Health, Hospitalization, Surgical and Major Medical Sample Clauses

Health, Hospitalization, Surgical and Major Medical. For the duration of this Agreement, the Employer shall maintain for all bargaining unit members health, hospitalization, surgical, major medical coverage, and prescription card plans. Current coverages shall remain in effect until the Franklin County Commissioners determine the need to modify that plan for all non-bargaining employees. If the Franklin County Commissioners determine the need to modify that plan, the Union will be consulted. The parties recognize the desirability of maintaining one insurance plan for all employees. Further, any changes implemented in the overall health plan design or formulary will be discussed with the Union prior to implementation of the change. All employees who work in a position scheduled for less than 1,560 hours per year will not be eligible for health insurance benefits. For the duration of this agreement all bargaining unit employees shall pay no more than what all non-bargaining unit employees pay for the monthly health insurance premium to cover themselves and any child(ren) they may have or for spousal coverage. All employee contributions paid by the employee will be paid for under IRS Chapter 125 on a pre-tax basis in accordance with the rules set forth by the IRS.
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Health, Hospitalization, Surgical and Major Medical. For the duration of this Agreement, the Employer shall maintain for all bargaining unit member’s health, hospitalization, surgical, major medical coverage, and prescription card plans. Current coverages shall remain in effect until the County determines the need to modify that plan for all County employees. If the County determines the need to modify that plan, the Lodge will be consulted as members of the Joint Benefits Committee. Any changes in the overall County plan design will be discussed prior to implementation with the Joint Benefits Committee. Routine changes in prescription formulary are not part of the plan design. All employees who work in a position scheduled for less than 1,560 hours per year will not be eligible for health insurance benefits (i.e., regular part-time employees). Employees are currently paying $140 per month for employees to cover themselves and any child(ren) they may have and $312 per month for employees who choose to cover their spouse or domestic partner. This $312 is not in addition to the $140, that is to say, in the event that an employee chooses to cover him/herself, any child(ren) and his/her spouse or domestic partner, he/she will pay no more than $312 per month to cover them all. This represents approximately a 12% contribution of the total health insurance premium amount by the employee and approximately 88% contribution by the employer. Effective the first pay period following ratification of this Agreement, employees will continue to pay no more than 12.4% of the health insurance premium and the employer will continue to pay the remainder. In no event shall the FOP bargaining unit employees be required to pay a greater dollar amount of monthly contribution than the lowest dollar amount of monthly contribution paid by any other non- bargaining employees under the direct auspices of the County Commissioners and employees of the Sheriff’s Office, except for employees who earn premium contribution incentives. All employee contributions paid by the employee will be paid for under IRS Chapter 125 on a pre-tax basis in accordance with the rules set forth by the IRS. The prescription current co-pay formula will apply to the bargaining unit members, except that the County may propose changes as indicated in this section.
Sample 1
Health, Hospitalization, Surgical and Major Medical. For the duration of this Agreement, the Employer shall maintain for all bargaining unit member’s health, hospitalization, surgical, major medical coverage, and prescription card plans. Current coverages shall remain in effect until the County determines the need to modify that plan for all County employees. If the County determines the need to modify that plan, the Lodge will be consulted as members of the Joint Benefits Committee. Any changes in the overall County plan design will be discussed prior to implementation with the Joint Benefits Committee. Routine changes in prescription formulary are not part of the plan design. All employees who work in a position scheduled for less than 1,560 hours per year will not be eligible for health insurance benefits (i.e., regular part-time employees). The single person rate shall include the member and any child(ren) the member may have. The family rate shall include the member plus the member’s spouse or domestic partner and any child(ren) they may have. Effective the first pay period following ratification of this Agreement, employees will continue to pay no more than 12.4% of the health insurance premium and the employer will continue to pay the remainder. In no event shall the FOP bargaining unit employees be required to pay a greater dollar amount of monthly contribution than the lowest dollar amount of monthly contribution paid by any other non-bargaining employees under the direct auspices of the County Commissioners and employees of the Sheriff’s Office, except for employees who earn premium contribution incentives. All employee contributions paid by the employee will be paid for under IRS Chapter 125 on a pre-tax basis in accordance with the rules set forth by the IRS. The prescription current co-pay formula will apply to the bargaining unit members, except that the County may propose changes as indicated in this section. It is understood that the County may offer a non-mandatory Health Savings Account or High Deductible Plan as an option to members covered by this Agreement, subject to the same terms and conditions and eligibility requirements as offered to other employees of the County.
Sample 1

Related to Health, Hospitalization, Surgical and Major Medical

  • Clinical Management for Behavioral Health Services (CMBHS) System 1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000. 2. use the CMBHS time frames specified by System Agency. 3. use System Agency-specified functionality of the CMBHS in its entirety. 4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.

  • Hospital This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • Medical Care Leave An Employee who is unable to make the necessary arrangements for maintenance of personal health care outside of scheduled work time, shall be granted time off with pay. Such time off shall not exceed sixteen (16) working hours per calendar year. Hours in excess of sixteen (16) hours per calendar year shall be deducted from the Employee's sick leave accumulation.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Orthodontics We Cover orthodontics used to help restore oral structures to health and function and to treat serious medical conditions such as: cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias.

  • Medical There shall be an open enrollment period for medical coverage in each year of this Agreement. An employee may elect no medical coverage during any open enrollment period. An employee who has elected no medical coverage may elect medical coverage during an open enrollment period. No pre-existing condition limitations will apply.

  • Health Care Operations “Health Care Operations” shall have the same meaning as the term “health care operations” in 45 CFR §164.501.

  • Prosthodontics We Cover prosthodontic services as follows:

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

  • Dental Care Plan The Welfare Plan will include a Dental Care Plan which will reimburse members for expenses incurred in respect of the coverages summarized in Appendix "1". The Plan will not duplicate benefits provided now or which may be provided in the future by any government program.

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