Common use of HEALTH CARE, DENTAL CARE Clause in Contracts

HEALTH CARE, DENTAL CARE. (a) The School Committee shall provide all certified/licensed personnel with Medical and Dental insurance with benefits and coverage network equivalent to the benefits and coverages provided by the 100/80/250 Coinsurance Plan and the dental plan in effect at the time of the execution of this agreement. The summaries of these plans and their benefits for are appended to this agreement as Appendix J and incorporated herein by reference. The Committee shall further continue to provide all health care, dental and/or prescription riders which were in effect at the time of the execution of this agreement. (b) The Committee shall provide family coverage to all certified/licensed personnel who are married, party to a civil union, have a domestic partner, have dependent children, and/or who are otherwise eligible. (c) Certified/Licensed personnel shall pay the following co-shares annually toward the cost of health care premiums: 2014-2015 2015-2016 2016-2017 13% 15% 17% (d) The School Committee agrees to make available to all certified licensed personnel on leave of absence all health and dental benefits available under this Contract at no cost to the Pawtucket School Department. (e) Effective October 31, 2003 no person covered by this agreement may join Classic Blue Cross as a Health Care Plan. Any person covered by Classic Blue Cross on that date may continue their coverage. (f) The School Committee may change health care/dental care plan providers only if each of the following criteria are met: i. The new plan provider shall provide coverage for all pre-existing conditions covered under the previous plan of all certified/licensed personnel. ii. The specific benefits and coverages afforded shall be at least equal to the benefits which are presently provided by the Committee. iii. The extent of the choice of participating health and/or dental providers, including physicians, under any new plan shall not be substantially less than the choices available to the bargaining unit members under the plan(s) in effect at the time of the change. iv. All other aspects of the plan provided by the new health care/dental care plan provider must be at least substantially equivalent to the plan(s) in effect at the time of the change. (g) In the event that the School Committee seeks to change health care/dental care plan providers, it shall provide notice in writing, and all relevant documentation regarding benefits, coverages and coverage network afforded by the proposed new provider, to the Alliance, no later than ninety (90) days prior to the proposed effective date of the change. In the event that the Alliance does not believe that the proposed plan meets the criteria set forth above, it may demand arbitration by providing notice to the Committee in writing, no later than forty-five (45) days after receiving the notice of the proposed change. The arbitration shall be conducted pursuant to the expedited arbitration rules of the American Arbitration Association. The arbitrator selected shall have experience with health care issues and shall render a decision within thirty (30) days of the expedited hearing. No change to the health/dental providers shall be implemented until the arbitration process is complete and unless permitted by the arbitrator’s award. Timelines regarding arbitration contained in this subsection may be enlarged by written agreement of the parties. (h) The School Committee agrees to a paid life insurance plan in the amount of $50,000 for all certified/licensed personnel (i) Upon expiration of sick leave, the School Committee agrees to provide health and dental insurance and life insurance for certified/licensed personnel who are ill, until September 30th of the following school year. The extent of these benefits will be the same as that provided active certified/licensed personnel no on sick leave. (j) A certified/licensed personnel who has been in the Pawtucket School System for fifteen (15) years or more and is eligible to retire under the Rhode Island Teachers’ Retirement System shall receive all health and dental benefits afforded current employees. This benefit shall extend until the retired teacher is eligible for coverage under Medicare. (k) Effective with the 2009-2010 school year, Buy Back of medical coverage is optional for everyone. An active certified/licensed personnel who so chooses shall have the option of receiving payment in the amount of three thousand ($3000) dollars in lieu of family medical/dental coverage, and one thousand, five hundred ($1500) dollars in lieu of individual medical/dental coverage. Payment will be made by the end of the months indicated in the following schedule: Policy Period Payment School Year 2014-2015 2015-2016 2016-2017 Oct.-Dec. 1 Dec., 2014 Dec., 2015 Dec., 2016 Jan.-March 2 Mar., 2015 Mar., 2016 Mar., 2017 April-June 3 June, 2015 June, 2016 June, 2017 July-Sept. 4 Sept.,2015 Sept.,2016 Sept. 2017 Any change in family status (death, divorce, separation, etc.) of the certified/licensed personnel will result in reinstatement of coverage in accordance with the terms of the plan. A Peer Assistance & Review Program (PAR) will be reviewed for consideration and possible implementation in the Pawtucket School Department. Should a Peer Assistance and Review program be implemented in the Pawtucket School Department, it may, with a thirty (30) day notice, be cancelled by either the Pawtucket School Department or the Pawtucket Teachers’ Alliance. Double family coverage is eliminated where two certified/licensed personnel are in a relationship which would qualify them for family health and dental coverage. In the event that the couple selects a single family plan, they shall receive the appropriate buy back for the certified/licensed member who does not carry the coverage. The couple shall also be permitted to elect two individual health plans, in lieu of a family plan.

