Common use of Health & Welfare Plans Clause in Contracts

Health & Welfare Plans. 27.01 The Corporation agrees to pay 100% of the cost of the monthly premiums and the Employer Health Tax for each regular employee and their eligible dependents for the following health and welfare plans: a) Major Medical Plan: • Prescription drug coverage using enhanced generic substitution plan (prescribed by a physician and approved by the carrier) unless otherwise prescribed by a physician an $11.00 cap on dispensing fees with a dispensing cap increase to $11.25 effective June 1, 2016 and $11.50 effective June 1, 2017. • Drug Card • Semi-private hospital coverage • “Deluxe” out of province coverage • Smoking cessation products: $1,000 lifetime maximum • Orthotics: $450 yearly maximum • Ambulance service • Global medical assistance • Private duty nurse: 100% of charge; $10,000 yearly maximum b) Vision Care: • Vision care for prescription glasses or contact lenses: maximum of $400.00 every 24 months in Year 1 and Year 2 and to $425.00 in Year 3 and Year 4. • This amount can be used towards laser eye surgery • $100.00 for eye exam bi-annually • Contact lenses for special conditions: $975 lifetime maximum c) Dental Care: equivalent to Blue Cross Dental Plan #7, Riders 1, 2, 3 (orthodontic – 50% covered $2,250 lifetime max) and 4 (Crowns and Caps 50% covered; $2,000 max/year) with a yearly update of the ODA schedule. Present maximums apply. d) Physiotherapy fees not covered by Ontario Health Plan, to a maximum of $2,000 per year e) Chiropractor, Massage, Acupuncture, Naturopath, Osteopath, Podiatrist - $1,100 combined per annum f) Group life insurance which provides a basic term benefit of 150% of annual wages with optional insurance available at the employee’s expense g) Hearing aid plan maximum $500 per individual every two years h) Long Term Disability Plan based on 75% of earnings with a monthly maximum of $4,300/month effective June 1, 2009. An employee with sick leave credits in excess of the elimination period of 180 calendar days required by the LTD plan, may at his option, continue to draw from his sick leave bank beyond the elimination period 27.02 Both parties agree that the employee’s share of any rebate received by the Corporation from a premium reduction under the Employment Insurance Act will be deemed to have been applied against other benefits. 27.03 Coverage shall be extended to the legal spouse and dependent children of deceased regular employees at the same level of benefit coverage as retirees. Employees hired after the signing of this contract will maintain these benefits for their legal spouse and dependents in accordance with the following: 27.04 The Corporation has the right to change carriers provided equal or improved coverage is provided with thirty (30) days prior notice to the Union. 27.05 The Corporation will provide employees with employee benefit booklet and all printed information related to the plan within thirty (30) days of changes to the plan. 27.06 Benefits outlined in Article 27.01 shall be provided to regular part-time employees. The Corporation agrees to pay 75 per cent of the monthly premium for each part-time employee and their eligible dependents for the Health and Welfare Plan provided the employee pays the remaining 25 per cent of the monthly premium costs through mandatory payroll deductions in accordance with the Corporation’s normal benefit process. The employee will cooperate fully in providing the Corporation with their authorization to withdraw their share of premium costs in each pay period. If the employee works in excess of twenty six (26) hours, the premiums will be adjusted to reflect pro-rated premium costs. This reconciliation will occur on a quarterly basis.

Appears in 2 contracts

Samples: Collective Agreement, Collective Agreement

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Health & Welfare Plans. 27.01 The Corporation agrees to pay 100% of the cost of the monthly premiums and the Employer Health Tax for each regular employee and their eligible dependents dependants for the following health and welfare plans: a) Major Medical Plan: • Prescription drug coverage using enhanced generic substitution plan (prescribed by a physician and approved by the carrier) unless otherwise prescribed by a physician an with $11.00 9.00 cap on dispensing fees with a dispensing cap increase to $11.25 effective June 1, 2016 and $11.50 effective June 1, 2017. fee • Drug Card • Semi-private hospital coverage • “Deluxe” out of province coverage • Smoking cessation products: $1,000 lifetime maximum • Orthotics: $450 400 yearly maximum • Ambulance service • Global medical assistance • Private duty nurse: 100% of charge; $10,000 yearly maximum b) Vision Care: • Vision care for prescription glasses or contact lenses: maximum of $400.00 350.00 every 24 months in Year 1 and Year 2 and to $425.00 in Year 3 and Year 4. • o This amount can be used towards laser eye surgery • $100.00 85.00 for eye exam bi-annually • Contact lenses for special conditions: $975 lifetime maximum c) Dental Care: equivalent to Blue Cross Dental Plan #7, Riders 1, 2, 3 (orthodontic – 50% covered $2,250 2250 lifetime max) and 4 (Crowns and Caps 50% covered; $2,000 2000 max/year) with a yearly update of the ODA schedule. Present maximums apply. d) Physiotherapy fees not covered by Ontario Health Plan, to a maximum of $2,000 1,500 per year. e) Chiropractor, Massage, Acupuncture, Naturopath, Osteopath, Podiatrist - $1,100 1,000 combined per annum f) Group life insurance which provides a basic term benefit of 150% of annual wages with optional insurance available at the employee’s expense g) Hearing aid plan maximum $500 per individual every two years h) Long Term Disability Plan based on 75% of earnings with a monthly maximum of $4,200/month effective June 1, 2008 and $4,300/month effective June 1, 2009. An employee with sick leave credits in excess of the elimination period of 180 calendar days required by the LTD plan, may at his option, continue to draw from his sick leave bank beyond the elimination period. 27.02 Both parties agree that the employee’s share of any rebate received by the Corporation from a premium reduction under the Employment Insurance Act will be deemed to have been applied against other benefits. 27.03 Coverage shall be extended to the legal spouse and dependent children of deceased regular employees at the same level of benefit coverage as retirees. Employees hired after the signing of this contract will maintain these benefits for their legal spouse and dependents dependants in accordance with the following:: • 6 months to 5 years service = 2 years benefits • 5 to 10 years service = 3 years benefits • 10 to 20 years service = 4 years benefits • 20 years and over = 5 years benefits 27.04 The Corporation has the right to change carriers provided equal or improved coverage is provided with thirty (30) days prior notice to the Union. 27.05 The Corporation will provide employees with employee benefit booklet and all printed information related to the plan within thirty (30) days of changes to the plan. 27.06 Benefits outlined in Article 27.01 shall be provided to regular part-time employees. The Corporation agrees to pay 75 per cent of the monthly premium for each part-time employee and their eligible dependents for the Health and Welfare Plan provided the employee pays the remaining 25 per cent of the monthly premium costs through mandatory payroll deductions in accordance with the Corporation’s normal benefit process. The employee will cooperate fully in providing the Corporation with their authorization to withdraw their share of premium costs in each pay period. If the employee works in excess of twenty six (26) hours, the premiums will be adjusted to reflect pro-rated premium costs. This reconciliation will occur on a quarterly basis.

