. For more about health management programs and other health and wellness extras, visit PacificSource.com/ extras. Submitting a Claim Usually, your provider will submit claims for you. If you need to fill a covered prescription or see a provider for a covered service before you receive your new ID card, or if you see a nonparticipating provider, you can pay and then submit a copy of the provider's itemized receipt or statement for reimbursement. On our website, you'll find details about how to submit a claim. Visit PacificSource.com/YourPlan/#Claim for more information. PacificSource Health Plans Value-added Extras Your PacificSource coverage also includes the following no -cost wellness programs and services. For details about these programs and more, visit PacificSource.com/extras. 24 -Hour NurseLine Have a health-related question? Our 24 -Hour NurseLine is staffed around the clock, 7 days a week—so you'll never be without a registered nurse to talk to. Call them toll-free at (855) 834-6150. CafeWell This secure online health engagement portal helps you keep track of, and make the most of, your health. To access CafeWell, sign into InTouch, go to Benefits, and select Wellness – CafeWell. Weight Management Programs As part of your PacificSource medical coverage, you can enjoy special offers for one of the following programs: • Weight Watchers°: Be reimbursed for some program costs when you participate in person or in the online program. • Jenny Craig°: Join the Jenny All Access program for 50% off the enrollment fee, plus 5% off all Jenny Craig food. Tobacco Cessation Program With your PacificSource medical coverage, you can participate in the Quit For Life® tobacco cessation program. Kick tobacco for good with nicotine replacement therapy and one-on-one phone support. The Quit For Life° Program is brought to you by the American Cancer Society® and Optum. Virtual Healthcare Visits with Teladoc° We've partnered with Teladoc as of January 1, 2018, to offer you virtual healthcare visits. Teladoc is a national network of U.S. board-certified physicians and pediatricians that you can see on -demand, 24/7, via phone or online video consultations, from wherever you happen to be; some limitations apply. For a virtual visit with Teladoc, you pay the same as you would a regular office visit. Depending on your plan, this could be a co -pay amount or you may first need to meet your deductible. Assist America° Global Emergency Services If you have a medical emergency 100 or more miles from home or abroad, Assist America is on call to coordinate your care and help ensure you get the treatment you need. Hospital-based Education Classes Get reimbursed up to $150 per plan year for health and wellness classes offered by hospitals, including first aid, CPR, financial planning, and more. Prenatal Program If you're expecting, our free Prenatal Program offers you support, useful information, and resources during this very important time for you and your baby. Prenatal vitamins: Women between the ages of 15 and 45 with prescription drug coverage are eligible to receive select physician -prescribed prenatal vitamins at no cost—all co -pays and deductibles are waived—when filled through an in -network pharmacy. Visit our website for details. Gym Membership Program With the Active&Fit® gym membership program, you can access any gym within your plan's network for a one-time initiation fee of $25 plus a monthly fee of $25 per member. Visit PacificSource.com/extras for details about these and other no -cost programs and services. Customer Service idaho Direct: (208) 333-1596 Toll-free: (800) 688-5008 Direct: (406) 442-6589 Toll-free: (877) 590-1596 Direct: (541) 684-5582 Toll-free: (888) 977-9299 Toll-free: (800) 735-2900 Direct: (541) 684-5456 Toll-free: (866) 281-1464 Email cs@pacificsource.com For more information, visit PacificSourcexom/YourPlan CLB1_1017 Access to Administration Online Services for Your Group Health Plan At PacificSource, we're committed to providing you with flexible, personalized service. One way we do that is through PacificSource InTouch for Employers—a secure, employers -only area of our website. Once you log in, you can enroll new members in your plan, access your plan's contract documents, pay your bill, and much more -24 hours a day. If you prefer doing business online, you'll appreciate the convenience of InTouch. Use InTouch to: Administer enrollment and generate reports • Enroll new members in your plan and update information for existing members, ensuring your employees can get important benefit information as soon as possible • View, change, or download enrollment and census information • View and download enrollment totals for your group by family composition category • Verify employee and dependent enrollment by name or member number • Print temporary ID cards for one or all employees with the click of a button View and pay your bill • View statements in our Payment Center • Pay your bill online with our eCheck option and review your eCheck payment history Access information and request ID cards • View the contact information for your Membership Representative • Access the most up-to-date benefit handbook • Access your plan's contract documents and benefit summaries • Request ID cards Manage InTouch account access • Set up access for members of your administration team with the Group Administrator feature • Administer all of your groups and their subgroups through a single login InTouchAdmin salesMT0314 Getting Started Is Easy! To start using PacificSource InTouch for Employers, simply visit, PacificSource.com and click "Employers"Then click the "Register Now" link, which you'll find under the InTouch login button in the right column. MEMBERS � PROVIDERS AGENTS CAREERS InTouch for Employers A:CCSs pouf racirc SOu,ce account Inion at,On 24(7 'I Once your registration is processed, you will receive an email message indicating that your new user ID has been activated. If you need to add access for additional staff members, you can log in and add them yourself (in the Group Administrator role), or we can help with the setup. continued on reverse Paci f icSource HEALTH" FLANS Questions and Answers Can I change my password? Yes, you may change your password at any time. From your InTouch home page, click "Account" in the top menu, and then click the "Change Password" link. What happens if I forget my password? If that happens, you can click the "Forgot My Password" link on the login page. You will be prompted to answer two hint questions and can then select a new password. Can I access multiple group accounts without having to log in and out? Yes.You can administer all of your groups and their subgroups through a single login. When you first log in, you'll be able to select from a list of your groups. Once you are logged in, you'll see the current group name on the green button near the top of the page. When you're ready to work with a different group, simply click on this green button to pull down a list of your available groups.There's no need to log in and out. Why can't I access all of our group accounts? If you are not able to access one of your groups, it may mean that your InTouch "Group Administrator" has not yet granted you that permission.Your InTouch Group Administrator is the primary user and has access to all of your group or subgroup accounts. In this role, they can grant other staff members, "Users" full or limited access. What if I have questions or comments? If you have questions or comments about InTouch, you may contact the InTouch for Employers Team: • Call (800) 624-6052, ext. 3742 • Email intouchforemployers@pacificsource.com In addition, you are welcome to contact your Membership Services Representative. Your Representative's contact information appears on your InTouch Contact Us page and on your monthly billing statement. Or you can reach us by phone toll-free at (866) 999-5583 to be connected to the appropriate person. To start using PacificSource In Touch for Employers, simply visit, PacificSource.com and click "Employers." Then click the "Register Now" link, which you'll find under the In Touch login button in the right column. Paci f icsource Helena: 406.422.1008. 855.422.1008 PacificSource.com C_ PacificSource PacificSource Preventive ®rug List The Preventive Drug List is included in our individual and small group plans*, and is an optional benefit for large groups. With this new benefit, the drugs listed below are paid at 100 percent. A full list of covered drugs can be found on our website at PacificSource.com/drug-list. Show your PacificSource ID card each time you purchase prescriptions at a participating pharmacy to ensure you're receiving the bestbenefit. If you have questions, please email our Customer Service Department at cs@pacificsource.com, or call toll-free: (800) 688-5008 in Idaho, (877) 590-1596 in Montana, or (888) 977-9299 in Oregon. Heart/Blood Pressure acebutolol HCL isradipine amiloride-HCTZ labetalol HCL amlodipine besylate lisinopril amlodipine besylate- benazepril lisinopril -HCTZ atenolol losartan potassium atenolol- chlorthalidone losartan -HCTZ benazepril HCL methyclothiazide benazepril HCTZ metolazone bisoprolol fumarate metoprolol tartrate bisoprolol -HCTZ metoprolol -HCTZ bumetanide moexipril-HCL captopril nadolol chlorothiazide nicardipine HCL chlorthalidone nifedipine ER clonidine HCL pindolol diltiazem ER propranolol HCL diltiazem HCL propranolol -HCTZ enalapril maleate quinapril HCL enalapril -HCTZ spironolactone felodiprine ER spironolactone -HCTZ fosinopril sodium torsemide fosinopril -HCTZ trandolapril furosemide triamterene -HCTZ guanfacine HCL valsartan-HCTZ hydrochlorothiazide verapamil ER indapamide verapamil ER PM irbesartan—H irbesartan-HCTZ verapamil HCL *Except for the Oregon Standard Bronze, Silver, or Gold plans. Bone Health alendronate sodium ibandronate sodium Cholesterol atorvastatin calcium pravastatin sodium lovastatin simvastatin Diabetes glimepiride glipizide -metformin glipizide glyburide