HEALTH CARE, DENTAL CARE. (a) The School Committee shall provide all certified/licensed personnel with Medical and Dental insurance with benefits and coverage network equivalent to the benefits and coverages provided by the 100/80/250 Coinsurance Plan and the dental plan in effect at the time of the execution of this agreement. The summaries of these plans and their benefits for are appended to this agreement as Appendix J and incorporated herein by reference. The Committee shall further continue to provide all health care, dental and/or prescription riders which were in effect at the time of the execution of this agreement. (b) The Committee shall provide family coverage to all certified/licensed personnel who are married, party to a civil union, have a domestic partner, have dependent children, and/or who are otherwise eligible. (c) Certified/Licensed personnel shall pay the following co-shares annually toward the cost of health care premiums: 20142023-2015 20152024 2024-2016 20162025 2025-2017 132026 20% 1520% 1720% (d) The School Committee agrees to make available to all certified licensed personnel on leave of absence all health and dental benefits available under this Contract at no cost to the Pawtucket School Department. (e) Effective October 31, 2003 no person covered by this agreement may join Classic Blue Cross as a Health Care Plan. Any person covered by Classic Blue Cross on that date may continue their coverage. (f) The School Committee may change health care/dental care plan providers only if each of the following criteria are met: i. The new plan provider shall provide coverage for all pre-existing conditions covered under the previous plan of all certified/licensed personnel. ii. The specific benefits and coverages afforded shall be at least equal to the benefits which are presently provided by the Committee. iii. The extent of the choice of participating health and/or dental providers, including physicians, under any new plan shall not be substantially less than the choices available to the bargaining unit members under the plan(s) in effect at the time of the change. iv. All other aspects of the plan provided by the new health care/dental care plan provider must be at least substantially equivalent to the plan(s) in effect at the time of the change. (g) In the event that the School Committee seeks to change health care/dental care plan providers, it shall provide notice in writing, and all relevant documentation regarding benefits, coverages and coverage network afforded by the proposed new provider, to the Alliance, no later than ninety (90) days prior to the proposed effective date of the change. In the event that the Alliance does not believe that the proposed plan meets the criteria set forth above, it may demand arbitration by providing notice to the Committee in writing, no later than forty-five (45) days after receiving the notice of the proposed change. The arbitration shall be conducted pursuant to the expedited arbitration rules of the American Arbitration Association. The arbitrator selected shall have experience with health care issues and shall render a decision within thirty (30) days of the expedited hearing. No change to the health/dental providers shall be implemented until the arbitration process is complete and unless permitted by the arbitrator’s award. Timelines regarding arbitration contained in this subsection may be enlarged by written agreement of the parties. (h) The School Committee agrees to a paid life insurance plan in the amount of $50,000 for all certified/licensed personnel (i) Upon expiration of sick leave, the School Committee agrees to provide health and dental insurance and life insurance for certified/licensed personnel who are ill, until September 30th of the following school year. The extent of these benefits will be the same as that provided active certified/licensed personnel no on sick leave. (j) A certified/licensed personnel who has been in Upon retirement from the Pawtucket School System for fifteen (15) years or more Department, and is as long as the employee has not yet attained the minimum Medicare eligibility age, the employee shall be eligible to retire under continue his/her plan (as offered by