Common use of Healthcare Coverage Clause in Contracts

Healthcare Coverage. The Employer shall pay the cost of healthcare coverage for the employee, their spouse and their dependent children according to the provisions of the Affordable Care Act. The Publicly Funded Health Insurance Contribution Act (Public Act 152 of 2011) provides for certain limitations on the amount that public employers may contribute toward the annual cost of medical benefit plans that cover their employees. City Council has elected to apply the hard cap provision as provided for in Public Act 152 of 2011. As of July 1, 2014, the City is under the hard cap and therefore, as of such date and for the ensuing year, the bargaining unit members would not be required to pay any portion of their healthcare costs as defined in Public Act 152. In the event that during the term of this contract the City’s healthcare costs as defined in Public Act 152 exceed the hard cap, the City shall provide prompt notice to the Union and the parties shall meet to determine if adjustments can be made in the health insurance plan such that the City’s healthcare costs are reduced to or below the hard cap. If the parties are unable to reach an agreement on such modifications, then the Employer shall follow the procedures as set forth in Public Act 152 regarding amounts which exceed the City’s healthcare costs. The medical and prescription drug coverage will be Blue Cross Blue Shield or, at the Employer’s option, a plan substantially equivalent or similar to the present plan. The plan will be defined as the “City of Port Huron Healthcare Program,” with cost sharing in the form of deductibles and co-pays to the employee, as described below effective July 1, 2018: In-Network (Member / Family) Yearly Deductible Out-of-Network (Member / Family) $750 / $1,500 $1,000 / $2,000 Coinsurance Amounts (percent co-pays) Amounts apply once the deductible has been met. In-Network (Member / Family) 20% Out-of-Network (Member / Family) 40% Coinsurance Maximums (percent co-pays) Applies to coinsurance amounts for all covered services – including mental health and substance abuse services – but does not apply to deductibles, flat dollar co-pays, private duty nursing care coinsurance amounts and prescription drug cost-sharing amounts. In-Network (Member / Family) $1,500 / $3,000 Out-of-Network (Member / Family) $3,000 / $6,000 In-Network

Healthcare Coverage. The Effective, January 1, 2012, the Employer shall pay the cost of healthcare coverage for the employee, their spouse and their dependent children according to the provisions of the Affordable Care Act. The Publicly Funded Health Insurance Contribution Act (Public Act 152 of 2011) provides for certain limitations on the amount that public employers may contribute toward the annual cost of medical benefit plans that cover their employees. City Council has elected to apply the hard cap provision as provided for in Public Act 152 of 2011. As of July 1, 2014, the City is under the hard cap and therefore, as of such date and for the ensuing yearyears, the bargaining unit members would not be required to pay any portion of their healthcare costs as defined in Public Act 152. In the event that during the term of this contract the City’s healthcare costs as defined in Public Act 152 exceed the hard cap, the City shall provide prompt notice to the Union and the parties shall meet to determine if adjustments can be made in the health insurance plan such that the City’s healthcare costs are reduced to or below the hard cap. If the parties are unable to reach an agreement on such modifications, then the Employer shall follow the procedures as set forth in Public Act 152 regarding amounts which exceed the City’s healthcare costs. The medical and prescription drug coverage will be Blue Cross Blue Shield or, at the Employer’s option, a plan substantially equivalent or similar to the present plan. The plan will be defined as the “City of Port Huron Healthcare Program,” with cost sharing in the form of deductibles and co-pays to the employee, as described below effective July 1, 2018: In-Network (Member / Family) Yearly Deductible Out-of-Network (Member / Family) $750 / $1,500 $1,000 / $2,000 Coinsurance Amounts (percent co-pays) Amounts apply once the deductible has been met. In-Network (Member / Family) 20% Out-of-Network (Member / Family) 40% Coinsurance Maximums (percent co-pays) Applies to coinsurance amounts for all covered services – including mental health and substance abuse services – but does not apply to deductibles, flat dollar co-pays, private duty nursing care coinsurance amounts and prescription drug cost-sharing amounts. In-Network (Member / Family) $1,500 / $3,000 Out-of-Network (Member / Family) $3,000 / $6,000 In-Network

