Group Hospitalization Sample Clauses

Group Hospitalization. An employee retiring prior to age sixty-five (65), but over age fifty-five (55), shall have the option to continue group hospitalization insurance for single and/or dependent coverage under the group policy offered by the District up to age 65, provided that the insurance carrier will allow such retired employee participation. The cost of said coverage shall be at the expense of the employee.
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Group Hospitalization. SECTION 1. The City agrees to provide group hospitalization, surgical insurance and major medical insurance in accordance with the Amendment to the 1990-93 Employment Contract between the City and the Watertown Professional Fire Fighters Association, Local 191, dated April 21, 1992.
Sample 1
Group Hospitalization. The school corporation will pay a percentage of the total premium for group hospitalization insurance for each licensed teacher in the Corporation who enrolls for this insurance. The school corporation's contribution to this plan will be eighty-five percent (85%) of the premium and the teacher's contribution will be fifteen percent (15%) of the premium for both the single and family plan. A husband and wife both employed by New Castle Community School Corporation are eligible, if they choose to take them, for two (2) single plans as outlined or may choose a family plan where either the husband or wife contributes fifteen percent (15%) toward the premium. The school corporation will not pay any amount of insurance premium if the teacher is insured with a similar health insurance group or plan. Deductions will be made from twenty-six (26) paychecks beginning with the first paycheck. Effective date of the policy is September 1 of each contract year and continues through August 31 of each contract year. These dates may be changed by mutual consent of the Corporation and the Bargaining Unit Representative provided that a change does not interrupt the coverage of the employee group, subject to premium payments. No change in the group hospitalization insurance carrier or in the specified plan will occur without the agreement of the Association representative and the Board. The trustees of the insurance fund will include representatives from the Corporation and the Associations President or his/her designee. At the beginning of each Plan year, the Corporation will give the NCEA President (or his/her representative) a breakdown, in writing, of how the premium for the Insurance Plan has been determined. At the conclusion of the Plan year, the Corporation will give the NCEA President (or his/her representative) a financial report concerning the distribution of Plan Money.
Sample 1
Group Hospitalization. Effective June 1, 2006, unit members shall be enrolled in the District’s Health Care Plan – the Blue Cross/Blue Shield Traditional plan with the following co-payments: three-tiered drug co-payment of $0, $10 and $15 (90 day supply for one co-payment with use of mail order) $10 Doctor Office Visits (Diagnostic X-Ray, PT) $10 Adult Physicals $10 Outpatient Surgery $25 Emergency Room unless admitted within 24 hours $10 Chiropractic (Employees should refer to the complete Plan Document for the full details of all co- payments.) MEDICAL REIMBURSEMENT ACCOUNT CONTRIBUTIONS: 2005-06 - $175.00 (contribution to be made 6/1/06) 2006-07 - $200 (contribution to be made 10/1/06) 2007-08 - $215 (contribution to be made 10/1/07) 2008-09 - $235 (contribution to be made 10/1/08) All unit members employed at least four hours per day shall receive health insurance coverage according to the following schedule:
Sample 1
Group Hospitalization. The school corporation will pay a percentage of the total premium for group hospitalization insurance for each licensed teacher in the Corporation who enrolls for this insurance. The employee shall have the option of choosing from the two plans identified below with the employer paying the amount specified for each employee covered by the Master Contract. PPO Employer Contribution Single 70% Employee + Children 65% Employee + Spouse 61% Family 60% HDHP Employer Contribution Single 90% Employee + Children 77% Employee + Spouse 71% Family 70% For a husband and wife both employed by New Castle Community School Corporation and qualifying for the Family Plan under this agreement, the employer will pay the employer contributions of the Single Plan and the Employee + Children Plan. The employees will choose which spouse is covered under which plan. The school corporation will not pay any amount of insurance premium if the teacher is insured with a similar health insurance group or plan. Deductions will be made from twenty-six (26) paychecks beginning with the first paycheck. Effective date of the policy is September 1 of each contract year and continues through August 31 of each contract year. These dates may be changed by mutual consent of the Corporation and the Bargaining Unit Representative provided that a change does not interrupt the coverage of the employee group, subject to premium payments. No change in the group hospitalization insurance carrier or in the specified plan will occur without the agreement of the Association representative and the Board. The trustees of the insurance fund will include representatives from the Corporation and the Associations President or his/her designee. At the beginning of each Plan year, the Corporation will give the NCEA President (or his/her representative) a breakdown, in writing, of how the premium for the Insurance Plan has been determined. At the conclusion of the Plan year, the Corporation will give the NCEA President (or his/her representative) a financial report concerning the distribution of Plan Money.
Sample 1
Group Hospitalization. ‌ For the term on the contract the Board shall contribute toward the cost of group hospitalization insurance, as negotiated annually, for all full-time employees.
Sample 1

Related to Group Hospitalization

  • Hospitalization In the event an employee is hospitalized overnight, the employee will have access to their EIB accrual at the first day of absence due to the hospitalization. Same day surgery, if requiring five (5) or more days of recovery, may also be paid from the employee’s EIB account.

