Hospital Medical Coverage Sample Clauses

Hospital Medical Coverage. EHT and semi-private hospitalization - The Company will provide for the term of this agreement standard EHT with semi-private coverage for all employees who complete their probationary period. The 100% payment of premiums will commence on the first regular monthly billing date following the completion of the Employees probationary period.
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Hospital Medical Coverage. E.H.T. and semi-private hospitalization - The Company will provide for the term of this agreement standard E.H.T. with semi-private coverage for all Employees who complete their probationary period. The 100% payment of premiums will commence on the first regular monthly billing date following the completion of the Employees probationary period.
Sample 1
Hospital Medical Coverage. Effective for the 2014-2015 and 2015-2016 fiscal years, the District will pay the first 4% of any increase in the total monthly insurance premium cost. Any increase in premium cost in excess of 4% will be shared at a ratio of 55% employee contribution and 45% for District, provided that at no time during the life of this Agreement will the employee’s share exceed 20% of the total premium cost. For 2016-2017 and 2017-2018 fiscal years, the District will pay the first 2% of any increase in the total monthly insurance premium cost. Any increase in premium cost in excess of 2% will be shared at a ratio of 55% employee contribution and 45% for District, again provided that at no time during the life of this Agreement will the employee’s share exceed 20% of the total premium cost. In fiscal year 2018-2019, the District will pay the first 2% of any increase in the total monthly insurance premium cost. Any increase in premium cost in excess of 2% will be shared at a ratio of 50% employee contribution and 50% for District, again provided that at no time during the life of this Agreement will the employee’s share exceed 20% of the total premium cost. Any premium cost exceeding 20% of the employee's total premium cost will be borne by the Board. In an effort to contain premium costs, a teacher/administration committee will be established to explore the possibilities of modifying benefit schedules and evaluating alternative carriers. Additionally, the Board agrees to pay $1,000 annually (as two $500 payments biannually) to those teachers declining comprehensive medical insurance benefits. The Board will provide this payment on a one year trial basis, and if proven cost effective to the District, the program will continue on a year to year basis at the District’s sole discretion. Prior to the annual renewal of the current insurance program, said committee will recommend either renewal or change of coverage and/or carrier. Such recommendation will be submitted to the Board for consideration.
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Hospital Medical Coverage. The employer agrees to pay the full premium for hospitalization medical coverage for the employees whose standard hours are a minimum of thirty (30) hours per week. Everyone eligible as of November 1, 2009 for health insurance shall be grandparented at 25 standard hours. Those grandparented shall retain health insurance in the future as long as they do not voluntarily choose to work less than 25 standard hours per week. The programs which will be offered will be the following: BCBS Community Blue PPO (with Rx $10/$20), Priority Health (HMO) (with Rx $10.00/$20.00), Health Alliance Plan (HMO) (with Rx $10.00/$20.00), and any other HMO that may be approved by the Board during the duration of this Agreement. The BCBS Community Blue PPO shall be administered by a Board selected third party administrator and shall be consistent with the 2006 MESSA Choices PPO plan with the exception of a $10.00 office visit co-pay. The program will include an Rx $10/$20 and $2 mail order Rx program. Employees not signing up for health care coverage benefits will receive $50.00 per regular pay for 21 pays. No member of the bargaining unit (including his/her family) will be eligible for Board paid health care coverage, if s/he is covered by any other employer paid group hospital-medical insurance. The Board may require each employee to certify, in writing, that s/he is not covered by any other employer paid hospital-medical insurance. Any employee who has signed up for and is covered by hospitalization-medical coverage in violation of this Article will re-pay to the employer all premium monies which the employer has paid for such dual Hospital-Medical coverage. The choice for employees eligible for health care coverage hired on or after July 1, 1991, shall be Priority Health (HMO) with Rx $10/$20 or Health Alliance Plan (HMO) with Rx $10/$20 and riders.
Sample 1
Hospital Medical Coverage. The Corporation will pay: a) 100% of the provincial Medical/Hospital premiums paid through payroll deductions in those province where the premium represents the cost of Medical/hospital coverage. b) Additionally, the Corporation will pay one hundred percent (100%) of the premiums paid through payroll deductions for the prevailing extended medical and supplementary hospital plans available to employees, in effect before January 1st, 1983 As of August 1st, 1989, the Corporation shall reimburse one hundred percent (100%) of the premium paid through payroll deductions for the new supplement to the medical/hospital insurance available to employees at that date.
Sample 1
Hospital Medical Coverage. 1. Provisions of Coverage Provisions of the health-care insurance program shall be detailed in master policies and contracts agreed upon by the District and the Association and shall include coverage as determined by the New Jersey State Health Benefits Plan: a. Hospital room and board and miscellaneous costs. b. Out patient benefits. c. Laboratory fees, diagnostic expenses, and therapy treatments. d. Maternity costs. e. Surgical costs. f. Major-medical coverage g. Emergency room costs as provided by New Jersey State Health Benefits Program (Employees should use the emergency room for emergency purposes). h. Members of the bargaining unit shall contribute $1,000., per annum toward the cost of hospital insurance for family or spouse who are not district employees provided all other bargaining units adopt this language prior to implementation.
Sample 1
Hospital Medical Coverage. More than one Family Member Employed by County‌
Sample 1
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Hospital Medical Coverage. Any increase in premium cost in excess of 2% will be shared at a ratio of 50% employee contribution and 50% for District, again provided that at no time during the life of this Agreement will the employee’s share exceed 20% of the total premium cost. Any premium cost exceeding 20% of the employee's total premium cost will be borne by the Board. Insurance Committee • Prior to the annual renewal of the current insurance program, the Union and Administration will form a committee that will research insurance options and will submit a recommendation to the Superintendent for consideration by December 2022.
Sample 1