glipizide ER metformin HCL glipizide XL metformin HCL ER Mental Health bupropion HCL olanzapine carbamazepine olanzapine ODT citalopram HBR olanzapine -fluoxetine HCL fluoxetine HCL paroxetine HCL imipramine HCL quetiapine fumarate imipramine pamoate risperidone lithium carbonate sertraline HCL nortriptyline HCL venlafaxine HCL Preventive Drug List 0916 Updated September 12, 2016 Online Tools and Resources at PacificSource.com InTouch for Members Members can access their benefit information by logging on to the secure InTouch area of our website.They can view their claims, the status of preauthorizations and referrals, the accumulated expenses towards their plan's deductible, and more. Health Manager Health Manager is an online health and wellness center available through InTouch. Powered by WebMDI, it includes personalized wellness information and a variety of helpful, easy-to-use online tools including a health risk assessment. myPacificSource Mobile App Members can stay "InTouch" with their PacificSource coverage, no matter where they are, with our free mobile app.The myPacificSource app is available for both iPhon& and Android"" Visit PacificSource.com/mobile. WebMD Daily Victorysm Mobile App The Daily Victory mobile app helps beginners form a sustainable exercise habit, starting with as little as five minutes a day. Log in authentication and progress tracking is accessible through the Health Manager. Provider Directory Members can find up-to-date participating provider information based on their location or the provider's name. Members can also make a personalized directory. Wellness and Care Management Programs 24 -Hour NurseLine Most medical situations don't happen during business hours. Our 24 - Hour NurseLine is staffed around the clock, 7 days a week, so members will never be without a registered nurse to talk to if they have health- related questions.The member toll-free number is (855) 834-6150. Prenatal Care Program Our Prenatal Care Program helps expectant mothers learn more about their pregnancy and the development of their child. Participants receive educational materials and toll-free telephone access to a nurse consultant. High-risk members receive additional proactive nurse support. ValueAdded_salesMT0914 Prenatal Vitamins Pregnant members with pharmacy coverage are eligible to receive up to nine months of physician - prescribed prenatal vitamin supplements at no cost (all copays and deductibles are waived).This program covers two generic prenatal vitamins, which are only available through Wellpartner mail order pharmacy. Tobacco Cessation Our Quit For Lifem program, brought to you by Alere Wellbeing and the American Cancer Society, can help tobacco users kick the habit. Members receive phone and online support, as well as a Quit Kit with nicotine replacement therapy patches or gum to help keep them on track. (bupropion, bupropion SR, or Chantix are doctor prescribed.) Member toll-free number: (866) 784-8454. Hospital -Based Education Classes Members can receive a reimbursement of up to $50 per eligible health and wellness class or series offered by hospitals, and up to $150 per member per plan year. Weight Management Programs Members with medical coverage can: • Participate in a Weight WatchersO program and receive an annual reimbursement of $100 ($40 if an online Weight Watchers participant) for their Weight Watchers membership. • Choose a Jenny Craig® program discount: free 30 -day trial with Jenny As You Go, or 30 percent off the enrollment fee with Jenny All Access. For full details and eligibility requirements, visit the Members > Extras and Wellness area of PacificSource.com. continued on reverse eD-) Pac't'cSou 4e HEALTH PLANS Discounted Gym Membership PacificSource members have access to discounted gym memberships of up to $120 per year through GlobalFit. Brown Bag Wellness Seminars We offer Brown Bag Wellness Seminars tailored to the specific wellness interests of employers with 100 or more employees. These informational seminars for employees are held at the worksite or other convenient locations. Wellness for Kids Nine- and six -year-olds currently covered by a PacificSource medical plan may be invited by mail to join Health Kicks!, a children's program that promotes healthy behaviors. Parents will receive an invitation to enroll their child in HealthKicks! If enrolled, children will receive age-appropriate, fun activity books on health and wellness topics to encourage healthy habits. Contact us for more information. Condition Support Program Our Condition Support Program offers support and information to members with asthma and diabetes (including members age 18 and younger), heart failure (HF), chronic obstructive pulmonary disease (COPD), and coronary artery disease (CAD).The program includes personal support to help participants reach their health and wellness goals; ongoing support to help them maintain healthy lifestyle changes; and newsletters with current and helpful information about their health condition. Participants may also contact our nurses and l registered dietitian via email or toll-free phone number to ask — health questions. AccordantCare® Rare Disease Management Program Our members with certain chronic, rare conditions receive ongoing one-on-one support and care coordination to ensure optimal care, decrease complications, and improve health outcomes. Caremark' Specialty Pharmacy Caremark® Specialty Pharmacy Services is our provider for injectable medications and biotech drugs. A pharmacist -led CareTeam provides individual follow-up care and support to our members with certain conditions. Nurse Case Management Our Health Services Department provides individual case management for members who require specific help in managing their healthcare needs. Nurse Case Managers work collaboratively with providers and members to improve members' health, financial outcomes, and quality of life. LifeTracsm Transplant Network We partner with LifeTracTransplant Network to ensure that our members requiring transplant services have access to nationally recognized centers of excellence. Our Case Managers assist members by coordinating all phases of transplant services. Serving clients since 1988, LifeTrac is a national network of more than 50 carefully selected facilities that perform organ and bone marrow transplants— one of the most comprehensive networks in the United States. Travel Program Assist America® Global Emergency Services Members with medical coverage who experience a medical emergency when traveling 100 or more miles from home or abroad can call Assist America for help. Services include medical consultation and evaluation, medical referrals, foreign hospital admission guarantee, critical care monitoring, and when medically necessary, evacuation to a facility that can provide treatment.These services are provided at no cost to members when arranged and provided by Assist America. Member toll-free number within the United States: (800) 872- 1414; from outside the United States: 00-1-(609) 986-1234. Please note: These value-added programs are not available with all plans. Check with your PacificSource Sales Representative for details. Questions? You're welcome to contact your PacificSource Sales Representative for more information about any of these value-added programs. C-) PacificSource HEALTH PLANS Helena: 406.422.1008 9 855.422.1008 PacificSource.com O TELADOC,. C Paci f ic5ource HEALTH PLANS You have access to a doctor 24 hours, 7 days a week with Teladoc@. You already have access to Teladoc and you can talk to a doctor now for or less. Set up your account by web. phone or mobile app. SET UP YOUR ACCOUNT IN 3 EASY STEPS Contact Teladoc 24/7/365 Access to Teladoc's nationwide network of board-certified doctors is available to you by phone, video or mobile app. Teladoc isjust a click or call away! Talk with a physician Adoctor will review your medical history and contact you in minutes. Resolve the issue A doctor will diagnose and prescribe medication, if medically necessary, to the pharmacy of your choice. Teladoc.com Available on the Whone 1-855-201-7488 App Store,, W007701/1—d-IncAM lentlrx —,A,ul1-A:roc r,"'.",rl-r" I,! US covrV• n:,o51n•c O ln:,Oc he M Healthcare via phone, video, or mobile app As a PaCIfICSOurce member, you have access to a U.S. board-certified doctor 24 hours a day, 7 days a week, year-round with Teladoc. Here's how to get started and what you need to know. 1. Set up your account Talk to a There are three convenient ways to get started. When asked to doctor anytime! enter the name of your employer or insurance carrier, please enter PacificSource. Teladoc.com Online: Log in or register with InTouch for Members through PacificSource.com. You'll find the Teladoc Remote link under Tools. (g55) 201 7488 This will provide a direct link for you to set up your Teladoc account. Mobile app: Download the app and click "Activate account" Visit Teladoc.com/mobile to download the app. Teladoc.com/mobile By phone: Teladoc can help you register your account over the phone. Call toll-free (855) 201-7488. 2. Provide medical history Your medical history provides Teladoc doctors with the information they need to make an accurate diagnosis. 