HEALTH INSURANCE (ACTIVE EMPLOYEES Sample Clauses

HEALTH INSURANCE (ACTIVE EMPLOYEES. 1. The District agrees to provide a health insurance plan to eligible employees in the Excellus Blue Cross Blue Shield: Signature Deductible 3 PPO Plan (effective August 1, 2021 and as set forth in the Plan document) or any other Health Insurance Plan mutually agreed upon by the District and Association. The following cost sharing provisions shall apply: 2021-2022 Unit members’ health care insurance contribution will be: For those wishing to remain in the Indemnity Plan: • Individual Plan – Twelve and one half percent (12.5%) of the cost of an individual plan. Family Plan –Twelve and one half percent (12.5%) of the cost of a family plan. For those wishing to switch to the PPO Plan: • Individual Plan—Eighteen percent (18%) of the cost of an individual plan. • Family Plan—Eighteen percent (18%) of the cost of a family plan. • Individual Plan—Eighteen percent (18%) of the cost of an individual plan. • Family Plan—Eighteen percent (18%) of the cost of a family plan. • Individual Plan—Eighteen percent (18%) of the cost of an individual plan. • Family Plan—Eighteen percent (18%) of the cost of a family plan 2024-2025 Unit members’ health care insurance contribution will be: • Individual Plan—Eighteen percent (18%) of the cost of an individual plan. • Family Plan—Eighteen percent (18%) of the cost of a family plan Deductibles, out-of-pocket costs, and prescription co-payments as set forth below: Individual Family In Network Deductible $3500 $7000 Out-of-Network Deductible $7000 $14,000 Prescription $10/$25/$40 $10/$25/$40 Rx Cap: Rx cap shall be as follows: Nine hundred ($900) on an individual plan and eighteen hundred ($1800) on a family plan.
Sample 1
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HEALTH INSURANCE (ACTIVE EMPLOYEES. 1. The District agrees to provide a health insurance plan to eligible employees in either the Central New York Region-wide Blue Cross/Blue Shield Plan or any other Health Insurance Plan mutually agreed upon by the District and Association. The following cost sharing provisions shall apply: ● Individual Plan – Eleven and one half percent ( 11.5%) of the cost of an individual plan. ● Family Plan – Eleven and one half percent (11.5%) of the cost of a family plan. ● Individual Plan – Twelve percent (12%) of the cost of an individual plan. ● Family Plan – Twelve percent (12%) of the cost of a family plan. ∗ Individual Plan – Twelve and one half percent (12.5%) of the cost of an individual plan. ∗ Family Plan – Twelve and one half percent (12.5%) of the cost of a family plan. The District will continue their investigation into the possibility of offering employees an option of participating in a Preferred Provider Organization Plan (PPO-H). Participation in such a Plan would be on a voluntary basis. Unit member contributions to the PPO-H Plan shall be as provided above. The parties agree to bargain over the effects of offering such a Plan. The health plan provides basic Blue Cross/Blue Shield coverage, is $5/$15/$30 three-tier prescription co-payment and Major Medical deduction of two hundred dollars ($200) for individual and six hundred dollars ($600) for family plans. Reference is made to the Plan description booklet for a description of the benefits.
Sample 1
HEALTH INSURANCE (ACTIVE EMPLOYEES. A) The County shall provide a Preferred Provider Option (PPO) plan, currently Excellus Blue PPO as the Health Insurance option for the employees. The County will provide as an additional option a higher deductible plan with a lower cost of premium, such premium as determined by the marketplace. All plan options offered by the County shall be available to the employees at the same contribution percentages as identified within Section F., of this Article 11. B) The County will provide the plans as identified above, if the availability of such plan remains as an option for the County. Factors which may impact the County's ability to offer this plan include but are not limited to the following: 1) The Insurance Provider refuses to offer such plan option within our coverage area. 2) The Insurance Provider completely discontinues doing business within our coverage area. 3) The premium rates proposed by the Insurance Provider for such option become so cost prohibited as to be unaffordable for the County's share and/or the Employee's share. 4) The Insurance Providers list of covered physicians or health care providers becomes so limited as to make coverage within our area impractical. C) Prior to the discontinuation of a particular plan as identified above and/or the introduction of a new plan, the County shall provide notification by way of the Labor Management Committee and will allow for discussion and input from the Association. D) The County will on a calendar year basis aggressively pursue a PPO plan option to provide coverage to those employees so entitled. Such plan options may include new Insurance Providers not identified above. Factors which would prompt the County to offer additional coverage options include but are not limited to the following: 1) A new Insurance Provider begins operations within our coverage area, offering comparable plan and premium options. 2) A current Insurance Provider may offer new premium options which are more cost effective for the County and the employee. 3) A current Insurance Provider may alter or otherwise change a plan as identified in Section A., above and rename such plan. E) If the Association wishes, it may submit alternative benefit proposals for consideration to the County Manager / Administrator prior to October 1st of each year of the agreement. F) Health Insurance contributions shall be based upon the following: 1) Full Time Employees or a Part Time Employee with Benefits hired prior to January 1, 1999, shall c...
Sample 1

