Common use of Benefit Level Two Health Care Network Determination Clause in Contracts

Benefit Level Two Health Care Network Determination. Issues regarding the health care networks for the 2013 insurance year shall be negotiated in accordance with the following procedures: 1. At least twelve (12) weeks prior to the open enrollment period for the 2013 insurance year the Employer shall meet and confer with the Joint Labor/Management Committee on Health Plans in an attempt to reach agreement on the Benefit Level Two health care networks. 2. If no agreement is reached within five (5) working days, the Employer and the Joint Labor-Management Committee on behalf of all of the exclusive representatives shall submit a list of providers/provider groups in dispute to a mutually agreed upon neutral expert in health care delivery systems for final and binding resolution. The only providers/provider groups that may be submitted for resolution by this process are those for which, since the list for the 2012 insurance year was established, Benefit Level Two access has changed, or those that are intended to address specific problems caused by a reduction in Benefit Level Two access. 3. The decision of the neutral shall be issued within two (2) working days after the hearing.

Benefit Level Two Health Care Network Determination. Issues regarding the health care networks for the 2013 2018 insurance year shall be negotiated in accordance with the following procedures: 1. At least twelve (12) weeks prior to the open enrollment period for the 2013 2018 insurance year the Employer shall meet and confer with the Joint Labor/Management Committee on Health Plans in an attempt to reach agreement on the Benefit Level Two health care networks. 2. If no agreement is reached within five (5) working days, the Employer and the Joint Labor-Management Committee on behalf of all of the exclusive representatives shall submit a list of providers/provider groups in dispute to a mutually agreed upon neutral expert in health care delivery systems for final and binding resolution. The only providers/provider groups that may be submitted for resolution by this process are those for which, since the list for the 2012 2017 insurance year was established, Benefit Level Two access has changed, or those that are intended to address specific problems caused by a reduction in Benefit Level Two access. 3. The decision of the neutral shall be issued within two (2) working days after the hearing.

Benefit Level Two Health Care Network Determination. Issues regarding the health care networks for the 2013 2007 insurance year shall be negotiated in accordance with the following procedures: 1. At least twelve (12) weeks prior to the open enrollment period for the 2013 2007 insurance year the Employer shall meet and confer with the Joint Labor/Management Committee on Health Plans in an attempt to reach agreement on the Benefit Level Two health care networks. 2. If no agreement is reached within five (5) working days, the Employer and the Joint Labor-/Management Committee on behalf of all of the exclusive representatives shall submit a list of providers/provider groups in dispute to a mutually agreed upon neutral expert in health care delivery systems for final and binding resolution. The only providers/provider groups that may be submitted for resolution by this process are those for which, since the list for the 2012 2006 insurance year was established, Benefit Level Two access has changed, or those that are intended to address specific problems caused by a reduction in Benefit Level Two access. 3. The decision of the neutral shall be issued within two (2) working days after the hearing.

Benefit Level Two Health Care Network Determination. Issues regarding the health care networks for the 2013 2011 insurance year shall be negotiated in accordance with the following procedures: 1. At least twelve (12) weeks prior to the open enrollment period for the 2013 2011 insurance year the Employer shall meet and confer with the Joint Labor/Management Committee on Health Plans in an attempt to reach agreement on the Benefit Level Two health care networks. 2. If no agreement is reached within five (5) working days, the Employer and the Joint Labor-Management Committee on behalf of all of the exclusive representatives shall submit a list of providers/provider groups in dispute to a mutually agreed upon neutral expert in health care delivery systems for final and binding resolution. The only providers/provider groups that may be submitted for resolution by this process are those for which, since the list for the 2012 2010 insurance year was established, Benefit Level Two access has changed, or those that are intended to address specific problems caused by a reduction in Benefit Level Two access. 3. The decision of the neutral shall be issued within two (2) working days after the hearing.

Benefit Level Two Health Care Network Determination. Issues regarding the health care networks for the 2013 2017 insurance year shall be negotiated in accordance with the following procedures: 1. a. At least twelve (12) weeks prior to the open enrollment period for the 2013 2017 insurance year the Employer shall meet and confer with the Joint Labor/Management Committee on Health Plans in an attempt to reach agreement on the Benefit Level Two health care networks. 2. If no agreement is reached within five (5) working days, the Employer and the Joint Labor-/Management Committee on behalf of all of the exclusive representatives shall submit a list of providers/provider groups in dispute to a mutually agreed upon neutral expert in health care delivery systems for final and binding resolution. The only providers/provider groups that may be submitted for resolution by this process are those for which, since the list for the 2012 2016 insurance year was established, Benefit Level Two access has changed, or those that are intended to address specific problems caused by a reduction in Benefit Level Two access. 3. The decision b. Absent agreement on a neutral expert, the parties shall select an arbitrator from a list of the neutral shall be issued within two (2) working days after the hearing.five

Benefit Level Two Health Care Network Determination. Issues regarding the health care networks for the 2013 2009 insurance year shall be negotiated in accordance with the following procedures: 1. At least twelve (12) weeks prior to the open enrollment period for the 2013 2009 insurance year the Employer shall meet and confer with the Joint Labor/Management Committee on Health Plans in an attempt to reach agreement on the Benefit Level Two health care networks. 2. If no agreement is reached within five (5) working days, the Employer and the Joint Labor-Management Committee on behalf of all of the exclusive representatives shall submit a list of providers/provider groups in dispute to a mutually agreed upon neutral expert in health care delivery systems for final and binding resolution. The only providers/provider groups that may be submitted for resolution by this process are those for which, since the list for the 2012 2008 insurance year was established, Benefit Level Two access has changed, or those that are intended to address specific problems caused by a reduction in Benefit Level Two access. 3. The decision of the neutral shall be issued within two (2) working days after the hearing.

Benefit Level Two Health Care Network Determination. Issues regarding the health care networks for the 2013 2005 insurance year shall be negotiated in accordance with the following procedures: 1. At least twelve (12) weeks prior to the open enrollment period for the 2013 2005 insurance year the Employer shall meet and confer with the Joint Labor/Management Committee on Health Plans in an attempt to reach agreement on the Benefit Level Two health care networks. 2. If no agreement is reached within five (5) working days, the Employer and the Joint Labor-/Management Committee on behalf of all of the exclusive representatives shall submit a list of providers/provider groups in dispute to a mutually agreed upon neutral expert in health care delivery systems for final and binding resolution. The only providers/provider groups that may be submitted for resolution by this process are those for which, since the list for the 2012 2004 insurance year was established, Benefit Level Two access has changed, or those that are intended to address specific problems caused by a reduction in Benefit Level Two access. 3. The decision of the neutral shall be issued within two (2) working days after the hearing.