Health/Dental Insurance and Reimbursement. A. During the term of the Agreement, the BOCES will participate in paying the premium to the extent of 95% of the premium for individual coverage and 85% of the premium for family coverage under the Excellus Blue Cross Blue Shield of CNY Southern Tier Region Classic Blue Region-wide Health Plan and Blue PPO-H Health Plan. Under both the classic Blue Region-wide Plan and the Blue PPO-H Plan prescription drug copays for both mail order and at a retail pharmacy are $5, $15, $30, in accordance with tier structure and will be paid by the bargaining unit member. Under the Classic Blue Region-wide Plan, prescriptions with a ninety (90) day fill at either a retail pharmacy or by mail order will be available for one copay (1-copay for each 90 day supply) at the $5/$15/$30 tier rate. Under the Blue PPO-H Plan prescriptions for 30 days at retail with one copay and 90 days at mail order with 3 copays at the $5 / $15 / $30 tier rate.
Health/Dental Insurance and Reimbursement. A. The BOCES will participate in paying the premium for health insurance to the extent of ninety- five (95%) percent for individual coverage and eighty-five (85%) percent for family coverage under the Blue Cross/Blue Shield Classic Blue Regionwide Plan (or equivalent) and designated HMO. BOCES will provide a prescription card program: $0 for mail order or $0 for Tier I drugs, $10 for Tier II drugs, $25 for Tier III drugs. Major Medical Deductions will be $100 for individual health insurance and $300 for family health insurance. Said plan shall continue the guarantee for disabled employees (up to two [2] years' coverage), retired employees at 50/35 percent participation rate (exclusive of those retirees that accept employment where they have equal or better health care coverage). For any retiree who is currently eligible for a 50/35 BOCES participation in his health insurance premium and who elects the two-person plan, the BOCES contribution will be 65% of the individual component of the premium and 35% of the dependent component of the premium. In the event of the retiree predeceasing a dependent spouse, the spouse will enjoy a 65% contribution to an individual health plan, provided that the surviving spouse does not remarry or become eligible for a health plan that provides equal or better benefits (Medicare excluded). Eligible retirees who opt for a Family Plan will continue to receive a 50/35 contribution from the BOCES. In this case, upon the retiree's death, BOCES would contribute up to 65% of the cost of the surviving spouse’s individual plan only, with the same limitations, as above, regarding remarriage and other coverage eligibility. Effective July 1, 2010, Employees must have ten (10) or more years of service to BOCES to be eligible for heath insurance benefits in retirement. The District shall provide the appropriate health insurance at the 65% rate for individual retiree health insurance.
