Common use of Health Care Committee Clause in Contracts

Health Care Committee. The Health Care Committee shall be composed of four representatives appointed by the President, the President/designee and the Vice-President, four representatives of the Board and a representative from the other employee groups. To the extent possible, Members of the parties bargaining teams should be included on the committee. The committee shall be charged with the following responsibilities: reviewing insurance costs, reviewing plan design, exploring program additions and/or modifications, examining utilization patterns, cost containment options, and reviewing any coverage issues that a Member may experience, the development of a wellness program and any other issue the committee deems necessary to enhance the insurance program. The insurance committee shall meet quarterly or at the request of any Member of the committee. At the start of each school year the Association President and Chief Talent Officer will establish the meeting dates for the year. Cancellation of said meetings will occur only by mutual agreement of the President and Chief Talent Officer. Committee Members shall be paid the curriculum rate for meetings occurring outside the school day. The Chief Talent Officer shall serve as chair of the committee and shall record and publish minutes of all meetings. A quorum is five Members of the committee. All decisions of the committee shall be achieved by consensus, i.e. a majority of the committee Members present shall agree with the decision. The committee shall regularly be provided with insurance data, including enrollment levels, claims paid versus premiums and such other data as deemed necessary to facilitate the committee's decisions. In addition to representatives from the contracted health insurance companies and the Board’s insurance broker, the Board and the Association may have a consultant of its choice attend any committee meeting provided that advance notice is provided to the other party. In addition, the committee shall be authorized to utilize the services of any consultant/advisor, subject to prior approval from the Board for any associated costs. Any changes or modification in coverage and program design, shall not be implemented until approved by the Association and the Board. If both parties do not approve the committee's recommended changes, then the plan will continue unchanged for the succeeding benefit year. Each year the work of the committee shall include a review of the anticipated premium levels for the succeeding benefit year. The committee may request that an independent actuary verify the estimated premiums to validate the premium increases. If the anticipated cost of premiums for the succeeding year will be ten percent (10%) or more, the committee shall recommend plan design changes to ensure that the premium increases are less than ten percent (10%). If the committee does not make necessary changes or the changes are not approved by the Board or the Association, the plan design will not change and any premium amount over ten percent (10%) shall be borne by the Member. The committee shall finalize and submit its recommendations to the Board and the Association by June 30th of each year. Nothing in this article shall prevent the committee from recommending plan design or other changes to the plan, including those specifications designated in this article, if those changes are warranted.

Health Care Committee. 1. A committee of up to four (4) representatives from FEA, up to four (4) representatives from OAPSE, and up to four (4) representatives of the Board of Education shall be created and charged with reviewing and recommending changes in the Board’s health insurance plan. 2. The Health Care Committee shall annually elect a chairperson and recording secretary. 3. Regular minutes shall be composed of four representatives appointed by the President, the President/designee kept and the Vice-President, four representatives of the Board and a representative from the other employee groups. To the extent possible, Members of the parties bargaining teams should be included on the committeeshared with all employees. 4. The committee Health Care Committee shall meet four (4) times per year. Additional meetings may be charged with the following responsibilities: reviewing insurance costs, reviewing plan design, exploring program additions and/or modifications, examining utilization patterns, cost containment options, and reviewing any coverage issues that a Member may experience, the development of a wellness program and any other issue the committee deems necessary to enhance the insurance programscheduled as needed. 5. The insurance committee shall meet quarterly or at the request of any Member of the committee. At the start of each school year the Association President and Chief Talent Officer will establish the meeting dates for the year. Cancellation of said meetings will occur only by mutual agreement of the President and Chief Talent Officer. Health Care Committee Members shall be paid the curriculum rate for meetings occurring outside the school day. The Chief Talent Officer shall serve as chair of the committee and shall record and publish minutes of all meetings. A quorum is five Members of the committee. All decisions of the committee shall be achieved by consensus, i.e. a majority of the committee Members present shall agree with the decision. The committee shall regularly be provided with health insurance data, data including enrollment levels, claims paid versus premiums premiums, and such other data as deemed necessary members of committee believe are needed for informed decision making. All information shared shall be in compliance with HIPPA regulations. 6. The Health Care Committee’s responsibilities include the following: a. Review annual and historical insurance costs b. Examine utilization patterns c. Consider employee wellness and fitness options d. Consider various cost containment options e. Review and propose any needed changes to facilitate the committee's decisionshealth care plan f. Utilize consultants provided by LERC g. Communicate general health care policies to all employees 7. In addition to representatives from the contracted health insurance companies and the Board’s insurance brokerOn or before April 1st of each year, the Board and the Association may have a consultant of its choice attend any committee meeting provided that advance notice is provided to the other party. In addition, the committee Health Care Committee shall be authorized to utilize the services of any consultant/advisor, subject to prior approval from the Board for any associated costs. Any consider changes or modification in coverage and program design, premium sharing, and other steps that will act to keep the rate of premium increase as low as possible. 