ACTIVE EMPLOYEE MEDICAL BENEFITS. (1) The Cooperative shall pay for all active employees 99% percent of the NRECA PPO Group Insurance Plan coverage. Employees will pay 1% of the monthly medical premium. This plan includes the NRECA Premium Medical, Prescription, Dental and Vision coverage. (Amended 7/1/08) (Amended 7-1-09 and effective 1-1-10) (Amended and Effective 7-1-11) (2) The deductible will be $300/$900 (Individual Family) In-Network and $600/$1800 Out-of- Network (amended 7/1/05) (Amended 7-1-09 and effective 1-1-10) (3) All active and retired Employees will participate in the Share Program. (4) The annual Out-of-Pocket maximum will be $1000/$2000 (Individual/Family) In-Network and $2000/$4000 Out-of-Network. (added 7/1/05) (5) Plan includes a $10 office visit co-pay and is 90/10 In-Network and 70/30 Out-of- Network (added 7/1/05) (a) Employees and their dependents are eligible under the provisions of the Preferred Providor Organization (PPO) to receive payment of 80% of usual, reasonable and customary charges when: 1. PPO services are not available in the community in which they reside or the Reno/Sparks metropolitan area or; 2. Employee has an eligible dependent attending school away from home and there is not a PPO provider or; 3. Employee or dependent is traveling away from home and PPO services are not available or; 4. Employee is required to work away from their principle residence and PPO services are not available. The Cooperative’s responsibility under this Title will be limited to $500 per year per family. (6) Mac A Rx co-pays are: $10 generic (with card at Pharmacy) $20 brand (with card at Pharmacy) $10 generic - 90 day mail order $25 brand – 90 day mail order (added 7/1/05) (7) The Cooperative shall pay for physical examinations for all active employees. The Cooperative shall pay the difference of the amount billed and amount paid by any medical insurance for physical examinations. (8) The Cooperative may enroll in alternative NRECA medical plans if the benefit and service level is the same to the employee. If the cooperative wishes to change the plan it will confer with the union in advance of adoption. (9) The Cooperative will self fund 75% of the cost of corrective eye surgery up to a maximum of $2500 for employee only. (10) The Cooperative will self fund 50% of the actual cost of hearing aids, for employees only, once every 10 years. If recipient has alternative coverage, alternative coverage must pay first and the Cooperative’s liability shall be limited to 50% from any source. (11) Upon proof of coverage by another source, employees may elect to opt out of Cooperative provided Medical, Prescription, Dental and Vision coverage. Any employee choosing the opt-out provision shall receive a monthly stipend equal to 35% of the current premium Note: The term “Premium” as used to describe the current Medical, Prescription, Dental and Vision Plans refers to the current plan offerings from NRECA as modified in this CBA. Should NRECA change their plan offerings, a plan that is actuarially equivalent will be offered to employees.
Appears in 2 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement
ACTIVE EMPLOYEE MEDICAL BENEFITS. (1) The Cooperative shall pay for all active employees 99% percent of the NRECA PPO Group Insurance Plan coverage. Employees will pay 1% of the monthly medical premium. Employee cost shall not exceed 2% of the monthly employee only premium. This plan includes the NRECA Premium Medical, Prescription, Dental and Vision coverage. (Amended 7/1/08) (Amended 7-1-09 and effective 1-1-10) (Amended and Effective 7-1-11)
(2) The deductible will be $300/$900 250/$750 (Individual Family) In-Network and $600/$1800 500/$1500 Out-of- Network (amended 7/1/05) (Amended 7-1-09 and effective 1-1-10)
(3) All active and retired Employees will participate in the Share Program.
(4) The annual Out-of-Pocket maximum will be $1000/$2000 (Individual/Family) In-Network and $2000/$4000 Out-of-Network. (added 7/1/05)
(5) Plan includes a $10 office visit co-pay and is 90/10 In-Network and 70/30 Out-of- Network (added 7/1/05)
(a) Employees and their dependents are eligible under the provisions of the Preferred Providor Organization (PPO) to receive payment of 80% of usual, reasonable and customary charges when:
1. PPO services are not available in the community in which they reside or the Reno/Sparks metropolitan area or;
2. Employee has an eligible dependent attending school away from home and there is not a PPO provider or;
3. Employee or dependent is traveling away from home and PPO services are not available or;
4. Employee is required to work away from their principle residence and PPO services are not available. The Cooperative’s responsibility under this Title will be limited to $500 per year per family.
