Risk Mgn.

Risk Management
Marvin L. Hendrix, Risk Manager
Celia Magana, Administrative Assistant
Telephone (956) 216-5040 - Facsimile (956) 428-9439
Hours open: 8:00 am - 5:00 pm
Monday thru Friday
e-mail - mhendrix@myharlingen.us

PURPOSE

Risk Management is delegated the responsibility by the City Manager to ensure that City employees work in a safe environment, comply with Texas Workers' Compensation Commission (TWCC) rules and regulations, the laws of the state of Texas and all applicable federal regulations.

Risk Management maintains database information regarding motor vehicle operators, vehicles, mobile equipment, property, contractor/vendor insurance, safety training, liability, group medical and workers' compensation claims, FMLA filings, group life insurance census, UST's, volunteer duty hours, and property and casualty insurance.

INSURANCE

Risk Management is responsible for producing insurance bid specifications and administrating the City's health and workers' compensation benefits and property and casualty insurance claims. The staff provides counsel to employees regarding health and workers' compensation benefit claims.

SAFETY

Risk Management develops loss control programs, conducts internal complaint and accident investigations, identifies hazardous conditions and work practices, trains employees, produces written safety-oriented policies and manuals, compiles state-required reports and ensures the City complies with all applicable safety rules and regulations.

HEALTH INSURANCE BENEFITS FY 2005-2006
	*BCBS PPO HIGH PLAN*	*OUT of NETWORK*
	*BlueChoice Network*	*N/A*
Office Visits	$15 Co-pay Network Physician	70% after Calendar Year Deductible
*Deductibles	None	$500 Individual - $1,000 Family
Hospitalization	$100 Co-pay	70% After Per-Admission Deductible
Day Surgery	90%	70% after Calendar Year Deductible
Emergency Care	90% After $50 Co-pay 90% Physician’s Charges	90% After $50 Co-pay 90% Physician’s Charges
Pharmacy	$10 Generic $25 Preferred Brand $40 Non-Preferred Brand Rx Mail Service Available	80% of Allowable Amount After $10 Co-Payment 80% of Allowable Amount After $25 Co-Payment 80% of Allowable Amount After $40 Co-Payment Rx Mail Service Available
Certification	None in Network	$250 For Failure to Preauthorize

HEALTH INSURANCE BENEFITS FY 2005-2006
	*BCBS PPO LOW PLAN*	*OUT of NETWORK*
	*BlueChoice Network*	*N/A*
Office Visits	$25 Co-pay Network Physician	60% after Calendar Year Deductible
*Deductibles	None	$500 Individual - $1,000 Family
Hospitalization	$250 Co-pay	60% after Per Admission ($500) Deductible
Day Surgery	80%	60% after Calendar Year Deductible
Emergency Care	80% After $50 Co-pay 80% Physician’s Charges	80% After $50 Co-pay 80% Physician’s Charges
Pharmacy	$15 Generic $30 Preferred Brand $45 Non-Preferred Brand Rx Mail Service Available	80% of Allowable Amount After $10 Co-Payment 80% of Allowable Amount After $25 Co-Payment 80% of Allowable Amount After $40 Co-Payment Rx Mail Service Available
Certification	None in Network	$250 For Failure to Preauthorize

BENEFITS

GROUP LIFE INSURANCE - $13,000

C.O.B.R.A. benefits available upon resignation/termination

TEXAS WORKERS COMPENSATION BENEFITS

* Medical care and weekly disability payments to employees injured on the job

FLEXIBLE BENEFITS - ADMINISTERED BY AFLAC

* Tax-shelter for insurance, medical and child care expenses

DEFERRED COMPENSATION (optional)

* Tax sheltered deferred compensation accounts ICMA, PEBSCO

HEALTH/SAFETY & LOSS CONTROL

None in Network

$250 For Failure to Preauthorize

None in Network

$250 For Failure to Preauthorize