Health, Optical and Dental Insurance Coverage. Subject to the provisions contained in this Article, and the applicable insurance and agency contracts, the City shall pay premiums for providing the following insurance coverage options for Commanders and Lieutenants and their dependents: Comprehensive Health Care Plan Schedule H Optical Plan Exhibit B Dental Plan Exhibit C Prescription Drug Program Schedule H Effective January 1, 2013, a calendar year deductible of $400 per person/$800 per family and Effective January 1, 2014, a calendar year deductible of $500 per person/$1,000 per family maximum shall apply for services covered under the health care plan prior to any benefits being paid by the plan. This deductible shall not apply to prescription drug benefits or charges for services defined as wellness benefits as shown in Schedule H. It is understood that wellness benefits exempt from the deductible include routine diagnostic tests and procedures attendant to the listed physical examinations.
Health, Optical and Dental Insurance Coverage. Subject to the provisions contained in this Article, and the applicable insurance and agency contracts, the City shall pay premiums for providing the following insurance coverage options for Commanders and Lieutenants and their dependents: Comprehensive Health Care Plan Schedule H Optical Plan Exhibit B Dental Plan Exhibit C Prescription Drug Program Schedule H Effective January 1, 2014, a calendar year deductible of $500 per person/$1,000 per family maximum shall apply for services covered under the health care plan prior to any benefits being paid by the plan. This deductible shall not apply to prescription drug benefits or charges for services defined as wellness benefits as shown in Schedule H. It is understood that wellness benefits exempt from the deductible include routine diagnostic tests and procedures attendant to the listed physical examinations. Effective April 1, 2020, the calendar year deductible of $600 per person/$1,200 per family maximum shall apply. Network Non-Network 80% Plan/20% Employee for the next $2,000 per person/$4,000 family in covered benefits. 60% Plan/40% Employee for the next $2,000 per person/$4,000 family in covered benefits. Out of Pocket Maximums on Deductible and Co-Insurance – Network - Maximums Non-Network - Maximums $1,000 per person ($1,100 eff. 4-1-2020) $2,000 per family ($2,200 eff. 4-1-2020) $1,500 per person $3,000 per family • During the month of December of each year each employee shall submit, on a form provided by the City, information which can be utilized for coordination of benefits between the City's plan and other plans providing coverage for the employee or his/her dependents. In the event that an employee's spouse has coverage through his/her employer, the City's plan shall be the secondary plan. In the event that the employee's dependents are covered under a spouse's plan, the co-ordination of benefits provision customarily utilized by insurance carriers shall apply. • Effective January 1, 1994, the City and the Union agree that the current definition of dependent shall apply without regard to any previous practice. The current definition of dependents is: "Wife or husband and unmarried children until the end of the year in which they reach 19--or they remain covered to any age if they are "totally and permanently" disabled by either a physical or mental condition prior to age 19. Children may be by birth, legal adoption or legal guardianship (while they are in your custody and dependent on you), an...
Health, Optical and Dental Insurance Coverage. Subject to the provisions contained in this Article, Exhibits B and C, and the applicable insurance and agency contracts, the City shall pay premiums for providing the following insurance coverage options for police officers, Dispatchers, Paraprofessionals and their dependents. Comprehensive Health Care Plan Exhibit I Optical Plan Exhibit B Dental Plan Exhibit C Prescription Drug Program Exhibit I Effective January 1, 2014, a calendar year deductible of $500 per person/$1,000 per family maximum shall apply for services covered under the health care plan prior to any benefits being paid by the plan. This deductible shall not apply to prescription drug benefits or charges for services defined as wellness benefits as shown in Exhibit I. It is understood that wellness benefits exempt from the deductible include routine diagnostic tests and procedures attendant to the listed physical examinations.
Health, Optical and Dental Insurance Coverage. Subject to the provisions contained in this Article, Exhibits B and C, and the applicable insurance and agency contracts, the City shall pay premiums for providing the following insurance coverage options for police officers, Dispatchers, Paraprofessionals and their dependents. Comprehensive Health Care Plan Exhibit I Optical Plan Exhibit B Dental Plan Exhibit C Prescription Drug Program Exhibit I Effective January 1, 2021, a calendar year deductible of $600 per person/$1,200 per family maximum shall apply for services covered under the health care plan prior to any benefits being paid by the plan. This deductible shall not apply to prescription drug benefits or charges for services defined as wellness benefits as shown in Exhibit I. It is understood that wellness benefits exempt from the deductible include routine diagnostic tests and procedures attendant to the listed physical examinations. 80% Plan/20% Employee for the next $2,000 per person/$4,000 family in covered benefits 60% Plan/40% Employee for the next $2,000 per person/ $4,000 family in covered benefits $1,100 per person $2,200 per family $1,500 per person $3,000 per family -- During the month of December of each year each employee shall submit, on a form provided by the City, information which can be utilized for coordination of benefits between the City’s plan and other plans providing coverage for the employee or his/her dependents. In the event that an employee’s spouse has coverage through his/her employer, the City’s plan shall be the secondary plan for the spouse. In the event that the employee’s dependents are covered under a spouse’s plan, the co-ordination of benefits provisions customarily utilized by insurance carriers shall apply. -- Effective July 1, 2016, the City and the Union agree that the current definition of “dependent” shall be in accordance with applicable law.
Health, Optical and Dental Insurance Coverage. Subject to the provisions contained in this Article, Exhibits B and C, and the applicable insurance and agency contracts, the City shall pay premiums for providing the following insurance coverage options for police officers. Dispatchers, Paraprofessionals and their dependents. Comprehensive Health Care Plan Exhibit I Optical Plan Exhibit B Dental Plan Exhibit C Prescription Drug Program Exhibit I Effective January 1, 2013, a calendar year deductible of $400 per person/$800 per family and Effective January 1, 2014, a calendar year deductible of $500 per person/$1,000 per family maximum shall apply for services covered under the health care plan prior to any benefits being paid by the plan. This deductible shall not apply to prescription drug benefits or charges for services defined as wellness benefits as shown in Exhibit I. It is understood that wellness benefits exempt from the deductible include routine diagnostic tests and procedures attendant to the listed physical examinations.