Related to Hospital Medical Coverage

  • Medical Coverage The Executive shall be entitled to such continuation of health care coverage as is required under, and in accordance with, applicable law or otherwise provided in accordance with the Company’s policies. The Executive shall be notified in writing of the Executive’s rights to continue such coverage after the termination of the Executive’s employment pursuant to this Section 3(d)(iv), provided that the Executive timely complies with the conditions to continue such coverage. The Executive understands and acknowledges that the Executive is responsible to make all payments required for any such continued health care coverage that the Executive may choose to receive.

  • Medical Care The Parents must comply with the School Welfare Officer's recommendations which may include a reasonable decision to release the Pupil home or to his / her education guardian when s/he is unwell.

  • Medical and Dental Coverage The County and Union agree that this Memorandum of Understanding shall be reopened at the County's request to meet and confer to discuss and mutually agree upon changes related to the Medical and Dental Plans, benefits, and contribution rates.

  • Dental Coverage Each employee covered by this agreement shall be eligible to participate in the City's dental program.

  • Health and Dental Coverage A dependent child is an eligible employee’s child to age twenty-six (26).

  • Health Care Coverage The Company shall continue to provide Executive with medical, dental, vision and mental health care coverage at or equivalent to the level of coverage that the Executive had at the time of the termination of employment (including coverage for the Executive’s dependents to the extent such dependents were covered immediately prior to such termination of employment) for the remainder of the Term of Employment, provided, however that in the event such coverage may no longer be extended to Executive following termination of Executive’s employment either by the terms of the Company’s health care plans or under then applicable law, the Company shall instead reimburse Executive for the amount equivalent to the Company’s cost of substantially equivalent health care coverage to Executive under ERISA Section 601 and thereafter and Section 4980B of the Internal Revenue Code (i.e., COBRA coverage) for a period not to exceed the lesser of (A) 18 months after the termination of Executive’s employment or (B) the remainder of the Term of Employment, and provided further that (1) any such health care coverage or reimbursement for health care coverage shall cease at such time that Executive becomes eligible for health care coverage through another employer and (2) any such reimbursement shall be made no later than the last day of the calendar year following the end of the calendar year with respect to which such coverage or reimbursement is provided. The Company shall have no further obligations to the Executive as a result of termination of employment described in this Section 8(a) except as set forth in Section 12.