3. Request a consult Once your account is set up, request a consult anytime you need care. And talk to a doctor by phone, web, or mobile app. See reverse for FAQ. Paci f idource HEALTH PLANS Teladoc° Member Frequently Asked Questions What is Teladoc? you have anonymous call blocker on, you will be returned Teladoc is the first and largest provider of telehealth to the bottom of the waiting list. The consult request is cancelled if you miss three calls. medical consults in the United States, giving you 24/7/365 access to quality medical care through phone and video consults. Is there a time limit when talking with a doctor? Who are the Teladoc doctors? Teladoc doctors are U.S. board certified in internal medicine, family practice, or pediatrics. They average 20 years practice experience, are licensed in your state, and incorporate Teladoc into their day-to-day practice as a way to provide people with convenient access to quality medical care. Does Teladoc replace my doctor? No. Teladoc does not replace your primary care physician. Teladoc should be used when you need immediate care for nonemergent medical issues. It is an affordable, convenient alternative to urgent care and ER visits. What kind of medical care does Teladoc provide? Teladoc provides general medical care for adults and children, and behavioral healthcare for adults. Examples of common medical conditions Teladoc can address include: sinus problems, pink eye, bronchitis, allergies, flu, ear infection, urinary tract infections, and upper respiratory infections. What consult methods are available? You can talk with a Teladoc doctor via a phone consult, video consult within the secure member portal, or video consult within the Teladoc mobile app. How do I set up my Teladoc account? You can set up your account through InTouch at PacificSource.com, or through the Teladoc website or mobile app. You can also call Teladoc to get started. If setting up your account online, when asked to enter the name of your employer or insurance carrier, please make sure to enter PacificSource. How do I request a consult to talk to a doctor? Visit the Teladoc website, log into your account, and click "Request a Consult." You can also call Teladoc to request a consult by phone. How quickly can I talk to the doctor? Median call back time is just 10 minutes. If you miss the doctor's call, whether you are away from the phone or There is no time limit for consults. Can Teladoc doctors write a prescription? Yes. Teladoc doctors can prescribe short-term medication for a wide range of conditions when medically appropriate. Teladoc doctors do not prescribe substances controlled by the DEA, nontherapeutic, and/or certain other drugs, which may be harmful because of their potential abuse. How do I pay for a prescription called in by Teladoc? When you go to your pharmacy of choice to pick up the prescription, you may use your health/prescription insurance card to help pay for the medication. You will be responsible for the co -pay based on the type of medication and your plan benefits. Is the consult fee the same price, regardless of the time? The exact amount you will pay is based on your plan design. This dollar amount is shown on your summary of benefits. How do I pay for the consult? You can pay with your HSA (health savings account) card, credit card, prepaid debit card, or by PayPal. If the Teladoc doctor recommends that I see my primary care physician or a specialist, do I still have to pay the Teladoc consult fee? Yes. Just like any doctor appointment, you must pay for the consulting doctor's time. Can I provide consult information to my doctor? Yes. You have access to your electronic medical record at anytime. Download a copy online from your account or call Teladoc and ask to have your medical record mailed or faxed to you. C Paci f icSource HEALTH PLANS The ActiveUlt DirectTM The Active&Fit Direct program provides you with access to a broad network of participating fitness centers and participating YMCAs. Freedom and flexibility Active&Fit Direct program gives you access to 9,000+ fitness centers nationwide. You can switch fitness centers to ensure you find the right fit. The program also includes access to the Active&Fit Direct website, which features a fitness center locator and online fitness tracking. Get started Visit PacificSource.com/ActiveAndFit for more information. A $25 enrollment fee, $25 for the current month (regardless of the enrollment date within that month), and $25 plus applicable taxes for the next month are due when you enroll ($75 plus applicable taxes). Each month's fee is $25 (plus applicable taxes). After a 3 -month commitment, participation is month-to- month. Once enrolled, you may view or print your fitness card and take it to any fitness center/YMCA in the Active&Fit Direct network. Once the fitness center verifies your enrollment in the Active&Fit Direct program, you will sign a standard membership agreement and receive a card or key tag from the fitness center to check in for future visits. Try out a fitness center Many fitness centers/YMCAs offer guest passes so you can try out their location. You may request a guest -pass letter through the Active&Fit Direct website to take to the fitness center, where available. Note: You will need to register and sign in to request the guest -pass letter. The Active&Fit Direct program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). Active&Fit Direct is a trademark of ASH and used with permission here. Direct: (208) 333-1596 Toll-free: (800) 688-5008 Direct: (406) 442-6589 Toll-free: (877) 590-1596 Direct: (541) 684-5582 Toll-free: (888) 977-9299 Toll-free: (800) 735-2900 61 1_- Direct: (541) 684-5456 Toll-free: (800) 624-6052 ext. 1009 Finad cs@pacificsource.com '}'aciiieSource.catil CI Paci f icSource HEALTH PLANS Cio'!I;' 0!!i; �1 '. 0 0 LLJ `, f � k . F M4 r ul , r • ul Q ' 0 � s • ro yz°°; .. .. • • 1 ,:. M c 1 T 0 CO .• i • • • < �:ry • � • fu if • . ! 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COUNCIL CHAMBERS CONFERENCE ROOM MEMBERS PRESENT: OTHERS PRESENT: Mayor Nelson Bruce McGee, City Council Member Heidi Sparks, City Council Member Kelly Strecker, Clerk's Office Stan Langve, Union 303 Jessica McCartney, Union 303 Monica Salo, Union 316 Sheri Phillips, Union 316 Roy Voss, Union 316 Dave Allen, Allen and Associates Eric Allen, Allen and Associates Each union and non-union representatives gave feedback they received from their respective groups Both Stan and Jessica asked for feedback from their union members. Stan received one email back stating their preference was to stay with Blue Cross Blue Shield of Montana (BOBS). Jessica had had discussions with as many members as possible. The overall consensus was they wanted to stay on BOBS. No one was in favor of moving to MMIA or the Health Co-op. Most expressed their desire to stay on BCBS as the benefits were known. There were no strong oppositions to Pacific Source, just the unknown of exactly what the plan would be. Roy, Monica, and Sheri had Allen and Associates present all plans at their union meeting the previous day. No one was in favor of MMIA or the Health Co-op. After the presentation, their union took a vote and endorsed the move to Pacific Source as the Cities insurance provider. The key points that sold them on Pacific Source were the brick and mortar store opening soon, customer service, the cost savings, and the offering of two 80/20 plans with either $500 or $1,000 deductible. Kelly followed up with the non-union employees. No one was in favor of MMIA or the Health Co-op. Four stated they didn't mind staying and four stated they didn't mind changing. She questioned if employees could potentially need to change physicians. Eric clarified that while BCBS has between 94% to 95% of all physicians in -network, Pacific Source has 89% to 90% of physician's in -network. There may be a small percentage of employees that see a provider who is not in -network. He also stated that Billings Clinic recently transitioned their employees to Pacific Source from BCBS. He reiterated that Pacific Source does offer the City savings this year and that if in this year the City is not satisfied with its coverage they can ask for quotes for next year and consider changing service providers. Council Workshop Minutes of June 7, 2018 Insurance Committee was reminded that BCBS is changing their framework soon and that the City is grandfathered into its policy for this year and those same offerings most likely will not be available next year. Jessica spoke to her personal experience of dealing with BCBS and how some things were not billed as she had expected. Dave reminded the Committee that he has had employees call and ask him to drill down why something was billed the way it was. While he is unable to change how things are billed, he can help identify why the insurance company processed the claim the way they did. He has found errors in the coding and was able to assist the employee in remedying the situation. Currently, the City is in a month to month contract with BCBS. Pacific Source is also a month to month plan. The City is guaranteed the stated rate for the next 12 months. Pacific Source is also willing to give credit for the deductible already incurred by the employee. They will hold processing claims for July to see what claims BCBS process to ensure the proper deductible credit is given. The Mayor received a question why Billings is able to keep their costs so low. The Mayor looked into what Billings does and found that they are self-insured and that they use EBMS to manage their claims. This is not an option for the City at this time. Due to both unions coming forward with different recommendations and the non-union employees not voicing a strong opinion, either way, the Committee discussed which option they felt their respective groups would be ok with. Both unions agreed with Kelly that they did not encounter anyone who strongly felt the need to stay with BCBS. They discussed the cost savings are moving to Pacific Source could offer the employee when they add their family and/or children. It was reiterated that both plans mirror one another and that the employee would not lose coverage. There was a question if the City would need to reduce the cap on what the employer will contribute to the employees' health benefit. It was clarified that the cap should not be an issue. Union 316 discussed this issue, and no one voiced an issue. It was questioned if Pacific Source is chosen, which plan would allow the City to pay for employee only. Both the $1000 and $500 deductible were less than what the City is currently spending. It was clarified that Council would need to clarify which plan the City would pay for. It was also clarified that Pacific Source would automatically