Common use of Co-Payments Clause in Contracts

Co-Payments. (A) An adjustment to each bargaining unit member’s contribution percentage may be made based upon the member’s participation or non-participation in the Personal Health Assessment (PHA) or similar participation in specified preventive care, wellness, care management or related healthcare programs or initiatives. Members will be provided an alternative means to complete the web-based PHA tool, if requested by such member; and (B) For plan years following 2010, the University may also allow a premium adjustment to be made for any covered spouse or same-sex domestic partner based on participation in the PHA or similar participation in specified preventive care, wellness, care management or related healthcare programs or initiatives; and (C) Bargaining unit members may be offered the opportunity to enroll in plans other than the “core” plan, and will pay the difference between the applicable premium for the “core” plan and the total applicable premiums for the plan in which the member is enrolled. Only the fact of the member’s completion of the PHA or participation in a similar program shall be released to the University Office of Human Resources. Personal health information (PHI) gathered in the PHA or similar document, including member responses, risk scores or recommendations, shall be considered a confidential medical record and shall not be released to the University Office of Human Resources, the Department of Public Safety, the Division of Police, or any other party who is not directly involved in providing care or care management to the member or without the prior written consent of the member. The employer subsidy percentage of the applicable premium for full-time bargaining unit members enrolled in a university offered health plan will be set at the same amount as for all other non- bargaining unit staff at the University enrolled in the same health plan.