Common use of HEALTH BENEFIT OPTION Clause in Contracts

HEALTH BENEFIT OPTION. 1. Each employee may elect not to participate in the District’s insurance plans and will receive the following cash payments in lieu of coverage, provided, however, that each such employee electing not to participate in the insurance plans shall provide proof of coverage from elsewhere in order to be eligible for such option: Family Single Hospital and Major Medical $1380.00 $530.00 Vision $20.00 $20.00 Dental $120.00 $120.00 Total $1520.00 $670.00 a. Employees must make the decision to opt out of coverage during the annual hospitalization enrollment period of September, and provide proof of other coverage along with their opt-out notice. Payment will be made on the first pay in November following the enrollment period, and will be passed through the district’s Section 125 Plan, following verification of the appropriate legal steps required under said plan. b. The following deductions will be made from the cash payment: federal and state taxes, and Medicare (if applicable). c. Should an employee have, under the terms of the insurance plan, a legal status change during the year (12 months), or if the coverage obtained elsewhere is terminated, the employee will have the needed benefits reinstated by making written notification to the Treasurer of the District. The cash payment will be prorated and the employee will have to reimburse the board for any overpayment (gross amount). d. A married couple, i.e., both spouses, employed by the Southeast Local Schools may participate in the opt-out provision in Section H. of Article 26 by providing the required notice. In that event, a married couple will receive payment for a “single” opt-out and retain family health insurance benefits. The Board will continue to pay 100% of the premium for the married couple’s family health insurance plan. If a married couple, i.e., when both spouses employed by the Southeast Local Schools, elects to fully opt-out of health insurance benefits and health insurance coverage, the married couple may provide appropriate notice and receive one (1) “family” opt-out payment. 2. A Section 125 Plan will be established for all bargaining unit members who participate in the District’s Insurance Plan.

HEALTH BENEFIT OPTION. 1. Each eligible employee may elect not to participate in the District’s insurance plans and will receive the following cash payments in lieu of coverage, provided, however, that each such employee electing not to participate in the insurance plans shall provide proof of coverage from elsewhere in order to be eligible for such option: Family Single Hospital and Major Medical $1380.00 $530.00 Vision $20.00 $20.00 Dental $120.00 $120.00 Total $1520.00 $670.00 a. Employees must make the decision to opt out of coverage during the annual hospitalization enrollment period of September, and provide proof of other coverage along with their opt-out notice. Payment will be made on the first pay in November following the enrollment period, and will be passed through the district’s Section 125 Plan, following verification of the appropriate legal steps required under said plan. b. The following deductions will be made from the cash payment: federal and state taxes, and Medicare (if applicable). c. Should an employee have, under the terms of the insurance plan, a legal status change during the year (12 months), or if the coverage obtained elsewhere is terminated, the employee will have the needed benefits reinstated by making written notification to the Treasurer of the District. The cash payment will be prorated and the employee will have to reimburse the board for any overpayment (gross amount). d. A married couple, i.e., both spouses, employed by the Southeast Local Schools may participate in the opt-out provision in Section H. H of Article 26 by providing the required notice. In that event, a married couple will receive payment for a “single” opt-out and retain family health insurance benefits. The Board will continue to pay 100% of the premium for the married couple’s family health insurance plan. If a married couple, i.e., when both spouses employed by the Southeast Local Schools, elects to fully opt-out of health insurance benefits and health insurance coverage, the married couple may provide appropriate notice and receive one (1) “family” opt-out payment. 2. A Section 125 Plan will be established for all bargaining unit members who participate in the District’s Insurance Plan.