enroll employees into the plan they currently have. If they want to make a change to a different plan, they would need to fill out the appropriate form. Council Member McGee stated that he sat down and looked over these plans as if he were purchasing a policy for him and his family. Which plan was the most comprehensible and for what cost? He independently concluded that Pacific Source was the best option, not only by what the plans covered but also by cost. 2 Council Workshop Minutes of June 7, 2018 Council Member Sparks reviewed the documents in a similar manner. She also concluded that Pacific Source was the best option for the City at this time. Dave clarified that Pacific Source would be able to get temporary cards to all employees by 7/1/2018 if the Council choose them as the insurance provider. The Insurance Committee voted to recommend Pacific Source's quote to Council for final approval. All present in favor of the recommendation. The Insurance Committee adjourned at 9:42 a.m. Respectfully submitted, Brittney Moo Administrative Assistant 3 CITY OF LAUREL BOARDS, COMMISSIONS, AND COMMITTEES REAPPOINTMENT FORM Date: lF� Name of Member. I presently serve on the and wish (Board/Commission/Committee) to be considered for reappointment to another term. Signature: Date: �/� 2" Please submit this form to: Administrative Assistant City of Laurel P.O. Box 10 Laurel, MT 59044 5 k 4 Date: Name of Member: A," 4- I presently serve on the '- re- <- so C,,(� and wish (Board/Commission/Committee) to be considered for reappointment to another term. tr Signature: Date: 2 S Please submit this form to: Administrative Assistant City of Laurel P.O. Box 10 Laurel, MT 59044 CITY OF LAUREL BOARDS, COMMISSIONS, AND COMMITTEES REAPPOINTMENT FORM Date: Name of Member: I presently serve on the iyz ,l z .t , , ; 9 L ; : and wish (Board/Commisslon/Committee) to be considered for reappointment to another term. i - Signature:- ' Date: Please submit this form to: Administrative Assistant City of Laurel P.O. Box 10 Laurel, MT 59044 CITY OF LAUREL BOARDS, COM -MISSIONS, AND COMMITTEES TELES REAPPOINTMENT FORM Date: Name of Member: I presently serve on the 9. k b vbjL - \- and wish (Board/Commi on/Committee) to be considered for reappointment to another term. Signature: Date: \rte 1IDPI Please submit this form to: Administrative Assistant City of Laurel P.O. Box 10 Laurel, MT 59044 RESOLUTION NO. R18-29 A RESOLUTION OF THE CITY COUNCIL RESETTING ITS JULY 3 REGULAR COUNCIL MEETING TO JULY 2 IN ORDER TO AVOID CONFLICTS WITH EVENTS AND FESTIVITIES PLANNED FOR THE JULY 4TH CELEBRATION. WHEREAS, Regular meetings of the Laurel City Council are scheduled for the first and third Tuesdays of each month; and WHEREAS, the City Council has the discretion to reset meetings due to conflicts that arise with state and federal holidays pursuant to LMC 2.10.030; and WHEREAS, the City of Laurel has a substantial number of events and festivities scheduled during the week of July 4th and the City Council desires to reset the meeting to avoid conflicts with scheduled events to encourage and enable public attendance and participation during its first regular meeting. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Laurel, Montana, the regular meeting of the City Council of the City of Laurel, Montana currently scheduled for Tuesday, July 3, 2018 is reset to Monday, July 2, 2018. Notice of the change shall be posted at City Hall and sent to the Laurel Outlook. Introduced at a meeting of the City Council on Junel9, 2018, by Council Member PASSED and ADOPTED by the City Council of the City of Laurel, Montana, this 19th day of June 2018. CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk -Treasurer APPROVED AS TO FORM: Sam Painter Civil City Attorney Resolution No. R18-29 Move July 3'd meeting to July 2°d RESOLUTION NO. R18-30 RESOLUTION AUTHORIZING THE MAYOR AND. CITY CLERK TO UTILIZE AVAILABLE REVENUE IN THE CITY'S WATER FUND TO PREPAY AND RETIRE DNRC LOAN WRF-10-188. WHEREAS, in 2009 the City previously obtained a loan from the Montana Department of Natural Resources and Conservation ("DNRC") Revolving Fund Program in order to finance and pay for a water system improvement project; and WHEREAS, the City successfully constructed and completed the water system improvement project and has been making payments on Loan WRF-10-188 including principle and interest; and WHEREAS, the City Clerk and Mayor determined there are sufficient funds available in the City's Water Fund to prepay the loan in its entirety which will save the City interest and improve the City's capacity to obtain financing for other water projects; and WHEREAS, DNRC provided a payoff amount of $335,424.83 which will completely retire the debt; and WHEREAS, the City Clerk and Mayor are recommending the City Council's authorization and approval of the proposed loan payoff since it appears to be in the City's best interest at this time. NOW, THEREFORE, BE IT RESOLVED the City Council hereby resolves, authorizes, and approves the following: 1. Pursuant to the City Mayor and City Clerk's recommendation, the City Council hereby authorizes and approves the use of the available funds in the City's Water Fund to pay off the DNRC Loan #WRF-10-188 in the amount of $335,424.83 as provided in the attached payoff statement; and 2. The Mayor and City Clerk are authorized to execute any documents required to effectuate the payoff authorized herein. Introduced at a meeting of the City Council on June 19, 2018, by Council Member PASSED and ADOPTED by the City Council of the City of Laurel, Montana, this 19`h day of June 2018. CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk -Treasurer APPROVED AS TO FORM: Sam Painter Civil City Attorney R18-30 Payoff DNRC Loan #WRF-10-188 To: From: ©ate: Re: DEPARTMENT OF NATURAL RESOURCES AND CONSERVATION STEVE BULLOCK, GOVERNOR 1539 ELEVENTH AVENUE STATE OF MONTANA DIRECTOR'S OFFICE: (406) 444-2074 PO BOX 201601 FAX: (406) 444-2684 HELENA, MONTANA 59620-1601 Bethany Langne, Clerk City of Laurel Anna M. Miller Conservation and Resource June 7, 2018 Laurel Loan WRF-10-188 Payoff The payoff for this loan is as of 6/26/2018: Interest $ 4,424.83 Principal $ 331,000.00 Total $ 335,424.83 Send your check to the Saint Paul address. If you mail the check June 20th, this will be just fine. Please see attached. Let me know if you have questions. Cc: Greg Skutnik, USB, w/ Cid Sivils w/ Laurel WRF 10-188 w/ AMM:dc DIRECTOR'S CONSERVATION & RESOURCE OFFICE DEVELOPMENT DIVISION (406) 444-2074 (406) 444-6667 BOARD OF OIL & GAS TRUST LAND MANAGEMENT CONSERVATION DIVISION DIVISION (406) 444-6675 (406) 444.2074 C3 q 0) CrA fm CD B C-11 "4 V 0 zwo 121 ka 0 52 02 �> E 9., w �-gw, - w a o z sig cxq�� w 9 & z di W.� xw 0 LU,*S jr 1 0 co UJ 0o wt CL \t a) CD CY) m J o J-.v5=r&..G..r.d , Corporate Trust Services PJune 7, 2018 O Box 64111 5t. Paul, MN 55164-0111 - — DNRC Borrowers Participating in the SRF/WRF Loan Programs Re: Invoice for Loan Payment Due July 01, 2018 If payment is made by wire or ACH, please fax or e-mail this memo per the instructions below at least one the day prior to payment. Please reference the BORROWER NAME and LOAN NUMBER for proper credit. Fax to Maria Rosado (651) 466-7415 or e-mail to maria.rosadoCO3)usbank.com BORROWER NAME I LOAN NUMBER I DOLLAR AMOUNT Total Wire By Wire U.S. Bank NA ABA 091000022 Account#180121167365 Reference: Petrodata DNRC Loan Borrower Name/Loan Number Alin: Maria Rosado By ACH U.S. Bank Montana ABA 091000022 Account# 152011599486 Reference.: Petrodata DNRC Loan Borrower Name%Loan Number IMPORTANT If payment is made by check, please include either the tear -off stub (if part of the form) or a copy of the Amortization Schedule. Please make sure that SpA Lockbox CM9695 is on the check. By Check U.S. Bank Trust -SpA Lockbox CM9695 (This is is the Payee that should be on the check) Attn: Operations Center PO Box 70870 1200 Energy Park Drive St. Paul, MN 55170 New Audit Confirmation Request Process Announced See page -2- for information and register at: haps.://www.conftrmation.co'm/ If needed, the breakdown between principal and interest due can be found on the Final Schedule B provided at the time the loan was completed. If you should have any questions please contact Greg.Skutnik@usbank.com (206) 344-4607, Deborah.Kuykendan@usbank.com (206) 344-4681 or Julie.Kammueller@usbank.coin 651466-6113. RESOLUTION NO. R18-31 A RESOLUTION OF THE CITY COUNCIL ADOPTING A MANAGEMENT BUDGET TO ASSIST THE CITY'S DEPARTMENT HEADS WITH PROJECTING AND MANAGING THEIR RESPECTIVE BUDGETS FOR THE FISCAL YEAR. WHEREAS, the City will adopt its final budget in August or September 2018 pursuant to Montana law; and WHEREAS, the City wishes to implement a management budget for its department heads to increase consistency in the planning and completion of various City projects during the available construction months in Montana. