HEALTH INSURANCE (CONTINUED Sample Clauses

HEALTH INSURANCE (CONTINUED. For all members hired on or after July 1, 2009, no retiree health insurance will be provided. In lieu of health insurance, the employee shall receive a Health Care Savings Plan (HCSP) into which the City will contribute $100 per month and the employee shall contribute 8% of base salary. Effective July 1, 2015, City contribution to the HCSP for new Command Officers promoted into the bargaining unit with an existing HCSP as a new hire under his or her previous Collective Bargaining Agreement shall be increased from $100 per month to 3% of an employee’s base pay. Upon termination of employment with the City, for any reason, the employee contribution portion of the HCSP shall be available for use on a tax-free basis for any medically related expense as permitted under IRS regulations. The employer contribution portion shall be available to the employee after a seven (7) year vesting period. Upon separation from employment with ten (10) or more years of service, the employee shall contribute 100% unused vacation or unused sick leave payable under Article XIV Section 1 and Article XV Section 8 respectively, into the HCSP account, with no withholding taxes, including FICA and Medicare, as allowable under IRS rules. Retirees after July 1, 2011 must enroll in Medicare Parts A & B when they become eligible, at the retiree’s sole expense. Full term retirement being defined as twenty-five (25) years of service with the City shall be interpreted to include any years of service which have been purchased by employees for years spent as a police cadet for the City of Madison Heights. A) If a retiree obtains employment elsewhere said retiree will have the option of obtaining hospitalization with the subsequent employer or retaining the coverage as enumerated above. In no event will the retiree be allowed to retain two or more separate hospitalization plans. In the event the retiree obtains, at his/her option, hospitalization insurance elsewhere, there shall be no liability with the City. Upon termination of subsequent employment the retiree, after giving notice to the City, will resume with the City, retiree hospitalization insurance as was in effect at the time of his/her retirement. The City of Madison Heights shall provide the health care above for an individual who retires under a duty connected disability and their allowable dependant. B) Should the spouse or retiree be employed elsewhere and health insurance is provided to the spouse or retiree, equal to or greater t...

HEALTH INSURANCE (CONTINUED. (2) If a retiree obtains employment elsewhere said retiree will have the option of obtaining hospitalization with the subsequent employer or retaining the coverage as enumerated above. In no event will the employee be allowed to retain two or more separate hospitalization plans. In the event the retiree obtains, at his option, hospitalization insurance elsewhere, there shall be no liability with the City. Upon termination of subsequent employment the retiree, after giving notice to the City, will resume with the City, retiree hospitalization insurance as was in effect at the time of his retirement. (3) The City shall continue to provide hospitalization insurance to the spouse, upon the death of an eligible retiree retiring on or after December 9, 1991, unless the spouse shall remarry. If the spouse of a retiree, entitled to continued hospitalization insurance coverage under this subsection upon the retiree's death, obtains employment elsewhere following the retiree's death, said spouse shall have the option of obtaining hospitalization insurance with the subsequent employer or retaining the coverage enumerated above. In no event will the spouse be allowed to retain two or more separate hospitalization insurance plans. In the event the spouse obtains, at the spouse's option, hospitalization insurance elsewhere, there shall be no liability with the City. Upon termination of subsequent employment, the spouse, after giving notice to the City, may resume with the City, retiree hospitalization insurance as was in effect at the time of the retiree's retirement.

HEALTH INSURANCE (CONTINUED. Effective with payroll check dated July 5, 2013 the City implemented 20% health care premium sharing for all full-time employees in accordance with Public Act (PA) 152, and Council Resolution passed at the Regular Meeting of December 17, 2012. Should PA 152 be repealed, the parties will renegotiate the impact. Effective with payroll check dated July 14, 2017 the City reduced the health care premium sharing for all full-time employees from 20% to 10%. The 10% premium sharing and PA 152 opt-out by City Council will continue for the next contract effective July 1, 2018 and will not be subject to change or negotiations during the term of that contract; however, the moratorium on these issues will be no more than three (3) years and will be subject to negotiation no later than June 30, 2020. (2) Blue Cross defines family to include you and/or your spouse and your children through the end of the calendar year in which they reach their nineteenth (19th) birthday; however, as noted in Section 2 below, the City shall comply with the Patient Protection and Affordable Care Act/Health Care Reform Act of 2010, and as such the current regulations state that for health plan years beginning on or after September 23, 2010, coverage is extended to eligible children until they reach the age of twenty-six (26). Employees may, at their option and at their own expense, upon proper notification to the Treasurer' Office, provide protection for other dependents under the family continuance and sponsored dependents riders, such as: parents, blood relatives, members of their household, and for children over twenty-six (26) years of age or age as required by the Patient Protection and Affordable Care Act/Health Care Reform Act of 2010. In no case shall any employee be allowed duplicate coverage. (3) A Coordination of Benefits Program with disclosure of other carriers is in effect. Each new employee shall provide the City with his or her spouse's name, social security number, employer, and the name of any employer paid hospitalization plan which is available to the spouse at his/her place of employment. The City in conjunction with BC/BS will implement coordination of benefits pursuant to MCLA 550.251 et. seq. and rules of the state insurance commission, both of which are hereby incorporated by reference as though fully set forth herein. (4) For all periods prior to February 1, 2003, hospitalization was provided in accordance with the language in the predecessor Collective Bargaining ...