8. All decisions shall be made by consensus and a report of these changes shall be submitted to the FEA President, the OAPSE President, and Board upon satisfaction for ratification. Changes shall be effective January 1st. 9. If consensus cannot be implemented until approved by reached, the Association Health Care Committee shall prepare a majority report and submit it to the FEA President, the OAPSE President, and the BoardSuperintendent for review. If both parties do not approve Majority report recommendations shall only be implemented through the committee's recommended changes, then the plan will continue unchanged for the succeeding benefit yearcollective bargaining process. 10. Each year the work of the committee shall include a review of the anticipated premium levels for the succeeding benefit year. The committee may request that an independent actuary verify the estimated premiums to validate the premium increases. If the anticipated cost of premiums for the succeeding year will be ten percent (10%) or more, the committee shall recommend plan design changes to ensure that the premium increases are less than ten percent (10%). If the This committee does not make necessary changes have the authority to change, modify, or amend the changes negotiated agreements between parties, and is not responsible for determining methods of disbursement of benefits for association membership. Such matters are not approved by the responsibility of the individual associations via negotiations with the Board or the Association, the plan design will not change and any premium amount over ten percent (10%) shall be borne by the Member. The committee shall finalize and submit its recommendations to the Board and the Association by June 30th of each year. Nothing in this article shall prevent the committee from recommending plan design or other changes to the plan, including those specifications designated in this article, if those changes are warrantedEducation.

Health Care Committee. The A Health Care Committee shall be composed of four three (3) representatives appointed by the President of OAPSE, the OAPSE Union President, the PresidentMEA/designee OEA (five members), and the Vice-President, Board (four representatives of the Board and a representative from the other employee groups. To the extent possible, Members of the parties bargaining teams should be included on the committee. The committee members) shall be created and charged with the following responsibilities: reviewing insurance costs, reviewing plan design, exploring program additions and/or modifications, and examining utilization patterns, patterns and cost containment options, and reviewing any coverage issues that a Member member may experience, the development of a wellness program and any other issue the committee deems necessary to enhance the insurance program. The insurance committee shall meet quarterly or at the request of any Member member of the committeeCommittee. At the start of each the school year year, the Association Union President and the Chief Talent Officer will establish the meeting dates for the year. Cancellation of said meetings will occur only by mutual agreement of the President and the Chief Talent Officer. Committee Members shall be paid the curriculum rate for meetings occurring outside the school day. The Chief Talent Officer shall serve as the chair of the committee and committee. The Chief Talent Officer shall record minutes of all meetings and publish minutes of all meetings. A quorum is five Members members of the committee. All decisions of the committee Committee shall be achieved by consensus, i.e. i.e., a majority of the committee Members members present shall agree with the decision. The committee Committee shall regularly be provided with insurance data, including enrollment levels, claims paid versus premiums and such other data as deemed necessary to facilitate the committee's Committee’s decisions. In Either party may have a consultant of its choice attend any committee meeting providing that advance notice is given to the other party, in addition to the representatives from the contracted health insurance companies and the Board’s insurance broker, the Board and the Association may have a consultant of its choice attend any committee meeting provided that advance notice is provided to the other party. In addition, the committee Committee shall be authorized to utilize the services of any consultant/advisor, subject to prior approval from the Board for any associated costs. Any changes or modification in coverage and program design, shall not be implemented until approved by the Association and the Board. If both parties do not approve the committee's recommended changes, then the plan will continue unchanged for the succeeding benefit year. Each year the work of the committee shall include a review of the anticipated premium levels for the succeeding benefit year. The committee may request that an independent actuary verify the estimated premiums to validate the premium increases. If the anticipated cost of premiums for the succeeding year will be ten percent (10%) or more, the committee shall recommend plan design changes to ensure that the premium increases are less than ten percent (10%). If the committee does not make the necessary changes or the changes are not approved by the Board or the Association, Association the plan design will not change and any premium amount over ten percent (10%) shall be borne by the Membermember. The committee Any changes or modification in coverage and program design, including the addition of alternative health insurance options, shall finalize and submit its recommendations to not be implemented until approved by the Board Association and the Association by June 30th of each Board. If both parties do not approve the Committee’s recommended changes, then the plan will continue unchanged for the succeeding benefit year. Nothing in this article shall prevent the committee from recommending plan design or other changes to the plan, including those specifications designated in this article, if those changes are warranted.