employer, subject to the Pawtucket Teachers’ Alliance’s negotiated co-share). Retirement shall mean immediate eligibility of receipt of retirement benefits, without penalty, as determined by the Employees Retirement System of Rhode Island Teachers’ Retirement System shall receive all health based on years of service and/or age and dental benefits afforded current employeescompletion of the retirement application process. This benefit shall extend until In no event should the retired teacher is eligible for employer be required to provide such coverage under Medicareafter the employee has attained the minimum Medicare eligibility age. (k) Effective with the 2009-2010 school year, Buy Back of medical coverage is optional for everyone. An active certified/licensed personnel who so chooses shall have the option of receiving payment in the amount of three thousand ($3000) dollars in lieu of family medical/dental coverage, and one thousand, five hundred ($1500) dollars in lieu of individual medical/dental coverage. Payment will be made by the end of the months indicated in the following schedule: Policy Period Payment School Year 20142020-2015 20152021 2021-2016 20162022 2022-2017 2023 Oct.-Dec. 1 Dec., 2014 2020 Dec., 2015 2021 Dec., 2016 2022 Jan.-March 2 Mar., 2015 2021 Mar., 2016 2022 Mar., 2017 2023 April-June 3 June, 2015 2021 June, 2016 2022 June, 2017 2023 July-Sept. 4 Sept.,2015 ,2021 Sept.,2016 ,2022 Sept. 2017 2023 Any change in family status (death, divorce, separation, etc.) of the certified/licensed personnel will result in reinstatement of coverage in accordance with the terms of the plan. A Peer Assistance & Review Program (PAR) will be reviewed for consideration and possible implementation in the Pawtucket School Department. Should a Peer Assistance and Review program be implemented in the Pawtucket School Department, it may, with a thirty (30) day notice, be cancelled by either the Pawtucket School Department or the Pawtucket Teachers’ Alliance. Double family coverage is eliminated where two certified/licensed personnel are in a relationship which would qualify them for family health and dental coverage. In the event that the couple selects a single family plan, they shall receive the appropriate buy back for the certified/licensed member who does not carry the coverage. The couple shall also be permitted to elect two individual health plans, in lieu of a family plan.

HEALTH CARE, DENTAL CARE. (a) The School Committee shall provide all certified/licensed personnel with Medical and Dental insurance with benefits and coverage network equivalent to the benefits and coverages provided by the 100/80/250 Coinsurance Plan and the dental plan in effect at the time of the execution of this agreement. The summaries of these plans and their benefits for are appended to this agreement as Appendix J and incorporated herein by reference. The Committee shall further continue to provide all health care, dental and/or prescription riders which were in effect at the time of the execution of this agreement. (b) The Committee shall provide family coverage to all certified/licensed personnel who are married, party to a civil union, have a domestic partner, have dependent children, and/or who are otherwise eligible. (c) Certified/Licensed personnel shall pay the following co-shares annually toward the cost of health care premiums: 20142020-2015 20152021 2021-2016 20162022 2022-2017 132023 19% 1520% 1720% (d) The School Committee agrees to make available to all certified licensed personnel on leave of absence all health and dental benefits available under this Contract at no cost to the Pawtucket School Department. (e) Effective October 31, 2003 no person covered by this agreement may join Classic Blue Cross as a Health Care Plan. Any person covered by Classic Blue Cross on that date may continue their coverage. (f) The School Committee may change health care/dental care plan providers only if each of the following criteria are met: i. The new plan provider shall provide coverage for all pre-existing conditions covered under the previous plan of all certified/licensed personnel. ii. The specific benefits and coverages afforded shall be at least equal to the benefits which