Healthcare Insurance. The Lake County Schools Council Standard Plan Nos. 1 and 2, and Consumer Driven Health Plan shall be the only healthcare insurance offered by the Board to the members and shall be subject to the following conditions and limitations:
Healthcare Insurance. Consistent with applicable Washington State Healthcare Authority / Public Employees Benefits Board (PEBB) Regulations, a part-time academic employee shall be eligible for fringe benefits beginning the second consecutive quarter in which the assignment exceeds 7.33 "instructional units." For purposes of counting such “instructional units,” all compensated instructional units shall be considered regardless of reason for the assignment, consistent with RCW 28B.50.4891. This threshold is in recognition of the fact that full-time employees have significant additional time and effort commitments requiring their presence on campus. Such duties as holding official office hours, participating on committees, assisting in advising students, and developing curriculum must be taken into consideration in any calculation of "half-time" for PEBB purposes. The District's contribution to the insurance plans shall be in accordance with state law and the regulations of the State Healthcare Authority / Public Employees Benefits Board. State mandated insurance plan participation, coverage, benefits and contribution rates are not grievable.
Healthcare Insurance. The Committee shall provide all members of the bargaining unit with the following health insurance coverage options. Two employees who are married, in a domestic partnership or a common law marriage shall be entitled to one (1) family plan or two (2) individual plans.
Healthcare Insurance. [If the member is eligible] Healthcare Insurance is if the member is eligible and not otherwise covered by a healthcare policy at the time member begins service. The member is eligible for the program provided healthcare insurance if he/she loses coverage during their term of service as a result of service or through no deliberate act of their own. The member must notify the program if their eligibility status for healthcare insurance changes during their term of service. Childcare Allowance, if applicable, will be provided by the official AmeriCorps Child Care provider (GAP Solutions Inc.) directly to the provider, if the member qualifies for the allowance. Additional information and forms may be found online at: xxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx/Forms.aspx
Healthcare Insurance. Benefit Type Benefit Level
Healthcare Insurance. Healthcare Insurance is designed to assist the employee with the payment of his larger medical bills. Healthcare Insurance covers only those medically necessary expenses which are considered reasonable and customary for the service provided, in the area where the expenses are incurred. The following services and supplies are covered expenses, where permitted by law and to the extent they are not covered under the Provincial Hospital Insurance Plan: Doctors services for treatment provided outside the province in which the employee resides; Physiotherapists' services provided the physiotherapist is not a member of the patient's family; materials; Oxygen; Blood transfusions; X-rays and lab tests if not covered by the Provincial Health Insurance Plan; treatment of accidental injury to natural teeth completed within months after the accident; Rental or, at the Company's discretion, purchase of supplies, appliances and prosthetic devices prescribed by a physician or surgeon as listed in the Group Insurance Contract; services of a registered nurse, licensed practical nurse, or registered nursing assistant up to a maximum of in any calendar year. However, covered expenses do not include:
Healthcare Insurance. 9.01 Healthcare Insurance is designed to assist the employee with the payment of his larger medical bills. Healthcare Insurance covers only those medically necessary expenses which are considered reasonable and customary for the service provided, in the area where the expenses are incurred. The following services and supplies are covered expenses, where permitted by law and to the extent they are not covered under the Provincial Hospital Insurance Plan:
(i) Doctors services for treatment provided outside the province in which the employee resides;
(ii) Physiotherapists' services provided the physiotherapist is not a member of the patient's family;
(iii) Radio-active materials;
(iv) Oxygen;
(v) Blood transfusions;
(vi) X-rays and lab tests if not covered by the Provincial Health Insurance Plan;
(vii) Out-of-hospital treatment of accidental injury to natural teeth completed within 6 months after the accident;
(viii) Rental or, at the Company's discretion, purchase of supplies, appliances and prosthetic devices prescribed by a physician or surgeon as listed in the Group Insurance Contract;
(ix) Out-of-hospital services of a registered nurse, licensed practical nurse, or registered nursing assistant up to a maximum of $10,000.00 in any calendar year. However, covered expenses do not include:
(a) services of any person who is a member of the employee's family, or
(b) services of a custodial nature or which do not require the specific skills of a registered nurse, licensed practical nurse or registered nursing assistant.
(x) Services of the following legally licensed paramedical practitioners up to a maximum for each type of practitioner of $150.00 in any calendar year and $50.00 for all X-rays in any calendar year:
(a) Chiropractor;
(b) Osteopath;
(c) Chiropodist/Podiatrist;
(d) Naturopath.
(xi) Out-of-hospital services of a psychologist up to a maximum of $250.00 in any calendar year;
(xii) Services of a legally licensed masseur up to a maximum of $250.00 in any calendar year;
(xiii) Services of a speech therapist for correction of speech impairments up to a maximum of $250.00 in any calendar year;
(xiv) Orthopaedic shoes up to a maximum of $150.00 in any calendar year;
(xv) Hearing aids prescribed by an Ear, Nose and Throat Specialist up to a maximum of $300.00 in any 5-year period.
9.02 Expenses incurred out-of-province are covered if benefits would have been payable had they been incurred in the employee's home province and if:
(i) an eligible employee or d...
Healthcare Insurance. The Committee shall provide all members of the bargaining unit with the following health insurance coverage options:
Healthcare Insurance. The Employer shall provide all members of the bargaining unit hired prior to September 1, 2014 and those members hired on or after September 1, 2014 who are assigned to positions of 30 hours or more per week with the following health insurance coverage, subject to R.I.G.L. §28-7-49. Individuals hired on or after September 1, 2014 who are assigned to 4 hour per day positions shall be provided with pro-rated coverage, according to a 6 hour per day baseline. That is, a 4 hour per day employee shall be responsible for the entirety of 33.3% of the premium cost, plus the employee cost-share of the remaining 66.7% of the premium cost, as outlined in Section B of this article.
Healthcare Insurance. A . The Board shall provide the Superintendent with individual or family health benefits coverage. The Superintendent shall pay the tier 4 premium costs for all such coverages set forth in Chapter 78, P.L. 2011 (passed as Senate No. 2937) and implementing regulations. Such limitation shall in no way link this Contract with any agreement collectively negotiated with district employees. The premium shall be paid by the Superintendent through payroll deduction.
