Change of Insurance Carriers. 20 20.12.1 The District may change insurance carriers provided that the present level of 21 benefits available to classified bargaining unit members in the areas of Group Health, 22 Dental, Vision and Life Insurance continue to be provided and provided that such change 23 is accomplished in order to provide potential for reducing costs of financing these 24 benefits. 26 20.13 Section 125 Plan Participation
Change of Insurance Carriers. The Board of Education shall have the right to change insurance carriers and/or to self-insure in whole or in part in order to provide the insurance coverages set forth above, provided that there shall be no reduction or diminution in the above coverage and no increase in expense to any bargaining unit members, and provided further that coverages which result from change in carriers and/or self-insurance are substantially equivalent to or better than coverages described above, in terms of coverage, benefits and administration. The substantially equivalent to or better than standard shall be applied on a program- wide basis, including network, and shall not be benefit specific. The president of the Association shall be notified in writing within thirty (30) days of any intention to change carriers and/or to self-insure and shall have a reasonable opportunity to review the proposed changes. Should the Association and the Board disagree that the changes proposed will provide coverages at least equal to the coverages, benefits and administration described above at no additional cost to staff members, the disagreements shall be subject to impartial arbitration as set forth in Article III of this Agreement, preferably before an arbitrator with experience and expertise in insurance matters. Should the Association elect, such arbitration shall be expedited under the rules of the American Arbitration Association for expedited arbitration, and no change shall be made until the arbitrator has rendered his/her Award.
Change of Insurance Carriers. The Board of Education shall have the right to change insurance carriers and/or to self-insure in whole or in part in order to provide the insurance coverages set forth above, provided that the overall level of benefits remains substantially equivalent. The president of the Association shall be notified in writing within thirty (30) days of any intention to change carriers and/or to self-insure and shall have a reasonable opportunity to review the proposed changes. Should the Association and the Board disagree that the change proposed will provide coverages at least equal to the coverages, benefits and administration described above at no additional cost to staff members, the disagreements shall be subject to impartial arbitration as set forth in Article III of this Agreement, preferably before an arbitrator with experience and expertise in insurance matters. Should the Association elect, such arbitration shall be expedited under the rules of the American Arbitration Association for expedited arbitration and no change shall be made until the arbitrator has rendered his/her Award.
Change of Insurance Carriers. The Board of Education shall have the right to change insurance carriers and/or to self-insure in whole or in part in order to provide the insurance coverages set forth above, provided that there shall be no reduction or diminution in the above coverage and no increase in expense to any bargaining unit members, and provided further that coverage and benefits which result from change in carriers and/or self insurance are substantially equal to the then current plan in terms of coverage, benefits and administration. The President of the Association shall be notified, in writing, within thirty (30) days of any intention to change carriers or third-party administrators, and shall have a reasonable opportunity to review the proposed changes, but shall have no more than thirty (30) days from the date the new plan is presented to the Association. The proposed changes shall be presented to the Association through a Board Committee, including a representative of the insurance carrier, who will explain the proposed changes. If the Association does not approve of the proposed changes recommended by the Board Committee, it shall submit a written statement detailing the reasons for such disapproval, specifically listing the reduction in the level of coverage or benefits to which it objects. The Association must submit this written statement within thirty (30) days of the meeting noted above. Failure to submit such statement within the thirty (30) day time period shall be deemed approval of the proposed plan and a waiver of any right to arbitrate the issue. If the Association disapproves of any change pursuant to the written statement noted above, it may submit the issue to arbitration within fifteen (15) calendar days of receipt of notice from the Board that it intends to implement the new plan. Should the Association request arbitration, the Board shall not implement the new plan until receipt of a final decision by the arbitrator. The sole substantive issue for arbitration shall be as follows: Is (Are) the proposed insurance plan(s) substantially equivalent to the existing plan(s) in terms of benefits, coverage and administration?
Change of Insurance Carriers. The Board reserves the right to change insurance carriers to those that will provide coverage that is substantially equal to or better than that which is in effect. Prior to implementing such substitute coverage and benefits, the Board shall give the Union at least thirty (30) days written notice. If the Union believes that such coverage is not substantially equal to or better than that which is currently in effect, the Union may file any objection to such effect with the Board. If the parties are unable to resolve the dispute within the next thirty (30) days from the filing of such objection, the parties shall submit the matter to the binding arbitration provision of Article IX.
Change of Insurance Carriers. The Employer reserves the right to change insurance carriers so long as the benefits to be provided are substantially similar to those of the existing plan(s).
Change of Insurance Carriers. The Employer shall have the right 21 to change insurance carriers or coverage, as necessary, so long as any changes result in 22 comparable coverage. The City shall provide at least thirty (30) days' notice to the Union 23 prior to implementing any changes in insurance.
Change of Insurance Carriers. The BOARD may change insurance carriers, Health Maintenance Organizations or administrators or self-insure all or any part of the coverage provided for herein if such change does not reduce the level of benefits, and provided any such change is in conformity with the following:
A. No standing commitment to any carriers, administrator(s), providers or vendors shall be named within the Agreement.
B. All commercial relationships can be competitively evaluated, which may include either being competitively bid formally or rigorously evaluated and negotiated without formal bidding, if administratively and/or economically advantageous, and prudent for the BOARD as fiduciary, subject to all applicable law. The UNION shall be advised of such problems that may be addressed in this manner.
C. The PPO networks can be altered if necessary should the BOARD re- evaluate the administrative, vendor or provider relationships, should the full responsibilities of the carrier(s) or administrator(s) be bid or should the current responsibilities be unbundled and competitively evaluated and subsequently awarded.
D. Current HMO configurations may be altered to take advantage of administrative prerogatives and fiscal requirements, and characteristics of the marketplace.
E. Reconfigurations of either the PPO institutions or the number of HMOs under either sections C and D above shall be explicable to the UNION and shall be supported by analyses and not be arbitrary.
F. No reconfiguration of PPO institutions or change in the number or identity of HMOs shall be made except in compliance with the following:
i. The UNION shall be notified in writing of the intent to change at least ninety calendar days prior to the proposed change where circumstances are within the BOARD’s control. In all other cases, the BOARD will provide the maximum notice as is practicable under the circumstances.
ii. The UNION and the BOARD shall meet within five school days of receipt of the notice by the UNION or at such other mutually agreeable date consistent with the parties’ desire to expedite such meeting.
iii. The notice referred to shall, at the time the notice is given, provide sufficient information to explain the contemplated action and shall include, at a minimum, but shall not be limited to, the following:
a. the affected PPO institutions or HMOs.
b. the precise reason(s) the action is being contemplated.
c. the number of covered participants (employees and/or dependents) receiving in-patient service ...
Change of Insurance Carriers. In consultation with the LMCC, the Board has conducted an RFP process for Insurance Carriers for the Benefit Plans Described herein and in Appendixes B and E for implementation on January 1, 2017. The BOARD may change insurance carriers, Health Maintenance Organizations or administrators or self-insure all or any part of the coverage provided for herein if such change does not reduce the level of benefits, and provided any such change is in conformity with the following:
Change of Insurance Carriers. 32 benefits available to classified bargaining unit members in the areas of Group Health, 33 Dental, Vision and Life Insurance continue to be provided and provided that such change 34 is accomplished in order to provide potential for reducing costs of financing these 35 benefits. 37 20.13 Section 125 Plan Participation