Related to HEALTH INSURANCE (ACTIVE EMPLOYEES

  • Retiree Health Insurance Retired members of the Department receiving, or to receive City of Lincoln monthly pension checks, may participate in the group comprehensive health care plan for active City employees, provided that each retiree so desiring will execute the required forms in a timely fashion, and further provided that each retiree will be required to pay the full monthly cost at the current rates subject to any rate increases which may occur from time to time. Such payment will be made by payroll deduction from pension checks, or by direct payment in the case of an early retiree.

  • Health Insurance Benefits To the extent provided by the federal COBRA law or, if applicable, state insurance laws, and by the Company’s current group health insurance policies, Executive will be eligible to continue Executive’s group health insurance benefits at Executive’s own expense. If Executive timely elects continued coverage under COBRA, the Company shall pay Executive’s COBRA premiums, and any applicable Company COBRA premiums, necessary to continue Executive’s then-current coverage for a period of 12 months after the date of Executive’s termination of employment; provided, however, that any such payments will cease if Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such premiums. Executive agrees to immediately notify the Company in writing of any such enrollment. Notwithstanding the foregoing, if the Company determines, in its sole discretion, that it cannot provide the foregoing benefit without potentially incurring financial costs or penalties under applicable law (including, without limitation, Section 2716 of the Public Health Service Act), the Company shall in lieu thereof provide to Executive a taxable monthly amount to continue his group health insurance coverage in effect on the date of separation from service (which amount shall be based on the premium for the first month of COBRA coverage), which payments shall be made regardless of whether Executive elects COBRA continuation coverage and shall commence in the month following the month in which Executive incurs a separation from service and shall end on the earlier of (x) the date on which Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such amounts and (y) 12 months after the date of Executive’s separation from service.

  • Health Insurance The Couple agrees that: (check one)

  • Group Health Insurance The Employer shall provide a comprehensive health care insurance program for all permanent full-time and part-time employees. Health Plan characteristics and benefits shall be as provided in the Employer’s Agreement with the Ohio Civil Service Employees Association (hereinafter OCSEA). Regardless of the plan, employees will pay fifteen percent (15%) of the premium and the Employer will pay eighty-five percent (85%) of the premium; however for any alternative plans offered pursuant to the Agreement with OCSEA, the employees’ premium share will be determined by the Director of DAS, but will not exceed fifteen percent (15%) of the premium. The Employer’s premium share shall be paid on behalf of eligible employees as provided in the Employer’s Agreement with OCSEA. Employees who include a spouse as a dependent for healthcare coverage shall pay a surcharge as provided in the Employer’s Agreement with OCSEA. Eligibility provisions for employees enrolling in State provided health care plans shall remain the same as those in effect in the Employer’s Agreement with OCSEA. The Employer reserves the right to perform dependent eligibility audits upon recommendation of the Joint Health Care Committee. Health care costs paid on behalf of ineligible dependents will be subject to recovery. Deductibles, co-payments, and other plan design provisions for all benefit programs shall be the same as those prescribed in the Employer’s Agreement with OCSEA. Every year the Employer shall conduct an open enrollment period, at which time employees shall be able to enroll in a health plan, continue enrollment in their current plan, switch to another plan, subject to plan availability in their area, or waive coverage. The timing of the open enrollment period shall be established by the Director of the Department of Administrative Services (DAS), in consultation with the Joint Health Care Committee. Changes outside of open enrollment may only occur as prescribed in the Employer’s Agreement with OCSEA. Open Enrollment Fairs shall be held in accordance with Employer’s Agreement with OCSEA. There shall be established a Joint Health Care Committee composed of representatives of management, and of the various labor Unions representing State employees. The Committee shall meet regularly to monitor the operation of the State’s health care plans, and to make recommendations for the improvement of the plans and cost containment procedures. The Employer shall provide funding for dental, vision and the life benefits as described in Article 21 of the Employer’s Agreement with OCSEA and the Union’s Benefits Trust. Employee health insurance payments will be deducted from every paycheck. In the event an employee is receiving disability leave or Workers’ Compensation benefits, the Employer- policyholder shall continue, at no cost to the employee, the coverage of group health insurance for such employee for the period of such leave, but not beyond twelve (12) months. If the employee’s leave extends beyond twelve

