Comparison of Health Plans. Self-Funded (Traditional), Self-Funded (Lite), and Kaiser HMO The plan attributes, co-pays and deductibles are outlined in Appendix 2. Plan amendments will be introduced by the plan sponsor, Xxxxxxx Community College District, as necessary to maintain consistency in the application of plan benefits. • In the event that a covered person was receiving services from a provider of service that is not in the preferred provider network on the date in which the preferred provider network was integrated into this Plan, then the charges resulting from services rendered by that provider will be deemed as having rendered by a preferred provider until the earlier of; the date treatment is concluded (or diagnosis changes) or the end of one month from the date of network integration or change. • If a covered person is receiving services for maternity care from a network provider that is not in the preferred provider network on the date that the network was integrated in this Plan, the charges resulting from services rendered by that provider will be deemed as having been rendered by a preferred provider until the date treatment is concluded. Xxxxxxx Community College District Self Funded Preferred Provider Program Kaiser HMO Program Amended July 1, 2012 Local 39 Active Employees and Post July 1, 2012 Retirees Only (APPENDIX 2 – Health Plan Coverage Comparison) This document is for illustration purposes only. For a complete listing of benefits, limitations and/or plan exclusions, refer to the Summary Plan Description. Should a discrepancy arise in this document, the Summary Plan Description supersedes this document. Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Lifetime Maximum per Covered Person Unlimited Unlimited Unlimited Deductible Per Calendar Year $100 per person 3 deductibles maximum per family $100 per person 3 deductibles maximum per family None Out of Pocket Expense Limit Per Calendar Year (excludes deductible) – refer to SPD for a listing of charges not applicable to the out of pocket expense limit. $300 per person $900 per family $1,000 per person $3,000 per family $300 per person $900 per family $1,500 per person $3,000 per family Inpatient Hospitalization 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Emergency Room Services (copay waived if admitted) $35 copay, then 100% (deductible does not apply) $35 copay, then 100% of customary and reasonable amount (deductible does not apply) $35 copay, then 100% (deductible does not apply) $35 copay, then 100% Non-Emergency Room Care (copay waived if admitted) $35 copay, then 80%, after deductible $35 copay, then 80% of customary and reasonable amount, after deductible $35 copay, then 80%, after deductible Not covered Office Visit $15 copay, then 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible $15 copay, then 100% (deductible does not apply) $15 copay, then 100% Diagnostic Services and Supplies 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Home Health Care (limited to 100 visit maximum benefit per calendar year) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Hospice Care 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Durable Medical Equipment 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Ambulance Service 100%, after deductible 100% of customary and reasonable amount, after deductible 100%, after deductible 100% Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Mammograms (Self Funded PPO - limited to one baseline mammogram for women at least age 35; and one every calendar year thereafter ) 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible 100% (deductible does not apply) 100% Well Child Care (to age 19) 100% (deductible does not apply) Not covered 100% (deductible does not apply) 100% Preventive Care for Examination 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible 100% (deductible does not apply) 100% Well Woman / Well Man Exams 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Inpatient Mental Nervous / Chemical Dependency Care 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Outpatient Mental Nervous / Chemical Dependency Care $15 copay, then 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible $15 copay, then 100% (deductible does not apply) $15 copay, then 100% Therapy Services (physical, speech, occupational, diabetic education, nutrition, and other medically necessary therapies) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible $15 copay, then 100% Hearing Aid Expenses (Self Funded PPO - limited to a maximum benefit of $5,000 per five year period) 50%, after deductible 50% of customary and reasonable amount, after deductible 50%, after deductible Once every 36 months; you pay amounts in excess of $1,500 per aid Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Infertility Treatment (limited to a $5,000 lifetime maximum benefit) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible Not covered All Other Covered Expenses 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Retail Pharmacy – Caremark (30 day supply) $10 copay, then 100% (deductible does not apply) for generic drugs $20 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply Must use contracting pharmacies $10 copay, then 100% (deductible does not apply) for generic drugs $20 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply $10 copay, then 100% for generic drugs $20 copay, then 100% for brand name drugs Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Mail Order Pharmacy -- Caremark is the Self Funded PPO mail order vendor (Self Funded PPO -90 day supply; Kaiser – 100 day supply) $20 copay, then 100% (deductible does not apply) for generic drugs $30 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply Must use contracting pharmacies $20 copay, then 100% (deductible does not apply) for generic drugs $30 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply $20 copay, then 100% for generic drugs *$40 copay, then 100% for brand name drugs *Due to Kaiser system constrants, members will need to submit a Kaiser reimbursement processed by Xxxxxxx) for the brand name copay This document is for illustration purposes only. For a complete listing of benefits, limitations and/or plan exclusions, refer to the Summary Plan Description. Should a discrepancy arise in this document, the Summary Plan Description supersedes this document. APPENDIX 3 – Pay Ranges and Classifications Range Steps A B C D E 1 1,254 1,313 1,371 1,449 1,519 2 1,285 1,346 1,408 1,483 1,560 3 1,313 1,371 1,449 1,519 1,598 4 1,346 1,408 1,483 1,560 1,635 5 1,371 1,449 1,519 1,598 1,676 6 1,408 1,483 1,560 1,635 1,723 7 1,449 1,519 1,598 1,676 1,758 8 1,483 1,560 1,635 1,723 1,806 9 1,519 1,598 1,676 1,758 1,849 10 1,560 1,635 1,723 1,806 1,895 11 1,598 1,676 1,758 1,849 1,943 12 1,635 1,723 1,806 1,895 1,993 13 1,676 1,758 1,849 1,943 2,040 14 1,723 1,806 1,895 1,993 2,098 15 1,758 1,849 1,943 2,040 2,145 16 1,806 1,895 1,993 2,098 2,193 17 1,849 1,943 2,040 2,145 2,247 18 1,895 1,993 2,098 2,193 2,305 19 1,943 2,040 2,145 2,247 2,359 20 1,993 2,098 2,193 2,305 2,421 21 2,040 2,145 2,247 2,359 2,482 22 2,098 2,193 2,305 2,421 2,539 23 2,145 2,247 2,359 2,482 2,602 24 2,193 2,305 2,421 2,539 2,670 25 2,247 2,359 2,482 2,602 2,741 26 2,305 2,421 2,539 2,670 2,802 27 2,359 2,482 2,602 2,741 2,874 28 2,421 2,539 2,670 2,802 2,937 29 2,482 2,602 2,741 2,874 3,014 30 2,539 2,670 2,802 2,937 3,092 31 2,602 2,741 2,874 3,014 3,160 32 2,670 2,802 2,937 3,092 3,243 33 2,741 2,874 3,014 3,160 3,316 34 2,802 2,937 3,092 3,243 3,401 35 2.874 3,014 3,160 3,316 3,482 36 2,927 3,092 3,243 3,401 3,573 37 3,014 3,160 3,316 3,482 3,655 38 3,092 3,243 3,401 3,573 3,756 39 3,160 3,316 3,482 3,655 3,838 40 3,243 3,401 3,573 3,756 3,939 41 3,316 3,482 3,655 3,838 4,032 42 3,401 3,573 3,756 3,939 4,140 43 3,482 3,655 3,838 4,032 4,240 44 3,573 3,756 3,939 4,140 4,337 45 3,655 3,838 4,032 4,240 4,448 46 3,756 3,939 4,140 4,337 4,558 APPENDIX 3 – Pay Ranges and Classifications Range Steps A B C D E 47 3,838 4,032 4,240 4,448 4,654 48 3,939 4,140 4,337 4,558 4,774 49 4,032 4,240 4,448 4,654 4,889 50 4,140 4,324 4,558 4,774 5,008 51 4,240 4,448 4,654 4,889 5,128 52 4,337 4,558 4,774 5,008 5,254 53 4,448 4,654 4,889 5,128 5,384 54 4,558 4,774 5,008 5,254 5,511 55 4,654 4,889 5,128 5,384 5,640 56 4,774 5,008 5,254 5,511 5,777 57 4,889 5,128 5,384 5,640 5,927 58 5,008 5,254 5,511 5,777 6,064 59 5,128 5,384 5,640 5,927 6,213 60 5,254 5,511 5,777 6,064 6,356 61 5,384 5,640 5,927 6,213 6,518 62 5,511 5,777 6,064 6,356 6,674 63 5,639 5,927 6,213 6,518 6,829 63 5,777 6,064 6,356 6,674 6,998 65 5,927 6,213 6,518 6,829 7,162 66 6,064 6,356 6,674 6,998 7,339 67 6,213 6,518 6,829 7,162 7,525 68 6,356 6,674 6,998 7,339 7,704 69 6,518 6,829 7,162 7,525 7,893 70 6,674 6,998 7,339 7,704 8,083 71 6,829 7,162 7,525 7,893 8,279 72 6,998 7,339 7,704 8,083 8,481 Apprenticeship wage schedule based on Stationary Engineer, Step E, at the bottom of Appendix A. First 12 month 65% of the stationary engineer, Step E Second six months 70% of the stationary engineer, Step E Third six months 75% of the stationary engineer, Step E Fourth six months 80% of the stationary engineer, Step E Fifth six months 85% of stationary engineer, Step E Seventh six month 90% of stationary engineer, Step E Eighth six month 95% of stationary engineer, Step E Thereafter 100% of stationary engineer, Step E Longevity Benefits Effective July 1, 2007, longevity payments have been established as follows: A one thousand two hundred and fifty dollar ($1,250) annual installment effective after the ninth (9th) year of service; One thousand five hundred dollar ($1,500) after the fourteenth (14th) year of service; and One thousand seven hundred and fifty dollars ($1,750) after 19 years of service.