Appears in 1 contract

Samples: Collective Agreement

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Health & Welfare Plans. 27.01 The Corporation agrees to pay 100% of the cost of the monthly premiums and the Employer Health Tax for each regular employee and their eligible dependents dependants for the following health and welfare plans: a) Major Medical Plan: • Prescription drug coverage using enhanced generic substitution plan (prescribed by a physician and approved by the carrier) unless otherwise prescribed by a physician an Physician and a $11.00 10.00 cap increase on dispensing fees with a dispensing cap increase fee in 2011 and to $11.25 effective June 1, 2016 and $11.50 effective June 1, 201711 in 2013. • Drug Card • Semi-private hospital coverage • “Deluxe” out of province coverage • Smoking cessation products: $1,000 lifetime maximum • Orthotics: $450 yearly maximum • Ambulance service • Global medical assistance • Private duty nurse: 100% of charge; $10,000 yearly maximum b) Vision Care: • Vision care for prescription glasses or contact lenses: maximum of $400.00 375.00 every 24 months in Year 1 and Year 2 Xx. 0, Xx. 0, Xx.0 and to $425.00 400 in Year 3 and Year 4Yr.4. • This amount can be used towards laser eye surgery • $100.00 for eye exam bi-annually • Contact lenses for special conditions: $975 lifetime maximum c) Dental Care: equivalent to Blue Cross Dental Plan #7, Riders 1, 2, 3 (orthodontic – 50% covered $2,250 2250 lifetime max) and 4 (Crowns and Caps 50% covered; $2,000 2000 max/year) with a yearly update of the ODA schedule. Present maximums apply. d) Physiotherapy fees not covered by Ontario Health Plan, to a maximum of $2,000 per year. e) Chiropractor, Massage, Acupuncture, Naturopath, Osteopath, Podiatrist - $1,100 1,000 combined per annum f) Group life insurance which provides a basic term benefit of 150% of annual wages with optional insurance available at the employee’s expense g) Hearing aid plan maximum $500 per individual every two years h) Long Term Disability Plan based on 75% of earnings with a monthly maximum of $4,200/month effective June 1, 2008 and $4,300/month effective June 1, 2009. An employee with sick leave credits in excess of the elimination period of 180 calendar days required by the LTD plan, may at his option, continue to draw from his sick leave bank beyond the elimination period 27.02 Both parties agree that the employee’s share of any rebate received by the Corporation from a premium reduction under the Employment Insurance Act will be deemed to have been applied against other benefits. 27.03 Coverage shall be extended to the legal spouse and dependent children of deceased regular employees at the same level of benefit coverage as retirees. Employees hired after the signing of this contract will maintain these benefits for their legal spouse and dependents in accordance with the following:: • 6 months to 5 years’ service = 2 years benefits • 5 to 10 years’ service = 3 years benefits • 10 to 20 years’ service = 4 years benefits • 20 years and over = 5 years benefits 27.04 The Corporation has the right to change carriers provided equal or improved coverage is provided with thirty (30) days prior notice to the Union. 27.05 The Corporation will provide employees with employee benefit booklet and all printed information related to the plan within thirty (30) days of changes to the plan. 27.06 Benefits outlined in Article 27.01 shall be provided to regular part-time employees. The Corporation agrees to pay 75 per cent of the monthly premium for each part-time employee and their eligible dependents for the Health and Welfare Plan provided the employee pays the remaining 25 per cent of the monthly premium costs through mandatory payroll deductions in accordance with the Corporation’s normal benefit process. The employee will cooperate fully in providing the Corporation with their authorization to withdraw their share of premium costs in each pay period. If the employee works in excess of twenty six (26) hours, the premiums will be adjusted to reflect pro-rated premium costs. This reconciliation will occur on a quarterly basis.

Appears in 1 contract

Samples: Collective Agreement

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