– Cigna Open Access Plan (OAP Sample Clauses

– Cigna Open Access Plan (OAP. Each employee shall be entitled to medical insurance coverage for themselves and their dependents under the Cigna OAP with a fifteen dollar ($15) co-pay for home and office with an unlimited maximum; fifty dollar ($50) co-pay for Emergency Room Care; one hundred dollar ($100) co-pay per Inpatient Hospital Admission and Outpatient Hospital Services; Out of Network Services provided with three hundred dollars ($300) individual, six hundred dollars ($600) two person family, and seven hundred fifty dollars ($750) three (3) person or more family deductible and a co-insurance rate of twenty percent (20%) on the next six thousand dollars ($6,000) (individual), twelve thousand dollars ($12,000) (two person family),and fifteen thousand dollars ($15,000) three (3) person or more family) of covered expenses. Said coverage shall include: a. Anthem (Blue Cross/Blue Shield) full payment Dental Rider; including Riders A, B, C and D; b. Cigna Vision Plan; c. Cigna Co-Pay Prescription Drug Rider with co-pay of $5 for generic, $15 for listed, and $25 for non-listed drugs with a $2000 per calendar year maximum; Effective July 1, 2011, the HSA (Health Savings Account) plan described below became the core insurance plan. For any bargaining member wishing to remain in the Copay OAP plan, the City will contribute toward the cost of that plan, an amount equal to the sum of the following two amounts: 1) the dollar amount contributed by the City toward the premium of the HSA plan for the bargaining members coverage level (single, two-person or family coverage); and 2) the dollar amount contributed by the City toward the HSA deductible, for the bargaining members coverage level. Any bargaining member remaining enrolled in the Copay OAP plan shall pay the full difference between the dollar amount contributed by the city and the full cost of the Copay OAP plan. Any employee who is employed full time currently receiving Medicare benefits or any employee currently receiving Veterans benefits shall remain in the OAP and shall pay the same percentage as those enrolled in the HDHP HSA (i.e. 11.5%, 12%, 12.5%, as the case may be) of the cost of the OAP. Employees currently receiving Veterans benefits may also elect to enroll in HDHP however they should be aware of the timing of HSA contributions to avoid potential tax penalties.