Appears in 1 contract
Samples: Peralta Community College District
Comparison of Health Plans. Self-Funded (Traditional)Blue Cross, Self-Funded (Lite)CoreSource, and Kaiser HMO This agreement includes major changes to the medical/prescription drug plans that the District sponsors. The plan attributescurrent and new vendors are: PPO Plan – through August 31, co2004 PPO Plan – Pre-pays and deductibles are outlined in Appendix 2. Paid Health Plan amendments will be introduced by the plan sponsor, Xxxxxxx Community College District, as necessary to maintain consistency in the application of plan benefits. – No Change Administrator Blue Cross Core Source Kaiser Network Prudent Buyer Interplan / PHCS • 9/1/04-8/31/06 Blue Cross* • 9/1/06-8/31/07* Prescriptions Wellpoint Medco Stop-Loss BC Life ING • In the event that a covered person was receiving services from a provider of service that is not in the preferred provider network on the date in which the preferred provider network was integrated into this Plan, then the charges resulting from services rendered by that provider will be deemed as having rendered by a preferred provider until the earlier of; the date treatment is concluded (or diagnosis changes) or the end of one month from the date of network integration or change. • If a covered person is receiving services for maternity care from a network provider that is not in the preferred provider network on the date that the network was integrated in this Plan, the charges resulting from services rendered by that provider will be deemed as having been rendered by a preferred provider until the date treatment is concluded. The following plan attributes, co-pas and deductibles shall apply: Plan Attribute Blue Cross Until 8/31/04 CoreSource Effective 9/1/04 Kaiser Until 8/31/04 Kaiser Effective 9/1/04 Encounter Co-Pay (Office visit, labs, etc.) Zero $10 (deductible is waived) Zero $10 Emergency Room Co-Pay Zero or $25, depending on class $35 (waived if directed by network physician or admitted as an inpatient) Zero $35 Annual Deductible Zero $100 - 3 times individual deductible per family None None Co-insurance 20% non-network 20% non-network None None Mental Health/Chemical Dependency 50% any provider Covered like any medical condition – no reduction Covered like any medical condition – no reduction No change Infertility; Orthotics; Smoking Cessation Not Covered Coverage Now Available, subject to new plan limits No change No change Wellness Limited Expanded Extensive No Change Health Education Limited Expanded Extensive No Change Lifetime Maximum-medical $1,000,000 (goes to $2,000,000) $5,000,000 Not applicable Not applicable Generic Drug – up to 30 day supply $1 $10 $5 $10 Brand Drug - up to 30 day supply $1 $15 $5 $15 Mail Order –up to 90 supply (Brand and Generic) $1 $5 $5 $5* Xxxxxxx reimburses expenses over $5 per mail order prescription Plan amendments will be introduced by the plan sponsor, Xxxxxxx Community College District Self Funded Preferred Provider Program Kaiser HMO Program Amended District, as necessary to maintain consistency in the application of plan benefits. APPENDIX 2 Local 1021 – Regular Pay Scale Effective July 1, 2012 Local 39 Active Employees and Post July 1, 2012 Retirees Only (APPENDIX 2 – Health Plan Coverage Comparison) This document is for illustration purposes only. For a complete listing of benefits, limitations and/or plan exclusions, refer to the Summary Plan Description. Should a discrepancy arise in this document, the Summary Plan Description supersedes this document. Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Lifetime Maximum per Covered Person Unlimited Unlimited Unlimited Deductible Per Calendar Year $100 per person 3 deductibles maximum per family $100 per person 3 deductibles maximum per family None Out of Pocket Expense Limit Per Calendar Year (excludes deductible) – refer to SPD for a listing of charges not applicable to the out of pocket expense limit. $300 per person $900 per family $1,000 per person $3,000 per family $300 per person $900 per family $1,500 per person $3,000 per family Inpatient Hospitalization 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Emergency Room Services (copay waived if admitted) $35 copay, then 100% (deductible does not apply) $35 copay, then 100% of customary and reasonable amount (deductible does not apply) $35 copay, then 100% (deductible does not apply) $35 copay, then 100% Non-Emergency Room Care (copay waived if admitted) $35 copay, then 80%, after deductible $35 copay, then 80% of customary and reasonable amount, after deductible $35 copay, then 80%, after deductible Not covered Office Visit $15 copay, then 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible $15 copay, then 100% (deductible does not apply) $15 copay, then 100% Diagnostic Services and Supplies 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Home Health Care (limited to 100 visit maximum benefit per calendar year) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Hospice Care 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Durable Medical Equipment 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Ambulance Service 100%, after deductible 100% of customary and reasonable amount, after deductible 100%, after deductible 100% Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Mammograms (Self Funded PPO - limited to one baseline mammogram for women at least age 35; and one every calendar year thereafter ) 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible 100% (deductible does not apply) 100% Well Child Care (to age 19) 100% (deductible does not apply) Not covered 100% (deductible does not apply) 100% Preventive Care for Examination 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible 100% (deductible does not apply) 100% Well Woman / Well Man Exams 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Inpatient Mental Nervous / Chemical Dependency Care 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Outpatient Mental Nervous / Chemical Dependency Care $15 copay, then 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible $15 copay, then 100% (deductible does not apply) $15 copay, then 100% Therapy Services (physical, speech, occupational, diabetic education, nutrition, and other medically necessary therapies) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible $15 copay, then 100% Hearing Aid Expenses (Self Funded PPO - limited to a maximum benefit of $5,000 per five year period) 50%, after deductible 50% of customary and reasonable amount, after deductible 50%, after deductible Once every 36 months; you pay amounts in excess of $1,500 per aid Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Infertility Treatment (limited to a $5,000 lifetime maximum benefit) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible Not covered All Other Covered Expenses 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Retail Pharmacy – Caremark (30 day supply) $10 copay, then 100% (deductible does not