Common use of Group Medical Plan Clause in Contracts

Group Medical Plan. The Employer will pay the lesser of ninety-five (95%) of the full monthly rate for a full-time employee’s coverage under the Employer’s group medical plan as established by the actuary or an amount equal to one hundred five percent (105%) of the monthly rate from the prior year. In no event shall the Board’s contribution be more than ninety-five (95%) of the single rate. For a part-time Employee who is employed to work one-half time but less than full-time, the Employer will pay a portion of the monthly rate for the Employee’s single rate under such plan, based on a percentage of time employed. The amount of time for computation of the Employer’s portion of the rate shall not include any compensation for performing extra assignments as covered in 15.5, 15.6, 15.7, 15.8, 15.9, 15.10, 15.11 and Schedules B and C. The portion, if any, of the single rate of an eligible part-time Employee not paid by the Employer’s contribution, shall be paid by payroll deduction. If the balance in the Trust fund is less than six (6) months of annual spending at any time during a fiscal year, the Insurance Committee shall, by May 1, make changes to the Plan effective at the beginning of the next fiscal year to change benefits or employee payments (co-pays, deductibles, etc.) sufficient to ensure the Trust Fund balance is at or above the six (6) month level by the end of the next fiscal year. If the Insurance Committee’s changes do not keep the Trust Fund balance at or above the six (6) month level by the end of the next fiscal year, each participating employee will pay five percent (5%) of the full monthly rate for a full-time employee’s coverage during the following fiscal year. 15.14.1 An employee who is eligible to participate in the Employer's group medical plan may purchase coverage for their dependents at ninety-five (95%) of the rate for dependent coverage, the payment therefor to be made through payroll deductions authorized in writing by the Employee on a form supplied by the Employer. 15.14.2 An eligible Employee who resigns employment with the Employer after performing completely their individual employment contract with the Employer shall continue to have their insurance medical coverage paid by the Employer, to the extent provided herein, through the date of the Employer's final salary payment to the Employee. 15.14.3 An eligible Employee who retires shall receive applicable benefits under the Employer’s group medical plan, provided such retiree pays to the Employer in advance ninety-five percent (95%) of the full monthly rate for such medical coverage. Dependent coverage as defined in such plan will be available at the ninety-five percent (95%) rate at retiree's option and expense, provided such retiree had dependent coverage prior to retirement. 15.14.4 Medical benefits shall be in accordance with the terms of the group medical plan documents in effect at the time a claim for coverage is made. Copies of all master policies, documents describing benefit coverage or claim procedures and experience, and other documents generated by the plan administrator provided to the Employer shall be provided to the Association, and each eligible Employee shall receive a medical benefits summary and identification card on a timely basis. 15.14.5 An ongoing Insurance committee consisting of seven (7) members shall be established to monitor the operation of the medical plan and to change benefit components and/or operating procedures. The Insurance committee shall be composed of four (4) members chosen by the Association, one (1) member chosen by the Bloomington Educational Support Personnel (if that Union appoints a member), one (1) member representing wage-hour participants and one (1) member representing administrative employees who participate in the Plan. (a) The Insurance Committee shall be specifically responsible for: 1. employee education regarding health insurance issues; 2. adjustments in existing components of the health plan if any are necessary in the opinion of the insurance committee; 3. monitoring investment of Trust monies and suggesting any changes in current trusteeship; 4. providing recommendations regarding the use and selection of the Plan Administrator; 5. providing recommendations regarding the selection of the PPO provider(s), and 6. utilizing current or new data to monitor the Plan’s operation. (b) The Insurance committee shall meet as necessary, but no less than quarterly during the regular school year to fulfill its responsibilities. Such meetings may be scheduled during the workday and bargaining unit members shall be released to attend. The Committee shall act by majority vote of its participants 15.14.6 Monthly rates for individual, single plus one, and family shall be set by an independent actuary. The report from the actuary shall be provided by March 1st of each year. The new rates shall take effect the following July 1.

