Health Maintenance Organizations. The University offers multiple HMO Plans. All HMOs will offer two (2) levels of benefits – Enhanced and Standard. The chart below contains the key features of all HMOs. A detailed description, including how members will qualify for the Enhanced or Standard coverage, will be provided in the annual open enrollment materials that are distributed to each member. Enhanced Standard Deductible (Single/Family) $0 $200/$400 Co-Insurance N/A 80%/20% Out of Pocket Max (including deductible) N/A $2,200/$4,400 Office/Urgent Care Co-Pay $20 $30 Prescription Co-Pay Generic $7 $10 Preferred Brand Name $15 $20 Non-Preferred Brand Name $30 $50 Information about Plan benefits, plan design and open enrollment materials may be obtained from the University’s Benefit and Compensation Services Office and will be provided by the medical carriers. All benefits of the HMO plans are subject to specific HMO policy provisions and the Group Operating Agreements between Oakland University and the HMO. 199. Medical Insurance Opt Out. Employees who are covered by another health insurance plan shall have the option to decline health insurance coverage from the University. Employees who elect to opt out of the health insurance coverage shall be paid $1,000 per year by the University. A signed waiver form must be completed and submitted to the Benefit and Compensation Services Office every year during open enrollment to be eligible for the opt out payment. Employees who are hired after January 1 or who experience a life-altering event may elect payment in lieu of enrollment, but will be paid on a prorated basis. An employee must provide proof of other health insurance prior to being authorized to opt out and receive payment.
Health Maintenance Organizations. The Employer may offer up to three federally qualified Health Maintenance Organization (HMO) plans to active employees as an alternative to the PPO medical plan in paragraph 24.2A above. Additional federally qualified HMO plans may be added or replaced by the Employer as alternatives as they become available. The co-pays and deductibles upon ratification of this Agreement will remain in effect for the duration of this agreement. Information about Plan benefits and open enrollment periods may be obtained from the University’s Benefit and Compensation Services Office and provided by the medical carriers. All benefits of the HMO plans described above are subject to specific HMO policy provisions and the Group Operating Agreements between Oakland University and the HMO.
Health Maintenance Organizations. The University may offer up to three federally qualified Health Maintenance Organization (HMO) plans to active employees as an alternative to the PPO medical plans in paragraph 124 1A above. Additional federally qualified HMO plans may be added or replaced by the University as alternatives as they become available. Information about Plan benefits and open enrollment periods may be obtained from the University’s Benefit and Compensation Services Office and additional information will be provided by the medical carriers. Any employee enrolled in one of the HMO offerings shall not be eligible for benefits set forth in paragraph 124 1A.
Health Maintenance Organizations. The Board shall additionally provide opportunity to members of the bargaining unit to enroll in a prepaid Health Maintenance Organization (hereinafter referred to as “HMO”) available in the area under the following provisions:
Health Maintenance Organizations. The University offers multiple HMO plans. All HMOs will offer two (2) levels of benefits - Enhanced and Standard. The chart below contains the key features of all HMOs. A detailed description, including how members will qualify for the Enhanced or Standard coverage, will be provided in the annual open enrollment materials that are distributed to each member. Enhanced Standard Deductible (Single/Family) $0 $200/$400 Co-Insurance N/A 80%/20% Out of Pocket Max (including deductible) N/A $2,200/$4,400 Office/Urgent Care Co-Pay $20 $30 Prescription Co-Pay Generic $7 $10 Preferred Brand Name $15 $20 Non-Preferred Brand Name $30 $50 Note: the Standard Prescription Co-Pays for Priority Health are $7/$15/$30 Information about Plan benefits, plan design, and open enrollment materials may be obtained from the University's Benefit and Compensation Service Office and will be provided by the medical carriers. All benefits of the HMO plans are subject to specific HMO policy provisions and the Group Operating Agreements between Oakland University and the HMO. Any employee enrolled in one (1) of the HMO offerings shall not be eligible for benefits set forth in paragraph 51.2A.
Health Maintenance Organizations. Effective January 1, 2007, employees who elect or continue with Health Maintenance Organizations (HMO) Health coverage for a period of one year shall receive a one-time bonus payment (less applicable withholding) of $500.00. This bonus shall be in effect from January 1, 2007 to December 31, 2007. Subsequent year continuation of this program shall be at VILLAGE discretion.
Health Maintenance Organizations. A. Employees who qualify for health insurance under the terms and conditions of this Agreement shall be given the option to participate in health insurance plans offered by the Hospital. Any future additions of this benefit for the classified employees, shall automatically apply on the same terms and conditions to bargaining unit employees without the need for bargaining over the decision(s) or the effects of those decision(s). However, the Hospital will notify the Union and be available, upon request, to discuss the details of the additional health insurance plan.
B. The Hospital agrees to make direct payment to a qualified HMO selected by an eligible employee. For those employees enrolled in the Physicians Plus Custom Plan, the Hospital will contribute an amount equal to 75% of the total single or family premium of the plan. Upon receipt of the employees health insurance enrollment form, the Hospital may verify eligibility of dependents at hire and when there are dependent changes, and agrees to deduct the employee portion of the premium from the employee’s paycheck and pay it directly to the HMO. If the employee’s paycheck is not sufficient to cover the difference, the employee shall reimburse the Hospital for said difference. Bargaining unit employees with ten (10) or more years but less than twenty (20) years of bargaining unit seniority shall receive a monthly discount on the employee’s portion of the health insurance premium for any single or family plan in which she is enrolled. Custom Plan Single $6.50 Employee +1 $6.50 Family $17.50 Bargaining unit employees with twenty (20) or more years of bargaining unit seniority shall receive a monthly discount on the employee’s portion of the health insurance premium for any single or family plan in which she is enrolled. Custom Plan Single $12.00 Employee +1 $12.00 Family $31.00
Health Maintenance Organizations. If the proposal is by or on behalf of a health maintenance organization (HMO), address the rules regarding HMOs, and show that the HMO is federally qualified.
Health Maintenance Organizations. Eligible employees in the State Health Insurance Plan may elect to participate in a federally qualified or state certified Health Maintenance Organization which has been approved to participate in the State Health Insurance Program by the Joint Committee on Health Benefits. If more than one HMO services the same geographic area, the Joint Committee on Health Benefits reserves the right to approve a contract with only such organization(s) deemed to be a quality, cost effective option(s). The Joint Committee on Health Benefits will work with the State through the HMO Workgroup to identify and mutually agree upon appropriate incentives for HMO alternatives to become more competitive in quality of care provided and efficient in cost to payers. Employees may change their health insurance option each year during the month of November, unless another period is mutually agreed upon by the State and the Joint Committee on Health Benefits. If the rate renewals are not available by the time of the open option transfer period, then the open transfer period shall be extended to assure ample time for employees to transfer.
Health Maintenance Organizations. Novaxxx xxx no reason to believe that the representations and warranties contained in Section 3.8 of the Note Purchase Agreement contemplated by the Arkansas Transaction are inaccurate in any material respect.
