Common use of Health Insurance Clause in Contracts

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for a copy. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 18.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $32.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit of the employeeshealth plan, as including vision exams and when all City bargaining units approve them. Furthereyewear, said changes up to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)amount of $200.

Health Insurance. For details19.8.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for a copyboth with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $32.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit of the employeeshealth plan, as including vision exams and when all City bargaining units approve them. Furthereyewear, said changes up to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)amount of $200.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $30 per pay period for employee only coverage, two-2015person coverage, or family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co- payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)Association through the Health Benefits Committee regarding the design and implementation of the program.

Health Insurance. For details, please review 18.8.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (POS) health benefit plan. An employee's eligibility and opportunity to elect available health care options shall be in accordance with the latest version “Benefits Highlights” set forth in Appendix F and G and the enrollment conditions of the Health Plan Document located respective plans. a. Effective with the pay period beginning September 1, 2011, all employees who subscribe in either the Network or the POS plan shall pay $30.00 per pay period for employee only coverage, $42.00 per pay period for two-person coverage, or $52.00 per pay period for family coverage. b. The Network plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the City day preceding the effective date of Porterville’s Intranet or contact this agreement. The office visit co-payments for the Human Resources office Network Plan shall increase to $15.00 per visit for a copyPrimary Care Physicians and $30.00 per visit for Specialists effective September 1, 2011. Monthly rates A $100.00 per occurrence co-payment shall apply to emergency room services and $50.00 per occurrence co-payment shall apply to urgent care services, both of which shall be waived if the person for whom the service is provided is admitted. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees consist of: Medical Employee Only 2% in effect on the day preceding the effective date of base salary Plus Spouse +this agreement. The office visit co-payments for the POS Plan shall increase to $170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +15.00 per visit for Primary Care Physicians and $30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March per visit for Specialists effective September 1, 20152011. A $100.00 per occurrence co-payment shall apply to emergency room services and $50.00 per occurrence co-payment shall apply to urgent care services, FOS both of which shall be waived if the person for whom the service is provided is admitted. d. Effective January 1, 2008, subscribers in either the Network or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plans. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services and products obtained under the health plan up to the amount of $200*. e. Domestic partners of employees who are the same sex as the employee shall begin contributing two percent (2%) per month be eligible for coverage under the Employer’s available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. f. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Michelle’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)RSA 415.

Health Insurance. For details19.8.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for a copyboth with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $30.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit of the employeeshealth plan, as including vision exams and when all City bargaining units approve them. Furthereyewear, said changes up to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)amount of $200.

Health Insurance. For details, please review 19.8.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (POS) health benefit plan. An employee's eligibility and opportunity to elect available health care options shall be in accordance with the latest version “Benefits Highlights” set forth in Appendix F and G and the enrollment conditions of the Health Plan Document located respective plans. The Association acknowledges that the Network plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-sharing, dependent coverage and Employer premium contributions of the Network and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. a. Effective with the pay period beginning September 1, 2011, all employees who subscribe in either the Network or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two- person coverage, or $60.00 per pay period for family coverage. b. The Network plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the City day preceding the effective date of Porterville’s Intranet or contact this agreement. The office visit co- payments for the Human Resources office Network Plan shall increase to $15.00 per visit for a copyPrimary Care Physicians and $30.00 per visit for Specialists effective September 1, 2011. Monthly rates A $100.00 per occurrence co-payment shall apply to emergency room services and $50.00 per occurrence co-payment shall apply to urgent care services, both of which shall be waived if the person for whom the service is provided is admitted. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees consist of: Medical Employee Only 2% in effect on the day preceding the effective date of base salary Plus Spouse +this agreement. The office visit co- payments for the POS Plan shall increase to $170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +15.00 per visit for Primary Care Physicians and $30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March per visit for Specialists effective September 1, 20152011. A $100.00 per occurrence co-payment shall apply to emergency room services and $50.00 per occurrence co-payment shall apply to urgent care services, FOS both of which shall be waived if the person for whom the service is provided is admitted. d. Effective January 1, 2008, subscribers in either the Network or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plans. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services and products obtained under the health plan up to the amount of $200*. e. Domestic partners of employees who are the same sex as the employee shall begin contributing two percent (2%) per month be eligible for coverage under the Employer’s available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. f. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Michelle’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 18.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of- service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. The Association acknowledges that the HMO plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-2015sharing, dependent coverage and Employer premium contributions, of the HMO and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. Said changes may All services and procedures shall be subject to minor modificationmedical necessity. a. All employees who subscribe in either the HMO or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Xxxxxxxx’s Law and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)codified in RSA 415.

