- Health Care Coverage Medical Plans. The County shall provide employees and retirees not eligible for Medicare with a national Preferred Provider Organization (PPO) type Plan that provides in-network and out-of-network benefits. The plan design shall be asfollows: IN-NETWORK OUT-OF-NETWORK Coinsurance 85% 75% Annual Deductible $200/$400 $300/$600 Out of Pocket Maximum $1,000/$2,000 $1,500/$3,000 Primary Care Copay $15 75% after deduct Specialist Copay $25 75% after deduct The PPO Plan shall be available as an option to all active employees, all retirees not eligible for Medicare, and their eligible dependents. The County shall provide one Open Access Health Maintenance Organization (HMO) and one alternative HMO. These plans will also be available as an option to all active employees, all retirees not eligible for Medicare, and their eligible dependents.
- Health Care Coverage Medical Plans. The County shall provide employees and retirees not eligible for Medicare with a national Preferred Provider Organization (PPO) type Plan that provides in-network and out-of- network benefits. The plan design shall be as follows: Open Access HMO County Employee December 1, 2012 90% 10% December 1, 2013 90% 10% December 1, 2014 89% 11% December 1, 2015 87% 13% December 1, 2016 85% 15% HMO County Employee December 1, 2012 90% 10% December 1, 2013 90% 10% December 1, 2014 89% 11% December 1, 2015 87% 13% December 1, 2016 85% 15% Employees hired after July 1, 2007, the following subsidies shall apply to the employee’s individual premiums for health care after September 1, 2007. The County will subsidize a percentage difference between the individual and dependent coverage. PPO County Employee % of Difference w/Dependents December 1, 2012 80% 20% 75% December 1, 2013 80% 20% 75% December 1, 2014 79% 21% 74% December 1, 2015 77% 23% 72% December 1, 2016 75% 25% 70% Open Access HMO County Employee % of Difference December 1, 2012 90% 10% w/Dependents 75% December 1, 2013 90% 10% 75% December 1, 2014 89% 11% 74% December 1, 2015 87% 13% 72% December 1, 2016 85% 15% 70% HMO County Employee % of Difference w/Dependents December 1, 2012 90% 10% 75% December 1, 2013 90% 10% 75% December 1, 2014 89% 11% 74% December 1, 2015 87% 13% 72% December 1, 2016 85% 15% 70% Contracts with Health Care Plans - Health Care Plan Vendors and benefits shall be mutually agreed upon by the Administration and the collective employee representatives to the Health Care Review Committee.
