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

Benefit Level Two Health Care Network Determination. Issues regarding the health 21 care networks for the 2013 insurance year shall be negotiated in accordance with the 22 following procedures: 24 a. At least twelve (12) weeks prior to the open enrollment period for the 2013 insurance 25 year the Employer shall meet and confer with the Joint Labor/Management Committee 26 on Health Plans in an attempt to reach agreement on the Benefit Level Two health care 27 networks. 1 b. If no agreement is reached within five (5) working days, the Employer and the Joint 2 Labor/Management Committee on behalf of all of the exclusive representatives shall 3 submit a list of providers/provider groups in dispute to a mutually agreed upon neutral 4 expert in health care delivery systems for final and binding resolution. The only 5 providers/provider groups that may be submitted for resolution by this process are those 6 for which, since the list for the 2012 insurance year was established, Benefit Level Two 7 access has changed, or those that are intended to address specific problems caused by 8 a reduction in Benefit Level Two access. 10 Absent agreement on a neutral expert, the parties shall select an arbitrator from a list of 11 five (5) arbitrators supplied by the Bureau of Mediation Services. The parties shall flip a 12 coin to determine who strikes first. One-half (1/2) of the fees and expenses of the 13 neutral shall be paid by the Employer and one-half (1/2) by the Exclusive 14 Representatives. The parties shall select a neutral within five (5) working days after no 15 agreement is reached, and a hearing shall be held within fourteen (14) working days of 16 the selection of the neutral. 18 c. 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 21 24 care networks for the 2011 2013 insurance year shall be negotiated in accordance with the 22 25 following procedures: 24 27 a. At least twelve (12) weeks prior to the open enrollment period for the 2011 2013 28 insurance 25 year the Employer shall meet and confer with the Joint Labor/Management 1 Committee 26 on Health Plans in an attempt to reach agreement on the Benefit Level Two 2 health care 27 networks. 1 4 b. If no agreement is reached within five (5) working days, the Employer and the Joint 2 5 Labor/Management Committee on behalf of all of the exclusive representatives shall 3 6 submit a list of providers/provider groups in dispute to a mutually agreed upon neutral 4 7 expert in health care delivery systems for final and binding resolution. The only 5 8 providers/provider groups that may be submitted for resolution by this process are those 6 9 for which, since the list for the 2010 2012 insurance year was established, Benefit Level 10 Two 7 access has changed, or those that are intended to address specific problems 11 caused by 8 a reduction in Benefit Level Two access. 10 13 Absent agreement on a neutral expert, the parties shall select an arbitrator from a list of 11 14 five (5) arbitrators supplied by the Bureau of Mediation Services. The parties shall flip a 12 15 coin to determine who strikes first. One-half (1/2) of the fees and expenses of the 13 16 neutral shall be paid by the Employer and one-half (1/2) by the Exclusive 14 17 Representatives. The parties shall select a neutral within five (5) working days after no 15 18 agreement is reached, and a hearing shall be held within fourteen (14) working days of 16 19 the selection of the neutral. 18 21 c. 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 30 health 21 care networks for the 2013 20092013 insurance year shall be negotiated in accordance with 31 the 22 following procedures: 24 a. 33 A. At least twelve (12) weeks prior to the open enrollment period for the 2013 20092013 34 insurance 25 year the Employer shall meet and confer with the Joint Labor/Management 35 Committee 26 on Health Plans in an attempt to reach agreement on the Benefit Level Two 36 health care 27 networks. 1 b. 38 B. If no agreement is reached within five (5) working days, the Employer and the Joint 2 39 Labor/Management Committee on behalf of all of the exclusive representatives shall 3 40 submit a list of providers/provider groups in dispute to a mutually agreed upon neutral 4 41 expert in health care delivery systems for final and binding resolution. The only 5 42 providers/provider groups that may be submitted for resolution by this process are those 6 43 for which, since the list for the 2012 20102012 insurance year was established, Benefit Level 44 Two 7 access has changed, or those that are intended to address specific problems caused 45 by 8 a reduction in Benefit Level Two access. 10 . 2 C. Absent agreement on a neutral expert, the parties shall select an arbitrator from a list of 11 3 five (5) arbitrators supplied by the Bureau of Mediation Services. The parties shall flip a 12 4 coin to determine who strikes first. One-half (1/2) of the fees and expenses of the 13 neutral 5 shall be paid by the Employer and one-half (1/2) by the Exclusive 14 Representatives. The 6 parties shall select a neutral within five (5) working days after no 15 agreement is reached, 7 and a hearing shall be held within fourteen (14) working days of 16 the selection of the 8 neutral. 18 c. 10 D. 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 27 health 21 care networks for the 2013 insurance year shall be negotiated in accordance with the 22 28 following procedures: 24 a. 30 A. At least twelve (12) weeks prior to the open enrollment period for the 2013 insurance 25 31 year the Employer shall meet and confer with the Joint Labor/Management Committee 26 on 32 Health Plans in an attempt to reach agreement on the Benefit Level Two health care 27 33 networks. 1 b. 35 B. If no agreement is reached within five (5) working days, the Employer and the Joint 2 36 Labor/Management Committee on behalf of all of the exclusive representatives shall 3 37 submit a list of providers/provider groups in dispute to a mutually agreed upon neutral 4 38 expert in health care delivery systems for final and binding resolution. The only 5 39 providers/provider groups that may be submitted for resolution by this process are those 6 40 for which, since the list for the 2012 insurance year was established, Benefit Level Two 7 41 access has changed, or those that are intended to address specific problems caused by 8 a 42 reduction in Benefit Level Two access. 10 . 44 C. Absent agreement on a neutral expert, the parties shall select an arbitrator from a list of 11 45 five (5) arbitrators supplied by the Bureau of Mediation Services. The parties shall flip a 12 1 coin to determine who strikes first. One-half (1/2) of the fees and expenses of the 13 neutral 2 shall be paid by the Employer and one-half (1/2) by the Exclusive 14 Representatives. The 3 parties shall select a neutral within five (5) working days after no 15 agreement is reached, 4 and a hearing shall be held within fourteen (14) working days of 16 the selection of the 5 neutral. 18 c. 7 D. The decision of the neutral shall be issued within two (2) working days after the hearing.