Health Insurance. For detailsa. Effective with the pay period beginning September 9, please review 2011, all employees who subscribe in either the latest version Network or the POS plan shall pay $30.00 per pay period for employee only coverage, two-person coverage, or family coverage. b. The Network plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Health Plan Document located Benefits Booklet for active state employees in effect on the City day preceding the effective date of Porterville’s Intranet or contact this agreement. The office visit co-payments for the Human Resources office Network Plan shall increase to $15.00* per visit for Primary Care Physicians and $30.00 per visit for Specialists effective September 1, 2011. A $100.00 per occurrence co-payment shall apply to emergency room services and a copy$50.00 per occurrence co-payment shall apply to urgent care services, both of which shall be waived if the person for whom the service is provided is admitted. Monthly rates *waived for preventative c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees consist of: Medical Employee Only 2% in effect on the day preceding the effective date of base salary Plus Spouse +this agreement. The office visit co-payments for the POS Plan shall increase to $170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +15.00 per visit for Primary Care Physicians and $30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March per visit for Specialists effective September 1, 20152011. A $50.00 $100.00 per occurrence co-payment shall apply to emergency room services and a $50.00 per occurrence co-payment shall apply to urgent care services, FOS both of which shall be waived if the person for whom the service is provided is admitted. *waived for preventative d. Domestic partners of employees who are the same sex as the employee shall begin contributing two percent (2%) per month be eligible for coverage under the Employer’s available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Domestic Partner Benefit Eligibility Requirements contained in Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. e. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Michelle’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from RSA 415. f. Utilization of Cost-effective Providers - The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the day Association/Union regarding the design and implementation of the program. This provision shall expire on which covered charges were incurredJune 30, 2013. (Resolution 84g Utilization of Cost-91) Chiropractic Services – 20 visits maximum per calendar yeareffective Providers. Chiropractic xThe Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-rays limited to $100 per yeareffective health care providers. (Resolution 84-91) Effective 11-01-10, The Employer shall consult with the Employee Benefit Trust Fund, Eligible Medical Expenses Association regarding the design and implementation of the program. This provision shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective take effect on July 1, 20152010 and expire on June 30, 2013 unless mutually agreed otherwise by the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)parties.

Health Insurance. For details, please review 19.10.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (POS) health benefit plan. An employee's eligibility and opportunity to elect available health care options shall be in accordance with the latest version “Benefits Highlights” set forth in Appendix F and G and the enrollment conditions of the Health Plan Document located respective plans. a. Effective with the pay period beginning September 1, 2011, all employees who subscribe in either the Network or the POS plan shall pay $30.00 per pay period for employee only coverage, $42.00 per pay period for two-person coverage, or $52.00 per pay period for family coverage. b. The Network plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the City day preceding the effective date of Porterville’s Intranet or contact this agreement. The office visit co-payments for the Human Resources office Network Plan shall increase to $15.00 per visit for a copyPrimary Care Physicians and $30.00 per visit for Specialists effective September 1, 2011. Monthly rates A $100.00 per occurrence co-payment shall apply to emergency room services and $50.00 per occurrence co-payment shall apply to urgent care services, both of which shall be waived if the person for whom the service is provided is admitted. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees consist of: Medical Employee Only 2% in effect on the day preceding the effective date of base salary Plus Spouse +this agreement. The office visit co-payments for the POS Plan shall increase to $170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +15.00 per visit for Primary Care Physicians and $30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March per visit for Specialists effective September 1, 20152011. A $100.00 per occurrence co- payment shall apply to emergency room services and $50.00 per occurrence co-payment shall apply to urgent care services, FOS both of which shall be waived if the person for whom the service is provided is admitted. d. Effective January 1, 2008, subscribers in either the Network or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plans. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services and products obtained under the health plan up to the amount of $200*. e. Domestic partners of employees who are the same sex as the employee shall begin contributing two percent (2%) per month be eligible for coverage under the Employer’s available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. f. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Michelle’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)RSA 415.

Health Insurance. For details19.10.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for a copyboth with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $30.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit of the employeeshealth plan, as including vision exams and when all City bargaining units approve them. Furthereyewear, said changes up to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)amount of $200.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make a. All employees who subscribe in either the HMO or the POS plan shall pay $30 per pay period for employee only coverage, two-2015person coverage, or family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co- payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Xxxxxxxx‟s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)Association through the Health Benefits Committee regarding the design and implementation of the program.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. The Association acknowledges that the HMO plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-2015sharing, dependent coverage and Employer premium contributions, of the HMO and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. Said changes may All services and procedures shall be subject to minor modificationmedical necessity. a. All employees who subscribe in either the HMO or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)codified in RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. The Association acknowledges that the HMO plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-2015sharing, dependent coverage and Employer premium contributions, of the HMO and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. Said changes may All services and procedures shall be subject to minor modificationmedical necessity. a. All employees who subscribe in either the HMO or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Xxxxxxxx‟s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)Association through the Health Benefits Committee regarding the design and implementation of the program.