  • Durable Medical Equipment (DME), Medical Supplies, Prosthetic Devices, Enteral Formula or Food, and Hair Prosthesis (Wigs) This plan covers durable medical equipment and supplies, prosthetic devices and enteral formula or food as described in this section. DME is equipment which: • can withstand repeated use; • is primarily and customarily used to serve a medical purpose; • is not useful to a person in the absence of an illness or injury; and • is for use in the home. DME includes supplies necessary for the effective use of the equipment. This plan covers the following DME: • wheelchairs, hospital beds, and other DME items used only for medical treatment; and • replacement of purchased equipment which is needed due to a change in your medical condition or if the device is not functional, no longer under warranty, or cannot be repaired. DME may be classified as a rental item or a purchased item. In most cases, this plan only pays for a rental DME up to our allowance for a purchased DME. Repairs and supplies for rental DME are included in the rental allowance. Medical supplies are consumable supplies that are disposable and not intended for re- use. Medical supplies require an order by a physician and must be essential for the care or treatment of an illness, injury, or congenital defect. Covered medical supplies include: • essential accessories such as hoses, tubes and mouthpieces for use with medically necessary DME (these accessories are included as part of the rental allowance for rented DME); • catheters, colostomy and ileostomy supplies, irrigation trays and surgical dressings; and • respiratory therapy equipment. This plan covers diabetic equipment and supplies for the treatment of diabetes in accordance with R.I. General Law §27-20-30. Covered diabetic equipment and supplies include: • therapeutic or molded shoes and inserts for custom-molded shoes for the prevention of amputation; • blood glucose monitors including those with special features for the legally blind, external insulin infusion pumps and accessories, insulin infusion devices and injection aids; and • lancets and test strips for glucose monitors including those with special features for the legally blind, and infusion sets for external insulin pumps. The amount you pay differs based on whether the equipment and supplies are bought from a durable medical equipment provider or from a pharmacy. See the Summary of Pharmacy Benefits and the Summary of Medical Benefits for details. Coverage for some diabetic equipment and supplies may only be available from either a DME provider or from a pharmacy. Visit our website to determine if this is applicable or call our Customer Service Department. Prosthetic devices replace or substitute all or part of an internal body part, including contiguous tissue, or replace all or part of the function of a permanently inoperative or malfunctioning body part and alleviate functional loss or impairment due to an illness, injury or congenital defect. Prosthetic devices do not include dental prosthetics. This plan covers the following prosthetic devices as required under R.I. General Law § 27-20-52: • prosthetic appliances such as artificial limbs, breasts, larynxes and eyes; • replacement or adjustment of prosthetic appliances if there is a change in your medical condition or if the device is not functional, no longer under warranty and cannot be repaired; • devices, accessories, batteries and supplies necessary for prosthetic devices; • orthopedic braces except corrective shoes and orthotic devices used in connection with footwear; and • breast prosthesis following a mastectomy, in accordance with the Women’s Health and Cancer Rights Act of 1998 and R.I. General Law 27-20-29. The prosthetic device must be ordered or provided by a physician, or by a provider under the direction of a physician. When you are prescribed a prosthetic device as an inpatient and it is billed by a provider other than the hospital where you are an inpatient, the outpatient benefit limit will apply. Enteral formula or food is nutrition that is absorbed through the intestinal tract, whether delivered through a feeding tube or taken orally. Enteral nutrition is covered when it is the sole source of nutrition and prescribed by the physician for home use. In accordance with R.I. General Law §27-20-56, this plan covers enteral formula taken orally for the treatment of: • malabsorption caused by Crohn’s Disease; • ulcerative colitis; • gastroesophageal reflux; • chronic intestinal pseudo obstruction; and • inherited diseases of amino acids and organic acids. Food products modified to be low protein are covered for the treatment of inherited diseases of amino acids and organic acids. Preauthorization may be required. The amount that you pay may differ depending on whether the nutrition is delivered through a feeding tube or taken orally. When enteral formula is delivered through a feeding tube, associated supplies are also covered. This plan covers hair prosthetics (wigs) worn for hair loss suffered as a result of cancer treatment in accordance with R.I. General Law § 27-20-54 and subject to the benefit limit and copayment listed in the Summary of Medical Benefits. This plan will reimburse the lesser of the provider’s charge or the benefit limit shown in the Summary of Medical Benefits. If the provider’s charge is more than the benefit limit, you are responsible for paying any difference. This plan covers Early Intervention Services in accordance with R.I. General Law §27- 20-50. Early Intervention Services are educational, developmental, health, and social services provided to children from birth to thirty-six (36) months. The child must be certified by the Rhode Island Department of Human Services (DHS) to enroll in an approved Early Intervention Services program. Services must be provided by a licensed Early Intervention provider and rendered to a Rhode Island resident. Members not living in Rhode Island may seek services from the state in which they reside; however, those services are not covered under this plan. Early Intervention Services as defined by DHS include but are not limited to the following: • speech and language therapy; • physical and occupational therapy; • evaluation; • case management; • nutrition; • service plan development and review; • nursing services; and • assistive technology services and devices.

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

  • Durable Medical Equipment Durable Medical Equipment is equipment that is Medically Necessary for treatment of an illness or Accidental Injury or to prevent further deterioration. This equipment is designed for repeated use and used to treat a medical condition or illness, and includes items such as oxygen equipment, functional wheelchairs, and crutches. Durable Medical Equipment may require Prior Authorization. Only Durable Medical Equipment considered standard and/or basic as defined by nationally recognized guidelines are Covered.

  • Vision Coverage A fully employee paid vision benefit will be available beginning January 1, 2021 subject to agreement by the subcommittee of the Joint Labor Management Insurance Committee to the benefit set determined through the state’s Request for Proposal (RFP) process.

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