Health Insurance Plans.
33.01 Current practices shall prevail for the duration of this Agreement, except that any changes in medical, dental, hospital and disability plans, including the premium payable by employees, which are applicable to the majority of those employed in the Public Service of Canada for whom Treasury Board is the employer, shall, during the life of this Agreement, be applicable to the employees under this Agreement.
33.02 The Employer shall continue to provide supplemental health insurance for an employee in foreign travel status, or to reimburse the employee for the premiums.
Health Insurance Plans. The District will continue to make available for reading by authorized representatives of the Association the master plans of the life, health, vision and dental insurance plans. The master plans will be available in the Human Resources Section only.
Health Insurance Plans. 13.1 Regular Employees, Pensioners and Regular Employees Receiving Workplace Safety and Insurance Board Payments
1. OHIP - Covers medical and standard xxxx hospital services.
2. Supplementary Plan - Covers semi-private hospital services.
3. Extended Health Benefit Plan - Coverage is in accordance with the provisions of the Kinectrics Extended Health Benefits Plan.
4. Group Dental Insurance Plan – Coverage is in accordance with the provisions of the Kinectrics Group Dental Insurance Plan. An employee may voluntarily discontinue coverage in plans 2., 3. and 4. Upon reentry, and depending upon the terms of each plan, a waiting period must be satisfied before services will be covered. This would not apply to changes relating to marital/dependents status. Effective January 1 of each year of the collective agreement, dentist fees will be paid up to the amounts shown in the current ODA Fee Guide.
Health Insurance Plans. The following are summaries of the provisions of the HMO, PPO, dental and vision insurance plans in effect as of the ratification date of this Agreement. Actual implementation of said plans with respect to bargaining unit employees will occur as soon as feasible following employee ratification and Board approval of this Agreement; until such implementation, the health insurance coverage previously in effect shall be maintained. Before implementing a reduction in benefits, the Board will notify the Union and shall bargain with the Union in good faith over the reduction or change. In any event, (a) the percentage of applicable premium cost to be contributed by eligible employees shall not be increased during the life of this Agreement without the consent of the Union, and (b) there shall be no reduction in benefits prior to June 1, 2015. In the event that the Board implements a reduction in benefits (other than as set forth in Section VI below) after bargaining to impasse with the Union, then, upon statutory notice to the Board, the Union shall have the right to strike over the issue, the provisions of Article XV of this Agreement to the contrary notwithstanding. Annual Copay Limit $1,500/individual $3,000/family Preventive Care and Physician Services (Office Visit and diagnostic Tests) Primary Care Physicians $25 copay per visit Specialist Physician $35 copay per visit Hospital Services $500 copay Emergency Room $200 copay per visit Other Medical Services (e.g. physical therapy) $15 copay per visit Prescription Drugs Retail (30 day supply) Generic $20 copay Brand Formulary** $30 copay Brand Non-Formulary** $45 copay Mail Order (90 day supply) 2 times retail copays * If a discrepancy exists between this summary and the plan document, the plan document will govern. ** If a brand name drug is chosen when a generic equivalent is available, the member pays the cost difference between the brand and generic drugs plus the copay. PPO (PREFERRED PROVIDER ORGANIZATION) PLAN* PPO (In-Network) Non-PPO (Out-of-Network) Annual Deductible $900/individual $1,000/individual $900/family $3000/family Actual Out-of-Pocket Limit $2,500/individual (including deductible) $3,000/individual (including deductible) $4,000/family (including deductible) $9,000/family (including deductible Physician Services Benefit (after deductible) 80% and $10/$20 copay (PCP/Specialist) 70% Hospital Services Benefit (after deductible) 80% and $100 copay 70% Emergency Room $175 copay per visit $100 co...
Health Insurance Plans. ELIGIBILITY – 1st day of the month following completion of the initial 90 calendar days of the probationary period. DEPENDENTS – Eligible dependents include spouse and unmarried children under age 21 of an eligible employee. Children must be dependent on the employee for their support and not employed full time.
Health Insurance Plans. Regular Employees, Pensioners and Regular Employees Receiving Workplace Safety and Insurance Board Payments Subject to the condition that employees enroll their spouse and dependent children, the Company agrees to pay 100 percent (100%) of the premiums for: Exception: Regular part-time employees shall be eligible for Health Insurance Plan coverage. Such employees will be required to pay costs of premiums (except OHIP) based on hours not worked divided by the regular hours of the classification. If he/she elects not to pay, coverage will not be provided.