Health Insurance. For details19.8.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for a copyboth with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $30 per pay period for employee only coverage, two-2015person coverage, or family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co- payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the employee’s healthcare benefit Association regarding the design and implementation of the program. This provision shall not become remain in effect until it can be shown that it is no longer effective as a cost-saving measure or until such time as all bargaining units approve same. (Resolution 18-2015)the plan administrator ceases to administer the program.

Health Insurance. For details, please review The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (POS) health benefit plan. An employee's eligibility and opportunity to elect available health care options shall be in accordance with the latest version “Benefits Highlights” set forth in Appendix F and G and the enrollment conditions of the Health Plan Document located respective plans. The Union acknowledges that the Network plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-sharing, dependent coverage and Employer premium contributions of the Network and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. a. Except as provided in subparagraphs (1) and (2) of this section, the Employer shall pay the full premium or premium equivalent cost for employee only, two person and family coverage. 1. Effective with the pay period beginning July 6, 2007, all employees who subscribe in either the Network or the POS plan shall pay $25.00 per pay period. 2. Effective with the pay period beginning January 2, 2009, all employees who subscribe in either the Network or the POS plan shall pay $30.00 per pay period. b. The Network plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the City day preceding the effective date of Porterville’s Intranet or contact this agreement. The office visit co-payments for the Human Resources office Network Plan shall increase to $10.00 per visit for a copy. Monthly rates Primary Care Physicians and $20.00 per visit for Specialists effective January 1, 2009. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees consist of: Medical Employee Only 2% in effect on the day preceding the effective date of base salary Plus Spouse +this agreement. The office visit co-payments for the POS Plan shall increase to $170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +20.00 per visit for Primary Care Physicians and $30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March per visit for Specialists effective January 1, 20152009. d. Effective January 1, FOS 2008, subscribers in either the Network or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plans. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services and products obtained under the health plan and/or other eligible health care expenditures up to the amount of $200. e. Domestic partners of employees who are the same sex as the employee shall begin contributing two percent (2%) per month be eligible for coverage under the Employer’s available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. f. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Michelle’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)RSA 415.