  • Pueblo scholarship This articulation transfer agreement replaces all previous agreements between ACC and CSU-Pueblo in Bachelor of Social Work. This agreement will be reviewed annually and revised (if necessary) as mutually agreed.

  • – DISABILITY INCOME PROTECTION PLAN 14.01 Income protection is payable when a full-time employee is absent from work due to legitimate personal illness or injury which is not compensable under the Workplace Safety and Insurance Act. It is understood that payment of income protection is for the sole and only purpose of protecting employees against the loss of income during time of such illness. Seniority and service will accrue and the Employer shall continue to pay its share of the premium for the benefit plans during the period of the income protection noted in this provision.

  • Family Planning The MCO must ensure that its network includes sufficient family planning providers to ensure timely access to covered family planning services for enrollees. Although family planning services are included within the MCO’s list of covered benefits, Medicaid enrollees are entitled to obtain all Medicaid covered family planning services without prior authorization through any Medicaid provider, who will bill the MCO and be paid on a FFS basis.4 The MCO must give each enrollee, including adolescents, the opportunity to use his/her own primary care provider or go to any family planning center for family planning services without requiring a referral. The MCO must make a reasonable effort to Subcontract with all local family planning clinics and providers, including those funded by Title X of the Public Health Services Act, and must reimburse providers for all family planning services regardless of whether they are rendered by a participating or non-participating provider. Unless otherwise negotiated, the MCO must reimburse providers of family planning services at the Medicaid rate. The MCO may, however, at its discretion, impose a withhold on a contracted primary care provider for such family planning services. The MCO may require family planning providers to submit claims or reports in specified formats before reimbursing services. MCOs must provide their Medicaid enrollees with sufficient information to allow them to make an informed choice including: the types of family planning services available, their right to access these services in a timely and confidential manner, and their freedom to choose a qualified family planning provider both within and outside the MCO’s network of providers. In addition, MCOs must ensure that network procedures for accessing family planning services are convenient and easily comprehensible to enrollees. MCOs must also educate enrollees regarding the positive impact of coordinated care on their health outcomes, so enrollees will prefer to access in-network services or, if they should decide to see out-of-network providers, they will agree to the exchange of medical information between providers for better coordination of care. In addition, MCOs are required to provide timely reimbursement for out-of-network family planning and related STD services consistent with services covered in their contracts. The reimbursement must be provided at least at the applicable West Virginia Medicaid FFS rate 4 Access to family planning services without prior notification is a federal law. Under OBRA 1987 Section 4113(c)(1)(B), “enrollment of an individual eligible for medical assistance in a primary case management system, a health maintenance organization or a similar entity must not restrict the choice of the qualified person, from whom the individual may receive services under Section 1905(a)(4)(c).” Therefore, Medicaid enrollees must be allowed freedom of choice of family planning providers and may receive such services from any family planning provider, including those outside the MCO’s provider network, without prior authorization. appropriate to the provider type (current family planning services fee schedule available from BMS). The MCO, its staff, contracted providers and its contractors that are providing cost, quality, or medical appropriateness reviews or coordination of benefits or subrogation must keep family planning information and records confidential in favor of the individual patient, even if the patient is a minor. The MCO, its staff, contracted providers and its contractors that are providing cost, quality, or medical appropriateness reviews, or coordination of benefits or subrogation must also keep family planning information and records received from non-participating providers confidential in favor of the individual patient even if the patient is a minor. Maternity services, hysterectomies, and pregnancy terminations are not considered family planning services.

  • Dental Care Plan The Welfare Plan will include a Dental Care Plan which will reimburse members for expenses incurred in respect of the coverages summarized in Appendix "1". The Plan will not duplicate benefits provided now or which may be provided in the future by any government program.

  • Orthodontics We Cover orthodontics used to help restore oral structures to health and function and to treat serious medical conditions such as: cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias. Procedures include but are not limited to: • Rapid Palatal Expansion (RPE); • Placement of component parts (e.g. brackets, bands); • Interceptive orthodontic treatment; • Comprehensive orthodontic treatment (during which orthodontic appliances are placed for active treatment and periodically adjusted); • Removable appliance therapy; and • Orthodontic retention (removal of appliances, construction and placement of retainers).

  • Group Health Insurance Immediately following retirement, the teacher shall have the option of remaining in the Corporation’s current group health insurance plan if all of the following conditions are met as of the date of retirement and thereafter:

  • Medical Flexible Spending Arrangement A. During January 2020 and again in January 2021, the Employer will make available two hundred fifty dollars ($250) in a medical flexible spending arrangement (FSA) account for each bargaining unit member represented by a Union in the Coalition described in RCW 41.80.020(3), who meets the criteria in Subsection 28.7(B) below.

  • Hospitals a. In every Hospital:

  • Vision The Employer agrees to offer group vision insurance to bargaining unit employees and their dependents, at employee cost.

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