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Laurel, Montana, that the City Council hereby adopts the management budget provided to assist the City's department heads to uniformly and consistently manage their respective budgets. The management budget is available for public inspection and review at the City Clerk's Office in City Hall. Introduced at a meeting of the City Council on June 19, 2018, by Council Member PASSED and ADOPTED by the City Council of the City of Laurel, Montana, this 19th day of June 2018. CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk -Treasurer APPROVED AS TO FORM: Sam Painter Civil City Attorney R18-31 Adopt Management Budget HA I )�119 &W BE IT RESOLVED by the City Council of the City of Laurel, Montana, Section 1: Approval. The Agreements between the City of Laurel and Laurel Rural Fire District No. 5, relating to fire protection for the respective fiscal years: 2018- 2019, 2019-2020, 2020-2021, copies attached hereto, be and the same are hereby approved. Section 2: Execution. The Mayor and the City Clerk of the City of Laurel are hereby given authority to execute said agreements on behalf of the City. Introduced at a meeting of the City Council on June 19, 2018, by Council Member PASSED and ADOPTED by the City Council of the City of Laurel, Montana, this 19"' day of June 2018. CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk -Treasurer Sam Painter Civil City Attorney R18-32 Fire District No. 5 AGREEMENT THIS AGREEMENT, made and entered into this I" day of July, 2018, by and between the CITY OF LAUREL, a municipal Corporation, Yellowstone County, Montana, hereinafter known as the City, and RURAL FIRE DISTRICT NO. 5, a rural fire district, organized and established by the Board of County Commissioners, of Yellowstone County Montana, pursuant to the laws of Montana, made and provided, hereinafter called the FIRE DISTRICT. WHEREAS, the said Fire District has requested the City to provide fire protection to the said district and the said City is agreeable to provide said fire protection. NOW, THEREFORE, for the mutual benefit and advantage of each, it is herewith agreed as follows: I. That the said City, in consideration of the covenants and agreements of the said Fire District hereafter agrees as follows: 1. To dispatch the City fire equipment and personnel to fight fires, explosions, or to answer emergency resuscitation calls to endangered property within the said Fire District upon notification to the City. 2. It is expressly agreed and understood that the amount dispatched, the type of equipment, the number of personnel dispatched, the manner of fighting the fire or explosion, etc., shall be at the sole discretion of the City and its personnel. 3. It is further mutually covenanted, agreed and understood that in the event fire or explosion or resuscitation calls shall occur simultaneously in the District and within the municipal boundaries that the said City shall have the preference to use its equipment and manpower in protecting the City property first, and that protection of City inhabitants and property shall have preference and priority over all call, demand of the District. 4. The City shall have the responsibility for investigating all fires within the District or explosions and attempting to determine the cause of same. II. The District in consideration of the covenants and agreements of the City, as herein stated, agrees as follows: 1. To pay to the City the total sum of $16,568.34, the same to be divided into two equal payments due December 31, 2018 and June 30, 2019. 2. In the event the District is enlarged or additional homes or buildings built therein, the City may adjust the compensation upwards as required for the additional protection. 3. The District agrees to cooperate with the City and City Fire Department in the inspection of property to be protected and to cooperate in reducing fire risks as may be suggested from time to time by Fire Department personnel. It is mutually covenanted, agreed and understood that the term of the Agreement shall be for one (1) year, commencing on the IIt day of July, 2018 and ending on the 30th day of June 2019. RURAL FIRE DISTRICT NO.5 (Aecl d� CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk/Treasurer AGREEMENT THIS AGREEMENT, made and entered into this 1St day of July, 2018, by and between the CITY OF LAUREL, a municipal Corporation, Yellowstone County, Montana, hereinafter known as the City, and RURAL FIRE DISTRICT NO. 5, a rural fire district, organized and established by the Board of County Commissioners, of Yellowstone County Montana, pursuant to the laws of Montana, made and provided, hereinafter called the FIRE DISTRICT. WHEREAS, the said Fire District has requested the City to provide fire protection to the said district and the said City is agreeable to provide said fire protection. NOW, THEREFORE, for the mutual benefit and advantage of each, it is herewith agreed as follows: I. That the said City, in consideration of the covenants and agreements of the said Fire District hereafter agrees as follows: 1. To dispatch the City fire equipment and personnel to fight fires, explosions, or to answer emergency resuscitation calls to endangered property within the said Fire District upon notification to the City. 2. It is expressly agreed and understood that the amount dispatched, the type of equipment, the number of personnel dispatched, the manner of fighting the fire or explosion, etc., shall be at the sole discretion of the City and its personnel. 3. It is further mutually covenanted, agreed and understood that in the event fire or explosion or resuscitation calls shall occur simultaneously in the District and within the municipal boundaries that the said City shall have the preference to use its equipment and manpower in protecting the City property first, and that protection of City inhabitants and property shall have preference and priority over all call, demand of the District. 4. The City shall have the responsibility for investigating all fires within the District or explosions and attempting to determine the cause of same. II. The District in consideration of the covenants and agreements of the City, as herein stated, agrees as follows: 1. To pay to the City the total sum of $17,065.39, the same to be divided into two equal payments due December 31, 2019 and June 30, 2020. 2. In the event the District is enlarged or additional homes or buildings built therein, the City may adjust the compensation upwards as required for the additional protection. 3. The District agrees to cooperate with the City and City Fire Department in the inspection of property to be protected and to cooperate in reducing fire risks as may be suggested from time to time by Fire Department personnel. It is mutually covenanted, agreed and understood that the term of the Agreement shall be for one (1) year, commencing on the 1St day of July, 2019 and ending on the 301h day of June 2020. RLJRAL FIRE DISTRICT NO.5 CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk/Treasurer AGREEMENT THIS AGREEMENT, made and entered into this 1St day of July, 2018, by and between the CITY OF LAUREL, a municipal Corporation, Yellowstone County, Montana, hereinafter known as the City, and RURAL FIRE DISTRICT NO. 5, a rural fire district, organized and established by the Board of County Commissioners, of Yellowstone County Montana, pursuant to the laws of Montana, made and provided, hereinafter called the FIRE DISTRICT. WHEREAS, the said Fire District has requested the City to provide fire protection to the said district and the said City is agreeable to provide said fire protection. NOW, THEREFORE, for the mutual benefit and advantage of each, it is herewith agreed as follows: I. That the said City, in consideration of the covenants and agreements of the said Fire District hereafter agrees as follows: 1. To dispatch the City fire equipment and personnel to fight fires, explosions, or to answer emergency resuscitation calls to endangered property within the said Fire District upon notification to the City. 2. It is expressly agreed and understood that the amount dispatched, the type of equipment, the number of personnel dispatched, the manner of fighting the fire or explosion, etc., shall be at the sole discretion of the City and its personnel. 3. It is further mutually covenanted, agreed and understood that in the event fire or explosion or resuscitation calls shall occur simultaneously in the District and within the municipal boundaries that the said City shall have the preference to use its equipment and manpower in protecting the City property first, and that protection of City inhabitants and property shall have preference and priority over all call, demand of the District. 4. The City shall have the responsibility for investigating all fires within the District or explosions and attempting to determine the cause of same. II. The District in consideration of the covenants and agreements of the City, as herein stated, agrees as follows: 1. To pay to the City the total sum of $17,577.35, the same to be divided into two equal payments due December 31, 2020 and June 30, 2021. 2. In the event the District is enlarged or additional homes or buildings built therein, the City may adjust the compensation upwards as required for the additional protection. 3. The District agrees to cooperate with the City and City Fire Department in the inspection of property to be protected and to cooperate in reducing fire risks as may be suggested from time to time by Fire Department personnel. It is mutually covenanted, agreed and understood that the term of the Agreement shall be for one (1) year, commencing on the I" day of July, 2020 and ending on the 30`h day of June 2021. RUPAL FI ISTRICT NO.5 CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk/Treasurer RESOLUTION NO. R18-33 AW -Wel [IN Ito] 96MAMIMA I OX.1t] U 11-1-0 1 BE IT RESOLVED by the City Council of the City of Laurel, Montana, Section 1: Approval. The Agreements between the City of Laurel and the Laurel Urban Fire Service Area ("LUFSA") relating to fire protection for the respective fiscal years: 2018-2019, 2019-2020, 2020-2021, copies attached hereto, be and the same are hereby approved. Section 2: Execution. The Mayor and the City Clerk of the City of Laurel are hereby given authority to execute said agreements on behalf of the City. Introduced at a meeting of the City Council on June 19, 2018, by Council Member PASSED and ADOPTED by the City Council of the City of Laurel, Montana, this 19"' day of June 2018. CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk -Treasurer APPROVED AS TO FORM: Sam Painter Civil City Attorney R18-33 Fire Protection Agreements: Laurel Urban Fire Service Area ("LUFSA") AGREEMENT FOR LAUREL URBAN FIRE SERVICE AREA (LUFSA) FIRE SERVICES THIS AGREEMENT is made and entered into this 1" day.of July, 2018, by and between the City of Laurel, Montana, a municipal corporation, hereinafter referred to as the "City" and the Laurel Urban Fire Service Area, hereinafter referred to as the "LUFSA". WITNESSETH WHEREAS, the City maintains