Board of Education Health Insurance Program Sample Clauses

Board of Education Health Insurance Program. 1. There are three (3) health insurance options available to employees hired before July 1, 2014: a High Deductible Health Plan (HDHP), a Health Maintenance Organization (HMO), and a Preferred Provider Organization (PPO), outlined further below (see also summaries in Exhibit IX). For new hires as of July 1, 2014 or thereafter, the only health insurance plan will be the High Deductible Health Plan (HDHP). Employees participating in the HDHP must remain in the HDHP. The Board-teacher shared cost basis is indicated in the following schedule: Board Employee Year Contribution Contribution a. High Deductible Health Plan (HDHP) Individual Employee 2020-21 81.5% 18.5% and Dependent Coverage 2021-22 81% 19% 2022-23 80% 20% Board Employee Year Contribution Contribution b. Health Maintenance Organization (HMO) Individual Employee 2020-21 Buy-up* Buy-up* and Dependent Coverage 2021-22 Buy-up* Buy-up* 2022-23 Buy-up* Buy-up* c. Preferred Provider Organization (PPO) Individual Employee 2020-21 Buy-up* Buy-up* and Dependent Coverage 2021-22 Buy-up* Buy-up* 2022-23 Buy-up* Buy-up* *NOTE: “Buy-up” is the option to participate in the HMO or PPO by paying the difference between (1) what the Board would have paid in premium or premium equivalent plus the applicable Board payment to offset the deductible amount for the HDHP and (2) the cost of participating in the HMO or PPO.
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Board of Education Health Insurance Program. 1. There are three health insurance options available to employees hired before July 1, 2016. For new hires or those newly eligible for health insurance on or after July 1, 2016 or thereafter, the only health insurance plan will be the High Deductible Health Plan (HDHP) outlined further below. The Board-employee shared cost basis is indicated in the following schedule Board Employee Year Contribution Contribution Individual / dependent contribution 2016-17 82.0% 18.0% 2017-18 Buy-up Buy-up 2018-19 Buy-up Buy-up Health Maintenance Organization (HMO) Board Employee Year Contribution Contribution Individual / dependent contribution 2016-17 83.0% 17.0% 2017-18 Buy-up Buy-up 2018-19 Buy-up Buy-up High Deductible Health Plan (HDHP) Board Employee Year Contribution Contribution Individual / dependent contribution 2016-17 86.0% 14.0% 2017-18 85.0% 15.0% 2018-19 84.5% 15.5% (1) what the Board would have paid in premium or premium equivalent plus the applicable Board payment to offset the deductible amount for the HDHP and (2) the cost of participating in the HMO or PPO. 2. Additional Plan Information There is no annual deductible cost to the individual, no family deductible, and no co-insurance costs for those expenses incurred within the Network of doctors and hospitals. This Plan includes an unlimited lifetime maximum. The annual deductible for out-of-network is $400 individual / $800 individual plus one / family $1,200 80% / 20% co-insurance on a calendar year basis, after the insured has paid $1,400 individual / $2,800 individual plus one / $4,200 family in benefit payments including deductible, covered expenses are paid 100%. This plan includes a $2,000,000 lifetime maximum. There is no annual deductible for the individual and their families as long as they stay in the HMO Network. This Plan has no lifetime maximum if services are provided in Network. Out of the HMO Network the individual has total responsibility for medical expenses, except in an emergency. • Prescription co-pays ($10/$25/$40) apply after the deductible is satisfied. • The deductibles shall be $2,000/$4,000, and employees will be enrolled in a Health Savings Account (HSA). • The Board’s contribution to the deductible shall be made 50% in the first pay date in July and 50% in the first pay date in January. • Board contribution to deductible is 50%. • Employees hired and eligible for health insurance before July 1, 2016 who elect to participate in the HDHP may change insurance options during di...
Sample 1
Board of Education Health Insurance Program. 1. There are three health insurance options available to employees hired before July 1, 2015. For new hires or those newly eligible for health insurance on or after July 1, 2015 or thereafter, the only health insurance plan will be the High Deductible Health Plan (HDHP) outlined further below. Exhibit I at the back of this agreement provides additional details on health and dental insurance. The Board-employee shared cost basis is indicated in the following schedule Board Employee Year Contribution Contribution Individual / dependent contribution 2020-21 Buy-up* Buy-up* 2021-22 Buy-up* Buy-up* 2022-23 Buy-up* Buy-up* Health Maintenance Organization (HMO) Board Employee Year Contribution Contribution Individual / dependent contribution 2020-21 Buy-up* Buy-up* 2021-22 Buy-up* Buy-up* 2022-23 Buy-up* Buy-up* High Deductible Health Plan (HDHP) Board Employee Year Contribution Contribution Individual / dependent contribution 2020-21 84.0% 16.0% 2021-22 83.5% 16.5% 2022-23 82.5% 17.5%
Sample 1
Board of Education Health Insurance Program. 1. There are three health insurance options available to employees hired before July 1, 2014. For new hires as of July 1, 2014 or thereafter, the only health insurance plan will be the High Deductible Health Plan (HDHP) outlined further below. Said new hires participating in the HDHP must remain in the HDHP. The Board-administrator shared cost basis is indicated in the following schedule: Board Administrator Preferred Provider Organization (PPO) Health Maintenance Organization (HMO) High Deductible Health Plan (HDHP) *NOTE: “Buy-up” is the option to participate in the HMO or PPO by paying the difference between (1) what the Board would have paid in premium or premium equivalent plus the applicable Board payment to offset the deductible amount for the HDHP and (2) the cost of participating in the HMO or PPO.
Sample 1
Board of Education Health Insurance Program. 1. There are three health insurance options available to employees hired before July 1, 2016. For new hires or those newly eligible for health insurance on or after July 1, 2016 or thereafter, the only health insurance plan will be the High Deductible Health Plan (HDHP) outlined further below. The Board-employee shared cost basis is indicated in the following schedule as well as in Exhibit B attached to this agreement. Board Employee Year Contribution Contribution Board Employee Year Contribution Contribution Board Employee Year Contribution Contribution Individual / dependent contribution 2019-20 84% 16% 2020-21 83% 17% 2021-22 82% 18% (1) what the Board would have paid in premium or premium equivalent plus the applicable Board payment to offset the deductible amount for the HDHP and (2) the cost of participating in the HMO or PPO. 2. Additional Plan Information There is no annual deductible cost to the individual, no family deductible, and no co-insurance costs for those expenses incurred within the Network of doctors and hospitals. This Plan includes an unlimited lifetime maximum. The annual deductible for out-of-network is $500 individual / $1000 individual plus one / family $1,500 80% / 20% co-insurance on a calendar year basis, after the insured has paid $1500 individual / $3000 individual plus one / $4500 family in benefit payments including deductible, covered expenses are paid 100%. This plan includes a $2,000,000 lifetime maximum. There is no annual deductible for the individual and their families as long as they stay in the HMO Network. This Plan has no lifetime maximum if services are provided in Network. Out of the HMO Network the individual has total responsibility for medical expenses, except in an emergency. • Prescription co-pays ($5/$30/$45) apply after the deductible is satisfied. • The deductibles shall be $2,000/$4,000, and employees will be enrolled in a Health Savings Account (HSA). • The Board’s deposit to the HSA shall be made 50% in the first pay date in July and 50% in the first pay date in January. • Board deposit to the HSA is $1000 individual/$2000 family. • Employees hired and eligible for health insurance before July 1, 2016 who elect to participate in the HDHP may change insurance options during district open enrollment. • For employees not eligible for a health savings account (HSA), the Board is committed to providing alternatives, including but not limited to health reimbursement accounts (HRAs) where appropriate. • Offi...
Sample 1