Health Insurance. For detailsEffective January 1, please review 2000 health and major medical insurance shall be provided by the latest version Oswego County BOCES on a self-insured basis with a third party administrator. The BOCES (Oswego County BOCES) Health and Major Medical Plan shall be equal to the benefits in effect during the 1998-1999 school year (the Blue Cross of Utica/Watertown and Guardian Life Insurance Plans), including voluntary pre-certification. The BOCES will pay 95% of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for a copy. Monthly rates for active employees consist of: Medical Employee Only 2premium costs in 2008-09, 94% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18the premium costs in 2009-2015) Effective March 110, 2015, FOS employees shall begin contributing two percent (2%) per month 92% of the employee’s base salary towards employee’s own medical coverage on premium costs in 2010-11 and 90% of the City’s premium costs in 2011-12 for eligible enrolled bargaining unit members for individual and for dependent coverage. The plan shall include an ambulance and accident “rider”. Employees who retire under the NYSTRS or the NYSERS are eligible to continue their health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits insurance in effect at the time of such retirement and shall be paid by eligible to participate in this plan at the active employee contribution rate. To be eligible to participate in the BOCES Health Insurance Plan only if notice as a retiree, an employee must have served a minimum of claim is made ten (10) consecutive years within three hundred sixty-five (365) days from the date on which covered charges were incurredBOCES. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions If a break in service occurs, then an employee will need a total of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months years with the BOCES. Any leave of absence granted by the BOCES shall not serve as a break in service; however, only paid leaves shall continue to accrue time toward this service credit. Any unpaid leave, while not creating a break in service, shall not count as accrued time toward service credit. A break in service shall occur when an employee terminates by either resigning, discharge or other action which removes them from maintaining an employment status with the day BOCES. Furthermore, such employees must actually qualify for and retire under the provisions of the New York State Teachers Retirement System or the New York State Employees Retirement System. Furthermore, any Teaching Assistant who is laid off at the end of the school year but is called back by November 15 of that same year will not be considered to have broken their service for this provision. An employee who is on which covered charges were incurreda preferred eligible list shall also not be considered to have broken their service unless such employee refuses a return to work offer by the BOCES. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10Upon declination, the Employee Benefit Trust Fund, Eligible Medical Expenses such employee shall be amended considered to include preventative care at a cost have broken their service. Unit members, employed less than thirty (30) hours per week, will have their health insurance premiums paid on the basis of an additional $5.00 75% BOCES contribution and 25% employee contribution. Those unit members employed less than thirty (30) hours per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective week but employed in that manner prior to July 1, 2015, 1997 shall have their contributions paid at the City shall implement changes current employee contribution rate. The BOCES further agrees to the healthcare following: The creation of an Administrative Oversight Committee (herein after referred to as “the committee”) consisting of two (2) representatives from the Teachers’ Association and one (1) representative from each of the other two NYSUT Affiliated Units in the BOCES, four (4) representatives selected by the District Superintendent and a representative from the current third party administrator (advisory only, non-voting). A major function of this committee shall be to hear appeals from the health insurance participants regarding claim denials and make final and binding decisions on those appeals. Any appeals not successfully resolved through this committee process shall be addressed in accordance with the deadlock procedures outlined in Article 3, Paragraph B, Section 3 (of the teachers’ contract). Initially, all appeals must be made directly to the third party administrator as part of its administrative role. Unresolvable issues will be brought before the Oversight Committee when the appeal indicates inconsistent past adjudication practices or where prior adjudications are in specific contrast to previously negotiated benefits. Meetings shall be held bi-monthly during the first year of implementation of the BOCES Health Insurance Plan, and thereafter, such meetings shall be held on an as-needed basis. Meetings to hear appeals shall be held no later than thirty (30) days after receipt of an appeal. Bargaining unit members serving on this committee shall be provided with paid release time for any necessary meetings held during the regular work day. The BOCES agrees that if a bargaining unit member can demonstrate via a past practice, as evidenced by the explanation of benefits, that a benefit claim has been previously paid, or paid at a specific level, even if such benefit is not explicitly stated in the plan document, that benefit claim shall be presented to the committee for determination. Such determination shall be limited to benefits provided within the previous two (2) years from inception of FOS employees any changes in third party administrator. Other functions of the committee would be to review annual rates (premium equivalency rates) for the plan and to participate in the review of the reserve account. The committee will also review and evaluate the current third party administrator annually and recommend changes, if necessary, to insure service and financial stability. It is understood that no changes in third party administrator will be made without the recommendation and a majority consensus of the Oversight Committee. 1. The BOCES will maintain a specific and aggregate stop loss insurance. The initial annual stop loss attachment point for any specific individual shall be no greater than $150,000. The specific and aggregate stop loss contracts shall each have no less than a $1 million annual maximum in support of the plan’s unlimited maximum benefit. The stop loss carrier(s) supporting the plan shall not be changed unless notice is given to the committee. 2. The committee shall also be provided, in a semi-annual basis, financial and other reports regarding the plan as set forth needed. The BOCES shall provide liability protections for bargaining unit members serving on the committee. 3. The BOCES agrees that the New York State Insurance Department mandates as regards insured health and major medical insurance plans in Attachment 1 New York State, including confidentiality requirements, shall be automatically added to the BOCES plan and Exhibits the BOCES shall routinely inform the committee and bargaining unit members of Resolution 18-2015such changes. 4. Said changes may Decisions on appeals made by this committee shall not be subject to minor modification, to the benefit Article 7 (Grievance Procedures) of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)this contract.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $32.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)codified in RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 18.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make a. All employees who subscribe in either the HMO or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-2015person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co- payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)codified in RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $32.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Xxxxxxxx‟s Law and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)codified in RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 18.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by a. All employees who subscribe in either the HMO or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-2015person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co- payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Xxxxxxxx‟s Law and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)codified in RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. The Association acknowledges that the HMO plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-2015sharing, dependent coverage and Employer premium contributions, of the HMO and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. Said changes may All services and procedures shall be subject to minor modificationmedical necessity. a. All employees who subscribe in either the HMO or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Xxxxxxxx’s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost- effective health care providers. The Employer shall consult with the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)Association through the Health Benefits Committee regarding the design and implementation of the program.