a fire department and is willing to provide fire protection, prevention, and investigation services to properties within the LUFSA at the same level as such services are provided to properties within the limits of the City, upon the terms and conditions hereinafter provided; and, WHEREAS, the LUFSA has been duly and properly created by the Board of County Commissioners of Yellowstone County pursuant to the provisions of Sections 7-33-2401 through 7-33-2404, inclusive, of the Montana Code Annotated; and, WHEREAS, attached hereto and by this reference made a part hereof is the LUFSA boundary description and map; and, WHEREAS, the LUFSA desires to obtain the said fire services from the City by entering into a contract with the City for such services; and, WHEREAS, the Board of County Commissioners for Yellowstone County has transferred the management of the LUFSA to a Board of Trustees in accordance with Section 7-33-2403, MCA. NOW, THEREFORE, it is agreed by and between the parties hereto as follows: 1. Services. The City will furnish the following services to properties and residents within the LUFSA, at the same level as such services are provided to properties and residents within the limits of the fire districts served by the City. 1 a. fire protection and suppression; b. fire prevention; C. fire investigations; The City further agrees to provide grassland, rangeland, and timberland fire protection services to properties located within the LUFSA. This fire protection service will be financed under separate contracts between Yellowstone County and the City of Laurel. 2. SERVICE AREA Fire services will be provided to all properties located within the boundaries of the LUFSA as specified in the resolution of the Yellowstone County Commissioners creating said LUFSA, and as amended from time to time by agreement of the parties. Any enlargement of the LUFSA will not receive fire service unless approved in writing by the City. 3. ANNEXATION In the event the City or its fire districts annex property located with the LUFSA said properties will automatically be excluded from the LUFSA only at the expiration of the contract term or at such time as this Agreement is otherwise .terminated. Any properties within the LUFSA which are annexed into the City or its fire districts will continue to be responsible for payments of charges to LUFSA, attributable to the remainder of the contract period following the date of annexation. On the beginning of the new Contract period annexed property will no longer be required to pay charges for services provided through the LUFSA. 4. EFFECTIVE This agreement shall be effective on July 1, 2018, and shall terminate on June 30, 2019. 5. RENEWAL This Agreement may be renewed, with the terms and conditions of the renewal Agreement to be as mutually agreed upon by the parties. 6. CHARGES AND PAYMENTS The fee for providing services for this Agreement shall be eighty-eight thousand six hundred eighteen dollars and 61/100 ($88 618.61). One-half of the said fee shall be paid by Yellowstone County on behalf of the LUFSA, on or before December 31, 2018. The remaining one-half shall be paid on or before June 30, 2019. The parties understand and agree that the Yellowstone County Commissioners shall annually establish, levy and collect an assessment against all structures located within the LUFSA, sufficient to pay all charges against LUFSA under this Agreement. These assessments shall be included on the annual property tax bills processed by Yellowstone County and shall be collected in the same manner as property taxes are collected. 2 7. INDEMNIFICATION The City will be liable for any injury to person or damage to property caused by negligence of the City or its employees in performance of its obligations under this Agreement. The City hereby agrees to indemnify and hold harmless the LUFSA from any claims for such injury or damage. 8. ANNUAL REPORT The City will furnish an annual written report to LUFSA, which will include the number, and type of incidents responded to within the LUFSA by City personnel. 9. MODIFICATION This Agreement cannot be modified or amended except in writing executed by the parties. IN WITNESS WHEREOF, the parties have executed by this Agreement the day and year first above written. LAUL URB S &AREA Trustee Trustee CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk/Treasurer AGREEMENT FOR LAUREL URBAN FIRE SERVICE AREA (LUFSA) FIRE SERVICES THIS AGREEMENT is made and entered into this 1St day of July, 2018, by and between the City of Laurel, Montana, a municipal corporation, hereinafter referred to as the "City" and the Laurel Urban Fire Service Area, hereinafter referred to as the "LUFSA". WITNESSETH WHEREAS, the City maintains a fire department and is willing to provide fire protection, prevention, and investigation services to properties within the LUFSA at the same level as such services are provided to properties within the limits of the City, upon the terms and conditions hereinafter provided; and, WHEREAS, the LUFSA has been duly and properly created by the Board of County Commissioners of Yellowstone County pursuant to the provisions of Sections 7-33-2401 through 7-33-2404, inclusive, of the Montana Code Annotated; and, WHEREAS, attached hereto and by this reference made a part hereof, is the LUFSA boundary description and map; and, WHEREAS, the LUFSA desires to obtain the said fire services from the City by entering into a contract with the City for such services; and, WHEREAS, the Board of County Commissioners for Yellowstone County has transferred the management of the LUFSA to a Board of Trustees in accordance with Section 7-33-2403, MCA. NOW, THEREFORE, it is agreed by and between the parties hereto as follows: 1. Services. The City will furnish the following services to properties and residents within the LUFSA, at the same level as such services are provided to properties and residents within the limits of the fire districts served by the City: 1 a. fire protection and suppression; b. fire prevention; C. fire investigations; The City further agrees to provide grassland, rangeland, and timberland fire protection services to properties located within the LUFSA. This fire protection service will be financed under separate contracts between Yellowstone County and the City of Laurel. 2. SERVICE AREA Fire services will be provided to all properties located within the boundaries of the LUFSA as specified in the resolution of the Yellowstone County Commissioners creating said LUFSA, and as amended from time to time by agreement of the parties. Any enlargement of the LUFSA will not receive fire service unless approved in writing by the City. 3. ANNEXATION In the event the City or its fire districts annex property located with the LUFSA said properties will automatically be excluded from the LUFSA only at the expiration of the contract term or at such time as this Agreement is otherwise terminated. Any properties within the LUFSA which are annexed into the City or its fire districts will continue to be responsible for payments of charges to LUFSA, attributable to the remainder of the contract period following the date of annexation. On the beginning of the new Contract period annexed property will no longer be required to pay charges for services provided through the LUFSA. 4. EFFECTIVE This agreement shall be effective on July 1, 2019, and shall terminate on June 30, 2020. 5. RENEWAL This Agreement may be renewed, with the terms and conditions of the renewal Agreement to be as mutually agreed upon by the parties. 6. CHARGES AND PAYMENTS The fee for providing services for this Agreement shall be ninety one thousand two hundred seventy seven dollars and 17/100 ($91,277.17). One-half of the said fee shall be paid by Yellowstone County on behalf of the LUFSA, on or before December 31, 2019. The remaining one-half shall be paid on or before June 30, 2020. The parties understand and agree that the Yellowstone County Commissioners shall annually establish, levy and collect an assessment against all structures located within the LUFSA, sufficient to pay all charges against LUFSA under this Agreement. These assessments shall be included on the annual property tax bills processed by Yellowstone County and shall be collected in the same manner as property taxes are collected. PA 7. INDEMNIFICATION The City will be liable for any injury to person or damage to property caused by negligence of the City or its employees in performance of its obligations under this Agreement. The City hereby agrees to indemnify and hold harmless the LUFSA from any claims for such injury or damage. &. ANNUAL REPORT The City will furnish an annual written report to LUFSA, which will include the number, and type of incidents responded to within the LUFSA by City personnel. 9. MODIFICATION This Agreement cannot be modified or amended except in writing executed by the parties. IN WITNESS WHEREOF, the parties have executed by this Agreement the day and year first above written. K Trustee CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk/Treasurer AGREEMENT FOR LAUREL URBAN FIRE SERVICE AREA (LUFSA) FIRE SERVICES THIS AGREEMENT is made and entered into this 1St day of July, 2018, by and between the City of Laurel, Montana, a municipal corporation, hereinafter referred to as the "City" and the Laurel Urban Fire Service Area, hereinafter referred to as the "LUFSA". WITNESSETH WHEREAS, the City maintains a fire department and is willing to provide fire protection, prevention, and investigation services to properties within the LUFSA at the same level as such services are provided to properties within the limits of the City, upon the terms and conditions hereinafter provided; and, WHEREAS, the LUFSA has been duly and properly created by the Board of County Commissioners of Yellowstone County pursuant to the provisions of Sections 7-33-2401 through 7-33-2404, inclusive, of the Montana Code Annotated; and, WHEREAS, attached hereto and by this reference made a part hereof; is the LUFSA boundary description and map; and, WHEREAS, the LUFSA desires to obtain the said fire services from the City by entering into a contract with the City for such services; and, WHEREAS, the Board of County Commissioners for Yellowstone County has transferred the management of the LUFSA to a Board of Trustees in accordance with Section 7-33-2403, MCA. NOW, THEREFORE, it is agreed by and between the parties hereto as follows: 1. Services. The City will furnish the following services to properties and residents within the LUFSA, at the same level as such services are provided to properties and residents within the limits of the fire districts served by the City: 1 a. fire protection and suppression; b. fire prevention; C. fire investigations; The City further agrees to provide grassland, rangeland, and timberland fire protection services to properties located within the LUFSA. This fire protection service will be financed under separate contracts between Yellowstone County and the City of Laurel. 