apply) for generic drugs $20 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply Must use contracting pharmacies $10 copay, then 100% (deductible does not apply) for generic drugs $20 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply $10 copay, then 100% for generic drugs $20 copay, then 100% for brand name drugs Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Mail Order Pharmacy -- Caremark is the Self Funded PPO mail order vendor (Self Funded PPO -90 day supply; Kaiser – 100 day supply) $20 copay, then 100% (deductible does not apply) for generic drugs $30 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply Must use contracting pharmacies $20 copay, then 100% (deductible does not apply) for generic drugs $30 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply $20 copay, then 100% for generic drugs *$40 copay, then 100% for brand name drugs *Due to Kaiser system constrants, members will need to submit a Kaiser reimbursement processed by Xxxxxxx) for the brand name copay This document is for illustration purposes only. For a complete listing of benefits, limitations and/or plan exclusions, refer to the Summary Plan Description. Should a discrepancy arise in this document, the Summary Plan Description supersedes this document. APPENDIX 3 – Pay Ranges and Classifications 2007 Range Steps Step A B C D E 1 1,254 1,313 1,371 1,449 1,519 2,100 2,210 2,318 2,431 2,553 2 1,285 1,346 1,408 1,483 1,560 2,118 2,228 2,337 2,451 2,574 3 1,313 1,371 1,449 1,519 1,598 2,153 2,264 2,370 2,497 2,614 4 1,346 1,408 1,483 1,560 1,635 2,184 2,229 2,411 2,529 2,655 5 1,371 1,449 1,519 1,598 1,676 2,246 2,357 2,472 2,591 2,719 6 1,408 1,483 1,560 1,635 1,723 2,294 2,401 2,519 2,636 2,764 7 1,449 1,519 1,598 1,676 1,758 2,301 2,413 2,535 2,651 2,788 8 1,483 1,560 1,635 1,723 1,806 2,337 2,451 2,572 2,695 2,828 9 1,519 1,598 1,676 1,758 1,849 2,388 2,499 2,615 2,737 2,864 10 1,560 1,635 1,723 1,806 1,895 2,369 2,479 2,594 2,715 2,841 11 1,598 1,676 1,758 1,849 1,943 2,401 2,519 2,636 2,764 2,909 12 1,635 1,723 1,806 1,895 1,993 2,419 2,535 2,655 2,782 2,930 13 1,676 1,758 1,849 1,943 2,040 2,465 2,579 2,698 2,823 2,954 14 1,723 1,806 1,895 1,993 2,098 2,451 2,572 2,695 2,828 2,979 15 1,758 1,849 1,943 2,040 2,145 2,466 2,585 2,710 2,844 2,997 16 1,806 1,895 1,993 2,098 2,193 2,519 2,636 2,764 2,909 3,044 17 1,849 1,943 2,040 2,145 2,247 2,535 2,651 2,788 2,923 3,066 18 1,895 1,993 2,098 2,193 2,305 2,549 2,669 2,798 2,941 3,081 19 1,943 2,040 2,145 2,247 2,359 2,581 2,700 2,826 2,957 3,109 20 1,993 2,098 2,193 2,305 2,421 2,612 2,730 2,865 3,002 3,147 21 2,040 2,145 2,247 2,359 2,482 2,653 2,772 2,916 3,057 3,206 22 2,098 2,193 2,305 2,421 2,539 2,669 2,793 2,923 3,072 3,212 23 2,145 2,247 2,359 2,482 2,602 2,651 2,788 2,923 3,066 3,224 24 2,193 2,305 2,421 2,539 2,670 2,668 2,807 2,944 3,088 3,247 25 2,247 2,359 2,482 2,602 2,741 26 2,305 2,421 2,539 2,670 2,802 27 2,359 2,482 2,602 2,741 2,874 28 2,421 2,539 2,670 2,802 2,937 29 2,482 2,602 2,741 2,874 3,014 30 2,539 2,670 2,802 2,937 3,092 31 2,602 2,741 2,874 3,014 3,160 32 2,670 2,802 2,937 3,092 3,243 33 2,741 2,874 3,014 3,160 3,316 34 2,802 2,937 3,092 3,243 3,401 35 2.874 3,014 3,160 3,316 3,482 36 2,927 3,092 3,243 3,401 3,573 37 3,014 3,160 3,316 3,482 3,655 38 3,092 3,243 3,401 3,573 3,756 39 3,160 3,316 3,482 3,655 3,838 40 3,243 3,401 3,573 3,756 3,939 41 3,316 3,482 3,655 3,838 4,032 42 3,401 3,573 3,756 3,939 4,140 43 3,482 3,655 3,838 4,032 4,240 44 3,573 3,756 3,939 4,140 4,337 45 3,655 3,838 4,032 4,240 4,448 46 3,756 3,939 4,140 4,337 4,558 APPENDIX 3 – Pay Ranges and Classifications 2,698 2,823 2,954 3,106 3,246 Range Steps Step A B C D E 26 2,695 2,828 2,979 3,121 3,274 27 2,758 2,891 3,043 3,177 3,338 28 2,779 2,904 3,044 3,184 3,336 29 2,788 2,923 3,066 3,224 3,378 30 2,823 2,954 3,106 3,246 3,399 31 2,826 2,957 3,109 3,250 3,402 32 2,857 2,994 3,132 3,282 3,441 33 2,860 3,007 3,143 3,292 3,441 34 2,864 3,010 3,147 3,295 3,444 35 2,865 3,002 3,147 3,303 3,457 36 2,891 3,029 3,169 3,320 3,482 37 2,904 3,044 3,184 3,336 3,498 38 2,910 3,044 3,190 3,345 3,503 39 2,923 3,066 3,224 3,378 3,544 40 2,972 3,123 3,265 3,418 3,574 41 2,967 3,113 3,268 3,425 3,592 42 2,979 3,121 2,927 3,427 3,596 43 2,983 3,124 3,277 3,430 3,599 44 2,997 3,140 3,293 3,446 3,617 45 3,002 3,147 3,303 3,457 3,623 46 3,023 3,169 3,326 3,481 3,648 47 3,838 4,032 4,240 4,448 4,654 3,044 3,190 3,345 3,503 3,670 48 3,939 4,140 4,337 4,558 4,774 3,059 3,204 3,354 3,508 3,676 49 4,032 4,240 4,448 4,654 4,889 3,057 3,206 3,372 3,534 3,707 50 4,140 4,324 4,558 4,774 5,008 3,066 3,224 3,378 3,544 3,718 51 4,240 4,448 4,654 4,889 5,128 3,109 3,250 3,402 3,557 3,726 52 4,337 4,558 4,774 5,008 5,254 3,088 3,247 3,401 3,568 3,744 53 4,448 4,654 4,889 5,128 5,384 3,148 3,295 3,458 3,629 3,802 Range Step A B C D E 54 4,558 4,774 5,008 5,254 5,511 3,184 3,336 3,498 3,664 3,839 55 4,654 4,889 5,128 5,384 5,640 3,246 3,399 3,553 3,722 3,903 56 4,774 5,008 5,254 5,511 5,777 3,250 3,399 3,557 3,726 3,906 57 4,889 5,128 5,384 5,640 5,927 3,224 3,378 3,544 3,718 3,908 58 5,008 5,254 5,511 5,777 6,064 3,268 3,417 3,578 3,752 3,928 59 5,128 5,384 5,640 5,927 6,213 3,295 3,458 3,629 3,802 3,995 60 5,254 5,511 5,777 6,064 3,363 3,516 3,682 3,861 4,042 61 3,339 3,506 3,679 3,870 4,053 62 3,345 3,503 3,670 3,841 4,029 63 3,366 3,534 3,708 3,902 4,087 64 3,441 3,604 3,779 3,956 4,146 65 3,479 3,643 3,816 3,995 4,191 66 3,482 3,646 3,821 3,998 4,195 67 3,498 3,664 3,839 4,025 4,215 68 3,478 3,649 3,831 4,028 4,221 69 3,506 3,679 3,870 4,053 4,274 70 3,592 3,763 3,956 4,156 4,371 71 3,617 3,790 3,984 4,185 4,401 72 3,646 3,826 4,025 4,215 4,444 73 3,649 3,831 4,028 4,221 4,449 74 3,757 3,937 4,138 4,348 4,573 75 3,826 4,025 4,215 4,444 4,648 76 3,831 4,028 4,221 4,449 4,652 77 3,914 4,114 4,322 4,546 4,766 78 3,918 4,118 4,328 4,551 4,771 79 3,956 4,156 4,371 4,583 4,794 80 3,980 4,182 4,398 4,610 4,823 81 3,984 4,185 4,401 4,615 4,827 Range Step A B C D E 82 4,053 4,274 4,469 4,692 4,917 83 4,082 4,304 4,500 4,725 4,951 84 4,114 4,322 4,546 4,766 4,986 85 4,172 4,397 4,598 4,828 5,059 86 4,221 4,449 4,652 4,886 5,117 87 4,239 4,470 4,675 4,908 5,143 88 4,371 4,583 4,794 5,042 5,282 89 4,398 4,610 4,823 5,073 5,314 90 4,401 4,615 4,827 5,079 5,320 91 4,444 4,648 4,879 5,113 5,365 92 4,469 4,692 4,917 5,158 5,412 93 4,504 4,730 4,956 5,199 5,455 94 4,573 4,793 5,014 5,264 5,526 95 4,648 4,879 5,113 5,365 5,628 96 4,675 4,908 5,143 5,395 5,662 97 4,692 4,917 5,158 5,412 5,671 98 4,725 4,951 5,194 5,451 5,711 99 4,917 5,158 5,412 5,671 5,950 100 4,990 5,249 5,499 5,776 6,050 101 5,073 5,314 5,582 5,847 6,148 102 5,079 5,320 5,588 5,853 6,154 103 5,158 5,412 5,671 5,950 6,252 104 5,282 5,548 5,812 6,112 6,401 105 5,370 5,634 5,903 6,194 6,509 106 5,548 5,812 6,112 6,401 6,715 107 5,634 5,903 6,194 6,509 6,815 108 5,671 5,950 6,252 6,547 6,874 109 5,771 6,044 6,356 6,657 6,984 Range Step A B C D E 110 5,776 6,050 6,362 6,663 6,991 111 5,835 6,122 6,434 6,736 7,705 112 5,898 6,187 6,501 