Common use of Health and Life Insurance Coverage Clause in Contracts

Health and Life Insurance Coverage. Section 1 The City shall maintain health care and life insurance coverage in effect beginning January 1, 2017 for all full-time employees as follows: Health care coverage includes: optical, dental and a comprehensive medical plan subject to an annual deductible of three hundred fifty dollars ($350) per person; seven hundred dollars ($700) per family which is applied before medical benefits are paid to “in-network” or “out-of-network” providers. After payment of the deductible, the plan will pay 80% of covered medical expenses to “in-network” providers. “In-network” co-insurance is subject to an annual out-of-pocket maximum of $1,350 per person; $2,700 per family (including single plus one). Once this maximum is met, the plan begins to pay covered medical expenses at 100%. After payment of the deductible, the Plan will pay 70% of usual, customary and reasonable covered medical expenses to “out-of-network” providers. “Out-of-network” co-insurance is subject to an annual out-of-pocket maximum of $2,350 per person; $4,700 per family (including single plus one). Once this maximum is met, the plan begins to pay 100% of usual, customary and reasonable covered medical expenses. Any medical expenses that exceed usual, customary and reasonable standards will not be covered by the plan. Life-threatening emergency room visits resulting in an admission to the hospital will be covered at 100% after an employee pays the $50 per visit co-payment. Emergency room visits that do not result in admission to the hospital shall require a $200 co-pay. For any employee whose spouse has other health coverage available through an employer, the City plan shall pay benefits secondary to the spouse’s group coverage. All members must complete any documents required by the City. Current life insurance coverage shall provide a minimum of fifty thousand dollars ($50,000) term life insurance for all Bargaining Unit Members.

Appears in 3 contracts

Samples: Article 1 Agreement, Article 1 Agreement, Article 1 Agreement

AutoNDA by SimpleDocs

Health and Life Insurance Coverage. Section 1 The City shall maintain health care and life insurance coverage in effect beginning January 1, 2017 for all full-time employees as follows: Health care coverage includes: optical, dental and a comprehensive medical plan subject to an annual deductible of three two hundred fifty dollars ($350250) per person; seven five hundred dollars ($700500) per family which is applied before medical benefits are paid to “in-network” or “out-of-network” providers. After payment of the deductible, the plan will pay 80% of covered medical expenses to “in-network” providers. “In-network” co-insurance is subject to an annual out-of-pocket maximum of $1,350 1,250 per person; $2,700 2,500 per family (including single plus one)family. Once this maximum is met, the plan begins to pay covered medical expenses at 100%. After payment of the deductible, the Plan will pay 70% of usual, customary and reasonable covered medical expenses to “out-of-network” providers. “Out-of-network” co-insurance is subject to an annual out-of-pocket maximum of $2,350 2,250 per person; $4,700 4,500 per family (including single plus one)family. Once this maximum is met, the plan begins to pay 100% of usual, customary and reasonable covered medical expenses. Any medical expenses that exceed usual, customary and reasonable standards will not be covered by the plan. Life-threatening emergency room visits resulting in an admission to the hospital will be covered at 100% after an employee pays the $50 per visit co-payment. Emergency room visits that do not result in admission to the hospital shall require a $200 co-pay. For any employee whose spouse has other health coverage available through an employer, the City plan shall pay benefits secondary to the spouse’s group coverage. All members must complete any documents required by the City. Current life insurance coverage shall provide a minimum of fifty twenty thousand dollars ($50,00020,000) term life insurance for all Bargaining Unit Members.

Appears in 1 contract

Samples: dam.assets.ohio.gov

AutoNDA by SimpleDocs

Health and Life Insurance Coverage. Section 1 32.1 The City shall maintain health care and life insurance coverage in effect beginning January 1, 2017 as existed under the prior agreement for all full-time employees as follows: the term of this agreement. Health care coverage includes: optical, dental ; dental; and a comprehensive medical plan Comprehensive Medical Plan subject to an annual deductible of three hundred fifty dollars ($350350.00) dollars per person; , seven hundred dollars ($700700.00) dollars per family which is applied before medical benefits are paid to “inIn-network” Network or “outOut-of-network” of Network providers. After payment of the deductible, the plan Plan will pay 80% of covered medical expenses to “in-network” In- Network providers. In-network” Network co-insurance is subject to an annual out-of-of pocket maximum of one thousand three hundred fifty ($1,350 1,350.00) dollars per person; /two thousand seven hundred ($2,700 2,700.00) dollars per family (including single plus one). Once this maximum is met, the plan Plan begins to pay covered medical expenses at one hundred (100%). After payment of the deductible, the Plan will pay seventy (70% %) percent of usualUsual, customary Customary and reasonable Reasonable covered medical expenses to “outOut-of-network” of Network providers. Out-of-network” co-Network co- insurance is subject to an annual out-of-pocket maximum of two thousand three hundred fifty ($2,350 2,350.00) dollars per person; /four thousand seven hundred ($4,700 4,700.00) dollars per family (including single plus one). Once this maximum is met, the plan Plan begins to pay one hundred (100% %) percent of usualUsual, customary Customary, and reasonable Reasonable covered medical expenses. Any medical expenses that exceed usualUsual, customary Customary and reasonable Reasonable standards will not be covered by the plan. Life-threatening emergency room visits resulting in an admission to the hospital will be covered at 100% after an employee pays the $50 per visit co-paymentPlan. Emergency room visits that do not result in admission to the hospital shall require are subject to a $200 co-co- pay. For any employee whose spouse has other health coverage available through an employer, the City plan Plan shall pay benefits secondary to the spouse’s group coverage. All members must complete any documents required by the City. Current life insurance coverage shall provide a minimum of fifty thousand dollars ($50,00050,000.00) dollars term life insurance for all Bargaining Unit MembersPolice Officers.

Appears in 1 contract

Samples: Collective Bargaining Agreement

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!