HEALTH INSURANCE (CONTINUED. F) Employees who retire after July 1, 2019 who are eligible for retiree health insurance shall mirror the active health care plan, including any employer contributions to HSA, HRA or other employer contributions made to active employees. Should health insurance be eliminated in a subsequent collective bargaining, the retiree shall retain the healthcare coverage he/she was enrolled in at the time of elimination. Retiree shall also mirror the “opt-out” provisions and payments of active employees. G) All retirees retiring after July 1, 2011 must enroll in Medicare Parts A & B when they become eligible, at the retiree’s sole expense. X) Xxxxxxxx retirees that were hired before July 1, 2009, and retire after July 1, 2018, who attain Medicare age, shall receive a $300 stipend per month per employee and per eligible spouse to purchase Medicare Supplemental insurance, at which point all City obligations shall cease. I) The City shall offer to any bargaining unit member who is eligible for retiree health care with less than twenty (20) years of credited service the option to participate in a retirement health care buy- out program. Should a member choose to participate, the City shall deposit $4,000 per year of credited service into a Retirement Health Care Savings Program account. After electing participation in the buy-out program, the employee shall be eligible to participate in the City’s RHSP for all future years of service. J) If a retiree obtains employment elsewhere, said retiree will have the option of obtaining hospitalization with the subsequent employer or retaining the coverage as enumerated above. In no event will the employee be allowed to retain two or more separate hospitalization plans. In the event the retiree obtains at his/her option, hospitalization insurance elsewhere, there shall be no liability with the City. Upon termination of subsequent employment the retiree, after giving notice to the City, will resume with the City, retiree hospitalization insurance as was in effect at the time of his/her retirement. The City of Madison Heights shall continue to provide coverage for the employee’s existing health plan for all individuals who retire under a duty-connected disability and their allowable dependents. K) Should the spouse or retiree be employed elsewhere and health insurance is provided to the spouse or retiree, equal to or greater than that provided to the retiree, the City will have no liability for hospitalization insurance. In the even...

HEALTH INSURANCE (CONTINUED. An employee may elect to become reinstated to the City's health insurance plan prior to the next regular annual enrollment period if and only if he/she provides proof to the City that he/she has lost health insurance coverage. The employee is not eligible to become reinstated to the City's plan prior to the next regular annual period, unless he/she has lost health insurance coverage. In all cases where an employee who received the annual "opt out" payment wishes to become reinstated on the City's health insurance plan during the term of this agreement due to a HIPAA qualifying event, or his or her employment with the City is terminated, the "opt out" payment shall be amortized over a twelve month period by requiring the employee to remit to the City or have deducted from his/her pay a pro-rated amount of the $2,000 "opt out" payment based on the number of months out of the year during which the employee was off the City's plan. For example, if an employee opted back on the City's plan five months after receiving the incentive payment, the employee would owe the City an amount equal to 5/12ths of the $2,000 "opt out" payment. The "opt out" payment shall not be counted in final average compensation for the purpose of retirement. Effective February 1, 2003, the opt out payment shall be increased to $2,400 paid annually with the same proration methodology (at $200 per month) and other provisions as listed above. Individuals who received an opt-out payment for the July 1, 2002 fiscal year shall receive an offset for the $2,000 already received. C) As an incentive for employees to choose the Blue Care Network HMO rather than the Community Blue PPO Option 1 or Blue Cross Traditional insurance, any employee who has elected HMO coverage as of the eligibility dates listed below will receive an HMO incentive payment in accordance with the following schedule: Eligibility Date Taxable HMO Incentive Payment Date Paid Period Covered June 15, 2000 $1,000 2nd pay in July 2000 July 1, 2000 through June 30, 2001 June 15, 2001 $1,000 2nd pay in July 2001 July 1, 2001 through June 30, 2002 June 15, 2002 $1,000 2nd pay in July 2002 July 1, 2002 through June 30, 2003 June 15, 2003 $1,000 2nd pay in July 2003 July 1, 2003 through June 30, 2004 June 15, 2004 $1,000 2nd pay in July 2004 July 1, 2004 through June 30, 2005 June 15, 2005 $1,000 2nd pay in July 2005 July 1, 2005 through June 30, 2006 June 15, 2006 $1,000 2nd pay in July 2006 July 1, 2006 through June 30, 2007 June 15, ...