Health Care Committee. The Health Care Committee shall A health care committee will be composed created for the purposes of four representatives appointed by reviewing usage, studying cost containment programs and options for health plan coverage (medical, dental, vision, and prescription), and recommending changes to the Presidentplan and benefit levels. Once created, the President/designee and the Vice-President, four representatives of the Board and a representative from the other employee groups. To the extent possible, Members of the parties bargaining teams should be included on Union agrees to participate in the committee. The committee shall be charged with the following responsibilities: reviewing insurance costs, reviewing plan design, exploring program additions and/or modifications, examining utilization patterns, cost containment options, and reviewing any coverage issues that a Member may experience, the development of a wellness program and any other issue the committee deems necessary to enhance the insurance program. The insurance committee shall meet quarterly or at the request of any Member of the committee. At the start of each school year the Association President and Chief Talent Officer will establish the meeting dates for the year. Cancellation of said meetings will occur only by mutual agreement of the President and Chief Talent Officer. Committee Members shall be paid the curriculum rate for meetings occurring outside the school day. The Chief Talent Officer shall serve as chair of the committee and shall record and publish minutes of all meetings. A quorum is five Members of the committee. All decisions first order of the committee shall be achieved by consensus, i.e. a majority of to establish ground rules and the committee Members present shall agree parties recognize that no ground rule can supersede or conflict with the decisionprovisions herein. The committee shall regularly be provided with insurance data, including enrollment levels, claims paid versus premiums and such other data as deemed necessary to facilitate the committee's decisions. In addition to representatives consist of one (1) representative from the contracted recognized bargaining units, (1) non-bargaining employee, and up to four (4) administrators/department heads selected by the Mayor/designee. One of the administrators shall be the Compliance Standards Officer, whether a plan participant or not. Each representative must be an active participant in a City provided group health insurance companies care plan except as otherwise provided herein. The Mayor/designee, plus one staff representative from each certified Union may attend all or some of the committee meetings for informational purposes, but shall not be a voting member. Additionally, the City’s health care consultant and labor relations consultant of the City may also be requested to attend for informational purposes only. The health care committee shall have the authority to recommend alterations to the plan(s) and benefit levels and/or to recommend adjustments to coverage levels for the next plan year through a majority vote. Recommendations will be in compliance with the ACA regarding coverage levels and will be submitted to the Mayor in writing at least thirty (30) calendar days prior to the end of the applicable plan year, except where the deadline is extended in conjunction with the City’s health care consultant and the Board’s insurance broker, the Board and the Association may have a consultant of its choice attend any committee meeting provided that advance notice is provided to the other partyapplicable plan provider. In additionSpecifically, the committee shall may recommend any of the following options: A. To keep the same plan and/or benefit levels and pass on any cost increase consistent with the cost sharing provisions set forth in Section 20.3; or B. To change the plan and/or alter the benefit levels to reduce or minimize the cost increase to be authorized to utilize passed on; or C. To change the services plan and/or alter the benefit levels so that there is no increase in the cost of any consultant/advisorthe plan(s). A timely and valid recommended option of the health care committee (A, subject to prior approval from B, or C above) will be considered an agreement between all the Board for any associated costs. Any changes or modification in coverage bargaining units and program designthe City, shall not and will be implemented until approved by the Association City. If, however, the health care committee fails to submit a timely and the Board. If both parties do not approve the committee's recommended changes, then the plan will continue unchanged valid recommendation for the succeeding benefit following plan year. Each year the work of the committee , Option C shall include a review of the anticipated premium levels for the succeeding benefit year. The committee may request that an independent actuary verify the estimated premiums to validate the premium increases. If the anticipated cost of premiums for the succeeding year apply and will be ten percent (10%) or more, the committee shall recommend plan design changes to ensure that the premium increases are less than ten percent (10%). If the committee does not make necessary changes or the changes are not approved by the Board or the Association, the plan design will not change and any premium amount over ten percent (10%) shall be borne by the Member. The committee shall finalize and submit its recommendations to the Board and the Association by June 30th of each year. Nothing in this article shall prevent the committee from recommending plan design or other changes to the plan, including those specifications designated in this article, if those changes are warrantedimplemented.

