Basic Plan. The basic insurance program shall include a $10.00 generic/$40.00 Brand name prescription drug rider with the Blue Cross/Blue Shield Two Tier Closed Formulary Plan, with contraceptive coverage. The Community Blue PPO Plan III consists of a $250.00 deductible per person per year, with a limit of $500.00 per family per year. After the deductible portion is met, the employee is responsible for a 20% co-pay on covered charges up to a maximum of $2,000.00 per year.
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Basic Plan. The basic insurance program shall include a $10.00 generic/$40.00 Brand name prescription drug rider with the Blue Cross/Blue Shield Two Tier Closed Formulary Plan, Plan with contraceptive coverage. The Community Blue PPO Plan III consists of a $250.00 deductible per person per year, with a limit of $500.00 per family per year. After the deductible portion is met, the employee is responsible for a 20% co-pay on covered charges up to a maximum of $2,000.00 per year.
Appears in 1 contract
Samples: Collective Bargaining Agreement
Basic Plan. The basic insurance program shall in include a $10.00 generic/$40.00 Brand name prescription drug rider with the Blue Cross/Blue Shield Two Tier Closed Formulary Plan, with contraceptive coverage. The Community Blue PPO Plan III consists of a $250.00 deductible per person per year, with a limit of $500.00 per family per year. After the deductible portion is met, the employee is responsible for a 20% co-pay on covered charges up to a maximum of $2,000.00 per year.
Appears in 1 contract
Samples: Collective Bargaining Agreement