6,809 7,150 113 6,112 6,401 6,715 7,043 7,385 114 6,148 6,439 6,756 7,085 7,429 Appendix 3 SEIU Local 1021 – Job Classifications Position Code Title Range 891 Academic Support Services Specialist 91 003 Account Clerk I 19 004 Account Clerk II 31 555 Accounting Services Technician 43 005 Accounting Technician 51 009 Admissions & Records Clerk 22 273 Admissions & Records Specialist 85 247 Admissions & Records Technician 60 521 Alternate Media Technology Specialist 87 718 Applications Software Analyst 114 527 Assistant Buyer 86 017 Audiovisual Services Assistant 21 018 Audiovisual Services Supervisor 00 000 Xxxxxx 00 000 Buyer 105 865 CalWORKS Program Supervisor 109 821 Child Care Assistant I 2 822 Child Care Assistant II 9 162 Child Care Specialist 34 023 Clerical Assistant I 4 105 Clerical Assistant I, Stenography 8 116 Clerical Assistant I, Typing 4 024 Clerical Assistant II 13 106 Clerical Assistant II, Stenography 14 117 Clerical Assistant II, Typing 13 805 College Network Coordinator 98 266 Community Services Assistant I/Outreach 17 037 Community Services Assistant II/ Outreach 20 016 Computer Electronics Technician 71 295 Computer Network Technician 71 933 Computer Operations Technician 71 039 Computer Operator I 24 040 Computer Operator II 46 183 Xxxx 9 859 Coordinator/Career and Transfer 95 561 Coordinator/Children's Center 93 914 Coordinator/EOPS 95 935 Coordinator/International Education 95 063 Coordinator/Interpreter Services 95 940 Coordinator/Learning Resource Center 95 103 Coordinator/Marketing 95 535 Coordinator/Tech Prep Program 95 285 Cosmetology Lab. Technician 47 Position Code Title Range 070 Data Entry Operator I 12 071 Data Entry Operator II 33 818 Department Network Coordinator 90 288 District Accounting Control Technician 86 286 District Accounting Technician 73 193 District Admissions Officer 111 932 District Client Services Coordinator 107 544 District Development Officer 112 047 District Financial Analyst 110 898 District IT Production Control Technician 64 556 District Purchasing/AP Supvervisor 107 931 District Telecommunications Sys. Coordinator 107 858 DSP&S Adapted Computer Learning Technician 83 056 Duplicating Services Technician I 15 057 Duplicating Services Technician II 27 834 Educational Support Services Analyst 92 019 Electronics Technician 74 145 Facilities Planning Assistant 72 934 Facilities Project Coordinator 105 060 Financial Aid & Placement Assistant 56 813 Financial Aid Program Supervisor 100 877 Financial Aid Specialist 76 185 Graphic Artist 37 946 Graphic Design Specialist 87 195 Graphics & Media Specialist 44 163 Head Child Care Specialist 63 920 Help Desk Support Technician I (Trainee) 70 921 Help Desk Support Technician II 79 197 Instructional Assistant/Art 41 516 Instructional Assistant/Basic Skills 41 101 Instructional Assistant/CIS 41 188 Instructional Assistant/Computer Lab 41 200 Instructional Assistant/English 41 095 Instructional Assistant/LRC 41 220 Instructional Assistant/Mathematics 41 510 Instructional Assistant/Student Center Cafeteria 41 861 International Student Support Specialist 82 833 Library Network Coordinator 90 075 Library Technician I 28 076 Library Technician II 40 515 Media Support Services Supervisor 94 582 Network Coordinator 90 581 Network Technician 81 557 Payroll Technician 46 006 Principal Accounting Technician 66 021 Principal Clerk 36 030 Principal Library Technician 67 156 Program Specialist/Assessment & Tutorial 75 Position Code Title Range 819 Program Specialist/C.A.R.E. 75 864 Program Specialist/CalWORKS 75 863 Program Specialist/Case Specialist 75 878 Program Specialist/DSPS 75 542 Program Specialist/EBSBDC 75 862 Program Specialist/Employer Liaison 75 231 Program Specialist/EOPS 75 164 Program Specialist/Outreach 75 201 Program Specialist/PCTV 75 509 Program Specialist/Placement 75 235 Program Specialist/RSVP 75 596 Program Specialist/Student Activities 75 882 Program Specialist/Student Services 75 847 Program Specialist/Transfer Center 75 089 Programmer 80 086 Programmer Analyst 89 872 Project Manager 112 876 Public Information Officer 96 287 Purchasing Assistant 36 849 Regional CalWORKS Officer 112 857 Research and Planning Officer 112 543 Research Data Spec/Assessment 84 523 Research Data Spec/Matriculation 84 238 Science Laboratory Technician/Biological Science 45 239 Science Laboratory Technician/Chemistry 45 240 Science Laboratory Technician/Landscape Horticulture 45 897 Science Laboratory Technician/Microbiology 45 241 Science Laboratory Technician/Physical Science 45 243 Secretary 30 244 Secretary, Stenography 42 927 Small Business Adviser 112 010 Sr. Admissions & Records Clerk 32 035 Sr. Clerical Assistant 25 246 Sr. Clerical Assistant, Stenography 26 118 Sr. Clerical Assistant, Typing 25 038 Sr. Community Services Assistant/Outreach 35 041 Sr. Computer Operator 52 055 Sr. Duplicating Services Technician 49 809 Sr. Duplicating & Support Services Technician 49 922 Sr. Help Desk Support Technician 88 077 Sr. Library Technician 54 583 Sr. Network Coordinator 102 087 Sr. Programmer Analyst 101 245 Sr. Secretary 48 099 Sr. Secretary, Stenography 65 248 Staff Assistant/Admin (General) 55 160 Staff Assistant/Admin (Grants) 55 250 Staff Assistant/Admin (Instruction) 55 Position Code Title Range 854 Staff Assistant/Administrative Services 55 505 Staff Assistant/ASL & English 55 102 Staff Assistant/Business 55 558 Staff Assistant/Business Services 55 824 Staff Assistant/CalWORKS 55 088 Staff Assistant/Communication Services 55 209 Staff Assistant/DSPS 55 214 Staff Assistant/EOPS 55 097 Staff Assistant/Facilities Services 55 892 Staff Assistant/Human Resources 55 936 Staff Assistant/IT 55 507 Staff Assistant/Marketing 55 860 Staff Assistant/Orientation-Intake 55 575 Staff Assistant/Payroll 56 945 Staff Assistant/President's Office (Administrative) 55 158 Staff Assistant/Program (Enabler) 55 880 Staff Assistant/Purchasing 56 550 Staff Assistant/Student Services 55 808 Staff Assistant/Tech Prep Program 55 913 Staff Assistant, Vice President's Office 67 058 Staff Services Specialist/Fiscal 78 549 Staff Services Specialist/General Services 78 836 Staff Services Specialist/Special Project 78 569 Stage & Production Assistant 17 130 Stage & Production Supervisor 57 140 Student Activities Advisor 61 5,384 5,640 5,927 6,213 6,518 62 5,511 5,777 6,064 6,356 6,674 63 5,639 5,927 6,213 6,518 6,829 63 5,777 6,064 6,356 6,674 6,998 65 5,927 6,213 6,518 6,829 7,162 66 6,064 6,356 6,674 6,998 7,339 67 6,213 6,518 6,829 7,162 7,525 890 Student Employment Specialist 68 6,356 6,674 6,998 7,339 7,704 69 6,518 6,829 7,162 7,525 7,893 70 6,674 6,998 7,339 7,704 8,083 139 Student Personnel Services Specialist 61 855 Supervisor, Admin. & Bus. Support Services. 105 165 Systems Programmer 114 223 Telephone Operator/Receptionist 25 956 Television Production Technician 71 6,829 7,162 7,525 7,893 8,279 72 6,998 7,339 7,704 8,083 8,481 Apprenticeship wage schedule based on Stationary Engineer, Step E, at the bottom of Appendix A. First 12 month 65% of the stationary engineer, Step E Second six months 70% of the stationary engineer, Step E Third six months 75% of the stationary engineer, Step E Fourth six months 80% of the stationary engineer, Step E Fifth six months 115 Tutorial Services Assistant 38 119 Tutorial Services Specialist 61 955 TV Broadcast Coordinator 85% of stationary engineer, Step E Seventh six month 90% of stationary engineer, Step E Eighth six month 95% of stationary engineer, Step E Thereafter 100% of stationary engineer, Step E Longevity Benefits Effective July 1, 2007, longevity payments have been established as follows: A one thousand two hundred and fifty dollar ($1,250) annual installment effective after the ninth (9th) year of service; One thousand five hundred dollar ($1,500) after the fourteenth (14th) year of service; and One thousand seven hundred and fifty dollars ($1,750) after 19 years of service.