Related to Board of Education Health Insurance Program

  • Group Health Insurance The Employer shall provide a comprehensive health care insurance program for all permanent full-time and part-time employees. Health Plan characteristics and benefits shall be as provided in the Employer’s Agreement with the Ohio Civil Service Employees Association (hereinafter OCSEA). Regardless of the plan, employees will pay fifteen percent (15%) of the premium and the Employer will pay eighty-five percent (85%) of the premium; however for any alternative plans offered pursuant to the Agreement with OCSEA, the employees’ premium share will be determined by the Director of DAS, but will not exceed fifteen percent (15%) of the premium. The Employer’s premium share shall be paid on behalf of eligible employees as provided in the Employer’s Agreement with OCSEA. Employees who include a spouse as a dependent for healthcare coverage shall pay a surcharge as provided in the Employer’s Agreement with OCSEA. Eligibility provisions for employees enrolling in State provided health care plans shall remain the same as those in effect in the Employer’s Agreement with OCSEA. The Employer reserves the right to perform dependent eligibility audits upon recommendation of the Joint Health Care Committee. Health care costs paid on behalf of ineligible dependents will be subject to recovery. Deductibles, co-payments, and other plan design provisions for all benefit programs shall be the same as those prescribed in the Employer’s Agreement with OCSEA. Every year the Employer shall conduct an open enrollment period, at which time employees shall be able to enroll in a health plan, continue enrollment in their current plan, switch to another plan, subject to plan availability in their area, or waive coverage. The timing of the open enrollment period shall be established by the Director of the Department of Administrative Services (DAS), in consultation with the Joint Health Care Committee. Changes outside of open enrollment may only occur as prescribed in the Employer’s Agreement with OCSEA. Open Enrollment Fairs shall be held in accordance with Employer’s Agreement with OCSEA. There shall be established a Joint Health Care Committee composed of representatives of management, and of the various labor Unions representing State employees. The Committee shall meet regularly to monitor the operation of the State’s health care plans, and to make recommendations for the improvement of the plans and cost containment procedures. The Employer shall provide funding for dental, vision and the life benefits as described in Article 21 of the Employer’s Agreement with OCSEA and the Union’s Benefits Trust. Employee health insurance payments will be deducted from every paycheck. In the event an employee is receiving disability leave or Workers’ Compensation benefits, the Employer- policyholder shall continue, at no cost to the employee, the coverage of group health insurance for such employee for the period of such leave, but not beyond twelve (12) months. If the employee’s leave extends beyond twelve

  • Board of Education If the unit member and the Association are not satisfied with the decision at Stage 2, the Grievance Committee will file an appeal in writing with the Board of Education within fifteen (15) school days after receiving the decision at Stage 2. The official grievance record maintained by the Superintendent of Schools shall be available for the use of the Board of Education.

