CalPERS Health Care Sample Clauses

CalPERS Health Care. A. The Authority shall continue to maintain its contract with the California Public Employees Retirement System (CalPERS) for employees’ health care coverage. B. Except as provided in Section 1.C.1 of this Article, tThe Authority shall contribute towards the payment of health care premiums, under the CalPERS Health Benefits Plan, on behalf of each eligible active employee and each eligible retiree, an equal contribution as set forth in California Government Code 22892 (GC §22892) and the Public Employees’ Medical and Hospital Care Act (PEMHCA). Eligible active employees include the following: i. Full-time regular, limited-term or probationary employees who, upon hire or starting in the position, are reasonably expected to average thirty (30) or more hours of service per week [i.e. one hundred thirty (130) hours per month]; and ii. Part-time regular, limited-term or probationary employees who, upon hire or starting in the position, are reasonably expected to average at least twenty (20) hours of service per week. C. The Authority shall provide to each eligible employee, as defined in Section 1.B of this Article, a health flex contribution to purchase health benefits under its Section 125 of the Internal Revenue Code (“Cafeteria Planhas a Section 125 Cafeteria Plan for employees and pays the following amounts for employees’ health care coverage and other benefits: 1. Except as modified in Section 1.D. of this Article, each employee shall receive (as a contribution to the cafeteria plan) the dollar value of one hundred (100) percent of the employee’s health plan premium or seventy- five (75) percent of the total health plan premium selected by the employee, whichever is greater. That amount shall include the CalPERS statutory minimum amount set forth in the California Government Code Section 22892. The employee may elect to contribute the entire value to his/her health care premium (i.e., the Authority’s cafeteria plan contribution on behalf of the employee) or allocate a portion of the value to other benefits offered under the cafeteria plan. If the employee elects to allocate part of the value to other benefits, any unpaid balance of the employee’s health care premium shall be deducted from the employee’s paycheck. The Authority shall provide to each full-time (regular, limited-term, or probationary) employee, as defined in Section 1.B.1 of this Article, a health flex contribution of the greater of: Employee Only Coverage: 100% of the health plan premium se...
Sample 1
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CalPERS Health Care. A. The Authority shall continue to maintain its contract with the California Public Employees Retirement System (CalPERS) for employees’ health care coverage. B. The Authority shall contribute towards the payment of health care premiums, under the CalPERS Health Benefits Plan, on behalf of each eligible active employee and each eligible retiree, an equal contribution as set forth in California Government Code 22892 (GC §22892) and the Public Employees’ Medical and Hospital Care Act (PEMHCA). Eligible active employees include the following: i. Full-time regular, limited-term or probationary employees who, upon hire or starting in the position, are reasonably expected to average thirty (30) or more hours of service per week [i.e. one hundred thirty (130) hours per month]; and ii. Part-time regular, limited-term or probationary employees who, upon hire or starting in the position, are reasonably expected to average at least twenty (20) hours of service per week. C. The Authority shall provide to each eligible employee, as defined in Section 1.B of this Article, a health flex contribution to purchase health benefits under its Section 125 of the Internal Revenue Code (“Cafeteria Plan): 1. The Authority shall provide to each full-time (regular, limited-term, or probationary) employee, as defined in Section 1.B.1 of this Article, a health flex contribution of the greater of: selected by the employee. If 100% of the cost of the employee only plan exceeds the cost of 75% of the two party or family plans actually selected by the employee, then an employee may elect dependent coverage and receive a contribution from the Authority of the cost of the employee plan (i.e., the greater amount). This amount shall include the contribution towards the employee’s Cafeteria Plan as set forth in GC §22892 and PEMHCA. Any balance of the employee’s health care premium selection not covered by the health flex contribution shall be deducted from the employee’s paycheck. The health flex contribution shall not be cashed out or applied to non-health benefits (for example, dependent care). The Authority shall provide to each part-time (regular, limited-term, or probationary) employee, as defined in Section 1.B.2 of this Article, a health flex contribution as follows: Employee Only Coverage: 50% of the health plan premium selected by the employee. Employee + Dependent Coverage: 37.5% of the health plan premium selected by the employee. This amount shall include the contribution towards ...
Sample 1
CalPERS Health Care. A. The Authority shall continue to maintain its contract with the California Public Employees’ Retirement System (CalPERS) for employees’ health care coverage.
Sample 1
CalPERS Health Care. 1. The Authority shall continue to maintain its health contract with provides health insurance benefits to employees through the California Public Employees’ Retirement System (CalPERS) for employees’ health care coverage through the Public Employees’ Medical and Hospital Care Act. (PEMHCA). 2. The Authority shall contribute towards the payment of health care for employees’ health care coverage. premiums on behalf of each eligible active employee and each eligible retiree, an equal contribution as set forth in California Government Code 22892 of the Public Employees’ Medical and Hospital Act of the (PEMHCA). That amount is equal to the PEMHCA statutory minimum which is $149 for 2022, and a yet undetermined amount for years following 2022. Eligible active employees include the following: i. Full-time regular, limited-term or probationary employees who, upon hire or starting in the position, are reasonably expected to average thirty (30) or more hours of service per week [i.e. one hundred thirty (130) hours per month]; and
Sample 1

Related to CalPERS Health Care

  • Home Health Care This plan covers the following home care services when provided by a certified home healthcare agency: • nursing services; • services of a home health aide; • visits from a social worker; • medical supplies; and • physical, occupational and speech therapy.

  • Health Care The Company will reimburse the Executive for the cost of maintaining continuing health coverage under COBRA for a period of no more than 12 months following the date of termination, less the amount the Executive is expected to pay as a regular employee premium for such coverage. Such reimbursements will cease if the Executive becomes eligible for similar coverage under another benefit plan.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Extended Health Care Plan ‌ The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable extended health care plan.

  • Extended Health Care The Hospital shall contribute on behalf of each eligible employee seventy-five percent (75%) of the billed premium under the Extended Health Care Plan (Liberty Health $15-25 deductible plan including hearing aids with a maximum of $300.00 per person and vision care with a maximum of $150.00 every 24 months per person, or its equivalent) provided the balance of the monthly premium is paid by employees through payroll deduction. Any Hospital currently paying more than 75% of the premium shall continue to do so. The drug formulary shall be as defined by Liberty Health Formulary Three.

  • Health Services At the time of employment and subject to (b) above, full credit for registered professional nursing experience in a school program shall be given. Full credit for registered professional nursing experience may be given, subject to approval by the Human Resources Division. Non-degree nurses shall be placed on the BA Track of the Teachers Salary Schedule and shall be ineligible for movement to any other track.

  • Clinical Management for Behavioral Health Services (CMBHS) System 1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000. 2. use the CMBHS time frames specified by System Agency. 3. use System Agency-specified functionality of the CMBHS in its entirety. 4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.

  • Health Care Operations “Health Care Operations” shall have the same meaning as the term “health care operations” in 45 CFR §164.501.

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Mental Health Services This agreement covers medically necessary services for the treatment of mental health disorders in a general or specialty hospital or outpatient facilities that are: • reviewed and approved by us; and • licensed under the laws of the State of Rhode Island or by the state in which the facility is located as a general or specialty hospital or outpatient facility. We review network and non-network programs, hospitals and inpatient facilities, and the specific services provided to decide whether a preauthorization, hospital or inpatient facility, or specific services rendered meets our program requirements, content and criteria. If our program content and criteria are not met, the services are not covered under this agreement. Our program content and criteria are defined below.

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