Appears in 1 contract
Samples: Peralta Community College District
Comparison of Health Plans. Self-Funded (Traditional)Blue Cross, Self-Funded (Lite)CoreSource, and Kaiser HMO This agreement includes major changes to the medical/prescription drug plans that the District sponsors. The plan attributescurrent and new vendors are: PPO Plan – through August 31, co2004 PPO Plan – Pre-pays and deductibles are outlined in Appendix 2. Paid Health Plan amendments will be introduced by the plan sponsor, Xxxxxxx Community College District, as necessary to maintain consistency in the application of plan benefits. – No Change Administrator Blue Cross Core Source Kaiser Network Prudent Buyer Interplan / PHCS • 9/1/04-8/31/06 Blue Cross* • 9/1/06-8/31/07* Prescriptions Wellpoint Medco Stop-Loss BC Life ING • In the event that a covered person was receiving services from a provider of service that is not in the preferred provider network on the date in which the preferred provider network was integrated into this Plan, then the charges resulting from services rendered by that provider will be deemed as having rendered by a preferred provider until the earlier of; the date treatment is concluded (or diagnosis changes) or the end of one month from the date of network integration or change. • If a covered person is receiving services for maternity care from a network provider that is not in the preferred provider network on the date that the network was integrated in this Plan, the charges resulting from services rendered by that provider will be deemed as having been rendered by a preferred provider until the date treatment is concluded. The following plan attributes, co-pas and deductibles shall apply: Plan Attribute Blue Cross Until 8/31/04 CoreSource Effective 9/1/04 Kaiser Until 8/31/04 Kaiser Effective 9/1/04 Encounter Co-Pay (Office visit, labs, etc.) Zero $10 (deductible is waived) Zero $10 Emergency Room Co-Pay Zero or $25, depending on class $35 (waived if directed by network physician or admitted as an inpatient) Zero $35 Annual Deductible Zero $100 - 3 times individual deductible per family None None Co-insurance 20% non-network 20% non-network None None Mental Health/Chemical Dependency 50% any provider Covered like any medical condition – no reduction Covered like any medical condition – no reduction No change Infertility; Orthotics; Smoking Cessation Not Covered Coverage Now Available, subject to new plan limits No change No change Wellness Limited Expanded Extensive No Change Health Education Limited Expanded Extensive No Change Lifetime Maximum-medical $1,000,000 (goes to $2,000,000) $5,000,000 Not applicable Not applicable Generic Drug – up to 30 day supply $1 $10 $5 $10 Brand Drug - up to 30 day supply $1 $15 $5 $15 Mail Order –up to 90 supply (Brand and Generic) $1 $5 $5 $5* Xxxxxxx reimburses expenses over $5 per mail order prescription Plan amendments will be introduced by the plan sponsor, Xxxxxxx Community College District Self Funded Preferred Provider Program Kaiser HMO Program Amended July 1District, 2012 Local 39 Active Employees and Post July 1, 2012 Retirees Only (as necessary to maintain consistency in the application of plan benefits. APPENDIX 2 – Health Plan Coverage Comparison) This document is for illustration purposes only. For a complete listing of benefits, limitations and/or plan exclusions, refer to the Summary Plan Description. Should a discrepancy arise in this document, the Summary Plan Description supersedes this document. Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Lifetime Maximum per Covered Person Unlimited Unlimited Unlimited Deductible Per Calendar Year $100 per person 3 deductibles maximum per family $100 per person 3 deductibles maximum per family None Out of Pocket Expense Limit Per Calendar Year (excludes deductible) – refer to SPD for a listing of charges not applicable to the out of pocket expense limit. $300 per person $900 per family $1,000 per person $3,000 per family $300 per person $900 per family $1,500 per person $3,000 per family Inpatient Hospitalization 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Emergency Room Services (copay waived if admitted) $35 copay, then 100% (deductible does not apply) $35 copay, then 100% of customary and reasonable amount (deductible does not apply) $35 copay, then 100% (deductible does not apply) $35 copay, then 100% Non-Emergency Room Care (copay waived if admitted) $35 copay, then 80%, after deductible $35 copay, then 80% of customary and reasonable amount, after deductible $35 copay, then 80%, after deductible Not covered Office Visit $15 copay, then 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible $15 copay, then 100% (deductible does not apply) $15 copay, then 100% Diagnostic Services and Supplies 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Home Health Care (limited to 100 visit maximum benefit per calendar year) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Hospice Care 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Durable Medical Equipment 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Ambulance Service 100%, after deductible 100% of customary and reasonable amount, after deductible 100%, after deductible 100% Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Mammograms (Self Funded PPO - limited to one baseline mammogram for women at least age 35; and one every calendar year thereafter ) 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible 100% (deductible does not apply) 100% Well Child Care (to age 19) 100% (deductible does not apply) Not covered 100% (deductible does not apply) 100% Preventive Care for Examination 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible 100% (deductible does not apply) 100% Well Woman / Well Man Exams 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Inpatient Mental Nervous / Chemical Dependency Care 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Outpatient Mental Nervous / Chemical Dependency Care $15 copay, then 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible $15 copay, then 100% (deductible does not