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Board clarifies lap‑band coverage: employee‑only, 5‑year requirement reinstated; current cases grandfathered
Summary
After review of minutes and forms, the committee confirmed the gastric bariatric benefit is employee‑only and reinstated a 5‑year employment/coverage requirement going forward; employees already moving through the process under a prior 2‑year waiver will be grandfathered.
The Self Insurance Board clarified eligibility for the county’s bariatric (lap‑band/gastric sleeve) benefit and voted to apply a 5‑year employment and coverage requirement going forward while grandfathering employees already in process under a prior waiver.
Staff told the board that plan documents and the explanation of coverage reference the procedure and direct…
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