Healthcare Coverage. SECTION 29.1 The Employer employer shall pay the cost of healthcare coverage for the employee, their spouse and their dependent children according to the provisions of the Affordable Care Act. The Publicly Funded Health Insurance Contribution Act (Public Act 152 of 2011) provides for certain limitations on the amount that public employers may contribute toward the annual cost of medical benefit plans that cover their employees. City Council has elected to apply the hard cap provision as provided for in Public Act 152 of 2011. As of July 1, 2014, the City is under the hard cap and therefore, as of such date and for the ensuing yearyears, the bargaining unit members would not be required to pay any portion of their healthcare costs as defined in Public Act 152. In the event that during the term of this contract the City’s healthcare costs as defined in Public Act 152 exceed the hard cap, the City shall provide prompt notice to the Union and the parties shall meet to determine if adjustments can be made in the health insurance plan such that the City’s healthcare costs are reduced to or below the hard cap. If the parties are unable to reach an agreement on such modifications, then the Employer shall follow the procedures as set forth in Public Act 152 regarding amounts which exceed the City’s healthcare costs. The medical and prescription drug coverage will be Blue Cross Blue Shield or, at the Employeremployer’s option, a plan substantially equivalent or similar to the present plan. The plan will be defined as the “City of Port Huron Healthcare Program,” with cost sharing in the form of deductibles and co-pays to the employee, as described below effective July 1, 2018: In-Network (Member / Family) Yearly Deductible Out-of-Network (Member / Family) $750 / $1,500 $1,000 / $2,000 Coinsurance Amounts (percent co-pays) Amounts apply once the deductible has been met. In-Network (Member / Family) 20% Out-of-Network (Member / Family) 40% Coinsurance Maximums (percent co-pays) Applies to coinsurance amounts for all covered services – including mental health and substance abuse services – but does not apply to deductibles, flat dollar co-pays, private duty nursing care coinsurance amounts and prescription drug cost-sharing amounts. In-Network (Member / Family) $1,500 / $3,000 Out-of-Network (Member / Family) $3,000 / $6,000 In-Network

Healthcare Coverage. SECTION 31.1 The Employer shall pay the cost of healthcare coverage for the employee, their spouse and their dependent children according to the provisions of the Affordable Care Act. The Publicly Funded Health Insurance Contribution Act (Public Act 152 of 2011) provides for certain limitations on the amount that public employers may contribute toward the annual cost of medical benefit plans that cover their employees. City Council has elected to apply the hard cap provision as provided for in Public Act 152 of 2011. As of July 1, 2014, the City is under the hard cap and therefore, as of such date and for the ensuing yearyears, the bargaining unit members would not be required to pay any portion of their healthcare costs as defined in Public Act 152. In the event that during the term of this contract the City’s healthcare costs as defined in Public Act 152 exceed the hard cap, the City shall provide prompt notice to the Union and the parties shall meet to determine if adjustments can be made in the health insurance plan such that the City’s healthcare costs are reduced to or below the hard cap. If the parties are unable to reach an agreement on such modifications, then the Employer shall follow the procedures as set forth in Public Act 152 regarding amounts which exceed the City’s healthcare costs. The medical and prescription drug coverage will be Blue Cross Blue Shield or, at the Employer’s option, a plan substantially equivalent or similar to the present plan. The plan will be defined as the “City of Port Huron Healthcare Program,” with cost sharing in the form of deductibles and co-pays to the employee, as described below effective July 1, 2018: In-Network (Member / Family) Yearly Deductible Out-of-Network (Member / Family) $750 / $1,500 $1,000 / $2,000 Coinsurance Amounts (percent co-pays) Amounts apply once the deductible has been met. In-Network (Member / Family) 20% Out-of-Network (Member / Family) 40% Coinsurance Maximums (percent co-pays) Applies to coinsurance amounts for all covered services – including mental health and substance abuse services – but does not apply to deductibles, flat dollar co-pays, private duty nursing care coinsurance amounts and prescription drug cost-sharing amounts. In-Network (Member / Family) $1,500 / $3,000 Out-of-Network (Member / Family) $3,000 / $6,000 In-Network

