AI- 57765
Budget and Management 22.A.
CC - REGULAR
- Meeting Date:
- 12/13/2016
- Submitted For:
- Sergio Cruz
- Submitted By:
- Angelica M. Tapia, BUDGET & MANAGEMENT
- Department:
- BUDGET & MANAGEMENT
Information
CAPTION
Discussion, consideration and approval of the following Aetna Life Insurance Company forms, agreements and applications, with authority for County Judge to sign all required documents.
1. Escheatment Customer Election
2. NYHCRA Forms
3. Claim Fiduciary Agreement
4. Stop Loss Application
5. Plan Sponsor Letter of Agreement
1. Escheatment Customer Election
2. NYHCRA Forms
3. Claim Fiduciary Agreement
4. Stop Loss Application
5. Plan Sponsor Letter of Agreement
BACKGROUND
Fiscal Impact
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Budget and Management | Veronica Ortiz | 12/09/2016 03:00 PM |
| Final Approval | Monica Salinas | 12/09/2016 06:08 PM |
- Form Started By:
- Angélica M. Tapia
- Started On:
- 12/09/2016 12:47 PM
- Final Approval Date:
- 12/09/2016