Common use of HEALTH CARE, DENTAL CARE Clause in Contracts

HEALTH CARE, DENTAL CARE. LIFE INSURANCE LONG-TERM DISABILITY INSURANCE AND LONG-TERM CARE‌ 12.1 The City shall provide medical, dental, and vision plans (with Kaiser Standard, Kaiser Deductible, Aetna Traditional, Aetna Preventive, and Delta Dental of Washington as self-insured plans, and Dental Health Services and Vision Services Plan) for all regular employees (and eligible dependents) represented by unions that are a party to the Memorandum of Agreement established to govern the plans. The selection, addition and/or elimination of medical, dental and vision benefit plans, and changes to such plans including, but not limited to, changes in benefit levels, co-pays and premiums, shall be established through the Labor- Management Health Care Committee in accordance with the provisions of the Memorandum of Agreement established to govern the functioning of said Committee. 12.1.1 The parties agree to continue the terms of the Memorandum of Agreement previously established by the parties in 2007 to govern the Joint Labor- Management Health Care Committee process (which shall be attached hereto as Appendix D and by reference is incorporated herein) as follows: a) The City shall pay up to one hundred seven percent (107%) of the City’s previous year’s costs to the extent required to cover increases in the total health care costs for a given program year (e.g. 2019, 2020 or 2021); b) The RSF shall be utilized for any given program year until it is exhausted to cover costs in excess of the City’s obligation identified in 1, above; c) After the RSF has been exhausted, additional costs shall be shared by the City paying eighty-five percent (85%) of the excess costs and employees paying fifteen percent (15%) of the excess costs; d) Intent: Plan designs are to be maintained during this Contract, not to be diminished. The respective health care plan benefit designs may only be modified by the Health Care Committee for either contract year by the written, mutual agreement of the parties (Coalition of City Unions and the City); e) Intent: Should the parties agree to reduce premium costs, the reduction would apply to City as well as employee premiums. Use of resources from the RSF during either contract year to reduce projected increase in health care costs that exceed the resources provided through 1, above, shall be authorized only if applied to the total, annual premiums of the respective health care plan(s); and f) No decision by the Health Care Committee shall be permitted that modifies the established percentages established in c), above. 12.2 Employees who retire and are under the age of 65 shall be eligible to enroll in retiree medical plans that are experience-rated with active employees.