Health Care Committee. The Health Care Committee shall A health care committee will be composed created for the purposes of four representatives appointed by reviewing usage, studying cost containment programs and options for health plan coverage (medical, dental, vision, and prescription), and recommending changes to the Presidentplan and benefit levels. Once created, the President/designee and the Vice-President, four representatives of the Board and a representative from the other employee groups. To the extent possible, Members of the parties bargaining teams should be included on Union agrees to participate in the committee. The committee shall be charged with the following responsibilities: reviewing insurance costs, reviewing plan design, exploring program additions and/or modifications, examining utilization patterns, cost containment options, and reviewing any coverage issues that a Member may experience, the development of a wellness program and any other issue the committee deems necessary to enhance the insurance program. The insurance committee shall meet quarterly or at the request of any Member of the committee. At the start of each school year the Association President and Chief Talent Officer will establish the meeting dates for the year. Cancellation of said meetings will occur only by mutual agreement of the President and Chief Talent Officer. Committee Members shall be paid the curriculum rate for meetings occurring outside the school day. The Chief Talent Officer shall serve as chair of the committee and shall record and publish minutes of all meetings. A quorum is five Members of the committee. All decisions first order of the committee shall be achieved by consensus, i.e. a majority of to establish ground rules and the committee Members present shall agree parties recognize that no ground rule can supersede or conflict with the decisionprovisions herein. The committee shall regularly be provided with insurance data, including enrollment levels, claims paid versus premiums and such other data as deemed necessary to facilitate the committee's decisions. In addition to representatives consist of one (1) representative from the contracted recognized bargaining units, (1) non-bargaining employee, and up to four (4) administrators/department heads selected by the Mayor/designee. One of the administrators shall be the Director of Human Resources, whether a plan participant or not. Each representative must be an active participant in a City provided group health insurance companies care plan except as otherwise provided herein. The Mayor/designee, plus one staff representative from each certified Union may attend all or some of the committee meetings for informational purposes, but shall not be a voting member. Additionally, the City’s health care consultant and labor relations consultant of the City may also be requested to attend for informational purposes only. The health care committee shall have the authority to recommend alterations to the plan(s) and benefit levels and/or to recommend adjustments to coverage levels for the next plan year through a majority vote. Recommendations will be in compliance with the ACA regarding coverage levels and will be submitted to the Mayor in writing at least thirty (30) calendar days prior to the end of the applicable plan year, except where the deadline is extended in conjunction with the City’s health care consultant and the Board’s insurance broker, the Board and the Association may have a consultant of its choice attend any committee meeting provided that advance notice is provided to the other partyapplicable plan provider. In additionSpecifically, the committee shall may recommend any of the following options: A. To keep the same plan and/or benefit levels and pass on any cost increase consistent with the cost sharing provisions set forth in Section 22.3; or B. To change the plan and/or alter the benefit levels to reduce or minimize the cost increase to be authorized to utilize passed on; or C. To change the services plan and/or alter the benefit levels so that there is no increase in the cost of any consultant/advisorthe plan(s). A timely and valid recommended option of the health care committee (A, subject to prior approval from B or C above) will be considered an agreement between all the Board for any associated costs. Any changes or modification in coverage bargaining units and program designthe City, shall not and will be implemented until approved by the Association City. If, however, the health care committee fails to submit a timely and the Board. If both parties do not approve the committee's recommended changesvalid recommendation (A, then the plan will continue unchanged B, or C above) for the succeeding benefit following plan year. Each year the work of the committee , Option C shall include a review of the anticipated premium levels for the succeeding benefit year. The committee may request that an independent actuary verify the estimated premiums to validate the premium increases. If the anticipated cost of premiums for the succeeding year apply and will be ten percent (10%) or more, the committee shall recommend plan design changes to ensure that the premium increases are less than ten percent (10%). If the committee does not make necessary changes or the changes are not approved by the Board or the Association, the plan design will not change and any premium amount over ten percent (10%) shall be borne by the Member. The committee shall finalize and submit its recommendations to the Board and the Association by June 30th of each year. Nothing in this article shall prevent the committee from recommending plan design or other changes to the plan, including those specifications designated in this article, if those changes are warrantedimplemented.