Common use of Benefits and Employer Contribution Clause in Contracts

Benefits and Employer Contribution. (Full time) The Employer will contribute 100% of the premiums for group benefits for eligible full time employees and their dependents. Group benefits offered are subject to the plan maximums and other plan provisions. Eligibility is determined by the insurance carrier in accordance with the policy provisions. Dependents include unmarried, unemployed children, over the age of 21 and under 25 years who are in full time attendance at college or university. ◼ Group Life Insurance Plan to two (2) times salary. ◼ Dental Insurance equivalent of Liberty Health Dental Plan # 9 O.D.A current Oral examinations and recall oral examinations every nine (9) months, except for children age 12 and under, which is a maximum of two (2) per year, the remainder of Rider 2 with 50/50 co-insurance. Rider 3 (orthodontics) for dependent children up to eighteen (18) years of age with 50/50 co-insurance and a life-time maximum of $2,000. Rider 4 (crowns and bridgework) with 50/50 co-insurance to be a twelve (12) month maximum of $1000. ◼ Health Extended Care Plan Drugs -- Generic formulary 3 plan (no deductible) Maximum payment for prescription drug claims will be reimbursed on the basis of the best available price plus 10%. Dispensing fees are capped at $6.00 per prescription. Chiropractic – a maximum charge for each visit not to exceed the schedule of fees approved by the Association of which the practitioner is a member, and where there is no approved schedule of fees, the charge must be reasonable. The maximum is $200.00 per person per calendar year. Hearing aid provision: $300 every thirty-six (36) months. Orthotics - $500.00 Orthotics / Orthopedic Shoes/Boots -- annual maximum, reimbursement to be determined by the carrier for those deemed to be medically necessary Physiotherapy – Annual maximum -- $1000 Vision care $300.00 every 24 months – includes prescriptive lenses, frames and eye examination by optometrist. Co-ordination of benefits and positive enrolment will be mandatory. If an employee does not complete enrolment, benefit coverage will be suspended for that employee and their dependents until the positive enrolment obligation has been completed. Employees 65 years of age or older will be offered a plan equivalent of Plus 55 Core plan for purchase by those employees. Other plan provisions and details as provided by the coverage in place for the former HPL group (contract 6568).

Appears in 3 contracts

Samples: 932.cupe.ca, negotheque.travail.gc.ca, sp.ltc.gov.on.ca

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Benefits and Employer Contribution. (Full time) The Employer will contribute 100% of the premiums for group benefits for eligible full time employees and their dependents. Group benefits offered are subject to the plan maximums and other plan provisions. Eligibility is determined by the insurance carrier in accordance with the policy provisions. Dependents include unmarried, unemployed children, over the age of 21 and under 25 years who are in full time attendance at college or university. Group Life Insurance Plan to two (2) times salary. Dental Insurance equivalent of Liberty Health Dental Plan # 9 O.D.A current Oral examinations and recall oral examinations every nine (9) months, except for children age 12 and under, which is a maximum of two (2) per year, the remainder of Rider 2 with 50/50 co-insurance. Rider 3 (orthodontics) for dependent children up to eighteen (18) years of age with 50/50 co-insurance and a life-time maximum of $2,000. Rider 4 (crowns and bridgework) with 50/50 co-insurance to be a twelve (12) month maximum of $1000. Health Extended Care Plan Drugs -- Generic formulary 3 plan (no deductible) Maximum payment for prescription drug claims will be reimbursed on the basis of the best available price plus 10%. Dispensing fees are capped at $6.00 per prescription. Chiropractic – a maximum charge for each visit not to exceed the schedule of fees approved by the Association of which the practitioner is a member, and where there is no approved schedule of fees, the charge must be reasonable. The maximum is $200.00 per person per calendar year. Hearing aid provision: $300 every thirty-six (36) months. Orthotics - $500.00 Orthotics / Orthopedic Shoes/Boots -- annual maximum, reimbursement to be determined by the carrier for those deemed to be medically necessary Physiotherapy – Annual maximum -- $1000 Vision care $300.00 every 24 months – includes prescriptive lenses, frames and eye examination by optometrist. Co-ordination of benefits and positive enrolment will be mandatory. If an employee does not complete enrolment, benefit coverage will be suspended for that employee and their dependents until the positive enrolment obligation has been completed. Employees 65 years of age or older will be offered a plan equivalent of Plus 55 Core plan for purchase by those employees. Other plan provisions and details as provided by the coverage in place for the former HPL group (contract 6568).

Appears in 2 contracts

Samples: www.sdc.gov.on.ca, 932.cupe.ca

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Benefits and Employer Contribution. (Full time) The Employer will contribute 100% of the premiums for group benefits for eligible full time employees and their dependents. Group benefits offered are subject to the plan maximums and other plan provisions. Eligibility is determined by the insurance carrier in accordance with the policy provisions. Dependents include unmarried, unemployed children, over the age of 21 and under 25 years who are in full time attendance at college or university. Group Life Insurance Plan to two (2) times salary. Dental Insurance equivalent of Liberty Health Dental Plan # 9 O.D.A current Oral examinations and recall oral examinations every nine (9) months, except for children age 12 and under, which is a maximum of two (2) per year, the remainder of Rider 2 with 50/50 co-insurance. Rider 3 (orthodontics) for dependent children up to eighteen (18) years of age with 50/50 co-insurance and a life-time maximum of $2,000. Rider 4 (crowns and bridgework) with 50/50 co-insurance to be a twelve (12) month maximum of $1000. Health Extended Care Plan Drugs -- Generic formulary 3 plan (no deductible) Maximum payment for prescription drug claims will be reimbursed on the basis of the best available price plus 10%. Dispensing fees are capped at $6.00 per prescription. Chiropractic – a maximum charge for each visit not to exceed the schedule of fees approved by the Association of which the practitioner is a member, and where there is no approved schedule of fees, the charge must be reasonable. The maximum is $200.00 per person per calendar year. Hearing aid provision: $300 every thirty-six (36) months. Orthotics - $500.00 Orthotics / Orthopedic Shoes/Boots -- annual maximum, reimbursement to be determined by the carrier for those deemed to be medically necessary Physiotherapy – Annual maximum -- $1000 Vision care $300.00 every 24 months – includes prescriptive lenses, frames and eye examination by optometrist. Co-ordination of benefits and positive enrolment will be mandatory. If an employee does not complete enrolment, benefit coverage will be suspended for that employee and their dependents until the positive enrolment obligation has been completed. Employees 65 years of age or older will be offered a plan equivalent of Plus 55 Core plan for purchase by those employees. Other plan provisions and details as provided by the coverage in place for the former HPL group (contract 6568).

Appears in 1 contract

Samples: www.sdc.gov.on.ca

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