(6) Mac A Rx co-pays are: $10 generic (with card at Pharmacy) $20 15 brand (with card at Pharmacy) $10 generic - 90 day mail order $25 20 brand – 90 day mail order (added 7/1/05)
(7) The Cooperative shall pay for physical examinations for all active employees. The Cooperative shall pay the difference of the amount billed and amount paid by any medical insurance for physical examinations.
(8) The Cooperative may enroll in alternative NRECA medical plans if the benefit and service level is the same to the employee. If the cooperative wishes to change the plan it will confer with the union in advance of adoption.
(9) The Cooperative will self fund 75% of the cost of corrective eye surgery up to a maximum of $2500 2500. Employee and family are eligible for employee onlythis benefit.
(10) The Cooperative will self fund 50% of the actual cost of hearing aids, for employees onlyand dependants, once every 10 years. If recipient has alternative coverage, alternative coverage must pay first and the Cooperative’s liability shall be limited to 50% from any source.
(11) Upon proof of coverage by another source, employees may elect to opt out of Cooperative provided Medical, Prescription, Dental and Vision coverage. Any employee choosing the opt-out provision shall receive a monthly stipend equal to 35% of the current premium premium, with a minimum of $230.00. Presently $230.00 for employee only coverage and $511.18 for family coverage. Note: The term “Premium” as used to describe the current Medical, Prescription, Dental and Vision Plans refers to the current plan offerings from NRECA as modified in this CBA. Should NRECA change their plan offerings, a plan that is actuarially equivalent will be offered to employees.
Appears in 1 contract
Samples: Collective Bargaining Agreement
ACTIVE EMPLOYEE MEDICAL BENEFITS. (1) The Cooperative shall pay for all active employees 99% percent of the NRECA PPO Group Insurance Plan coverage. Employees will pay 1% of the monthly medical premium. This plan includes the NRECA Premium Medical, Prescription, Dental and Vision coverage. (Amended 7/1/08) (Amended 7-1-09 and effective 1-1-10) (Amended and Effective 7-1-11)
(2) The deductible will be $300/$900 250/$750 (Individual Family) In-Network and $600/$1800 500/$1500 Out-of- Network (amended 7/1/05) (Amended 7-1-09 and effective 1-1-10)
(3) All active and retired Employees will participate in the Share Program.
(4) The annual Out-of-Pocket maximum will be $1000/$2000 (Individual/Family) In-Network and $2000/$4000 Out-of-Network. (added 7/1/05)
(5) Plan includes a $10 office visit co-pay and is 90/10 In-Network and 70/30 Out-of- Network (added 7/1/05)
(a) Employees and their dependents are eligible under the provisions of the Preferred Providor Organization (PPO) to receive payment of 80% of usual, reasonable and customary charges when:
1. PPO services are not available in the community in which they reside or the Reno/Sparks metropolitan area or;
2. Employee has an eligible dependent attending school away from home and there is not a PPO provider or;
3. Employee or dependent is traveling away from home and PPO services are not available or;
4. Employee is required to work away from their principle residence and PPO services are not available. The Cooperative’s responsibility under this Title will be limited to $500 per year per family.
(6) Mac A Rx co-pays are: $10 generic (with card at Pharmacy) $20 brand (with card at Pharmacy) $10 generic - 90 day mail order $25 brand – 90 day mail order (added 7/1/05)
(7) The Cooperative shall pay for physical examinations for all active employees. The Cooperative shall pay the difference of the amount billed and amount paid by any medical insurance for physical examinations.
(8) The Cooperative may enroll in alternative NRECA medical plans if the benefit and service level is the same to the employee. If the cooperative wishes to change the plan it will confer with the union in advance of adoption.
(9) The Cooperative will self fund 75% of the cost of corrective eye surgery up to a maximum of $2500 for employee only.
(10) The Cooperative will self fund 50% of the actual cost of hearing aids, for employees only, once every 10 years. If recipient has alternative coverage, alternative coverage must pay first and the Cooperative’s liability shall be limited to 50% from any source.
(11) Upon proof of coverage by another source, employees may elect to opt out of Cooperative provided Medical, Prescription, Dental and Vision coverage. Any employee choosing the opt-out provision shall receive a monthly stipend equal to 35% of the current premium Note: The term “Premium” as used to describe the current Medical, Prescription, Dental and Vision Plans refers to the current plan offerings from NRECA as modified in this CBA. Should NRECA change their plan offerings, a plan that is actuarially equivalent will be offered to employees.
Appears in 1 contract
Samples: Collective Bargaining Agreement