HEALTH INSURANCE (CONTINUED. (1) The City of Madison Heights will continue to pay the premiums for the employee’s existing health plan for any full time member of the bargaining unit and family who is disabled and unable to work as a result of an injury arising out of the course of employment for a maximum period of two years. (2) The City of Madison Heights will pay for the same coverage set forth in C-1 above for any member and family with at least one year of service who is disabled and unable to work as a result of a non-duty related injury or illness up to a maximum period of two (2) years beginning the month after the member is disabled. (3) For purposes of this Section, parts 1 and 2, whether or not a member is disabled will be determined according to standards established in the Michigan Worker's Disability Compensation Act.

HEALTH INSURANCE (CONTINUED. (2) An employee may elect to become reinstated to the City's health insurance plan prior to the next regular annual enrollment period if and only if he/she provides proof to the City that he/she has lost health insurance coverage or proof of a HIPAA qualifying event. In all cases where an employee who received the "opt out" payment wishes to become reinstated on the City's health insurance plan during the term of this Agreement, each "opt out" payment shall be amortized at a rate of $250 per month. For example, if the employee opted back on the City's plan on December 1, the employee would reimburse the City $1,750 ($250/month) for the period of December through June. The employee will be required to reimburse the City for advance payments of the opt-out incentive for each month during which the employee will be covered under the City’s plan. The employee shall also reimburse the opt-out payment to the City according to the above schedule should his/her employment be terminated for any reason. The "opt out" payment shall not be counted in Final Average Compensation for retirement purposes.

HEALTH INSURANCE (CONTINUED. There will be a lens surcharge on heavy prescriptions when the lens power exceeds 10.00 diopters spherical and/or 4.00 diopters cylindrical. Glasses will be available to wearers of corrective lenses only. This Plan does not cover outdoor tints (sunglasses).

HEALTH INSURANCE (CONTINUED. For all eligible members hired by the City before July 1, 2009, the City will extend health insurance coverage to the retiree’s spouse at the time of retirement only. The City will extend health insurance to eligible dependents as of the effective date of retirement only, with the retiree paying the full cost of the difference between couple or single coverage applicable at the time of retirement and the cost to provide for the eligible dependent. For all members hired on or after July 1, 2009, no retiree health insurance will be provided. In lieu of health insurance, the employee shall receive a Health Care Savings Plan (HCSP) into which the City will contribute $100 per month and the employee shall contribute 8% of base salary. Effective July 1, 2015, City contribution to the HCSP for new Command Officers promoted into the bargaining unit with an existing HCSP as a new hire under his or her previous Collective Bargaining Agreement shall be increased from $100 per month to 3% of an employee’s base pay. Upon termination of employment with the City, for any reason, the employee contribution portion of the HCSP shall be available for use on a tax-free basis for any medically related expense as permitted under IRS regulations. The employer contribution portion shall be available to the employee after a seven (7) year vesting period. Effective July 1, 2017, the employer contribution portion shall be available to the employee after a five (5) year vesting period. Members of the department hired on or after July 1, 2009, who meet the eligibility requirements for a duty related disability pension, and have been granted such pension by the City of Madison Heights Act 345 Retirement Board, will be eligible for retiree health insurance so long as they continue to receive a duty disability pension from the City of Madison Heights subject to the following conditions: 1. It will cover the duty disability retiree and their spouse and dependents at the time they were determined to be eligible for duty disability retirement only; 2. During the period when they are eligible, the member will be provided the same health insurance and prescription drug coverage provided to active employees as may change due to mirroring; 3. A member will not be eligible to receive benefits under this provision if they or their spouse are eligible to receive health insurance benefits under any other health insurance plan; This benefit cease upon the occurrence of any of the below events: a. Te...

HEALTH INSURANCE (CONTINUED. A. The City of Madison Heights will pay the plan above for semi-private service for any full time employee who is disabled and unable to work as a result of an injury arising out of the course of employment until retirement age. B. The City of Madison Heights will pay for the same Blue Cross/Blue Shield coverage set forth in 2A above for any employee with at least one year of service who is disabled and unable to work as a result of a non- duty related injury or illness up to a maximum period of two (2) years beginning the month after the employee is disabled. C. For purposes of Section 2, Parts A and B, whether or not an employee is disabled will be determined according to standards established in the Michigan Worker's Disability Compensation Act. SECTION 3. The City of Madison Heights shall pay the premium for the current basic eye program as provided by Co-Op Optical.