Health Insurance. For details, please review The Employer shall make available to employees and their dependents a. Network health benefit plan (i.e. HMO) and a Point-of-Service (POS) health benefit plan. An employee's eligibility and opportunity to elect available health care options shall be in accordance with the latest version “Benefits Highlights” set forth in Appendix F and G and the enrollment conditions of the Health Plan Document located respective plans. The Union acknowledges that the Network plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-sharing, dependent coverage and Employer premium contributions of the Network and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. All unit employees who subscribe in either the Network or the POS plan shall pay $30.00 per pay period if enrolled at the employee only plan level, $42.00 per pay period if enrolled at the employee plus one plan level and $52.00 per pay period if enrolled at the family plan level. b. The Network plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the City day preceding the effective date of Porterville’s Intranet or contact this agreement. The office visit co-payments for the Human Resources office Network Plan shall be $15.00* per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services and $50.00 per occurrence co-payment shall apply to a copyurgent care services, both of which shall be waived if the person for whom the service is provided is admitted. Monthly rates *waived for preventive c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees consist of: Medical Employee Only 2% in effect on the day preceding the effective date of base salary Plus Spouse +this agreement. The office visit co-payments for the POS Plan shall be $170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +15.00* per visit for Primary Care Physicians and $30.00 Vision Employee Only 0 Plus Spouse +per visit for Specialists. A $11.00 Plus Child/ren +100.00 per occurrence co-payment shall apply to emergency room services and $9.00 Plus Spouse & Child/ren +50.00 per occurrence co- payment shall apply to a urgent care services, both of which shall be waived if the person for whom the service is provided is admitted. *waived for preventive d. Subscribers in either the Network or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plans. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services and products obtained under the health plan up to the amount of $20.00 (Resolution 18-2015) Effective March 1, 2015, FOS 200*. e. Domestic partners of employees who are the same sex as the employee shall begin contributing two percent (2%) per month be eligible for coverage under the Employer’s available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. f. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Michelle’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)RSA 415.

Health Insurance. For details19.10.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for a copyboth with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $32.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit of the employeeshealth plan, as including vision exams and when all City bargaining units approve them. Furthereyewear, said changes up to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)amount of $200.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment a. All employees who subscribe in either the HMO or the POS plan shall pay $30 per pay period for employee only coverage, two-person coverage, or family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of Resolution 18coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-2015payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be subject waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to minor modificationurgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)Association through the Health Benefits Committee regarding the design and implementation of the program.

Health Insurance. For details, please review 19.8.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (POS) health benefit plan. An employee's eligibility and opportunity to elect available health care options shall be in accordance with the latest version “Benefits Highlights” set forth in Appendix F and G and the enrollment conditions of the Health Plan Document located respective plans. The Association acknowledges that the Network plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-sharing, dependent coverage and Employer premium contributions of the Network and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. a. Effective with the pay period beginning September 1, 2011, all employees who subscribe in either the Network or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two- person coverage, or $60.00 per pay period for family coverage. b. The Network plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the City day preceding the effective date of Porterville’s Intranet or contact this agreement. The office visit co- payments for the Human Resources office Network Plan shall increase to $15.00 per visit for a copyPrimary Care Physicians and $30.00 per visit for Specialists effective September 1, 2011. Monthly rates A $100.00 per occurrence co-payment shall apply to emergency room services and $50.00 per occurrence co-payment shall apply to urgent care services, both of which shall be waived if the person for whom the service is provided is admitted. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees consist of: Medical Employee Only 2% in effect on the day preceding the effective date of base salary Plus Spouse +this agreement. The office visit co- payments for the POS Plan shall increase to $170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +15.00 per visit for Primary Care Physicians and $30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March per visit for Specialists effective September 1, 20152011. A $100.00 per occurrence co-payment shall apply to emergency room services and $50.00 per occurrence co-payment shall apply to urgent care services, FOS both of which shall be waived if the person for whom the service is provided is admitted. d. Effective January 1, 2008, subscribers in either the Network or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plans. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services and products obtained under the health plan up to the amount of $200*. e. Domestic partners of employees who are the same sex as the employee shall begin contributing two percent (2%) per month be eligible for coverage under the Employer’s available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. f. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Xxxxxxxx’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 18.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $32.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)codified in RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make a. All employees who subscribe in either the HMO or the POS plan shall pay $30 per pay period for employee only coverage, two-2015person coverage, or family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co- payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)Association through the Health Benefits Committee regarding the design and implementation of the program.

Health Insurance. For details19.10.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for a copyboth with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the a. All employees who subscribe in either the HMO or the POS plan shall pay $32.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit of the employeeshealth plan, as including vision exams and when all City bargaining units approve them. Furthereyewear, said changes up to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)amount of $200.

