Group Insurance. A. The Board has the right to select carrier or self-insure health care coverage, with a PPO that includes the following coverage: 1. The Board will provide medical coverage with a $250 deductible per family member to a maximum of $500 deductible per family and a 90%/10% copayment with a maximum out of pocket of $500 for single coverage and $1000 for family coverage when in network and with a $500 deductible per family member to a maximum of $1000 per family and 70%/30% copayment with a maximum out of pocket of $1000 for single coverage and $2000 for family coverage when out of network. The coverage shall have an unlimited lifetime limit. There will be an office visit co-pay of $20 and an emergency room co-pay of $100; 2. Prior to solicitation of bids for possible change of carrier, OAPSE will be notified and given an opportunity to discuss standard and bid specifications, as well as the financial strength and capabilities of carriers given the opportunity to bid; 3. The Board will not initiate any change in carrier more than once per calendar year. Employees will contribute 12% of monthly funding rate for individual or family coverage. The Board will notify the Union of any funding rate adjustment within two weeks after the Board determines any funding rate adjustment. The Board will provide the Union with the actuarial report regarding any funding rate adjustments. B. Prescription Drug
Appears in 19 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