2. SERVICE AREA Fire services will be provided to all properties located within the boundaries of the LUFSA as specified in the resolution of the Yellowstone County Commissioners creating said LUFSA, and as amended from time to time by agreement of the parties. Any enlargement of the LUFSA will not receive fire service unless approved in writing by the City. 3. ANNEXATION In the event the City or its fire districts annex property located with the LUFSA said properties will automatically be excluded from the LUFSA only at the expiration of the contract term or at such time as this Agreement is otherwise terminated. Any properties within the LUFSA which are annexed into the City or its fire districts will continue to be responsible for payments of charges to LUFSA, attributable to the remainder of the contract period following the date of annexation. On the beginning of the new Contract period annexed property will no longer be required to pay charges for services provided through the LUFSA. 4. EFFECTIVE This agreement shall be effective on July 1, 2020, and shall terminate on June 30, 2021. 5. RENEWAL This Agreement may be renewed, with the terms and conditions of the renewal Agreement to be as mutually agreed upon by the parties. 6. CHARGES AND PAYMENTS The fee for providing services for this Agreement shall be ninety four thousand fifteen dollars and 49/100 ($94,015.49). One-half of the said fee shall be paid by Yellowstone County on behalf of the LUFSA, on or before December 31, 2020. The remaining one-half shall be paid on or before June 30, 2021. The parties understand and agree that the Yellowstone County Commissioners shall annually establish, levy and collect an assessment against all structures located within the LUFSA, sufficient to pay all charges against LUFSA under this Agreement. These assessments shall be included on the annual property tax bills processed by Yellowstone County and shall be collected in the same manner as property taxes are collected. 0) 7. INDEMNIFICATION The City will be liable for any injury to person or damage to property caused by negligence of the City or its employees in performance of its obligations under this Agreement. The City hereby agrees to indemnify and hold harmless the LUFSA from any claims for such injury or damage. 8. ANNUAL REPORT The City will furnish an annual written report to LUFSA, which will include the number, and type of incidents responded to within the LUFSA by City personnel. 9. MODIFICATION This Agreement cannot be modified or amended except in writing executed by the parties. IN WITNESS WHEREOF, the parties have executed by this Agreement the day and year first above written. CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk/Treasurer • • ` , ' i 1 It J Tn��f PP 1 FUSUM; Trustee 3 RESOLUTION NO. R18-34 A RESOLUTION AUTHORIZING THE MAYOR TO EXECUTE A CONTRACT FOR THE CHIEF ADMINISTRATIVE OFFICER POSITION BETWEEN THE CITY OF LAUREL AND MATTHEW R. LURKER, SR. BE IT RESOLVED by the City Council of the City of Laurel, Montana: Section 1: Approval. The contract negotiated between the City's Mayor and Matthew R. Lurker, Sr. for the Chief Administrative Officer position is accepted and hereby approved. A copy is attached hereto for convenience. Section 2: Execution. The Mayor and City Clerk -Treasurer of the City of Laurel are hereby given authority to accept and execute said agreement on behalf of the City. Introduced at a meeting of the City Council on June 19, 2018, by Council Member PASSED and ADOPTED by the City Council of the City of Laurel, Montana, this 19'h day of June 2018. CITY OF LAUREL Thomas C. Nelson, Mayor ATTEST: Bethany Langve, Clerk -Treasurer APPROVED AS TO FORM: Sam Painter Civil City Attorney R18-34 Chief Administrative Officer Contract Chief Administrative Officer This employment contract is made and effective this 20th day of June, 2018 by and between the City of Laurel, Montana, hereinafter referred to as "City" and Matthew R. Lurker Sr., hereinafter referred to as the "Employee." When the term "parties" is utilized in this contract, the term means the "City and Employee," jointly. In consideration of their mutual promises set forth herein, the parties hereby agree as follows: 1 Employment. City hereby employs Employee in accordance with Article III, Section 3 of the City's Charter and Employee hereby accepts such employment, upon the terms and conditions set forth in this written contract of employment. The parties intend to create a written contract of employment in accordance with MCA §39-2-912(2) and therefore agree that this contract and the City's Job Description attached hereto constitutes the entire agreement between the parties and that no oral promises, representations or warranties have been made or are an enforceable part of this contract. 1.1 Employee shall serve as the City's Chief Administrative Officer "CAO." The City has classified the position as an Exempt/Non-Union Position as contained in the Job Description attached hereto and incorporated herein. Employee shall commence employment under this Contract upon approval by the City Council. 1.2 Employee shall perform the essential duties and responsibilities contained in the attached Job Description and shall report directly to the City's Mayor. 1.3 The CAO shall not be reassigned from the position of City CAO to another position without the CAO's prior express written consent. 2 Salary. City shall compensate Employee, as an Exempt Non -Union Salary Employee as follows: 2.1 City shall pay Employee for services rendered pursuant hereto an annual salary in the sum of $73,000 payable in equal installments at the same time as other employees of the City are paid. Employee shall serve a six-month (180 calendar day) probation period. Upon successful completion of the probation period, Employee's annual salary shall increase to $78,000 for the Exempt Position. Employee thereafter is eligible for an annual increase on the anniversary of the Employee's start date of this Contract. Employee's annual increase shall be calculated at 1.5% of the then current salary of the Employee. 2.2 Expenses: City recognizes that certain expenses of a non -personal and generally job - affiliated nature are incurred by Employee, and hereby agrees to reimburse or to pay reasonable expenses and the City Clerk, upon approval by the Mayor, is hereby authorized to disburse such monies upon receipt of duly executed expense or petty cash vouchers, receipts, statements or personal affidavits. 2.3 Taxes: All payments made to and on behalf of Employee under this contract are subject to withholding of any required federal, state or local income and employment taxes. 3 Term. 3.1 The term of this contract shall be for four (4) years commencing the date the City Council approves the contract. The City Council may extend or renew the contract as desired. 3.2 Nothing in this contract shall prevent, limit or otherwise interfere with the authority of the Mayor to terminate the services of Employee at any time, subject only to the provisions set forth in Section 7, Paragraphs 7.1 through 7.5, of this contract. 3.3 Nothing in this contract shall prevent, limit or otherwise interfere with the right of the Employee to resign at any time from the position with City, subject only to the provision set forth in Section 7, Paragraphs 7.4 and 7.6 of this contract. 3.4 Employee agrees to remain in the exclusive employ of City and to not accept any other employment or to become employed by any other employer unless termination is affected as hereinafter provided. The term "employ and/or employed" shall not be construed to include occasional teaching, writing, consulting or military (Reserve, National Guard, or Auxiliary) service performed on Employee's time off. Provided that, with the prior written consent of the Mayor, Employee may continue outside professional employment (i.e. family business) which shall not in any way interfere with the performance of the city CAD's duties. 4 Suspension. The Mayor may suspend the Employee in accordance with the City's Personnel Policy Manual at anytime during the term of this contract. Notice of suspension shall be made by the Mayor, in writing, identifying the start and end dates of suspension and reason for suspension. S Benefits. The City shall provide Employee the following benefits: 5.1 The City shall provide Employee the same benefits provided its other non-union exempt employees under the City's Personnel Policy Manual, as amended, and as required by applicable state and federal law. 6 Representations and Warranties. Employee represents that he/she shall attain and maintain the standard of personal and professional conduct required by City; the resume and/or employment application furnished to City are true and accurate in all respects, are not misleading, and do not omit the provision of any material information; that the education and experience of Employee is as stated in the resume and/or application; that Employee is in good health; that Employee knows of no present condition which now or in the future may adversely affect his/her health or his/her ability to perform his/herjob; and that Employee has fully disclosed to City all facts which are material to City's decision to employ the Employee. 