Health Insurance. For detailsThe Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (POS) health benefit plan. An employee's eligibility and opportunity to elect available health care options shall be in accordance a. Except as provided in subparagraphs (1) and (2) of this section, please review the latest version Employer shall pay the full premium or premium equivalent cost for employee only, two person and family coverage. 1. Effective with the pay period beginning July 6, 2007, all employees who subscribe in either the Network or the POS plan shall pay $25.00 per pay period. 2. Effective with the pay period beginning January 2, 2009, all employees who subscribe in either the Network or the POS plan shall pay $30.00 per pay period. b. The Network plan design shall be as described in Appendix D. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the Network Plan shall increase to $10.00 per visit for Primary Care Physicians and $20.00 per visit for Specialists effective January 1, 2009. c. The POS plan design shall be as described in Appendix E. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall increase to $20.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists effective January 1, 2009. d. Effective January 1, 2008, subscribers in either the Network or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the Health Plan Document located on health risk appraisal provided for under the City respective plans. The arrangement shall provide funds for the payment of Portervilleany out-of-pocket costs associated with health care services and products obtained under the health plan and/or other eligible health care expenditures up to the amount of $200. e. Domestic partners of employees who are the same sex as the employee shall be eligible for coverage under the Employer’s Intranet or contact available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the Human Resources office for a copy. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. f. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Michelle’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. The Association acknowledges that the HMO plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-2015sharing, dependent coverage and Employer premium contributions, of the HMO and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. Said changes may All services and procedures shall be subject to minor modificationmedical necessity. a. All employees who subscribe in either the HMO or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)Association through the Health Benefits Committee regarding the design and implementation of the program.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $32.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Xxxxxxxx’s Law and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)codified in RSA 415.

Health Insurance. For details, please review The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (POS) health benefit plan. An employee's eligibility and opportunity to elect available health care options shall be in accordance with the latest version “Benefits Highlights” set forth in Appendix D and E and the enrollment conditions of the Health Plan Document located respective plans. a. Except as provided in subparagraphs (1) and (2) of this section, the Employer shall pay the full premium or premium equivalent cost for employee only, two person and family coverage. 1. Effective with the pay period beginning July 6, 2007, all employees who subscribe in either the Network or the POS plan shall pay $25.00 per pay period. 2. Effective with the pay period beginning January 2, 2009, all employees who subscribe in either the Network or the POS plan shall pay $30.00 per pay period. b. The Network plan design shall be as described in Appendix D. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the City day preceding the effective date of Porterville’s Intranet or contact this agreement. The office visit co-payments for the Human Resources office Network Plan shall increase to $10.00 per visit for a copy. Monthly rates Primary Care Physicians and $20.00 per visit for Specialists effective January 1, 2009. c. The POS plan design shall be as described in Appendix E. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees consist of: Medical Employee Only 2% in effect on the day preceding the effective date of base salary Plus Spouse +this agreement. The office visit co-payments for the POS Plan shall increase to $170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +20.00 per visit for Primary Care Physicians and $30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March per visit for Specialists effective January 1, 20152009. d. Effective January 1, FOS 2008, subscribers in either the Network or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plans. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services and products obtained under the health plan and/or other eligible health care expenditures up to the amount of $200. e. Domestic partners of employees who are the same sex as the employee shall begin contributing two percent (2%) per month be eligible for coverage under the Employer’s available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. f. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Michelle’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 18.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by a. All employees who subscribe in either the HMO or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-2015person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co- payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)codified in RSA 415.

Health Insurance. For details, please review The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (POS) health benefit plan. An employee's eligibility and opportunity to elect available health care options shall be in accordance with the latest version “Benefits Highlights” set forth in Appendix D and E and the enrollment conditions of the Health Plan Document located respective plans. The Union acknowledges that the Network plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-sharing, dependent coverage and Employer premium contributions of the Network and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. a. Except as provided in subparagraphs (1) and (2) of this section, the Employer shall pay the full premium or premium equivalent cost for employee only, two person and family coverage. 1. Effective with the pay period beginning July 6, 2007, all employees who subscribe in either the Network or the POS plan shall pay $25.00 per pay period. 2. Effective with the pay period beginning January 2, 2009, all employees who subscribe in either the Network or the POS plan shall pay $30.00 per pay period. b. The Network plan design shall be as described in Appendix D. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the City day preceding the effective date of Porterville’s Intranet or contact this agreement. The office visit co-payments for the Human Resources office Network Plan shall increase to $10.00 per visit for a copy. Monthly rates Primary Care Physicians and $20.00 per visit for Specialists effective January 1, 2009. c. The POS plan design shall be as described in Appendix E. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees consist of: Medical Employee Only 2% in effect on the day preceding the effective date of base salary Plus Spouse +this agreement. The office visit co-payments for the POS Plan shall increase to $170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +20.00 per visit for Primary Care Physicians and $30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March per visit for Specialists effective January 1, 20152009. d. Effective January 1, FOS 2008, subscribers in either the Network or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plans. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services and products obtained under the health plan and/or other eligible health care expenditures up to the amount of $200. e. Domestic partners of employees who are the same sex as the employee shall begin contributing two percent (2%) per month be eligible for coverage under the Employer’s available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. f. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Xxxxxxxx’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork healthbenefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment conditions of Resolution 18respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. The Association acknowledges that the HMP plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-2015sharing, dependent coverage and Employer premium contributions, of the HMO and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. Said changes may All services and procedures shall be subject to minor modificationmedical necessity. a. All employees who subscribe in either the HMO or POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not consistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HOP or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Xxxxxxxx’s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-Effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)Association through the Health Benefits Committee regarding the design and implementation of the program.