Health Insurance Plans. The Employer shall, during the life of this Agreement, maintain equivalent benefit plans which are being provided to the workers on the effective date of this Agreement. These shall include medical, dental, and vision plans. Chiropractic care will also be provided if it is allowed by the medical plans contracted by Community Solutions to provide benefits to employees during the term of the Agreement. The parties further agree that if changes become necessary or advantageous to them as a result of state or federal health legislation, the parties will open this section to incorporate those changes or any modifications or additions the parties may negotiate at that time. The opening of this section will be made at the request of either party. The Employer agrees to pay the following premiums:
Health Insurance Plans.
(A) The following health insurance contributions apply:
(1) Under the Co-Pay Plan, the co-pay for professional services is thirty-five dollars ($35.00) per co-pay/visit.
(2) For employees who elect the HDHP, the employee’s monthly contribution is as follows: Employee Only = twenty dollars ($20.00); Employee + Other (Children/Spouse or Domestic Partner/Family = twenty dollars ($20.00).
(3) For employees who elect the Plus Plan, the employee’s monthly contribution is as follows: Employee Only = thirty dollars ($30.00); Employee + Other (Children/Spouse or Domestic Partner/Family) = fifty dollars ($50.00).
(4) For employees who elect the Co-Pay Plan, the employee’s monthly contribution is as follows: Employee Only = fifty dollars ($50.00); Employee + Other (Children/Spouse or Domestic Partner/Family) = seventy dollars ($70.00).
(5) For all employees paying a contribution to their health insurance who complete the annual “Live Well” Health Risk Assessment (LWHRA), which includes a biometric screening, health history and risk questionnaire and comprehensive health review, offered by the COUNTY, the COUNTY will provide a “Live Well” credit of twenty dollars ($20.00) per month.
(B) Opt Out
(1) The COUNTY will offer an “opt out” provision for employees who determine they do not require medical insurance and vision exam coverage through the COUNTY plans.
(2) The employee will receive a monthly amount of three hundred and fifty dollars ($350.00) in lieu of medical insurance and vision exam coverage.
(3) The employee will be required to provide proof of other group coverage at the time of the declination of COUNTY medical insurance and vision plan, and is required to have continuous group medical coverage.
(4) Employees who are already covered under COUNTY insurance through another eligible participant shall not be eligible for the opt-out provision.
Health Insurance Plans.
(A) Effective January 1, 20173, the following changes will be made to the health insurance plan:
(1) Employees will have the choice between a the Co-Pay point of service plan (the “Co-Pay Plan”), the Prime Plus plan, and or a the high deductible health plan (the “HDHP” plan) high deductible major medical plan with a health savings account (HSAthe “HSA Plan”).
(2) Effective January 1, 2013, fFor all employees who elect the HSA HDHP Plan, the COUNTY will deposit an amount equivalent to the annual deductible, based on their enrollment as employee only individual ($1500) or employee plus other family ($3000), into the employee’s health savings account within the first five (5) business days following January 1 for calendar years 2016, 2017, and 2018.
(3) For all employees who elect the HDHP the employee’s monthly contribution will be as follows: Employee Only = $20; Employee + Other (Children/Family/Spouse or Domestic Partner) = $20.
(4) For all employees who elect the Prime Plus Plan the employee’s monthly contribution will be as follows: Employee Only = $30; Employee + Other (Children/Family/Spouse or Domestic Partner) = $50.
(5) For all employees who elect the Co-Pay Plan the employee’s monthly contribution will be as follows: Employee Only = $50; Employee + Other (Children/Family/Spouse or Domestic Partner) = $70.
(6) For all employees paying a contribution to their health insurance who complete the
(7) Under the Co-Pay Plan, the co-pay for professional services will increase to thirty-five dollars ($35) per co-pay/visit.
Health Insurance Plans. [Previously 10.2]
10.5.1 Employees may select coverage from the following three options:
(1) Anthem Blue Cross PPO (Dual Option*)
(2) Anthem Blue Cross HMO (Dual Option*)
(3) Xxxxxx Permanente (HMO)
10.5.2 Dual Option—Twice a year an employee may elect to change plans. [previously 10.4.2] 10.5.32 Plans listed in 10.5.1 run from January 1-December 31.