HEALTH CARE, DENTAL CARE. LIFE INSURANCE LONG-INSURANCE, AND LONG TERM DISABILITY INSURANCE AND LONG-TERM CARE‌INSURANCE 12.1 The 14.1 Effective January 1, 2015, the City shall provide medical, dental, and vision plans (with Kaiser Standard, Kaiser Deductibleinitially Group Health, Aetna Traditional, Traditional and Aetna Preventive, and Delta Dental of Washington Preventive as self-insured plans, and Washington Dental Health Services Service, Willamette Dental Service and Vision Services Plan) for all regular employees (and eligible dependents) represented by unions that are a party to the Memorandum of Agreement established to govern the plans. The For calendar years 2015, 2016, 2017 and 2018, the selection, addition and/or elimination of medical, dental and vision benefit plans, and changes to such plans including, but not limited to, changes in benefit levels, co-pays copays and premiums, shall be established through the Labor- Management Health Care Committee in accordance with the provisions of the Memorandum of Agreement established to govern the functioning of said Committee. 12.1.1 14.2 For the 2008 contract term, employee premium sharing and the status of the Rate Stabilization Fund shall be maintained as determined by the Health Care Committee at the last meeting of the Committee in September, 2004. In addition, The City will pay the equivalent of $1 million, annualized, for the following enhanced benefits implemented in 2005, which shall become a part of the “base” determined by HC2. Further, the parties agree that eleven thousand dollars ($11,000) shall be utilized from the “Special” Rate Stabilization Fund (RSF) for the purpose of paying Aon Consulting to complete an analysis of the City’s self-insured claims experience to identify potential Wellness and Disease Management Programs that would be best targeted to address the City’s claims experience. Also, the parties commit to support Wellness and Disease Management Programs identified as a result of the Aon study for implementation in 2006, utilizing “Special” RSF through the Health Care Committee processes. 14.3 The parties agree to continue amend for the terms of 2015 - 2018 contract years the Memorandum of Agreement previously established by the parties in 2007 to govern the Joint Labor- Labor-Management Health Care Committee process (which shall be attached hereto as Appendix D Exhibit 1 and by reference is incorporated herein) as follows: a) A. The City shall pay up to one hundred seven percent (107%) % of the City’s previous year’s costs to the extent required to cover increases in the total health care costs for a given program year (e.g. 2019e.g., 2020 2015 or 20212016); b) B. The RSF shall be utilized for any given program year until it is exhausted to cover costs in excess of the City’s obligation identified in 1, above; c) C. After the RSF has been exhausted, additional costs shall be shared by the City paying eighty-five percent (85%) of the excess costs and employees paying fifteen percent (15%) of the excess costs; d) D. Intent: Plan designs are to be maintained during this Contract, not to be diminished. The respective health care plan benefit designs may only be modified by the Health Care Committee for either contract year by the written, mutual agreement of the parties (Coalition of City Unions and the City); e) Intent: Should the parties agree to reduce premium costs, the reduction would apply to City as well as employee premiums. Use of resources from the RSF during either contract year to reduce projected increase in health care costs that exceed the resources provided through 1, above, shall be authorized only if applied to the total, annual premiums of the respective health care plan(s); and f) No decision by the Health Care Committee shall be permitted that modifies the established percentages established in c), above. 12.2 Employees who retire and are under the age of 65 shall be eligible to enroll in retiree medical plans that are experience-rated with active employees.

HEALTH CARE, DENTAL CARE. LIFE INSURANCE LONG-LONG TERM DISABILITY INSURANCE AND LONG-LONG TERM CARE‌CARE 12.1 The City shall provide medical, dental, and vision plans (with Kaiser Standard, Kaiser Deductibleinitially Group Health, Aetna Traditional, Aetna Preventive, and Delta Washington Dental of Washington Services as self-self- insured plans, and Dental Health Services and Vision Services Plan) for all regular employees (and eligible dependents) represented by unions that are a party to the Memorandum of Agreement established to govern the plans. The selection, addition and/or elimination of medical, dental and vision benefit plans, and changes to such plans including, but not limited to, changes in benefit levels, co-pays and premiums, shall be established through the Labor- Management Health Care Committee in accordance with the provisions of the Memorandum of Agreement established to govern the functioning of said Committee. 12.1.1 The parties agree to continue the terms of the Memorandum of Agreement previously established by the parties in 2007 to govern the Joint Labor- Management Health Care Committee process (which shall be attached hereto as Appendix D and by reference is incorporated herein) as follows: a) The City shall pay up to one hundred seven percent (107%) of the City’s previous year’s costs to the extent required to cover increases in the total health care costs for a given program year (e.g. 20192009, 2020 or 20212010); b) The RSF shall be utilized for any given program year until it is exhausted to cover costs in excess of the City’s obligation identified in 1, above; c) After the RSF has been exhausted, additional costs shall be shared by the City paying eighty-five percent (85%) of the excess costs and employees paying fifteen percent (15%) of the excess costs; d) Intent: Plan designs are to be maintained during this Contract, not to be diminished. The respective health care plan benefit designs may only be modified by the Health Care Committee for either contract year by the written, mutual agreement of the parties (Coalition of City Unions and the City); e) Intent: Should the parties agree to reduce premium costs, the reduction would apply to City as well as employee premiums. Use of resources from the RSF during either contract year to reduce projected increase in health care costs that exceed the resources provided through 1, above, shall be authorized only if applied to the total, annual premiums of the respective health care plan(s); and f) No decision by the Health Care Committee shall be permitted that modifies the established percentages established in c), above. 12.2 Employees who retire and are under the age of 65 shall be eligible to enroll in retiree medical plans that are experience-rated with active employees.