apply) $15 copay, then 100% Therapy Services (physical, speech, occupational, diabetic education, nutrition, and other medically necessary therapies) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible $15 copay, then 100% Hearing Aid Expenses (Self Funded PPO - limited to a maximum benefit of $5,000 per five year period) 50%, after deductible 50% of customary and reasonable amount, after deductible 50%, after deductible Once every 36 months; you pay amounts in excess of $1,500 per aid Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Infertility Treatment (limited to a $5,000 lifetime maximum benefit) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible Not covered All Other Covered Expenses 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Retail Pharmacy – Caremark (30 day supply) $10 copay, then 100% (deductible does not apply) for generic drugs $20 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply Must use contracting pharmacies $10 copay, then 100% (deductible does not apply) for generic drugs $20 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply $10 copay, then 100% for generic drugs $20 copay, then 100% for brand name drugs Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Mail Order Pharmacy -- Caremark is the Self Funded PPO mail order vendor (Self Funded PPO -90 day supply; Kaiser – 100 day supply) $20 copay, then 100% (deductible does not apply) for generic drugs $30 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply Must use contracting pharmacies $20 copay, then 100% (deductible does not apply) for generic drugs $30 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply $20 copay, then 100% for generic drugs *$40 copay, then 100% for brand name drugs *Due to Kaiser system constrants, members will need to submit a Kaiser reimbursement processed by Xxxxxxx) for the brand name copay This document is for illustration purposes only. For a complete listing of benefits, limitations and/or plan exclusions, refer to the Summary Plan Description. Should a discrepancy arise in this document, the Summary Plan Description supersedes this document. APPENDIX 3 – Pay Ranges and Classifications Range Steps A B C D E 1 1,254 1,313 1,371 1,449 1,519 2 1,285 1,346 1,408 1,483 1,560 3 1,313 1,371 1,449 1,519 1,598 4 1,346 1,408 1,483 1,560 1,635 5 1,371 1,449 1,519 1,598 1,676 6 1,408 1,483 1,560 1,635 1,723 7 1,449 1,519 1,598 1,676 1,758 8 1,483 1,560 1,635 1,723 1,806 9 1,519 1,598 1,676 1,758 1,849 10 1,560 1,635 1,723 1,806 1,895 11 1,598 1,676 1,758 1,849 1,943 12 1,635 1,723 1,806 1,895 1,993 13 1,676 1,758 1,849 1,943 2,040 14 1,723 1,806 1,895 1,993 2,098 15 1,758 1,849 1,943 2,040 2,145 16 1,806 1,895 1,993 2,098 2,193 17 1,849 1,943 2,040 2,145 2,247 18 1,895 1,993 2,098 2,193 2,305 19 1,943 2,040 2,145 2,247 2,359 20 1,993 2,098 2,193 2,305 2,421 21 2,040 2,145 2,247 2,359 2,482 22 2,098 2,193 2,305 2,421 2,539 23 2,145 2,247 2,359 2,482 2,602 24 2,193 2,305 2,421 2,539 2,670 25 2,247 2,359 2,482 2,602 2,741 26 2,305 2,421 2,539 2,670 2,802 27 2,359 2,482 2,602 2,741 2,874 28 2,421 2,539 2,670 2,802 2,937 29 2,482 2,602 2,741 2,874 3,014 30 2,539 2,670 2,802 2,937 3,092 31 2,602 2,741 2,874 3,014 3,160 32 2,670 2,802 2,937 3,092 3,243 33 2,741 2,874 3,014 3,160 3,316 34 2,802 2,937 3,092 3,243 3,401 35 2.874 3,014 3,160 3,316 3,482 36 2,927 3,092 3,243 3,401 3,573 37 3,014 3,160 3,316 3,482 3,655 38 3,092 3,243 3,401 3,573 3,756 39 3,160 3,316 3,482 3,655 3,838 40 3,243 3,401 3,573 3,756 3,939 41 3,316 3,482 3,655 3,838 4,032 42 3,401 3,573 3,756 3,939 4,140 43 3,482 3,655 3,838 4,032 4,240 44 3,573 3,756 3,939 4,140 4,337 45 3,655 3,838 4,032 4,240 4,448 46 3,756 3,939 4,140 4,337 4,558 APPENDIX 3 – Pay Ranges and Classifications Range Steps A B C D E 47 3,838 4,032 4,240 4,448 4,654 48 3,939 4,140 4,337 4,558 4,774 49 4,032 4,240 4,448 4,654 4,889 50 4,140 4,324 4,558 4,774 5,008 51 4,240 4,448 4,654 4,889 5,128 52 4,337 4,558 4,774 5,008 5,254 53 4,448 4,654 4,889 5,128 5,384 54 4,558 4,774 5,008 5,254 5,511 55 4,654 4,889 5,128 5,384 5,640 56 4,774 5,008 5,254 5,511 5,777 57 4,889 5,128 5,384 5,640 5,927 58 5,008 5,254 5,511 5,777 6,064 59 5,128 5,384 5,640 5,927 6,213 60 5,254 5,511 5,777 6,064 6,356 61 5,384 5,640 5,927 6,213 6,518 62 5,511 5,777 6,064 6,356 6,674 63 5,639 5,927 6,213 6,518 6,829 63 5,777 6,064 6,356 6,674 6,998 65 5,927 6,213 6,518 6,829 7,162 66 6,064 6,356 6,674 6,998 7,339 67 6,213 6,518 6,829 7,162 7,525 68 6,356 6,674 6,998 7,339 7,704 69 6,518 6,829 7,162 7,525 7,893 70 6,674 6,998 7,339 7,704 8,083 71 6,829 7,162 7,525 7,893 8,279 72 6,998 7,339 7,704 8,083 8,481 Apprenticeship wage schedule based on Stationary Engineer, Step E, at the bottom of Appendix A. First 12 month 65% of the stationary engineer, Step E Second six months 70% of the stationary engineer, Step E Third six months 75% of the stationary engineer, Step E Fourth six months 80% of the stationary engineer, Step E Fifth six months 85% of stationary engineer, Step E Seventh six month 90% of stationary engineer, Step E Eighth six month 95% of stationary engineer, Step E Thereafter 100% of stationary engineer, Step E Longevity Benefits Effective July 1, 2007, longevity payments have been established as follows: A one thousand two hundred and fifty dollar ($1,250) annual installment effective after the ninth (9th) year of service; One thousand five hundred dollar ($1,500) after the fourteenth (14th) year of service; and One thousand seven hundred and fifty dollars ($1,750) after 19 years of service.. CLASSIFICATION TITLES AND PAY RANGES TITLE RANGE Assistant Chief Stationary Engineer 57 Assistant Grounds Supervisor 45 Assistant Warehouse Supervisor (A) 42 *Assistant Warehouse Supervisor (B) 43 Athletic Trainer – Equipment Manager 45 Cashier 25 Chief Stationary Engineer 63 Custodian 32 Food Service Worker 19 Food Service Supervisor 39 Grounds Supervisor 50 Groundsworker - Gardener 36 Head Custodian 44 Laundry Worker 19 Lead Custodian (A) 40 Lead Custodian (B) 38 Lead Groundsworker-Gardener 40 Physical Education Attendant 29 Senior Storesworker 38 Stationary Engineer 54 Storesworker II 34 Toolroom Keeper I/** 29 Toolroom Keeper II/** 31 Utility Engineer 40 Warehouse Supervisor (A) 49 *Warehouse Supervisor (B) 50 Warehouse Worker-Driver (A) 38 *Warehouse Worker-Driver (B) 39 *Requires Class A or B California Commercial Driver’s License ** Multi-position classification, which a group of positions that are comparable in level, kind of work, responsibility and effort can be allocated to the same class, but may differ from one another in the specific skill(s) based on the field of expertise in which employed. APPENDIX 0 XXXXXXX XXXXXXXXX COLLEGE DISTRICT District Human Resources Office TRANSFER REQUEST FORM Local 39 In accordance with Article 10.1 of the Agreement between the International Union of Operating Engineers, Local 39, and the Xxxxxxx Community College District regarding “Custodial Vacancies”, I am applying for the vacancy cited below. Employee’s Name: Current Position: Current Location: Current Shift: 🞏 Day 🞏 Swing 🞏 Graveyard Current Hours: From To I am requesting a change to: New Location: Position Title: New Shift: 🞏 Day 🞏 Swing 🞏 Graveyard New Hours: From To Signature Date: FOR FURTHER INFORMATION REGARDING THIS CONTRACT, PLEASE CONTACT Office of Human Resources, Xxxxxxx Community College District (000) 000-0000 Or
