Health Care Plan. If a member is also covered under any other plan (as defined here) and is entitled to benefits or other services for which benefits are also payable under Missouri Consolidated Health Care Plan (MCHCP), the benefits under MCHCP will be adjusted as shown in this rule.
Health Care Plan. Group benefits are as provided in the benefit book distributed by the carrier. Cost sharing for benefits is as follows:
Health Care Plan. The BOARD and the UNION agree to direct the LMCC to evaluate and initiate changes to the current Health Care Plan (the “Plan”) effective June 30, 2013 and thereafter in areas that will facilitate the shift to a preventive health care model and will result in design improvements, cost containment or savings, including but not limited to the following areas: • Prescription Coverage. • Vendor Performance Management.
Health Care Plan. The City of Grand Rapids is the plan sponsor of a group health care plan covering certain hospitalization, surgical, medical, dental, and optical expenses for active City employees and their eligible dependents. Active City employees and their eligible dependents participate in this group health care plan. A summary of the coverage available through the City’s group health care plan is contained in the Summary Plan Document (for the City of Grand Rapids Unified Health Care Plan). Management shall, at its expense, provide a group hospital, medical, vision, surgical insurance and dental insurance policy to all employees within the bargaining unit which shall provide coverage for the employee and the employee's dependents as defined in said policy, provided that the coverage of said policy shall not be less than the coverage of the present policy provided by Management to employees.
Health Care Plan. We have an approved health care plan with the Child Care Council. The health care plan has procedures that are followed if a child gets sick during program time. If a child becomes sick, we will call and inform the parent/guardian of the situation. Criteria for exclusion of children who are ill (immediate pick-up will be requested if the child is at a program) - The child is too ill to participate in program activities. - The illness results in a need for care that is greater than the staff can provide without compromising the health and safety of other youth. - An acute change in behavior – this could include a lack of responsiveness, irritability, persistent crying, difficulty breathing, or having a quickly spreading rash. - Fever – Temperature at or above 100° orally. - Head lice until after the first treatment (Exclusion is not necessary before the end of the day) For a full list, please refer to the Program Health Care Plan. Children with severe allergies or medical conditions requiring immediate medical intervention must have an individual health care plan on file stating the necessary intervention and signed by the child’s physician on file. Failure to turn this completed health plan into the program will result in the child not being able to start or continue in program until this documentation is received.
Health Care Plan. Group benefits are as provided in the benefit book distributed by the carrier. Cost sharing for benefits is as follows: Provincial Drug Formulary 100% Limited to the British Plan Columbia Drug Benefit formulary and Special Authority drugs that are approved by Pharmacare Deductible is equal to the dispensing xxx.Xx coverage for drugs not listed in the provincial formulary. Fertility Drugs 50% $2,500 lifetime maximum Massage Therapist 80% $500 per calendar yearPhysician referral required Physiotherapist 80% $500 per calendar year Speech Therapist 80% $500 per calendar year Acupuncturist Naturopath Osteopath Chiropodist Psychologist / Psychotherapist/ Social Worker (MSW) 80% $500 per calendar year per practitioner Podiatrist 80% $500 per calendar year Chiropractor 80% $500 per calendar year Registered Nutritional Consulting Practitioner / Registered Dietician 80% $150 per calendar year Eye Examinations 80% $80 Every 24 months Vision Care $300 every 2 years Ambulance Service 100% Per EHC Details Foot Orthotics 80% 2 pair per calendar year.$350 total per calendar year Orthopedic Shoes 80% 2 pair per calendar year.$500 total per calendar year Prosthetics 100% $25,000 lifetime maximum– initial placement only Hearing Aids 100% $500 every 4 years Routine Dental Care 80% - Recall, emergency or specific oral examinations, bitewing x- Periodontics 80% Endodontics 80% rays, scaling, polishing & fluoride once every 9 months. - Periodontal scaling/root planning 8 units per calendar year. Denture Repairs 80% Dental Deductible $50 per calendar year Major Restorative 80% Max $1,500 – dentures and crowns Life Benefit Formula $50,000 The Employer shall provide these benefits and shall be consistent with the current provisions. All employees successfully completed probation who are scheduled for 20 hours or more per week are entitled to enroll in the health and welfare benefits plan. See Group Benefits Plan for other details.
Health Care Plan. Employee health care benefits shall be governed by the City’s Healthcare Committee. The Bargaining Unit currently has two (2) voting positions, and shall continue to hold proportional representation on the Committee. The City agrees not to expand the voting membership of the Healthcare Committee in 2021.
Health Care Plan. A. The Board and eligible employees will share the cost of the Health Care Plan premiums as follows: (Exhibit E) Year 1 (2019-2020): Board – 84% Employee – 16% Year 2 (2020-2021): Board – 84% Employee – 16% Year 3 (2021-2022): Board – 84% Employee – 16% Optional vision insurance to be paid in full by the employee. Employees may purchase Medical and Dental, only Medical, or only Dental.
B. This plan has coverage for dependents to age 26.
C. Each employee will have a $400 flexible spending account (“FSA”) to be used as per regulations in medical documents. Members may also contribute additional pre-tax funds up to the maximum allowable amount permitted by law to the FSA by notifying the Treasurer yearly of the amount to be deducted from the paycheck during the yearly enrollment period. This FSA is for a calendar year. Health Insurance Plan Details are listed in EXHIBIT E. Dental Plan details are listed in EXHIBIT F. Optional Vision Plan details are listed in EXHIBIT G.
D. A dental plan shall be made available to all employees working not less than thirty (30) hours per week. Eligibility for dental benefits is based upon thirty (30) base contract hours per week and does not include overtime and non-routine trips.
E. A Section 125 Plan will be available to all employees eligible for benefits according to Section 21.01(B). This Section 125 Plan will permit employees’ share of insurance premiums to be made as a pre-tax item.
F. An insurance committee shall be formed by the Administration and shall include two OAPSE members appointed by the OAPSE President to study District health insurance and make non- binding recommendations to the Board.
G. Any employee ineligible for insurance prior to this agreement may participate on a pro-rated basis as determined by the Treasurer. A schedule will be provided by the Treasurer annually.
H. Any spouse that has single medical/prescription drug insurance coverage available through his/her employer, business or organization that costs no more than 25% of the premium cost for the lowest cost plan, must enroll in that coverage and the Columbia Local School District Health Plan will coordinate as secondary payer for any and all services provided. It is the employee’s responsibility to advise the Columbia Local School District Benefit Plan (the “Plan”) immediately (and not later than 30 days after any change in eligibility) if the employee’s spouse becomes eligible to participate in group medical/prescription drug insurance sponso...
Health Care Plan. 1. The City of Grand Rapids is the plan sponsor of a group health care plan covering certain hospitalization, surgical, medical, dental, and optical expenses for active City employees and their eligible dependents. Active City employees and their eligible dependents participate in this group health care plan. A summary of the coverage available through the City’s group health care plan is contained in the Plan Booklet. The specific terms and conditions governing the group insurance program are set forth in detail in the Plan Document created by the City as the same may be changed from time to time. The Employer maintains the right to name the administrative agent, provided that there will be no changes in the present negotiated benefit levels of the Health Care Plan during the life of this agreement.
2. Effective pay period starting November 30, 2008, the following benefits and co- payments became effective:
a. Doctor’s office visit: $20 co-pay b. Chiropractic services: $20 co-pay (co-pay applies to all consultations and subsequent adjustments and treatments)
Health Care Plan. A copy of the current Plan will be made available on the Harlem 122 website.