Group Medical Plan. The Employer will pay the lesser of ninety-five (95%) of the full monthly rate for a full-time employee’s coverage under the Employer’s group medical plan as established by the actuary or an amount equal to one hundred five percent (105%) of the monthly rate from the prior year. In no event shall the Board’s contribution be more than ninety-five (95%) of the single rate. For a part-time Employee who is employed to work one-half time but less than full-time, the Employer will pay a portion of the monthly rate for the Employee’s single rate under such plan, based on a percentage of time employed. The amount of time for computation of the Employer’s portion of the rate shall not include any compensation for performing extra assignments as covered in 15.5, 15.6, 15.7, 15.8, 15.9, 15.10, 15.11 and Schedules B and C. The portion, if any, of the single rate of an eligible part-time Employee not paid by the Employer’s contribution, shall be paid by payroll deduction. If the balance in the Trust fund is less than six (6) months of annual spending at any time during a fiscal year, the Insurance Committee shall, by May 1, make changes to the Plan effective at the beginning of the next fiscal year to change benefits or employee payments (co-pays, deductibles, etc.) sufficient to ensure the Trust Fund balance is at or above the six (6) month level by the end of the next fiscal year. If the Insurance Committee’s changes do not keep the Trust Fund balance at or above the six (6) month level by the end of the next fiscal year, each participating employee will pay five percent (5%) of the full monthly rate for a full-time employee’s coverage during the following fiscal year. 15.14.1 15.15.1 An employee who is eligible to participate in the Employer's group medical plan may purchase coverage for their his dependents at ninety-five (95%) of the rate for dependent coverage, the payment therefor to be made through payroll deductions authorized in writing by the Employee on a form supplied by the Employer. 15.14.2 15.15.2 An eligible Employee who resigns his employment with the Employer after performing completely their his individual employment contract with the Employer shall continue to have their his insurance medical coverage paid by the Employer, to the extent provided herein, through the date of the Employer's final salary payment to the Employee. 15.14.3 15.15.3 An eligible Employee who retires shall receive applicable benefits under the Employer’s group medical plan, provided such retiree pays to the Employer in advance ninety-five percent (95%) of the full monthly rate for such medical coverage. Dependent coverage as defined in such plan will be available at the ninety-five percent (95%) rate at retiree's option and expense, provided such retiree had dependent coverage prior to retirement. 15.14.4 15.15.4 Medical benefits shall be in accordance with the terms of the group medical plan documents in effect at the time a claim for coverage is made. Copies of all master policies, documents describing benefit coverage or claim procedures and experience, and other documents generated by the plan administrator provided to the Employer shall be provided to the Association, and each eligible Employee shall receive a medical benefits summary and identification card on a timely basis. 15.14.5 15.15.5 An ongoing Insurance committee consisting of seven (7) members shall be established to monitor the operation of the medical plan and to change benefit components and/or operating procedures. The Insurance committee shall be composed of four (4) members chosen by the Association, one (1) member chosen by the Bloomington Educational Support Personnel (if that Union appoints a member), one (1) member representing wage-hour participants and one (1) member representing administrative employees who participate in the Plan. (a) The Insurance Committee shall be specifically responsible for: (1. ) employee education regarding health insurance issues; (2. ) adjustments in existing components of the health plan if any are necessary in the opinion of the insurance committee; (3. ) monitoring investment of Trust monies and suggesting any changes in current trusteeship; (4. ) providing recommendations regarding the use and selection of the Plan Administrator; (5. ) providing recommendations regarding the selection of the PPO provider(s), and (6. ) utilizing current or new data to monitor the Plan’s operation. (b) The Insurance committee shall meet as necessary, but no less than quarterly during the regular school year to fulfill its responsibilities. responsibilities Such meetings may be scheduled during the workday and bargaining unit members shall be released to attend. The Committee shall act by majority vote of its participants 15.14.6 Monthly rates for individual, single plus one, and family shall be set by an independent actuary. The report from the actuary shall be provided by March 1st of each year. The new rates shall take effect the following July 1.

