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. 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:
Healthcare Insurance. Benefit Type Benefit Level Deductible - Single/Family (network) $ l,500/$3,000 Deductible - Single/Family (non-network) $3,000/$6,000 Co-Insurance (network) 90% Co-Insurance (non-network) 70% Co-Insurance Maximum - Single/Family (network) $2,500/$4,500 Co-Insurance Maximum - Single/Family (non-network) $5,000/$9,000 Annual Out of Pocket Maximum - Single/Family (network) $4,000/$7,500 Annual Out of Pocket Maximum - Single/Family (non-network) $8,000/$15,000 Telemedicine Copay $25 Office Visit Copay- Primary Care $25 Office Visit Copay - Specialist $45 Emergency Room $300 Non-Emergency Use of Emergency Room Not Covered Urgent Care Copay $40 Care Coordinator No Cost Reference-Based Pricing for Specific Lab Services Applicable
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. 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. (*) The Committee shall provide at no cost, except as otherwise indicated below, all members of the bargaining unit with the healthcare insurance benefits/coverages in the form of an individual plan or a family plan, as the case may be. Said plan shall be a Preferred Provider Organization (PPO) Healthcare Plan, which shall be the standard health insurance plan. A summary of benefits of the standard PPO plan shall be appended hereto under Appendix “A” and incorporated herein. Additionally, a summary description of said PPO plan shall be available through the school district’s Business Office and the Alliance Office.
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.