are presently provided by the Committee. iii. The extent of the choice of participating health and/or dental providers, including physicians, under any new plan shall not be substantially less than the choices available to the bargaining unit members under the plan(s) in effect at the time of the change. iv. All other aspects of the plan provided by the new health care/dental care plan provider must be at least substantially equivalent to the plan(s) in effect at the time of the change. (g) In the event that the School Committee seeks to change health care/dental care plan providers, it shall provide notice in writing, and all relevant documentation regarding benefits, coverages and coverage network afforded by the proposed new provider, to the Alliance, no later than ninety (90) days prior to the proposed effective date of the change. In the event that the Alliance does not believe that the proposed plan meets the criteria set forth above, it may demand arbitration by providing notice to the Committee in writing, no later than forty-five (45) days after receiving the notice of the proposed change. The arbitration shall be conducted pursuant to the expedited arbitration rules of the American Arbitration Association. The arbitrator selected shall have experience with health care issues and shall render a decision within thirty (30) days of the expedited hearing. No change to the health/dental providers shall be implemented until the arbitration process is complete and unless permitted by the arbitrator’s award. Timelines regarding arbitration contained in this subsection may be enlarged by written agreement of the parties. (h) The School Committee agrees to a paid life insurance plan in the amount of $50,000 for all certified/licensed personnel (i) Upon expiration of sick leave, the School Committee agrees to provide health and dental insurance and life insurance for certified/licensed personnel who are ill, until September 30th of the following school year. The extent of these benefits will be the same as that provided active certified/licensed personnel no on sick leave. (j) A certified/licensed personnel who has been in the Pawtucket School System for fifteen (15) years or more and is eligible to retire under the Rhode Island Teachers’ Retirement System shall receive all health and dental benefits afforded current employees. This benefit shall extend until the retired teacher is eligible for coverage under Medicare. (k) Effective with the 2009-2010 school year, Buy Back of medical coverage is optional for everyone. An active certified/licensed personnel who so chooses shall have the option of receiving payment in the amount of three thousand ($3000) dollars in lieu of family medical/dental coverage, and one thousand, five hundred ($1500) dollars in lieu of individual medical/dental coverage. Payment will be made by the end of the months indicated in the following schedule: Policy Period Payment School Year 20142020-2015 20152021 2021-2016 20162022 2022-2017 2023 Oct.-Dec. 1 Dec., 2014 2020 Dec., 2015 2021 Dec., 2016 2022 Jan.-March 2 Mar., 2015 2021 Mar., 2016 2022 Mar., 2017 2023 April-June 3 June, 2015 2021 June, 2016 2022 June, 2017 2023 July-Sept. 4 Sept.,2015 ,2021 Sept.,2016 ,2022 Sept. 2017 2023 Any change in family status (death, divorce, separation, etc.) of the certified/licensed personnel will result in reinstatement of coverage in accordance with the terms of the plan. A Peer Assistance & Review Program (PAR) will be reviewed for consideration and possible implementation in the Pawtucket School Department. Should a Peer Assistance and Review program be implemented in the Pawtucket School Department, it may, with a thirty (30) day notice, be cancelled by either the Pawtucket School Department or the Pawtucket Teachers’ Alliance. Double family coverage is eliminated where two certified/licensed personnel are in a relationship which would qualify them for family health and dental coverage. In the event that the couple selects a single family plan, they shall receive the appropriate buy back for the certified/licensed member who does not carry the coverage. The couple shall also be permitted to elect two individual health plans, in lieu of a family plan.