Group Medical Plan. The Employer will pay the lesser of ninety-five (95%) of the full monthly rate for a full-time full‑time employee’s coverage under the Employer’s group medical plan as established by the actuary or an amount equal to one hundred five percent (105%) of the monthly rate from the prior year. In no event Board--BEA Agreement - 41 – shall the Board’s contribution be more than ninety-five (95%) of the single rate. For a part-time part‑time Employee who is employed to work one-half one‑half time but less than full-timefull‑time, the Employer will pay a portion of the monthly rate for the Employee’s single rate under such plan, based on a percentage of time employed. The amount of time for computation of the Employer’s portion of the rate shall not include any compensation for performing extra assignments as covered in 15.5, 15.6, 15.7, 15.8, 15.9, 15.10, 15.11 and Schedules B and C. The portion, if any, of the single rate of an eligible part-time Employee not paid by the Employer’s contribution, shall be paid by payroll deduction. If the balance in the Trust fund is less than six (6) months of annual spending at any time during a fiscal year, the Insurance Committee shall, by May 1, make changes to the Plan effective at the beginning of the next fiscal year to change benefits or employee payments (co-pays, deductibles, etc.) sufficient to ensure the Trust Fund balance is at or above the six (6) month level by the end of the next fiscal year. If the Insurance Committee’s changes do not keep the Trust Fund balance at or above the six (6) month level by the end of the next fiscal year, each participating employee will pay five percent (5%) of the full monthly rate for a full-time employee’s coverage during the following fiscal year. 15.14.1 15.15.1 An employee who is eligible to participate in the Employer's group medical plan may purchase coverage for their his dependents at ninety-five (95%) of the rate for dependent coverage, the payment therefor to be made through payroll deductions authorized in writing by the Employee on a form supplied by the Employer. 15.14.2 . An eligible Employee who resigns his employment with the Employer after performing completely their his individual employment contract with the Employer shall continue to have their his insurance medical coverage paid by the Employer, to the extent provided herein, through the date of the Employer's final salary payment to the Employee. 15.14.3 An eligible Employee who retires shall receive applicable benefits under the Employer’s group medical plan, provided such retiree pays to the Employer in advance ninety-five percent (95%) of the full monthly rate for such medical coverage. Dependent coverage as defined in such plan will be available at the ninety-five percent (95%) rate at retiree's option and expense, provided such retiree had dependent coverage prior to retirement. 15.14.4 Medical benefits shall be in accordance with the terms of the group medical plan documents in effect at the time a claim for coverage is made. Copies of all master policies, documents describing benefit coverage or claim procedures and experience, and other documents generated by the plan administrator provided to the Employer shall be provided to the Association, and each eligible Employee shall receive a medical benefits summary and identification card on a timely basis. 15.14.5 An ongoing Insurance committee consisting of seven (7) members shall be established to monitor the operation of the medical plan and to change benefit components and/or operating procedures. The Insurance committee shall be composed of four (4) members chosen by the Association, one (1) member chosen by the Bloomington Educational Support Personnel (if that Union appoints a member), one (1) member representing wage-hour participants and one (1) member representing administrative employees who participate in the Plan. (a) The Insurance Committee shall be specifically responsible for: 1. employee education regarding health insurance issues; 2. adjustments in existing components of the health plan if any are necessary in the opinion of the insurance committee; 3. monitoring investment of Trust monies and suggesting any changes in current trusteeship; 4. providing recommendations regarding the use and selection of the Plan Administrator; 5. providing recommendations regarding the selection of the PPO provider(s), and 6. utilizing current or new data to monitor the Plan’s operation. (b) The Insurance committee shall meet as necessary, but no less than quarterly during the regular school year to fulfill its responsibilities. Such meetings may be scheduled during the workday and bargaining unit members shall be released to attend. The Committee shall act by majority vote of its participants 15.14.6 Monthly rates for individual, single plus one, and family shall be set by an independent actuary. The report from the actuary shall be provided by March 1st of each year. The new rates shall take effect the following July 1.

