Dependent Benefit Coordination. Post-employment continuation of health insurance requires enrollment in Medicare Part A and/or B for a period of one year upon eligibility for such coverage.
Dependent Benefit Coordination. An employee with a dependent is eligible for coverage of the dependent provided the dependent is not an employee of another employer receiving insurance benefits from said employer as follows: a) cash instead of health insurance, or b) some type of credit toward the purchase of some other employee benefit instead of health insurance, or c) cash in addition to selecting health insurance with a deductible of $750.00 or more instead of a plan with a smaller deductible. The following subdivisions will be administered in accordance with applicable rules and regulations governing coordination of benefits and shall apply to active employees, retired employees, and dependents.
Subd. 1. If the dependent’s employer pays less than 80% of the single premium, the dependent is eligible for primary coverage under the District 622 Plan. The District 622 Medical Plan provider shall coordinate benefits so that the total amount paid shall not exceed the benefits covered by the plan.
Subd. 2. The employee’s dependent is restricted to secondary coverage under the District 622 Plan when:
A) the dependent’s employer pays at least 80% of the premium, and,
B) the dependent is entitled or would be entitled if enrolled, to have any part of the cost of eligible medical-surgical, hospital, major-medical, and dental services, and supplies paid by Medicare parts A and B or the dependent's employer provided insurance plan, even though the dependent does not enroll in the plan or waives or fails to claim benefits under the plan. The District 622 Medical Plan provider shall coordinate benefits so that the total amount paid shall not exceed the benefits covered by the plan.
Dependent Benefit Coordination. Article VIII, Section 1 will be administered in accordance with applicable rules and regulations governing coordination of benefits and shall apply to active employees, retired employees, and dependents. The employee’s dependent is restricted to secondary coverage under the District 622 Plan when:
1) the dependent’s employer pays 100% of a single plan premium, and
2) the dependent is entitled or would be entitled if enrolled, to have any part of the cost of eligible medical-surgical, hospital, major medical, and dental services, and supplies paid by the dependent’s employer provided insurance plan, even though the dependent does not enroll in the plan or waives or fails to claim benefits under the plan. The District 622 Medical Plan provider shall coordinate benefits so that the total amount paid shall not exceed the benefits covered by the plan.
Dependent Benefit Coordination. The following Section will be administered in accordance with applicable rules and regulations governing coordination of benefits. If an employee's dependent is entitled, or would be entitled if enrolled, to have any part of the cost of eligible medical, surgical, hospital, major-medical, or dental services and supplies fully paid by the dependent's employer, the School District's medical-hospitalization and dental plans will provide secondary coverage only. The amount contributed under this Article shall be reduced so that the total amount paid under this Agreement and the dependent's fully employer-paid insurance entitlement does not exceed the total charges for covered benefits.
Dependent Benefit Coordination. The following section will be administered in accordance with applicable rules and regulations governing coordination of benefits. If an employee's dependent is entitled or would be entitled if enrolled, to have any part of the cost of eligible medical-surgical, hospital, major-medical, and dental services, and supplies paid by the dependent's fully employer-paid insurance plan, even though the dependent does not enroll in the plan or waives or fails to claim benefits under the plan, the Cloquet School District insurance plan will provide secondary coverage only. The amount furnished under this Article shall be reduced so that the total amount paid under this contract and the dependent's fully employer-paid insurance entitlement does not exceed the total charges for covered benefits.
Dependent Benefit Coordination. The following will be administered in accordance with applicable rules and regulations governing coordination of benefits and shall apply to active employees, retired employees, and dependents.
1. If the dependent’s employer pays less than 80% of the single premium, the dependent is eligible for primary coverage under the District 622 plan. The District 622 Medical Plan provider shall coordinate benefits so that the total amount paid shall not exceed the total charges for covered benefits.
2. The employee’s dependent is restricted to secondary coverage under the District 622 Plan when:
A) the dependent’s employer pays at least 80% of the premium, and,
B) the dependent is entitled or would be entitled if enrolled, to have any part of the cost of eligible medical-surgical, hospital, major medical, and dental services, and supplies paid by Medicare parts A and B or the dependent’s employer provided insurance plan, even though the dependent does not enroll in the plan or waives or fails to claim benefits under the plan. The District Medical Plan provider shall coordinate benefits so that the total amount paid shall not exceed the total charges for covered benefits.
