Benefits and Eligibility. The Trustees are authorized and directed to maintain the following provisions:
Benefits and Eligibility. If the maximum contribution rates specified in Paragraph 14.1.3 are not adequate to continue the Plans as so amended and maintain the reserves directed by Paragraph 14.1.4, then the Trustees shall have the authority to modify the benefits and eligibility rules and regulations for active employees and retirees to the extent they determine necessary to operate within the maximum contributions and maintain reserves as provided below in Paragraph 14.
Benefits and Eligibility. The Trustees are authorized and directed to implement the following changes to the Benefit Fund:
Benefits and Eligibility. 48.1.1 Permanent full-time officers shall be eligible for medical, dental, vision and life insurance coverage the first of the month following thirty (30) days of eligible service. Medical, dental, vision and life insurance benefits will be paid at 100% of the City contribution for those officers who have a Standard Hours designation of at least seventy-two hours in a pay period in a benefits eligible, budgeted position.
48.1.2 Permanent part-time officers will be eligible for medical, dental, vision and life insurance coverage the first of the month following 174 hours of eligible service. Medical, dental, vision and life insurance benefits will be paid at 50% of the City contribution for any permanent officer who has a Standard Hours designation of at least forty hours but less than seventy-two hours in a pay period in a benefits eligible, budgeted position.
48.1.3 Medical, dental, vision and life insurance benefits may be denied to officers who are in a pay status for less than eighty (80) hours during a calendar month by the withholding of City-paid premiums for the subsequent month.
48.1.4 Upon the effective date of this provision, officers shall be afforded the following medical care benefits: Type of Plan PPO PPO Deductible Individual, $150 Family, $450 Inpatient Hospital 80% after deductible Outpatient Hospital 80% after deductible Office Visit Co-Pay 80% after deductible Primary Care Co-Pay 80% after deductible Specialty Care Co-Pay 80% after deductible Individual, $450 Family, $1,350 60% of MPA after deductible 60% of MPA after deductible 60% of MPA after deductible 60% of MPA after deductible 60% of MPA after deductible 60% of MPA after deductible Emergency Room (co-pay waived if admitted) $50 co-pay, then 80% $50 co-pay, then 60% of UCR Ambulance (no deductible) 80% of UCR 80% of MPA Alternative Care (acupuncture, naturopaths, and chiropractor) (chiropractor limited to 35 visits per year) Diabetes Education/Self Management 80% after deductible 80% / $1,000 annual maximum 60% of MPA after deductible 60% / $1,000 annual maximum Smoking Cessation 80% / $500 annual maximum 60% / $500 annual maximum Well-Child Care 100%, no deductible 60% of MPA after deductible Adult Physical Exams 100%, no deductible 60% of MPA after deductible PSA Exams 100%, no deductible 60% of MPA after deductible Women’s Exams 100%, no deductible 60% of MPA after deductible Immunizations 100%, no deductible 60% of MPA after deductible Generic (30-day supply) 90%, $5 min - $ 3...
Benefits and Eligibility. The Trustees are instructed to continue the benefits and eligibility rules in effect as of July 1, 2017, for the duration of this Agreement. The Trustees may maintain other plan options for other employers provided that the employers whose employees participate in such plans contribute at the rate established by the Trustees that will fund that plan and maintain the reserve required by Paragraph 3 below. Retirees and their dependents, whether retired before or after August 8, 2004, are not vested in the Benefits provided by the Benefit Fund. There is no obligation on the Employer to continue to contribute or on the Trust Fund to continue to provide retiree benefits after the expiration of this Agreement unless a successor agreement provides for continuation of such coverage.
Benefits and Eligibility. The Trustees are instructed to amend the current benefits and eligibility rules effective November 1, 2012 to provide for employee and dependent eligibility following three (3) months of employment. If the maximum contribution rates specified in Paragraph 14.1.3, are not adequate to continue the Plans as so amended and maintain the reserves directed by Paragraph 14.1.4, then the Trustees shall have the authority to modify the benefits and eligibility rules and regulations for active employees and retirees to the extent they determine necessary to operate within the maximum contributions and maintain reserves as provided below in Paragraph 14.
