Cost Containment Provisions. The following provisions have been agreed to for the purpose of assisting the District in containing the cost of providing medical and dental benefits to its employees and limiting the future increases in those costs: Employees who are enrolled in family coverage under the District medical and dental plans and who are willing to discontinue that coverage at the start of any school year shall receive a one-time bonus payment of one thousand dollars ($1,000) at the time of such discontinuance in consideration of the cost savings to the District. To be eligible for the bonus payment, the disenrollment must be for a minimum period of one (1) year. If such employees later wish to reenroll in a District paid medical and dental plans, they may do so upon the condition that they contribute twenty-five percent (25%) of the total cost of the plan for the first twelve (12) months of their reenrollment. In the event an employee enrolled in other than family coverage is willing to discontinue that coverage under terms similar to the above, a proportionate bonus payment based on the relative premium cost compared to family coverage will be made. Employees receiving a bonus who terminate employment with the District in less than one calendar year shall have deducted from final salary payments a pro rata portion of the bonus. Employees who must re-enroll or newly enroll in the District medical and dental plans prior to a full year of disenrollment due to loss of alternative medical and dental coverage or other emergency circumstances may do so, subject only to limitations imposed by the medical insurance plan or carrier, and provided that the employee shall return to the District the pro rata portion of the bonus payment corresponding to the balance of the original year of disenrollment.
Cost Containment Provisions. The health care insurance coverage provided above shall be revised to include the following cost containment provisions:
1. Add mandatory second surgical opinion, and add preadmission certification/continued stay review.
2. Change the prescription drug co-pay to $15.00 brand name, $10.00 generic, and $10.00 mail order.
3. The deductible is $300/$600.
Cost Containment Provisions. The following provisions have been agreed to for the purpose of assisting the District in containing the cost of providing medical benefits to its Employees and limiting the future increases in those costs.
1. Employees who are enrolled in healthcare benefit coverage under the District medical plan and discontinue District-provided coverage at any time by providing proof of coverage elsewhere shall receive a recurring bonus payment of $1,000 each school year. The bonus payment shall be paid across all pays of the school year. Married spouses who both work for the District shall not be eligible for the payment. Employees shall receive this full bonus so long as they remain off the plan for a full year. In the event an employee leaves or returns to the District plan during the year the payment herein shall be prorated based on when the employee left or returned to the District plan.
2. Employees may re-enroll in the plan under two circumstances: • a qualifying life event as defined by the District’s benefits plan • at the next regularly scheduled open enrollment.
3. If such Employees later wish to re-enroll in a District paid medical plan they may do so at open enrollment and without a penalty.
4. Precise terms and conditions of all group insurance benefits shall be described by the master plan or master contract issued by the carrier.
Cost Containment Provisions. The following provisions have been agreed to for the purpose of assisting the District in containing the cost of providing medical and other group insurance benefits to its employees and limiting the future increases in these costs:
A. For a 30-day supply of prescription drugs purchased at retail, the deductibles shall be $10.00 for a brand name, $5.00 for generic.
B. Employees may elect a 90-day supply purchased through mail order at deductibles of $20.00 for a brand name and $10.00 for generic.
C. Health Insurance Co-Pays: IRS Section 125 Account remains. New amounts will be divided over the twenty-six (26) pay periods. Bargaining unit members will contribute the following toward the cost of medical insurance for the life of the contract: 1% of average salary for single coverage 1.5% of average salary for family coverage Average salary for the new school year will be based on the bargaining unit members employed as of August 1 of each year. If the IRS disallows such a plan at any point in time during the new contract, the deductibles will be "post-tax".
Cost Containment Provisions. (i) Second surgical opinion required for non-emergency elective surgery.
(ii) Ambulatory surgery must be done on an out-patient basis.
(iii) Room and board charges on either Friday or Saturday before non-emergency elective surgery are not covered.
(iv) Pre-admission testing must be done on an out-patient basis. If done in-patient, the room and board expense are not covered.
Cost Containment Provisions. The following provisions have been agreed to for the purpose of assisting the District in containing the cost of providing healthcare benefits to its Employees and limiting the future increases in those costs.