HEALTH CARE, DENTAL CARE. (a) The School Committee shall provide all certified/licensed personnel with Medical and Dental insurance with benefits and coverage network equivalent to the benefits and coverages provided by the 100/80/250 Coinsurance Plan and the dental plan in effect at the time of the execution of this agreement. The summaries of these plans and their benefits for are appended to this agreement as Appendix J and incorporated herein by reference. The Committee shall further continue to provide all health care, dental and/or prescription riders which were in effect at the time of the execution of this agreement. (b) The Committee shall provide family coverage to all certified/licensed personnel who are married, party to a civil union, have a domestic partner, have dependent children, and/or who are otherwise eligible. (c) Certified/Licensed personnel shall pay the following co-shares annually toward the cost of health care premiums: 2014-2015 2015-2016 2016-2017 13% 15% 17%: (d) The School Committee agrees to make available to all certified licensed personnel on leave of absence all health and dental benefits available under this Contract at no cost to the Pawtucket School Department. (e) Effective October 31, 2003 no person covered by this agreement may join Classic Blue Cross as a Health Care Plan. Any person covered by Classic Blue Cross on that date may continue their coverage. (f) The School Committee may change health care/dental care plan providers only if each of the following criteria are met: i. The new plan provider shall provide coverage for all pre-existing conditions covered under the previous plan of all certified/licensed personnel. ii. The specific benefits and coverages afforded shall be at least equal to the benefits which are presently provided by the Committee. iii. The extent of the choice of participating health and/or dental providers, including physicians, under any new plan shall not be substantially less than the choices available to the bargaining unit members under the plan(s) in effect at the time of the change. iv. All other aspects of the plan provided by the new health care/dental care plan provider must be at least substantially equivalent to the plan(s) in effect at the time of the change. (g) In the event that the School Committee seeks to change health care/dental care plan providers, it shall provide notice in writing, and all relevant documentation regarding benefits, coverages and coverage network afforded by the proposed new provider, to the Alliance, no later than ninety (90) days prior to the proposed effective date of the change. In the event that the Alliance does not believe that the proposed plan meets the criteria set forth above, it may demand arbitration by providing notice to the Committee in writing, no later than forty-five (45) days after receiving the notice of the proposed change. The arbitration shall be conducted pursuant to the expedited arbitration rules of the American Arbitration Association. The arbitrator selected shall have experience with health care issues and shall render a decision within thirty (30) days of the expedited hearing. No change to the health/dental providers shall be implemented until the arbitration process is complete and unless permitted by the arbitrator’s award. Timelines regarding arbitration contained in this subsection may be enlarged by written agreement of the parties. (h) The School Committee agrees to a paid life insurance plan in the amount of $50,000 for all certified/licensed personnel (i) Upon expiration of sick leave, the School Committee agrees to provide health and dental insurance and life insurance for certified/licensed personnel who are ill, until September 30th of the following school year. The extent of these benefits will be the same as that provided active certified/licensed personnel no on sick leave. (j) A certified/licensed personnel who has been in the Pawtucket School System for fifteen (15) years or more and is eligible to retire under the Rhode Island Teachers’ Retirement System shall receive all health and dental benefits afforded current employees. This benefit shall extend until the retired teacher is eligible for coverage under Medicare. (k) Effective with the 2009-2010 school year, Buy Back of medical coverage is optional for everyone. An active certified/licensed personnel who so chooses shall have the option of receiving payment in the amount of three thousand ($3000) dollars in lieu of family medical/dental coverage, and one thousand, five hundred ($1500) dollars in lieu of individual medical/dental coverage. Payment will be made by the end of the months indicated in the following schedule: Policy Period Payment School Year 20142017-2015 20152018 2018-2016 20162019 2019-2017 2020 Oct.-Dec. 1 Dec., 2014 2017 Dec., 2015 2018 Dec., 2016 2019 Jan.-March 2 Mar., 2015 2018 Mar., 2016 2019 Mar., 2017 2020 April-June 3 June, 2015 2018 June, 2016 2019 June, 2017 2020 July-Sept. 4 Sept.,2015 ,2018 Sept.,2016 ,2019 Sept. 2017 2020 Any change in family status (death, divorce, separation, etc.) of the certified/licensed personnel will result in reinstatement of coverage in accordance with the terms of the plan. A Peer Assistance & Review Program (PAR) will be reviewed for consideration and possible implementation in the Pawtucket School Department. Should a Peer Assistance and Review program be implemented in the Pawtucket School Department, it may, with a thirty (30) day notice, be cancelled by either the Pawtucket School Department or the Pawtucket Teachers’ Alliance. Double family coverage is eliminated where two certified/licensed personnel are in a relationship which would qualify them for family health and dental coverage. In the event that the couple selects a single family plan, they shall receive the appropriate buy back for the certified/licensed member who does not carry the coverage. The couple shall also be permitted to elect two individual health plans, in lieu of a family plan.