Group Medical Plan. ‌ The Employer will pay the lesser of ninety-five (95%) of the full monthly rate for a full-time employee’s coverage under the Employer’s group medical plan as established by the actuary or an amount equal to one hundred five percent (105%) of the monthly rate from the prior year. In no event shall the Board’s contribution be more than ninety-five (95%) of the single rate. For a part-time Employee who is employed to work one-half time but less than full-time, the Employer will pay a portion of the monthly rate for the Employee’s single rate under such plan, based on a percentage of time employed. The amount of time for computation of the Employer’s portion of the rate shall not include any compensation for performing extra assignments as covered in 15.5, 15.6, 15.7, 15.8, 15.9, 15.10, 15.11 and Schedules B and C. The portion, if any, of the single rate of an eligible part-time Employee not paid by the Employer’s contribution, shall be paid by payroll deduction. If the balance in the Trust fund is less than six (6) months of annual spending at any time during a fiscal year, the Insurance Committee shall, by May 1, make changes to the Plan effective at the beginning of the next fiscal year to change benefits or employee payments (co-pays, deductibles, etc.) sufficient to ensure the Trust Fund balance is at or above the six (6) month level by the end of the next fiscal year. If the Insurance Committee’s changes do not keep the Trust Fund balance at or above the six (6) month level by the end of the next fiscal year, each participating employee will pay five percent (5%) of the full monthly rate for a full-time employee’s coverage during the following fiscal year. 15.14.1 An employee who is eligible to participate in the Employer's group medical plan may purchase coverage for their dependents at ninety-five (95%) of the rate for dependent coverage, the payment therefor to be made through payroll deductions authorized in writing by the Employee on a form supplied by the Employer. 15.14.2 An eligible Employee who resigns employment with the Employer after performing completely their individual employment contract with the Employer shall continue to have their insurance medical coverage paid by the Employer, to the extent provided herein, through the date of the Employer's final salary payment to the Employee. 15.14.3 An eligible Employee who retires shall receive applicable benefits under the Employer’s group medical plan, provided such retiree pays to the Employer in advance ninety-five percent (95%) of the full monthly rate for such medical coverage. Dependent coverage as defined in such plan will be available at the ninety-five percent (95%) rate at retiree's option and expense, provided such retiree had dependent coverage prior to retirement. 15.14.4 Medical benefits shall be in accordance with the terms of the group medical plan documents in effect at the time a claim for coverage is made. Copies of all master policies, documents describing benefit coverage or claim procedures and experience, and other documents generated by the plan administrator provided to the Employer shall be provided to the Association, and each eligible Employee shall receive a medical benefits summary and identification card on a timely basis. 15.14.5 An ongoing Insurance committee consisting of seven (7) members shall be established to monitor the operation of the medical plan and to change benefit components and/or operating procedures. The Insurance committee shall be composed of four (4) members chosen by the Association, one (1) member chosen by the Bloomington Educational Support Personnel (if that Union appoints a member), one (1) member representing wage-hour participants and one (1) member representing administrative employees who participate in the Plan. (a) The Insurance Committee shall be specifically responsible for: 1. employee education regarding health insurance issues; 2. adjustments in existing components of the health plan if any are necessary in the opinion of the insurance committee; 3. monitoring investment of Trust monies and suggesting any changes in current trusteeship; 4. providing recommendations regarding the use and selection of the Plan Administrator; 5. providing recommendations regarding the selection of the PPO provider(s), and 6. utilizing current or new data to monitor the Plan’s operation. (b) The Insurance committee shall meet as necessary, but no less than quarterly during the regular school year to fulfill its responsibilities. Such meetings may be scheduled during the workday and bargaining unit members shall be released to attend. The Committee shall act by majority vote of its participants 15.14.6 Monthly rates for individual, single plus one, and family shall be set by an independent actuary. The report from the actuary shall be provided by March 1st of each year. The new rates shall take effect the following July 1.