Healthcare Coverage. Section 29.1 The Employer shall pay the cost of healthcare coverage for the employee, their spouse and their dependent children according to the provisions of the Affordable Care Act. The Publicly Funded Health Insurance Contribution Act (Public Act 152 of 2011) provides for certain limitations on the amount that public employers may contribute toward the annual cost of medical benefit plans that cover their employees. City Council has elected to apply the hard cap provision as provided for in Public Act 152 of 2011. As of July 1, 2014, the City is under the hard cap and therefore, as of such date and for the ensuing yearyears, the bargaining unit members would not be required to pay any portion of their healthcare costs as defined in Public Act 152. In the event that during the term of this contract the City’s healthcare costs as defined in Public Act 152 exceed the hard cap, the City shall provide prompt notice to the Union and the parties shall meet to determine if adjustments can be made in the health insurance plan such that the City’s healthcare costs are reduced to or below the hard cap. If the parties are unable to reach an agreement on such modifications, then the Employer shall follow the procedures as set forth in Public Act 152 regarding amounts which exceed the City’s healthcare costs. The medical and prescription drug coverage will be Blue Cross Blue Shield or, at the Employer’s option, a plan substantially equivalent or similar to the present plan. The plan will be defined as the “City of Port Huron Healthcare Health Care Program,” with cost sharing in the form of deductibles and co-pays to the employee, as described below effective July 1, 2018: In-Network (Member / Family) Yearly Deductible Out-of-Network (Member / Family) $750 / $1,500 $1,000 / $2,000 Coinsurance Amounts (percent co-pays) Amounts apply once the deductible has been met. In-Network (Member / Family) 20% Out-of-Network (Member / Family) 40% Coinsurance Maximums (percent co-pays) Applies to coinsurance amounts for all covered services – including mental health and substance abuse services – but does not apply to deductibles, flat dollar co-pays, private duty nursing care coinsurance amounts and prescription drug cost-sharing amounts. In-Network (Member / Family) $1,500 / $3,000 Out-of-Network (Member / Family) $3,000 / $6,000 In-NetworkNetwork Office Visits Co-Pays Out-of-Network $30 60% after deductible Chiropractic Office Visit Co-Pays In-Network $20 Out-of-Network 60% after deductible Includes unlimited Preventive Care Includes $250.00 Emergency Room Prescription Drug Co-Pays $10 / $40 / $80 Includes Contraceptive Drug Rider Includes 2x’s Mail Order Drug Rider and 90-day Retail Rider. Excludes Life Style Drugs with the exception of Weight Loss and Smoking Cessation Drugs. Annual Out-of-Pocket Maximums Applies to deductibles, co-pays and coinsurance amounts for all covered services – including cost sharing amounts for prescription drugs. In-Network $6,350 / $12,700 Out-of-Network $12,700 / $25,400 The Employer shall not pay the cost of the hospital and medical plan where, at the effective date of employment, said employee is already covered by a hospital-medical plan that is identical in the coverage offered by the Employer wherein said employee has member coverage and not a subscriber. In the event the subscriber of such a hospital-medical plan ceases to be so covered resulting in an employee losing member coverage, the Employer shall, upon notice, immediately enroll the affected employee under its existing plan with full coverage for him/herself, spouse and dependents, if any, thereby ensuring such an employee of continuous coverage for benefits.

Healthcare Coverage. The Employer shall pay the cost of healthcare coverage for the employee, their spouse and their dependent children according to the provisions of the Affordable Care Act. The Publicly Funded Health Insurance Contribution Act (Public Act 152 of 2011) provides for certain limitations on the amount that public employers may contribute toward the annual cost of medical benefit plans that cover their employees. City Council has elected to apply the hard cap provision as provided for in Public Act 152 of 2011. As of July 1, 2014, the City is under the hard cap and therefore, as of such date and for the ensuing year, the bargaining unit members would not be required to pay any portion of their healthcare costs as defined in Public Act 152. In the event that during the term of this contract the City’s healthcare costs as defined in Public Act 152 exceed the hard cap, the City shall provide prompt notice to the Union and the parties shall meet to determine if adjustments can be made in the health insurance plan such that the City’s healthcare costs are reduced to or below the hard cap. If the parties are unable to reach an agreement on such modifications, then the Employer shall follow the procedures as set forth in Public Act 152 regarding amounts which exceed the City’s healthcare costs. The medical and prescription drug coverage will be Blue Cross Blue Shield or, at the Employer’s option, a plan substantially equivalent or similar to the present plan. The plan will be defined as the “City of Port Huron Healthcare Program,” with cost sharing in the form of deductibles and co-pays to the employee, as described below effective July 1, 20182019: In-Network (Member / Family) Yearly Deductible Out-of-Network (Member / Family) $750 / $1,500 $1,000 / $2,000 Coinsurance Amounts (percent co-pays) Amounts apply once the deductible has been met. In-Network (Member / Family) 20% Out-of-Network (Member / Family) 40% Coinsurance Maximums (percent co-pays) Applies to coinsurance amounts for all covered services – including mental health and substance abuse services – but does not apply to deductibles, flat dollar co-pays, private duty nursing care coinsurance amounts and prescription drug cost-sharing amounts. In-Network (Member / Family) $1,500 / $3,000 Out-of-Network (Member / Family) $3,000 / $6,000 Office Visits Co-Pays In-NetworkNetwork Out-of-Network $30 60% after deductible Chiropractic Office Visit Co-Pays In-Network $20 Out-of-Network 60% after deductible Includes unlimited Preventive Care Includes $250.00 Emergency Room Prescription Drug Co-Pays $10 / $40 / $80 Includes Contraceptive Drug Rider Includes 2x’s Mail Order Drug Rider and 90-day Retail Rider. Excludes Life Style Drugs with the exception of Weight Loss and Smoking Cessation Drugs. Annual Out-of-Pocket Maximums Applies to deductibles, co-pays and coinsurance amounts for all covered services – including cost sharing amounts for prescription drugs. In-Network $6,350 / $12,700 Out-of-Network $12,700 / $25,400 The Employer shall not pay the cost of the hospital and medical plan where, at the effective date of employment, said employee is already covered by a hospital-medical plan that is identical in the coverage offered by the Employer wherein said employee has member coverage and not a subscriber. In the event the subscriber of such a hospital-medical plan ceases to be so covered resulting in an employee losing member coverage, the Employer shall, upon notice, immediately enroll the affected employee under its existing plan with full coverage for him/herself, spouse and dependents, if any, thereby ensuring such an employee of continuous coverage for benefits.