Dual Choice Sample Clauses
Dual Choice. The parties agree to the following interpretation of dual choice concerning Hospital Medical Insurance coverage:
1. The employee may select single subscriber hospital-medical coverage, paid by the Board, with the spouse electing single subscriber coverage from his/her employer in instances of the husband-wife family unit with no children or dependents. This does not apply to a husband and wife within the Van Buren Public Schools.
2. The following shall not be considered an employer paid hospital-medicalinsurance plan for purposes of no dual coverage:
A. Hospital-Medical coverage provided by another employer, but whose premiumspaid by the employee’s spouse in the amount of 50%.
B. Hospital-Medical insurance coverage dictated by legal decrees, such as divorce decrees, which require that the dependent’s hospital-medical coverage be provided by the employee and/or his/her spouse resulting in dual insurance coverage.
C. Hospital-medical insurance that is mandated by another employer. In the event that a spouse’s employer refuses to drop or reduce its hospital-medical coverage, the employee shall provide a letter from his/her spouse’s employer as proof of refusalto drop or reduce its hospital-medical insurance coverage. The district will pick up insurance for the employee and dependent children. Van Buren has the option of pursuing such cases with the spouse’semployer.
D. Requests for dependent coverage change which do not fall within the spouse’s insurance open enrollment window period. Dual hospital-medical insurance coverage shall be allowed temporarily for the employee, spouse, and his/her dependents, if the request for dependent coverage change does not fall within the spouse’s insurance open enrollment window period. Such dual coverage shall be extended until the effective date following the next open enrollmentperiod.
E. Waivers of hospital-medical coverage that would also waive vision, dental, or life insurance benefits. When a waiver of health care coverage would also have the effect of waiving vision, dental or life insurance benefits under anotheremployer’s health care plan, then the employee may be allowed double coverage.
F. Limited health insurance plans mandated by statute. An individual receiving health benefits through the U. S. Government or Veteran’s Administration, for example, which are limited to a specific condition or may be limited benefits for all conditions, the individual would be eligible for Van Buren School District health insuranc...
