Health Insurance Premium Rebate a. If during the term of this Agreement, the UMS Group Health Plan continues to operate on a self-insured basis and the total aggregate premium amount for the two-year period January 1, 2011 through December 31, 2012 and each two year period thereafter exceeds the total aggregate costs paid to the insurer for the same period for claims and other expenses by equal to or exceeding 1%, unit members will receive a proportionate rebate of premiums paid based upon their level of coverage at the time the rebate is paid. The rebate will be paid no later than September 30, 2013 and each corresponding September in subsequent two year cycles.
b. During the term of this agreement all state and federal health insurance mandates, including those regarding mental health services, that would be applicable to employee coverage under insurance plans provided by the University by way of regulated insurance carriers, shall be applicable to the UMS Group Health Plan plans covering unit members under the terms of this Agreement. If a mandate results in a mid-year premium change, the employee premium share will be increased or decreased proportionately.
Health Insurance Premium Rebate a. If during the term of this Agreement the UMS Group Health Plan continues to operate on a self- insured basis and the total aggregate premium amount for the two-year period January 1, 2011 through December 31, 2012, and each two-year period thereafter, exceeds the total aggregate costs paid to the insurer for the same period for claims and other expenses by equal to or exceeding 1%, unit members will receive a proportionate rebate of premiums paid based upon their level of coverage at the time the rebate is paid. The rebate will be paid no later than the 3rd quarter of the following year.
b. During the term of the agreement all state and federal health insurance mandates, including those regarding mental health services, that would be applicable to employee coverage under insurance plans provided by the University by way of regulated insurance carriers, shall be applicable to the UMS Group Health Plan plans covering unit members under the terms of this Agreement. If a mandate results in a mid-year premium change, the employee premium share will be increased proportionately.
Health Insurance Premium Rebate. If during the term of this Agreement, the UMS Group Health Plan continues to operate on a self-insured basis and the total aggregate premium amount for the two-year period January 1, 2011 through December 31, 2012 and each two year period thereafter exceeds the total aggregate costs paid to the insurer for the same period for claims and other expenses by equal to or exceeding 1%, unit members will receive a proportionate rebate of premiums paid based upon their level of coverage at the time the rebate is paid. The rebate will be paid no later than September 30, 2013 and each corresponding September in subsequent two year cycles.
Health Insurance Premium Rebate. If, during the term of this Agreement the UMS Group Health Plan continues to operate on a minimum premium contract and the total premium amount for a calendar year exceeds the costs paid to the insurer for claims and other expenses by equal to or exceeding 1%, unit members will receive a proportionate rebate of premiums paid based upon their level of coverage at the time the rebate is paid. For calendar year 2006 these amounts shall be: Rebate Single coverage $36.50 Employee plus one coverage $73.00 Family coverage $109.50
I. This health insurance must be requested in writing by the unit member from the Campus Human Resources Office and requires the completion of appropriate enrollment forms. Willful failure by a unit member to disclose information relating to alternative health coverage may be grounds for immediate discharge.
J. Unit members may register a domestic partner for purposes of receiving University benefits. A domestic partner who is registered shall be considered to be equivalent to a spouse for purposes of University benefits, such as health insurance, bereavement or disability leave, tuition waiver, and use of University facilities. Registration of a domestic partner will require filing of an affidavit certifying the following:
1. The partners are each at least 18 years of age and are mentally competent to contract.
2. The partners are not married to anyone.
3. The partners are not related by blood to a degree which would prohibit marriage in the State of Maine.
4. The partners reside together and have resided together for at least six months.
5. The partners are financially interdependent (evidence of financial interdependence will be required).
6. Misrepresentation of information in the affidavit will result in disciplinary action up to termination of employment and an obligation to repay benefits received.
7. The Unit member will notify the University by completion of a form when a domestic partnership ends.
8. Eligibility for benefits shall be extended to dependent children (as defined by the IRS) of an employee’s partner.
K. Unit members may participate in tax-sheltered annuity programs on a voluntary basis, if eligible, to the extent permitted by Internal Revenue Service regulations. Participation requires the completion of appropriate application and enrollment forms.
L. The University shall continue liability insurance coverage which includes unit members on the same basis as all other employees.
M. The following benefits are availab...
Health Insurance Premium Rebate a. If during the term of this Agreement, the UMS Group Health Plan continues to operate on a self- insured basis and the total aggregate premium amount for the two-year period January 1, 2011 through December 31, 2012 and each two year period thereafter exceeds the total aggregate costs paid to the insurer for the same period for claims and other expenses by equal to or exceeding 1%, unit members will receive a proportionate rebate of premiums paid based upon their level of coverage at the time the rebate is paid. The rebate will be paid no later than September 30, 2013 and each corresponding September in subsequent two year cycles.
b. During the term of this agreement, all state and federal health insurance mandates, including those regarding mental health services that would be applicable to employee coverage under insurance plans provided by the University by way of regulated insurance carriers, shall be applicable to the UMS Group Health Plan plans covering unit members under the terms of this Agreement. If a mandate results in a mid-year premium change, the employee premium share will be increased or decreased proportionately.
4. Prescription Drug Plan (Subject to change per the provisions of 2 B and C):
a. There shall be four (4) tier plan per (30) day supply: $10 for preferred generics, $15.00 for Tier 1 medications, $25.00 for Tier 2 medications and $40.00 for Tier 3 medications. Prescriptions shall be subject to step therapy to ensure use of the most safe, effective drugs.
b. A mail order option is available through the health plan administrator that provides for receiving a 90 day supply of medications for two (2) co-pays. In addition, the 90 day supply for two (2) co-pays may be obtained from local pharmacies who participate in the mail match program with the health plan administrator.
c. Maximum out of pocket expenses for prescription co-payments shall be $1,300 for individuals and $1,950 for families.
5. Upon request, University representatives will meet with designated Association representatives to explain the factors underlying any increase in premium amounts.
Health Insurance Premium Rebate a. If during the term of this Agreement, the UMS Group Health Plan continues to operate on a self- insured basis and the total aggregate premium amount for the two-year period January 1, 2011 through December 31, 2012 and each two year period thereafter exceeds the total aggregate costs paid to the insurer for the same period for claims and other expenses by equal to or exceeding 1%, unit members will receive a proportionate rebate of premiums paid based upon their level of coverage at the time the rebate is paid. The rebate will be paid no later than September 30, 2013 and each corresponding September in subsequent two year cycles.
b. During the term of this agreement, all state and federal health insurance mandates, including those regarding mental health services that would be applicable to employee coverage under insurance plans provided by the University by way of regulated insurance carriers, shall be applicable to the UMS Group Health Plan plans covering unit members under the terms of this Agreement. If a mandate results in a mid-year premium change, the employee premium share will be increased or decreased proportionately.
4. Prescription Drug Plan (Subject to change per the provisions of 2 B and C):
a. There shall be four (4) tier plan per (30) day supply: $10 for preferred generics, $15.00 for Tier 1 medications, $25.00 for Tier 2 medications and $40.00 for Tier 3 medications. Prescriptions shall be subject to step therapy to ensure use of the most safe, effective drugs.
b. A mail order option is available through the health plan administrator that provides for receiving a 90 day supply of medications for two (2) co-pays. In addition, the 90 day supply for two (2) co-pays may be obtained from local pharmacies who participate in the mail match program with the health plan administrator.
c. Maximum out of pocket expenses for prescription co-payments shall be $1,300 for individuals and $1,950 for families.
5. Upon request, University representatives will meet with designated Association representatives to explain the factors underlying any increase in premium amounts.
