301307

ORANGE COUNTY SHERIFF'S OFFICE GENERAL ORDER Effective Date: December 28, 2009  Amends - GO 4.3.0 (May 1, 2009) Number: 4.3.0 Distribution: All Personnel Review Month: August Reviewing Authority: HRD / Employee Services Subject: Insurance This order consists of the following: 1. Purpose 2. Policy 3. Procedures 1. Purpose The purpose of this policy is to provide all full time employees with a degree of security against medical expenses and to help upgrade the health standard of employees and their families. 2. Policy The Sheriff shall provide the option of insurance benefits for all full -time employees. All insurance benefits may be modified by the Sheriff and will be reviewed annually to assess whether coverage provisions meet the needs of the agency and its employees. These benefits will be administered through Human Resources and Fiscal Management. Information will be provided by Human Resources, Risk Management. 3. Procedures A. Beneflex Statement 1. The Sheriff's Office administer s the Beneflex Plan for eligible employees. All benefits other than dependent life insurance are available on a pretax basis. 2. The Core Plan of Beneflex is paid 100% by the Sheriff's Office for the employee. The Core Plan consists of Single HRA Plan, Life Insurance and Accidental Death coverage equal to the annual salary, and Long Term Disability Insurance at 40% of salary with a maximum monthly benefit of $1,000 for sworn employees and 60% of salary with a maximum monthly benefit of $3,000 for non-sworn employees. 3. All employees must either be enrolled in a medical insurance option, or if they have a signed notarized statement certifying insurance coverage elsewhere may decline medical insurance. Employees who decline the medical portion will have credits to use for other benefits. All other choices under Beneflex are optional. 4. Chosen options cannot be changed except at the annual re -enrollment period or when there is a family status change. A family status change must 4.3.0 , Page 2 of 5 be made in writing with in thirty - one (31) days of the qualifying event (documentation has to be supplied to Human Resources, Risk Management ). Qualifying family status changes are as follows: a. Marriage or Divorce b. Birth or Adoption of a Child c. Death of Spouse or Child d. Termination of employment (employee or spouse) e. Significant change in coverage due to spouse's employment f. Change from full -time to part -time 5. Dependent coverage or coverage not included for the employee in the Core Plan may be selected at a contri butory cost. Rates are available from Human Resources, Risk Management/Benefits and in the Risk Management and Benefits folder on the OCSO Portal . B. Medical – Health/Hospitalization Options 1. All full -time employees of the Sheriff’s Office and their el igible dependents may participate in the Sheriff’s Office Medical Plan. Risk Management will provide information annually on the cost and coverage options for the group health insurance program. 2. Eligible dependents are classified as the spouse or unma rried children not regularly employed on a full -time basis and primarily dependent on the participant for support and maintenance. Coverage for dependent children ends the last day of the calendar year in which they turn 25 years of age. Coverage for an u nmarried dependent child who is not able to be self supporting because of mental retardation or a physical handicap after age 25 is permitted if the child is not able to be self supporting because of the mental retardation or physical handicap and dependen t mainly on the participant for support. The insurance provider may request evidence from the participant to substantiate dependent eligibility. The child of a dependent child may be covered from birth to 18 months. After 18 months, the employee must sho w proof of adoption or legal guardianship or coverage will be terminated . 3. Employees must choose which insurance plan within 3 1days from their date of hire. When employees choose a medical plan at orientation, the coverage becomes effective on the d ate of employment. Employees who do not choose a plan at orientation or within 3 1 days will automatically be enrolled in the Core Plan. 4. Employees that have a change in name must contact Human Resources to complete appropriate insurance forms. Updates to home addresses or home phone numbers shall be completed by the employee using the Lawson system. C. Dental Care 1. Dental insurance is an option. Three plans are available including a pre -paid 4.3.0 , Page 3 of 5 plan, a DPO Plan, and an Indemnity plan. 2. Detailed in formation on the dental plan is available in Human Resources, Risk Management and in the Risk Management and Benefits folder in the OCSO Portal . D. Vision Care Vision Care is an option. Detailed information on the vision care plan is available through Hu man Resources, Risk Management and in the Risk Management and Benefits folder on the OCSO Portal . E. Dependent Life Insurance Dependent Life Insurance is an option. Detailed information on the dependent life insurance plan is available through Human Res ources, Risk Management and in the Risk Management and Benefits folder on the OCSO Portal . F. Life Insurance Coverage 1. Life