Appears in 1 contract
Samples: Peralta Community College District
Comparison of Health Plans. Self-Funded (Traditional)Blue Cross, Self-Funded (Lite)CoreSource, and Kaiser HMO This agreement includes major changes to the medical/prescription drug plans that the District sponsors. The plan attributescurrent and new vendors are: PPO Plan – through August 31, co2004 PPO Plan – Pre-pays and deductibles are outlined in Appendix 2. Paid Health Plan amendments will be introduced by the plan sponsor, Xxxxxxx Community College District, as necessary to maintain consistency in the application of plan benefits. – No Change Administrator Blue Cross Core Source Kaiser Network Prudent Buyer Interplan / PHCS • 9/1/04-8/31/06 Blue Cross* • 9/1/06-8/31/07* Prescriptions Wellpoint Medco Stop-Loss BC Life ING • In the event that a covered person was receiving services from a provider of service that is not in the preferred provider network on the date in which the preferred provider network was integrated into this Plan, then the charges resulting from services rendered by that provider will be deemed as having rendered by a preferred provider until the earlier of; the date treatment is concluded (or diagnosis changes) or the end of one month from the date of network integration or change. • If a covered person is receiving services for maternity care from a network provider that is not in the preferred provider network on the date that the network was integrated in this Plan, the charges resulting from services rendered by that provider will be deemed as having been rendered by a preferred provider until the date treatment is concluded. The following plan attributes, co-pas and deductibles shall apply: Plan Attribute Blue Cross Until 8/31/04 CoreSource Effective 9/1/04 Kaiser Until 8/31/04 Kaiser Effective 9/1/04 Encounter Co-Pay (Office visit, labs, etc.) Zero $10 (deductible is waived) Zero $10 Emergency Room Co-Pay Zero or $25, depending on class $35 (waived if directed by network physician or admitted as an inpatient) Zero $35 Annual Deductible Zero $100 - 3 times individual deductible per family None None Co-insurance 20% non-network 20% non-network None None Mental Health/Chemical Dependency 50% any provider Covered like any medical condition – no reduction Covered like any medical condition – no reduction No change Infertility; Orthotics; Smoking Cessation Not Covered Coverage Now Available, subject to new plan limits No change No change Wellness Limited Expanded Extensive No Change Health Education Limited Expanded Extensive No Change Lifetime Maximum-medical $1,000,000 (goes to $2,000,000) $5,000,000 Not applicable Not applicable Generic Drug – up to 30 day supply $1 $10 $5 $10 Brand Drug - up to 30 day supply $1 $15 $5 $15 Mail Order –up to 90 supply (Brand and Generic) $1 $5 $5 $5* Xxxxxxx reimburses expenses over $5 per mail order prescription Plan amendments will be introduced by the plan sponsor, Xxxxxxx Community College District Self Funded Preferred Provider Program Kaiser HMO Program Amended July 1District, 2012 Local 39 Active Employees and Post July 1, 2012 Retirees Only (as necessary to maintain consistency in the application of plan benefits. APPENDIX 2 – Health Plan Coverage Comparison) This document is for illustration purposes only. For a complete listing of benefits, limitations and/or plan exclusions, refer to the Summary Plan Description. Should a discrepancy arise in this document, the Summary Plan Description supersedes this document. Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Lifetime Maximum per Covered Person Unlimited Unlimited Unlimited Deductible Per Calendar Year $100 per person 3 deductibles maximum per family $100 per person 3 deductibles maximum per family None Out of Pocket Expense Limit Per Calendar Year (excludes deductible) – refer to SPD for a listing of charges not applicable to the out of pocket expense limit. $300 per person $900 per family $1,000 per person $3,000 per family $300 per person $900 per family $1,500 per person $3,000 per family Inpatient Hospitalization 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Emergency Room Services (copay waived if admitted) $35 copay, then 100% (deductible does not apply) $35 copay, then 100% of customary and reasonable amount (deductible does not apply) $35 copay, then 100% (deductible does not apply) $35 copay, then 100% Non-Emergency Room Care (copay waived if admitted) $35 copay, then 80%, after deductible $35 copay, then 80% of customary and reasonable amount, after deductible $35 copay, then 80%, after deductible Not covered Office Visit $15 copay, then 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible $15 copay, then 100% (deductible does not apply) $15 copay, then 100% Diagnostic Services and Supplies 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Home Health Care (limited to 100 visit maximum benefit per calendar year) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Hospice Care 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Durable Medical Equipment 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Ambulance Service 100%, after deductible 100% of customary and reasonable amount, after deductible 100%, after deductible 100% Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Mammograms (Self Funded PPO - limited to one baseline mammogram for women at least age 35; and one every calendar year thereafter ) 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible 100% (deductible does not apply) 100% Well Child Care (to age 19) 100% (deductible does not apply) Not covered 100% (deductible does not apply) 100% Preventive Care for Examination 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible 100% (deductible does not apply) 100% Well Woman / Well Man Exams 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Inpatient Mental Nervous / Chemical Dependency Care 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Outpatient Mental Nervous / Chemical Dependency Care $15 copay, then 100% (deductible does not apply) 80% of customary and reasonable amount, after deductible $15 copay, then 100% (deductible does not apply) $15 copay, then 100% Therapy Services (physical, speech, occupational, diabetic education, nutrition, and other medically necessary therapies) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible $15 copay, then 100% Hearing Aid Expenses (Self Funded PPO - limited to a maximum benefit of $5,000 per five year period) 50%, after deductible 50% of customary and reasonable amount, after deductible 50%, after deductible Once every 36 months; you pay amounts in excess of $1,500 per