65-K3 - plan design changes.pdf

This is a plan design changes document for the City of Burleson related to ancillary insurance benefits in Texas. The document outlines historical modifications to employee benefit plans, including life insurance, disability coverage, Employee Assistance Program (EAP), Health Savings Accounts (HSA), Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), COBRA administration, and voluntary worksite products. Key plan changes include the addition of Open Enrollment (OE) and ADA accommodations effective January 1, 2025, updates to Vision Standard (VSTD) maximum plan duration and Exclusive Provider (EP) terms effective January 1, 2025, and renewal modifications to Employee Benefits (EB) and Blue Cross (BL) coverage effective January 1, 2024. Premium rate adjustments occurred on January 1, 2022, and January 1, 2024, with rates remaining stable from January 1, 2019, through January 1, 2022.

The document references a sold proposal dated September 6, 2018 (City of Burleson Proposal - 9.6.18.pdf) that contains detailed rate information applicable to the January 1, 2019, through January 1, 2024, period. A renewal covering a two-year period commenced January 1, 2026. All referenced rates and specific pricing terms are contained within the attached proposal documentation and premium rate notices accompanying this plan design summary.