  • Retiree Health Benefits 1. There is currently in effect a retiree health benefit program for retired members of LACERS under LAAC Division 4, Chapter 11. All covered employees who are members of LACERS, regardless of retirement tier, shall contribute to LACERS four percent (4%) of their pre-tax compensation earnable toward vested retiree health benefits as provided by this program. The retiree health benefit available under this program is a vested benefit for all covered employees who make this contribution, including employees enrolled in LACERS Tier 3. 2. With regard to LACERS Tier 1, as provided by LAAC Section 4.1111, the monthly Maximum Medical Plan Premium Subsidy, which represents the Kaiser 2-party non-Medicare Part A and Part B premium, is vested for all members who made the additional contributions authorized by LAAC Section 4.1003(c). 3. Additionally, with regard to Tier 1 members who made the additional contribution authorized by LAAC Section 4.1003(c), the maximum amount of the annual increase authorized in LAAC Section 4.1111(b) is a vested benefit that shall be granted by the LACERS Board. 4. With regard to LACERS Tier 3, the Implementing Ordinance shall provide that all Tier 3 members shall contribute to LACERS four percent (4%) of their pre-tax compensation earnable toward vested retiree health benefits, and shall amend LAAC Division 4, Chapter 11 to provide the same vested benefits to all Tier 3 members as currently are provided to Tier 1 members who make the same four percent (4%) contribution to LACERS under the retiree health benefit program. 5. The entitlement to retiree health benefits under this provision shall be subject to the rules under LAAC Division 4, Chapter 11 in effect as of the effective date of this provision, and the rules that shall be placed into LAAC Division 4, Chapters 10 and 11, with regard to Tier 3, by the Implementing Ordinance. 6. As further provided herein, the amount of employee contributions is subject to bargaining in future MOU negotiations. 7. The vesting schedule for the Maximum Medical Plan Premium Subsidy for employees enrolled in LACERS Tier 1 and LACERS Tier 3 shall be the same. 8. Employees whose Health Service Credit, as defined in LAAC Division 4, Chapter 11, is based on periods of part-time and less than full-time employment, shall receive full, rather than prorated, Health Service Credit for periods of service. The monthly retiree medical subsidy amount to which these employees are entitled shall be prorated based on the extent to which their service credit is prorated due to their less than full time status.

  • Active Employees Active Employees who have not terminated service during the Plan Year and who meet the following requirements (select all that apply; leave blank if no exclusions): a. [ ] The Employee must be at least age (e.g., 55) b. [ ] The value of the sick and/or vacation leave must be at least $ (e.g., $2,000) c. [ ] A contribution will only be made if the total hours is over (e.g., 10) hours d. [ ] A contribution will not be made for hours in excess of (e.g., 40) hours

  • Health & Welfare Benefits Executive shall be eligible to participate in all health and welfare benefits provided generally to other employees of the Company.

  • Health Plans A. The health plans offered and benefits provided by those plans shall be those recommended by the JLMBC, approved by the City Council, and administered by the Personnel Department in accordance with LAAC Section 4.

  • Disabled Employees If an employee becomes disabled with the result that he is unable to carry out the regular functions of his position, the Hospital may establish a special classification and salary with the hope of providing an opportunity of continued employment.

  • Health Benefits For the eighteen (18) month period following the Termination Date, provided that Executive is eligible for, and timely elects COBRA continuation coverage, the Company will pay on Executive’s behalf, the monthly cost of COBRA continuation coverage under the Company’s group health plan for Executive and, where applicable, her spouse and dependents, at the level in effect as of the Termination Date, adjusted for any increase in such level paid by the Company for active employees, less the employee portion of the applicable premiums that Executive would have paid had she remained employed during the such eighteen (18) month period (the COBRA continuation coverage period shall run concurrently with the eighteen (18) month period that COBRA premium payments are made on Executive’s behalf under this subsection 1(a)(ii)). The reimbursements described herein shall be paid in monthly installments, commencing on the sixtieth (60th) day following the Termination Date, provided that the first such installment payment shall include any unpaid reimbursements that would have been made during the first sixty (60) days following the Termination Date. Notwithstanding the foregoing, the Company’s payment of the monthly COBRA premiums in accordance with this subsection 1(a)(ii) shall cease immediately upon the earlier of: (A) the end of the eighteen (18) month period following the Termination Date, or (B) the date that Executive is eligible for comparable coverage with a subsequent employer. Executive agrees to notify the Company in writing immediately if subsequent employment is accepted prior to the end of the eighteen (18) month period following the Termination Date and Executive agrees to repay to the Company any COBRA premium amount paid on Executive’s behalf during such period for any period of employment during which group health coverage is available through a subsequent employer. Notwithstanding the foregoing, the Company reserves the right to restructure the foregoing COBRA premium payment arrangement in any manner necessary or appropriate to avoid fines, penalties or negative tax consequences to the Company or Executive (including, without limitation, to avoid any penalty imposed for violation of the nondiscrimination requirements under the Patient Protection and Affordable Care Act or the guidance issued thereunder), as determined by the Company in its sole and absolute discretion.

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