aid Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Infertility Treatment (limited to a $5,000 lifetime maximum benefit) 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible Not covered All Other Covered Expenses 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Retail Pharmacy – Caremark (30 day supply) $10 copay, then 100% (deductible does not apply) for generic drugs $20 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply Must use contracting pharmacies $10 copay, then 100% (deductible does not apply) for generic drugs $20 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply $10 copay, then 100% for generic drugs $20 copay, then 100% for brand name drugs Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Mail Order Pharmacy -- Caremark is the Self Funded PPO mail order vendor (Self Funded PPO -90 day supply; Kaiser – 100 day supply) $20 copay, then 100% (deductible does not apply) for generic drugs $30 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply Must use contracting pharmacies $20 copay, then 100% (deductible does not apply) for generic drugs $30 copay, then 100% (deductible does not apply) for brand name drugs* *If no generic equivalent, the generic copay will apply $20 copay, then 100% for generic drugs *$40 copay, then 100% for brand name drugs *Due to Kaiser system constrants, members will need to submit a Kaiser reimbursement processed by Xxxxxxx) for the brand name copay This document is for illustration purposes only. For a complete listing of benefits, limitations and/or plan exclusions, refer to the Summary Plan Description. Should a discrepancy arise in this document, the Summary Plan Description supersedes this document. APPENDIX 3 – Pay Ranges and Classifications Range Steps A B C D E 1 1,254 1,313 1,371 1,449 1,519 2 1,285 1,346 1,408 1,483 1,560 3 1,313 1,371 1,449 1,519 1,598 4 1,346 1,408 1,483 1,560 1,635 5 1,371 1,449 1,519 1,598 1,676 6 1,408 1,483 1,560 1,635 1,723 7 1,449 1,519 1,598 1,676 1,758 8 1,483 1,560 1,635 1,723 1,806 9 1,519 1,598 1,676 1,758 1,849 10 1,560 1,635 1,723 1,806 1,895 11 1,598 1,676 1,758 1,849 1,943 12 1,635 1,723 1,806 1,895 1,993 13 1,676 1,758 1,849 1,943 2,040 14 1,723 1,806 1,895 1,993 2,098 15 1,758 1,849 1,943 2,040 2,145 16 1,806 1,895 1,993 2,098 2,193 17 1,849 1,943 2,040 2,145 2,247 18 1,895 1,993 2,098 2,193 2,305 19 1,943 2,040 2,145 2,247 2,359 20 1,993 2,098 2,193 2,305 2,421 21 2,040 2,145 2,247 2,359 2,482 22 2,098 2,193 2,305 2,421 2,539 23 2,145 2,247 2,359 2,482 2,602 24 2,193 2,305 2,421 2,539 2,670 25 2,247 2,359 2,482 2,602 2,741 26 2,305 2,421 2,539 2,670 2,802 27 2,359 2,482 2,602 2,741 2,874 28 2,421 2,539 2,670 2,802 2,937 29 2,482 2,602 2,741 2,874 3,014 30 2,539 2,670 2,802 2,937 3,092 31 2,602 2,741 2,874 3,014 3,160 32 2,670 2,802 2,937 3,092 3,243 33 2,741 2,874 3,014 3,160 3,316 34 2,802 2,937 3,092 3,243 3,401 35 2.874 3,014 3,160 3,316 3,482 36 2,927 3,092 3,243 3,401 3,573 37 3,014 3,160 3,316 3,482 3,655 38 3,092 3,243 3,401 3,573 3,756 39 3,160 3,316 3,482 3,655 3,838 40 3,243 3,401 3,573 3,756 3,939 41 3,316 3,482 3,655 3,838 4,032 42 3,401 3,573 3,756 3,939 4,140 43 3,482 3,655 3,838 4,032 4,240 44 3,573 3,756 3,939 4,140 4,337 45 3,655 3,838 4,032 4,240 4,448 46 3,756 3,939 4,140 4,337 4,558 APPENDIX 3 – Pay Ranges and Classifications Range Steps A B C D E 47 3,838 4,032 4,240 4,448 4,654 48 3,939 4,140 4,337 4,558 4,774 49 4,032 4,240 4,448 4,654 4,889 50 4,140 4,324 4,558 4,774 5,008 51 4,240 4,448 4,654 4,889 5,128 52 4,337 4,558 4,774 5,008 5,254 53 4,448 4,654 4,889 5,128 5,384 54 4,558 4,774 5,008 5,254 5,511 55 4,654 4,889 5,128 5,384 5,640 56 4,774 5,008 5,254 5,511 5,777 57 4,889 5,128 5,384 5,640 5,927 58 5,008 5,254 5,511 5,777 6,064 59 5,128 5,384 5,640 5,927 6,213 60 5,254 5,511 5,777 6,064 6,356 61 5,384 5,640 5,927 6,213 6,518 62 5,511 5,777 6,064 6,356 6,674 63 5,639 5,927 6,213 6,518 6,829 63 5,777 6,064 6,356 6,674 6,998 65 5,927 6,213 6,518 6,829 7,162 66 6,064 6,356 6,674 6,998 7,339 67 6,213 6,518 6,829 7,162 7,525 68 6,356 6,674 6,998 7,339 7,704 69 6,518 6,829 7,162 7,525 7,893 70 6,674 6,998 7,339 7,704 8,083 71 6,829 7,162 7,525 7,893 8,279 72 6,998 7,339 7,704 8,083 8,481 Apprenticeship wage schedule based on Stationary Engineer, Step E, at the bottom of Appendix A. First 12 month 65% of the stationary engineer, Step E Second six months 70% of the stationary engineer, Step E Third six months 75% of the stationary engineer, Step E Fourth six months 80% of the stationary engineer, Step E Fifth six months 85% of stationary engineer, Step E Seventh six month 90% of stationary engineer, Step E Eighth six month 95% of stationary engineer, Step E Thereafter 100% of stationary engineer, Step E Longevity Benefits Effective July 1, 2007, longevity payments have been established as follows: A one thousand two hundred and fifty dollar ($1,250) annual installment effective after the ninth (9th) year of service; One thousand five hundred dollar ($1,500) after the fourteenth (14th) year of service; and One thousand seven hundred and fifty dollars ($1,750) after 19 years of service.. CLASSIFICATION TITLES AND PAY RANGES TITLE RANGE Assistant Chief Stationary Engineer 57 Assistant Grounds Supervisor 45 Assistant Warehouse Supervisor (A) 42 *Assistant Warehouse Supervisor (B) 43 Athletic Trainer – Equipment Manager 45 Cashier 25 Chief Stationary Engineer 63 Custodian 32 Food Service Worker 19 Food Service Supervisor 39 Grounds Supervisor 50 Groundsworker - Gardener 36 Head Custodian 44 Laundry Worker 19 Lead Custodian (A) 40 Lead Custodian (B) 38 Lead Groundsworker-Gardener 40 Physical Education Attendant 29 Senior Storesworker 38 Stationary Engineer 54 Storesworker II 34 Toolroom Keeper I/** 29 Toolroom Keeper II/** 31 Utility Engineer 40 Warehouse Supervisor (A) 49 *Warehouse Supervisor (B) 50 Warehouse Worker-Driver (A) 38 *Warehouse Worker-Driver (B) 39 *Requires Class A or B California Commercial Driver’s License ** Multi-position classification, which a group of positions that are comparable in level, kind of work, responsibility and effort can be allocated to the same class, but may differ from one another in the specific skill(s) based on the field of expertise in which employed. APPENDIX 0 XXXXXXX XXXXXXXXX COLLEGE DISTRICT District Human Resources Office TRANSFER REQUEST FORM Local 39 In accordance with Article 10.1 of the Agreement between the International Union of Operating Engineers, Local 39, and the Xxxxxxx Community College District regarding “Custodial Vacancies”, I am applying for the vacancy cited below. Employee’s Name: Current Position: Current Location: Current Shift: □ Day □ Swing □ Graveyard Current Hours: From To I am requesting a change to: New Location: Position Title: New Shift: □ Day □ Swing □ Graveyard New Hours: From To Signature Date: FOR FURTHER INFORMATION REGARDING THIS CONTRACT, PLEASE CONTACT Office of Human Resources, Xxxxxxx Community College District (000) 000-0000 Or
Appears in 1 contract
Samples: Peralta Community College District