Health Insurance. For details19.10.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for a copyboth with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as "Benefits Highlights" set forth in Attachment 1 Appendix F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. a. All employees who subscribe in either the HMO or the POS plan shall pay $32.00 per pay period for employee only coverage, $42.00 per pay period for two-2015person coverage, or $52.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. Said changes may The office visit co-payments for the HMO Plan shall be subject $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to minor modificationemergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit of the employeeshealth plan, as including vision exams and when all City bargaining units approve them. Furthereyewear, said changes up to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)amount of $200.

Health Insurance. For details, please review 18.8.1. The Employer shall make available to employees and their dependents a Network health benefit plan (i.e. HMO) and a Point-of-Service (POS) health benefit plan. An employee's eligibility and opportunity to elect available health care options shall be in accordance with the latest version “Benefits Highlights” set forth in Appendix F and G and the enrollment conditions of the Health Plan Document located respective plans. a. Effective with the pay period beginning September 1, 2011, all Unit Employees who subscribe in either the Network or the POS plan shall pay $30.00 per pay period for employee only coverage, $42.00 per pay period for two-person coverage, or $52.00 per pay period for family coverage. b. The Network plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the City day preceding the effective date of Porterville’s Intranet or contact this agreement. The office visit co- payments for the Human Resources office Network Plan shall increase to $15.00* per visit for a copyPrimary Care Physicians and $30.00 per visit for Specialists effective September 1, 2011. Monthly rates A $100.00 per occurrence co-payment shall apply to emergency room services and $50.00 per occurrence co-payment shall apply to urgent care services, both of which shall be waived if the person for whom the service is provided is admitted. *waived for preventative c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees consist of: Medical Employee Only 2% in effect on the day preceding the effective date of base salary Plus Spouse +this agreement. The office visit co- payments for the POS Plan shall be $170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +15.00* per visit for Primary Care Physicians and $30.00 Vision Employee Only 0 Plus Spouse +per visit for Specialists. A $11.00 Plus Child/ren +100.00 per occurrence co-payment shall apply to emergency room services and $9.00 Plus Spouse & Child/ren +50.00 per occurrence co-payment shall apply to urgent care services, both of which shall be waived if the person for whom the service is provided is admitted. *waived for preventative d. Subscribers in either the Network or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plans. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services and products obtained under the health plan up to the amount of $20.00 (Resolution 18-2015) Effective March 1, 2015, FOS 200*. e. Domestic partners of employees who are the same sex as the employee shall begin contributing two percent (2%) per month be eligible for coverage under the Employer’s available health benefit plans as though they were married spouses. Dependents of such domestic partners shall be eligible for coverage under the health plans as if they were dependents of the employee’s base salary towards employee’s own medical coverage on the City’s health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits Requirements for domestic partner benefit eligibility shall be paid by the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as in accordance with Appendix E. Employees meeting such requirements shall then be authorized by the Trustees. Any exceptions Employer to enroll their domestic partners and dependents. f. The Employer shall provide coverage under the submissions of claims later than three hundred sixty-five (365) days are subject to approval health plans consistent with Chapter 321 of the TrusteesLaws of 2006, but and known as Michelle’s Law and codified in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as set forth in Attachment 1 and Exhibits of Resolution 18-2015. Said changes may be subject to minor modification, to the benefit of the employees, as and when all City bargaining units approve them. Further, said changes to the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)RSA 415.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for ‌ 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. The Association acknowledges that the HMO plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-2015sharing, dependent coverage and Employer premium contributions, of the HMO and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. Said changes may All services and procedures shall be subject to minor modificationmedical necessity. a. All employees who subscribe in either the HMO or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Michelle’s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)Association through the Health Benefits Committee regarding the design and implementation of the program.