Group Medical Plan. The Employer will pay the lesser of ninety-five (95%) of the full monthly rate for a full-time employee’s coverage under the Employer’s group medical plan as established by the actuary or an amount equal to one hundred five percent (105%) of the monthly rate from the prior year. In no event shall the Board’s contribution be more than ninety-five (95%) of the single rate. For a part-time Employee who is employed to work one-half time but less than full-time, the Employer will pay a portion of the monthly rate for the Employee’s single rate under such plan, based on a percentage of time employed. The amount of time for computation of the Employer’s portion of the rate shall not include any compensation for performing extra assignments as covered in 15.5, 15.6, 15.7, 15.8, 15.9, 15.10, 15.11 and Schedules B and C. The portion, if any, of the single rate of an eligible part-time Employee not paid by the Employer’s contribution, shall be paid by payroll deduction. If the balance in the Trust fund is less than six (6) months of annual spending at any time during a fiscal year, the Insurance Committee shall, by May 1, make changes to the Plan effective at the beginning of the next fiscal year to change benefits or employee payments (co-pays, deductibles, etc.) sufficient to ensure the Trust Fund balance is at or above the six (6) month level by the end of the next fiscal year. If the Insurance Committee’s changes do not keep the Trust Fund balance at or above the six (6) month level by the end of the next fiscal year, each participating employee will pay five percent (5%) of the full monthly rate for a full-time employee’s coverage during the following fiscal year. 15.14.1 15.15.1 An employee who is eligible to participate in the Employer's group medical plan may purchase coverage for their his dependents at ninety-five (95%) of the rate for dependent coverage, the payment therefor to be made through payroll deductions authorized in writing by the Employee on a form supplied by the Employer. 15.14.2 15.15.2 An eligible Employee who resigns his employment with the Employer after performing completely their his individual employment contract with the Employer shall continue to have their his insurance medical coverage paid by the Employer, to the extent provided herein, through the date of the Employer's final salary payment to the Employee. 15.14.3 15.15.3 An eligible Employee who retires shall receive applicable benefits under the Employer’s group medical plan, provided such retiree pays to the Employer in advance ninety-ninety- five percent (95%) of the full monthly rate for such medical coverage. Dependent coverage as defined in such plan will be available at the ninety-five percent (95%) rate at retiree's option and expense, provided such retiree had dependent coverage prior to retirement. 15.14.4 15.15.4 Medical benefits shall be in accordance with the terms of the group medical plan documents in effect at the time a claim for coverage is made. Copies of all master policies, documents describing benefit coverage or claim procedures and experience, and other documents generated by the plan administrator provided to the Employer shall be provided to the Association, and each eligible Employee shall receive a medical benefits summary and identification card on a timely basis. 15.14.5 15.15.5 An ongoing Insurance committee consisting of seven (7) members shall be established to monitor the operation of the medical plan and to change benefit components and/or operating procedures. The Insurance committee shall be composed of four (4) members chosen by the Association, one (1) member chosen by the Bloomington Educational Support Personnel (if that Union appoints a member), one (1) member representing wage-wage- hour participants and one (1) member representing administrative employees who participate in the Plan. (a) The Insurance Committee shall be specifically responsible for: 1. employee education regarding health insurance issues; 2. adjustments in existing components of the health plan if any are necessary in the opinion of the insurance committee; 3. monitoring investment of Trust monies and suggesting any changes in current trusteeship; 4. providing recommendations regarding the use and selection of the Plan Administrator; 5. providing recommendations regarding the selection of the PPO provider(s), and 6. utilizing current or new data to monitor the Plan’s operation. (b) The Insurance committee shall meet as necessary, but no less than quarterly during the regular school year to fulfill its responsibilities. Such meetings may be scheduled during the workday and bargaining unit members shall be released to attend. The Committee shall act by majority vote of its participants 15.14.6 15.15.6 Monthly rates for individual, single plus one, and family shall be set by an independent actuary. The report from the actuary shall be provided by March 1st of each year. The new rates shall take effect the following July 1.