Benefits and Eligibility. 26 14.1.3 Contributions 27
Benefits and Eligibility. 48.1.1 Regular full-time members shall be eligible for medical, dental, vision and life insurance coverage the first of the month following thirty (30) days of eligible service. Medical, dental, vision and life insurance benefits will be paid at 100% of the City contribution for those members who have a Standard Hours designation of at least seventy-two hours in a pay period in a benefits eligible, budgeted position.
48.1.2 Regular part-time members will be eligible for medical, dental, vision and life insurance coverage the first of the month following thirty (30) days of employment. Medical, dental, vision and life insurance benefits will be paid at 50% of the City contribution for any regular member who has a Standard Hours designation of at least forty hours but less than seventy-two hours in a pay period in a benefits eligible, budgeted position.
48.1.3 Medical, dental, vision and life insurance benefits may be denied to members who are in a pay status for less than eighty (80) hours during a calendar month by the withholding of City-paid premiums for the subsequent month. The City of Portland Health Plan Document and subsequent related materials reflect reinstatement of coverage rules for PPA members. If a member’s coverage has been terminated due to loss of eligibility (excluding termination of employment), coverage will be reinstated without meeting the eligibility waiting period, provided the member returns to a benefits’ eligible status within twelve (12) consecutive months after the date coverage stopped. If the member is eligible for reinstatement, City contributions become effective on the date of benefits reinstatement. Any required catch-up premium contribution(s) will be deducted from the first paycheck the employee receives upon returning to paid leave status unless other repayment arrangements have been made.
48.1.4 Upon the effective date of this provision, members shall be afforded the following medical care benefits: Benefit In Network Out of Network Type of Plan PPO PPO Deductible Individual, $150 Family, $450 Individual, $450 Family, $1,350 Inpatient Hospital 80% after deductible 60% of MPA after deductible Outpatient Hospital 80% after deductible 60% of MPA after deductible Office Visit Co-Pay 80% after deductible 60% of MPA after deductible Primary Care Co-Pay 80% after deductible 60% of MPA after deductible Diagnostic Lab & X-Ray 80% after deductible 60% of MPA after deductible Emergency Room (co-pay waived if admitted) $50 co-pay...
Benefits and Eligibility. The Trustees are instructed to amend the current benefits and eligibility rules effective January 1, 2009 as directed in the current Memorandum of Agreement. If the maximum contribution rates specified in Paragraph 3 are not adequate to continue the Plans as so amended and maintain the reserves directed by Paragraph 3, then the Trustees shall have the authority to modify the eligibility rules and regulations for active employees and retirees to the extent they determine necessary to operate within the maximum contributions and maintain reserves as provided below in Paragraph 3. Nothing herein shall limit the Trustees in determining the priorities to be given to any particular benefit or set of benefits. Benefit modifications, which the Trustees approve, shall be implemented. The Trustees may maintain other plan options for other employers provided that the employers whose employees participate in such plans contribute at the rate established by the Trustees that will fund that plan and maintain the reserve required by Paragraph 3 below. Retirees and their dependents, whether retired before or after August 8, 2004, are not vested in the Benefits provided by the Benefit Fund. There is no obligation on the Employer to continue to contribute or on the Trust Fund to continue to provide retiree benefits after the expiration of this Agreement unless a successor agreement provides for continuation of such coverage. If the contributions provided in Paragraph 3, below, are not sufficient to continue present benefits, the Trustees shall have complete discretion in modifying benefits for retirees including requiring retirees to pay part of the cost of their benefits.
Benefits and Eligibility. For the purpose of this section, eligibility shall be defined as those unit members who are regularly employed four (4) hours per day or more on a monthly average.
