HEALTH BENEFIT PACKAGE. A) For all employees, the Township will provide a Medical Insurance Plan, including health, dental, eyeglass and prescription coverage equal to the existing plan as modified by this agreement. In no event will this coverage be changed unless an equivalent or improved plan is obtained by the Township. Effective upon the signing of this Agreement, the Township shall make available a menu of medical benefits plans for employees to choose from. Effective upon the signing of this Agreement, the Township shall establish a “Base Plan” for all covered employees (see summary of base plan in Appendix B). The “PPO C” plan available to members prior to the signing of this agreement shall still be available to employees. Employees selecting the “PPO C” plan shall be required to pay a premium contribution equal to the premium contribution for the new “Base Plan” plus the difference between the premium for the “PPO C” plan and the new “Base Plan”. The dental benefit in all plans shall be modified to include those benefits currently provided by the Delta Dental plans.
B) The Township agrees to provide for all active employees covered hereunder, and for those who retire with twenty five (25) years of service with the Township, and opt not to participate in the above-described program, a benefit up to $4,500.00, subject to the limits set forth in N.J.S.A. 40A:10-17.1, to be used as determined by the Township and permitted by I.R.S. in accordance with a "menu", procedures, exclusions, requirements, etc. as determined by the Township. All employees will receive a copy of the Plan Document which will include the "menu", procedures, exclusions, requirements, etc. It is acknowledged that the existence of the "opt-out" benefit and the amount is subject to the discretion of the Township pursuant to N.J.S.A. 40A:10-17.
1. If an employee declines the package and then loses other coverage during the year, the employee may reenroll in the Township’s plan.
C) Active employees shall contribute towards the health insurance premium pursuant to Chapter 78, P.L. 2011. These contributions shall be made on a pre-tax basis pursuant to an IRS Section 125, Salary Reduction Premium Only Plan, in accordance with the Township’s regular payroll practices. No contribution shall be required if the employee declines health insurance coverage.
D) The Township will no longer reimburse an employee on active pay status for the premium cost of the Medicare Plan when the employee or his/her spouse reaches ag...
HEALTH BENEFIT PACKAGE a) The Employer agrees that, for the term of this agreement, a health benefits package will be made available to all Employees who are employed for more than an average of twenty-five hours per week after 6 months of employment. Handbooks explaining the benefits will be provided to each participating Employee by the Employer on enrolment.
b) The parties agree that the Employer and the participating Employee shall equally share the cost of the benefit package. The participating Employees shall have fifty percent (50%) of their portion deducted from each pay period and the Employer shall pay the remaining portion on behalf of each participating Employee.
HEALTH BENEFIT PACKAGE. The Township shall implement an IRS Section 125 salary reduction premium only plan for tax purposes. Effective with the signing of this Agreement, the following plan design modifications shall be made to the current Medical Insurance Plan:
1. Deductibles for both in-network $100/$200 and out-of-network services $200/$500. 70% co-insurance for out-of-network services and supplies
2. Co-insurance for in-network and services and supplies 100%/70%
3. Co-insurance and out-of-pocket maximum per calendar year $800/$1,600 for in- network and $3,000/$10,000 for out-of-network.
4. $20 co-pay for primary care doctor’s visits and $30 co-pay for specialists visits in- network.
5. Limit of 48 visits per individual for chiropractic care in a calendar year with a $20 co- pay per visit.
6. No co-pay for hospital in-patient care
7. Emergency room co-pay for in-network hospitals at $100, waived, if admitted. Emergency room co-pay of $100 for out-of-network hospitals.
8. Infertility services to be limited to four complete cycles within a 15-year period. B enefits In-Network Out-of-Network Deductible $100/$200 $200 / $500 Co-insurance 100% 60% Out-of-Pocket Maximum $800 / $1,600 $3,000 / $10,000 Inpatient Hospital 100% after deductible $500/Admission & 70% afterdeductible Outpatient Surgery 100% after deductible 70% after deductible Emergency Room $100 $100 Ambulance 70% after deductible 70% after deductible Urgent Care Center $30 70% after deductible Primary Care Physician Co-pay $20 70% after deductible Specialist Co-pay $30 70% after deductible Chiropractic Co-pay $20 70% after deductible Diagnostic Lab/X-ray 100% or $30 70% after deductible Preventive 100% 70% Maternity $20 (1st visit) 70% after deductible Mental Health/Substance Abuse 100% or $20 70% after deductible Home Health Care 100% 70% after deductible Durable Medical Equipment 70% after deductible 70% after deductible Effective 1/1/14 the Township will provide an option to all employees covered under their Collective Bargaining Agreement for the years 2017 through 2019 to select either plan "A" which is the Township’s Health Plan, the Dental Plan, Eyeglass Plan and Prescription Plan as currently exists and modified by this agreement. Plan "B" will be a Flexible Benefits Plan, which will list a menu of benefits that an employee may choose. The employee will thereby be able to design their own Health Benefit/Other Benefits Package based on a limit of $4,500.00 per year of the individual price tag amounts on the menu...
HEALTH BENEFIT PACKAGE. The Township shall implement an IRS Section 125 salary reduction premium only plan for tax purposes.
HEALTH BENEFIT PACKAGE. A. The Township shall provide a health benefit package, which includes hospitalization, medical, major medical, prescription and dental insurance to all full-time employees who are members of the bargaining unit and their dependants. Effective May 1, 2006 or such time thereafter as determined by the Township, the traditional insurance option shall no longer be available. Contribution to premium by active members of this bargaining unit and members who retire after June 28, 2011 will be in accordance with the premium cost sharing terms and conditions set forth in S-2937 New Jersey State Statute put into effect June 28, 2011
B. Effective July 1,2011, if an employee's spouse is employed by the Township, only one coverage will be provided.
C. The current health insurance plan for all employees and their dependents is as follows: CC(Q)[?JY 9 @
1. The current unlimited PPO lifetime benefit is maintained.
2. Effective July 1, 2011 the prescription co-pay shall be $ 5 for generic drugs and $25 for brand name.
3. The deductible for dental is seventy-five dollars ($75) per person with the maximum benefit per year of $1,200 per person. The aggregate for dental deductible per family shall not exceed $225 per year.
