HomeMy WebLinkAboutCC Resolution 9696 (Dental Insurance Provider; Metlife)RESOLUTION NO. 9696
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN
RAFAEL CHANGING DENTAL PROVIDER FROM DELTA
DENTAL INSURANCE COMPANY TO METROPOLITAN LIFE
INSURANCE COMPANY (METLIFE) EFFECTIVE OCTOBER 1,
1996.
RESOLVED, that the City Council of the City of San Rafael does hereby
authorize the City Manager to execute on behalf of the City of San Rafael, a
contract agreement between the City of San Rafael and Metropolitan Life
Insurance Company (METLIFE) designating METLIFE as the provider of group
dental insurance for eligible City of San Rafael employees.
I, JEANNE M. LEONCINI, Clerk of the City of San Rafael hereby certify
that the foregoing Resolution was introduced and adopted at a regular meeting
of the City Council of San Rafael on Monday, the 16th day of September, 1996,
by the following vote, to wit:
AYES: COUNCILMEMBERS: Cohen, Miller, Phillips & Mayor Boro
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: Heller
MANNE M. LEONbINI, CITY CLERK
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MetroNolitan Life Insurance Con.aany
(Herein called Metropolitan)
Application for Group Insurance
City of San Rafael
(Applicant)
Any Group Policy issued upon this application will be delivered in California . Such Policy will be considered a
California contract. The terms of such Policy will be construed in accordance with the laws of that jurisdiction.
Types of Insurance Applied for:
Dental Expense Benefits
"As specified in the letter dated July 2. 1996 to the
Citv of San Rafael" -
Employees Employees
Only and their
Dependents
[ ] [X]
Types of Financial Arrangements Requested:
Excess Risk [ n/a ]
Excess Risk and Special Premium Account [ n/a ]
Retrospective Premium Determination [ n/a ]
The premiums are to be paid on a monthly basis. An advance payment of $22.666 is attached.
It is agreed that:
(a) The conditions of eligibility, the amounts of the insurance and all of the terms and conditions under which the
insurance is to be provided will be set forth in the Group Policy (or Policies) issued.
(b) The Group Policy (or Policies) is to be issued only if all of the conditions listed in items (1) through (4) below
are met.
(1) This application has been accepted by Metropolitan at its Home Office or at such office as may be
designated by Metropolitan for that purpose.
(2) At least 50 of the persons who are eligible on the date of issue are to be insured on that date.
(3) If the insured persons must contribute to the cost of any type of insurance, at least 75% of all
persons who are eligible for each such type of insurance on the date of issue must make request, in
writing, for each such type of insurance. Such requests must be made on or prior to the date of issue.
(4) Metropolitan has received an amp equal to the initial premium as estimated by Metropolitan.
Dated at / , IA % �if91�%1(n11rtqe /on
Witri,
Form G.4980-1
Citv of San Rafael
Applicant
_ By
nature and Title
ATTEST: �M.
.
anne eoncini,
City Clerk COPY