2 7 Termination of Employment. 7.1 This contract and Employee's employment immediately terminate upon Employee's death or finding or determination of a disability that prevents the Employee from performing the essential duties and responsibilities of the City's CAO. 7.2 If the Mayor terminates Employee without cause and Employee is willing and able to perform his/her duties under this contract then City shall pay Employee a severance payment equivalent to four (4) calendar months of Employee's then current salary. Employee shall also be compensated for all accrued and remaining vacation leave, computed on an hourly basis determined by dividing the Employee's then current annual salary by 2080 hours, and in accordance with the City's Personnel Policy Manual. City shall comply with all IRS rules and regulations governing severance pay and tax withholding requirements. However, if Employee is terminated "for cause" or voluntarily resigns his/her employment the City has no obligation to pay the severance payment provided in this paragraph. Employee shall receive payment for any remaining vacation balance as described in this paragraph. For cause means any legitimate business reason, or as otherwise defined by Montana law. 7.3 During the effective date of this contract, if City involuntarily reduces Employee's salary or otherwise refuses to comply with any provision of this contract that benefits Employee, he/she, at his/her option, may elect to be considered terminated without cause entitling him/her to the severance payment provision contained in paragraph 7.2. 7.4 If Employee resigns following a formal suggestion by the Mayor that he/she resign for no cause, Employee, may at his/her option, elect to be considered terminated at the date of such suggestion entitling him/her to the severance payment provision contained in paragraph 7.2. 7.5 If City's Mayor terminates Employee without cause at any time during the six (6) calendar months subsequent to the seating and swearing-in of a newly elected Mayor while Employee is willing and able to perform his duties under this contract, Employer shall pay the severance sum provided in paragraph 7.2 above. 7.6 If Employee voluntarily resigns his/her position with City he/she must provide the City with thirty (30) calendar days advance notice, unless the parties otherwise agree in writing. 7.7 If Employee's termination results from death or disability, City's final compensation to Employee is limited to payment for services rendered to date and payment for any accrued and remaining vacation leave in accordance with Section V of the City's Personnel Policy Manual 7.8 If Employee's termination results from cause, Employer's final compensation to Employee is limited to payment for services rendered to date in accordance with Section V of the City's Personnel Policy Manual, and payment for any accrued and remaining vacation leave calculated at the then current salary. 7.9 Conditioned upon the City fulfilling its obligations to pay the Severance Amount, the Severance Benefits and the Current Obligations, upon a Unilateral Severance, the CAO waives and releases the CAO's rights to continued employment with the City and the parties waive and release the right to a hearing on the issue of good cause. In the event of a Unilateral Severance, the parties agree not to make disparaging comments or statements about each other. 8 Confidentiality. Employee acknowledges that during his/her course of employment he/she might obtain and gather confidential information regarding the City's operations or employees. Employee further acknowledges that all confidential information is the City's property and in no event shall Employee disclose such information to any person or entity unless disclosure is requested by the City or required by law. 9 Performance Evaluation. The Mayor shall review and evaluate the performance of Employee at least once annually. The review and evaluation shall be in accordance with specific criteria developed jointly by the Mayor and Employee. Criteria may be added or deleted as the Mayor may from time to time determine necessary and proper, in consultation with the Employee. Each year, on a date agreed between the Employee and the Mayor, Employee shall provide the Mayor a self-evaluation based upon mutually agreed upon goals and performance objectives. The Mayor shall personally review the evaluation with the Employee and provide Employee an adequate opportunity to discuss the evaluation with the Mayor. 9.1 In the event the Mayor determines that the evaluation instrument, format and/or procedure are to be modified, and such modifications would require new or different performance expectations, then the Employee shall be provided a reasonable period of time to demonstrate such expected performance before being evaluated. 9.2 Unless the Employee expressly requests otherwise in writing, except to the extent prohibited by or in material conflict with Applicable Laws and Authorities, the evaluation of the Employee shall at all times be conducted in a meeting with the Mayor and shall be considered private to the maximum and full extent permitted by law. Nothing herein shall prohibit the Mayor or the Employee from sharing the content of the Employee's evaluation with their respective legal counsel. 10 Professional Development. City shall budget and pay for the travel and subsistence expenses of Employee for short courses, instates, certifications, and seminars that are necessary for his/her professional development for the good of the City, if funding is available. The City desires Employee join and participate in local organizations including, but not limited to, the local Rotary Club, Laurel Chamber of Commerce, Montana League of Cities and Towns, Great Open Spaces City Management Association, and the International City/County Management Association. City shall pay Employee's membership dues and annual conference fees to encourage such membership and attendance. 4 11 Bonding. City shall bear the full cost of any fidelity or other bonds required of the Employee under its Charter or any applicable law or ordinance. 12 OtherTerms and Conditions of Employment. The Mayor, in consultation with the Employee, shall fix other terms and conditions of employment, as they may determine necessary from time to time, relating to the performance of Employee provided such terms and conditions are not inconsistent with or in conflict with the provisions of this contract, the City's Charter, Ordinances or any other applicable law. 13 Indemnification. City shall defend, save harmless and indemnify Employee against any tort, professional liability claim or demand or other legal action, costs and attorney's fees incurred in any legal proceedings, whether groundless or otherwise, arising out of an alleged act or omission occurring in the performance of Employee's duties. City may compromise and settle any such claim or suit and will pay the amount of any settlement orjudgment rendered thereon. The obligations of City under this section shall not apply if: 13.1 The conduct of Employee complained of constitutes oppression, fraud or malice, or for any reason does not arise out of the course and scope of Employee's employment; or, 13.2 The conduct of Employee complained of constitutes a criminal offense as defined under Montana law; or, 13.3 Employee compromised or settled the claim without the consent of City; or, 13.4 Employee fails or refuses to cooperate reasonably in the defense of the case. 14 Availability. Employee acknowledges that the CAO must be available by either cell or telephone after work hours in cases of emergency. Employee shall provide the Mayor and appropriate department heads his/her contact information for after hour emergency notifications. The City does not require the CAO to be on-call, simply available by telephone if an emergency should arise for purposes of notification. 15 Miscellaneous. This contract contains the entire agreement and supersedes all prior agreements and understandings, oral or written, with respect to the subject matter hereof. This contract may be changed only by an agreement in writing signed by the party against whom any waiver, change, amendment or modification is sought. This contract shall be construed and enforced in accordance with the City's Charter, Ordinances and applicable laws of the State of Montana. 16 Personal Contract. The obligations and duties of the Employee hereunder shall be personal and not assignable to any person or entity, although the contract is binding and shall inure to the benefit of Employee's heirs and executors at law. 17 Notices. Notices pursuant to this agreement shall be given in writing by deposit in the custody of the United States Postal Services, certified postage prepaid, addressed as follows: o If to CITY: Office of the Mayor, P.O. Box 10, Laurel, MT 59044; and + If to CAO: Matthew R. Lurker Sr., 4005 Pine Cove Rd., Billings, MT 59106 Notice shall be deemed delivered and received as of three business days after the date of deposit of such written notice in the course of transmission in the United States Postal Service. Either party may, from time to time by written notice to the other party, designate a different address for notice purposes. 18 Renekrotiation. The Parties may commence negotiation of a subsequent employment contract six (6) months prior to the expiration of this employment contract. IN WITNESS WHEREOF, the parties hereto have executed this Contract the day and year first above written. This contract is contingent upon its approval via Resolution of the City Council. EMPLOYEE Matthew R. Lurker Sr. CITY OF LAUREL Tom C. Nelson, Mayor ATTEST: Bethany Keeler, City Clerk -Treasurer