  • Retiree Health Insurance Retired members of the Department receiving, or to receive City of Lincoln monthly pension checks, may participate in the group comprehensive health care plan for active City employees, provided that each retiree so desiring will execute the required forms in a timely fashion, and further provided that each retiree will be required to pay the full monthly cost at the current rates subject to any rate increases which may occur from time to time. Such payment will be made by payroll deduction from pension checks, or by direct payment in the case of an early retiree.

  • Health Insurance The Couple agrees that: (check one)

  • Health Insurance Benefits To the extent provided by the federal COBRA law or, if applicable, state insurance laws, and by the Company’s current group health insurance policies, Executive will be eligible to continue Executive’s group health insurance benefits at Executive’s own expense. If Executive timely elects continued coverage under COBRA, the Company shall pay Executive’s COBRA premiums, and any applicable Company COBRA premiums, necessary to continue Executive’s then-current coverage for a period of 12 months after the date of Executive’s termination of employment; provided, however, that any such payments will cease if Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such premiums. Executive agrees to immediately notify the Company in writing of any such enrollment. Notwithstanding the foregoing, if the Company determines, in its sole discretion, that it cannot provide the foregoing benefit without potentially incurring financial costs or penalties under applicable law (including, without limitation, Section 2716 of the Public Health Service Act), the Company shall in lieu thereof provide to Executive a taxable monthly amount to continue his group health insurance coverage in effect on the date of separation from service (which amount shall be based on the premium for the first month of COBRA coverage), which payments shall be made regardless of whether Executive elects COBRA continuation coverage and shall commence in the month following the month in which Executive incurs a separation from service and shall end on the earlier of (x) the date on which Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such amounts and (y) 12 months after the date of Executive’s separation from service.

  • BOARD OF EDUCATION RIGHTS 3.1 The Board, on its own behalf and on behalf of the electors of the District, hereby retains and reserves unto itself, without limitation, all powers, rights, authority, duties, and responsibilities conferred upon and vested in it by the Laws and Constitution of the State of Michigan, and/or the United States, including, but without limiting the generality of the foregoing, the right to:

  • Employee Benefit Programs During the Employment Term, the Executive shall be entitled to participate in all employee pension and welfare benefit plans and programs made available to the Company’s senior level executives.

  • Health Promotion and Health Education Both parties to this Agreement recognize the value and importance of health promotion and health education programs. Such programs can assist employees and their dependents to maintain and enhance their health, and to make appropriate use of the health care system. To work toward these goals:

  • Health Plan An appropriately licensed entity that has entered into a contract with Subcontractor, either directly or indirectly, under which Subcontractor provides certain administrative services for Health Plan pursuant to the State Contract. For purposes of this Appendix, Health Plan refers to UnitedHealthcare Insurance Company.

  • EMPLOYEE BENEFIT PROGRAM (i) During the TERM, the EMPLOYEE shall be entitled to participate in all formally established employee benefit, bonus, pension and profit-sharing plans and similar programs that are maintained by the EMPLOYERS from time to time, including programs in respect of group health, disability or life insurance, reimbursement of membership fees in civic, social and professional organizations and all employee benefit plans or programs hereafter adopted in writing by the Boards of Directors of the EMPLOYERS, for which senior management personnel are eligible, including any employee stock ownership plan, stock option plan or other stock benefit plan (hereinafter collectively referred to as the "BENEFIT PLANS"). Notwithstanding the foregoing sentence, the EMPLOYERS may discontinue or terminate at any time any such BENEFIT PLANS, now existing or hereafter adopted, to the extent permitted by the terms of such plans and shall not be required to compensate the EMPLOYEE for such discontinuance or termination. (ii) After the expiration of the TERM or the termination of the employment of the employee for any reason other than JUST CAUSE (as defined hereinafter), the EMPLOYERS shall provide a group health insurance program in which the EMPLOYEE and her spouse will be eligible to participate and which shall provide substantially the same benefits as are available to retired employees of the EMPLOYERS on the date of this AGREEMENT until both the EMPLOYEE and her spouse become 65 years of age; provided, however that all premiums for such program shall be paid equally by the EMPLOYERS and the EMPLOYEE and/or her spouse after the EMPLOYEE's retirement; provided further, however, that the EMPLOYEE may only participate in such program for as long as the EMPLOYERS elect in their sole discretion to make available an employee group health insurance program which permits the EMPLOYERS to make coverage available for retirees.

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