Common use of Health Insurance Declination Clause in Contracts

Health Insurance Declination. All unit members who have been employed continuously for at least one calendar year are eligible for an annual payment in the event that the member, formally in writing, prior to July 1 each year, declines health insurance coverage of any kind from the BOCES. The unit member must maintain alternate group health insurance coverage in order to be eligible and proof of insurance is required. Medicare and Medicaid coverage does not qualify as alternate coverage under this section. Dental insurance coverage is specifically excluded from this section. The annual payment will be paid on a pro rata monthly basis over the course of the fiscal year pay periods. The payment will be the sum of $1,800.00 for members who had previously elected or waived single coverage in the prior fiscal year and $4,000.00 for members who had previously elected or waived family coverage in the prior fiscal year. Any unit member that was receiving a buyout incentive under the 2014 – 2018 CBA and is now ineligible to receive a buyout incentive under the 2018 – 2022 CBA, shall continue to receive a reduced buyout in the amount of $2,000 per year for a family waiver and $900 for an individual waiver as long as they remain out of the coverage as outlined in Article 18, Section D. In the event both spouses are employed by BOCES eligibility for payment under this section is as follows: Scenario Spouse 1 Spouse 2 A Both decline Insurance and attest they have other coverage Eligible for Family Amount Not Eligible B Spouse 1 elects family coverage, Spouse 2 declines Not Eligible Not Eligible C Spouse 1 elects family coverage, Spouse 2 elects family coverage Not Eligible Not Eligible D Spouse 1 elects single coverage, Spouse 2 declines Not Eligible Eligible for Single Amount E Spouse 1 elects single coverage, Spouse 2 elects single coverage Not Eligible Not Eligible

Health Insurance Declination. All unit members who have been employed continuously for at least one calendar year are eligible for an annual payment in the event that the member, formally in writing, prior to July 1 each year, declines health insurance coverage of any kind from the BOCES. The unit member must maintain alternate group health insurance coverage in order to be eligible and proof of insurance is required. Medicare and Medicaid coverage does not qualify as alternate coverage under this section. Dental insurance coverage is specifically excluded from this section. The annual payment will be paid on a pro rata monthly basis over the course of the fiscal year pay periods. The payment will be the sum of $1,800.00 for members who had previously elected or waived single coverage in the prior fiscal year and $4,000.00 for members who had previously elected or waived family coverage in the prior fiscal year. Any unit member that was receiving a buyout incentive under the 2014 – 2018 CBA and is now ineligible to receive a buyout incentive under the 2018 – 2022 CBA, shall continue to receive a reduced buyout in the amount of $2,000 per year for a family waiver and $900 for an individual waiver as long as they remain out of the coverage as outlined in Article 18, Section D. In the event both spouses are employed by BOCES eligibility for payment under this section is as follows: Scenario Spouse 1 Spouse 2 A Both decline Insurance and attest they have other coverage Eligible for Family Amount Not Eligible B Spouse 1 elects family coverage, Spouse 2 declines Not Eligible Not Eligible C Spouse 1 elects family coverage, Spouse 2 elects family coverage Not Eligible Not Eligible D Spouse 1 elects single coverage, Spouse 2 declines Not Eligible Eligible for Single Spouse 2 declines Amount E Spouse 1 elects single coverage, Spouse 2 elects single coverage Not Eligible Not Eligible