Health Insurance. For details, please review the latest version of the Health Plan Document located on the City of Porterville’s Intranet or contact the Human Resources office for 19.8.1. The Employer shall make available to employees and their dependents a copyNetwork health benefit plan (i.e. HMO) and a Point-of-Service (i.e. POS) health benefit plan both with site-of-service components. Monthly rates for active employees consist of: Medical Employee Only 2% of base salary Plus Spouse +$170.00 Plus Child/ren +$160.00 Plus Spouse & Child/ren +$250.00 Dental Employee Only 0 Plus Spouse +$21.00 Plus Child/ren +$27.00 Plus Spouse & Child/ren +$30.00 Vision Employee Only 0 Plus Spouse +$11.00 Plus Child/ren +$9.00 Plus Spouse & Child/ren +$20.00 (Resolution 18-2015) Effective March 1, 2015, FOS employees shall begin contributing two percent (2%) per month of the An employee’s base salary towards employee’s own medical coverage on the City’s 's eligibility and opportunity to elect available health plan. (Resolution 18-2015) Deductible: $175 deductible per person per calendar year. (Resolution 18-2015) Maximum $350 deductible per family per calendar year. (Resolution 18-2015) Benefits care options shall be paid by in accordance with the Plan only if notice of claim is made within three hundred sixty-five (365) days from the date on which covered charges were incurred. The claimant must submit properly completed claim forms and itemized statements as authorized by the Trustees. Any exceptions to the submissions of claims later than three hundred sixty-five (365) days are subject to approval of the Trustees, but in no event may claims be considered for payment later than fifteen (15) months from the day on which covered charges were incurred. (Resolution 84-91) Chiropractic Services – 20 visits maximum per calendar year. Chiropractic x-rays limited to $100 per year. (Resolution 84-91) Effective 11-01-10, the Employee Benefit Trust Fund, Eligible Medical Expenses shall be amended to include preventative care at a cost of an additional $5.00 per month paid by each employee with two or more dependent coverage. (Resolution 23-2011) Effective July 1, 2015, the City shall implement changes to the healthcare benefit of FOS employees as “Benefits Highlights” set forth in Attachment 1 Appendices F and Exhibits G and the enrollment conditions of Resolution 18the respective plans. Appendices F and G are incorporated by reference into the health provisions of this Agreement. The Employer shall make available a complete listing of site of service providers and shall keep the listing current. The Association acknowledges that the HMO plan and POS plan provider(s) shall be chosen by the Employer, and that the election by any employee(s) to participate in either plan shall not entitle said employee(s) to any further benefits not expressly provided for by this Agreement. The level of benefits, cost-2015sharing, dependent coverage and Employer premium contributions, of the HMO and POS health plans offered under this provision shall be in accordance with the following provisions and with the specifications for a competitive bid. Said changes may All services and procedures shall be subject to minor modificationmedical necessity. a. All employees who subscribe in either the HMO or the POS plan shall pay $20.00 per pay period for employee only coverage, $40.00 per pay period for two-person coverage, or $60.00 per pay period for family coverage. b. The HMO plan design shall be as described in Appendix F. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix F shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. c. The POS plan design shall be as described in Appendix G. Additional benefits, terms of coverage, exclusions and limitations not described in and not inconsistent with Appendix G shall be comparable to those set out in the Benefits Booklet for active state employees in effect on the day preceding the effective date of this agreement. The office visit co-payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists. A $100.00 per occurrence co-payment shall apply to emergency room services which shall be waived if the person for whom the service is provided is admitted, $50.00 per occurrence co-payment shall apply to urgent care services and $30.00 per occurrence co-payment shall apply to walk in centers. d. Subscribers in either the HMO or POS plans shall be eligible to participate annually in a health reimbursement arrangement established by the Employer, upon annual completion and proper submission of the health risk appraisal provided for under the respective plan. The arrangement shall provide funds for the payment of any out-of-pocket costs associated with health care services, to include reimbursement for deductibles incurred and products obtained under the benefit health plan, including vision exams and eyewear, up to the amount of $200. e. The Employer shall provide coverage under the health plans consistent with Chapter 321 of the employeesLaws of 2006, and known as Xxxxxxxx’s Law and when all City bargaining units approve themcodified in RSA 415. f. Utilization of Cost-effective Providers. Further, said changes The Employer shall provide a voluntary employee incentive program that offers taxable cash payments to employees who utilize cost-effective health care providers. The Employer shall consult with the employee’s healthcare benefit shall not become effective until such time as all bargaining units approve same. (Resolution 18-2015)Association through the Health Benefits Committee regarding the design and implementation of the program.