Common use of Employees’ Health Insurance Program Clause in Contracts

Employees’ Health Insurance Program. 1. The Board of Education will provide family major medical health insurance coverage and/or individual major medical health insurance coverage through Blue Cross Blue Shield plan as selected by each teacher. The Board will pay 78% and the individual teacher will pay 22% of the total premium cost. Each teacher who participates in the District’s health insurance program will be covered under a drug plan that includes copays of $10 for Tier 1 prescription drugs, $25 for Tier 2 prescriptions drugs, and $40 for Tier 3 prescription drugs. The annual Major Medical deductible shall be $150 per person with an aggregate annual family coverage maximum deductible of $450. The annual maximum Major Medical out of pocket costs after the deductible will be $600 per person with an aggregate annual family out of pocket cost of $1800. Once the Major Medical out of pocket maximum has been reached, there will be no Major Medical co-pay for that individual. The Major Medical deductibles and out of pocket maximums are based on covered health plan expenses the amounts of which are the usual, customary, and reasonable amount, or actual expenses, whichever is less. The foregoing coverage will be provided for by the Board irrespective of other medical insurance carried by the individual or the spouse or domestic partner of the individual. The District warrants and represents that the major medical and prescription coverage provide to the ITA members pursuant to this Section A will be equivalent to the coverages that were in effect for the ITA members on June 30, 2017 under the Blue Cross /Blue Shield Plan provided through the Cooperative, unless and until the parties negotiate otherwise. The District shall have the prerogative to control the means by which the health insurance coverage set forth in this section is provided to teachers, provided that such coverage provides benefits that are at least equivalent to the benefits that were in effect for such teachers on June 20, 2017. The District shall establish a regular schedule of meetings, to which ITA leadership will be invited, to review the performance of the District’s health insurance plan.