Common use of Hospital-Medical Insurance Clause in Contracts

Hospital-Medical Insurance. 14.1. The Employer will make available to Employees comprehensive hospital-medical benefit Plan 3A only. a. The Employer agrees to pay for the Employees without claimed dependents 90% of the monthly premium for single Employee hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's salary or wages the amount by which the monthly premium cost of the Employee's single hospital-medical Plan coverage exceeds the Employer's contribution that is stated in this paragraph. b. The Employer agrees to pay 80% of the monthly premium for family hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's salary or wages the amount by which the monthly premium cost of the Employee's hospital-medical Plan family-dependent coverage exceeds the Employer's contribution that is stated in this paragraph. c. All Employees' unused flexible benefits spending account monies as of the end of the calendar year that are not eligible for carryover pursuant to Internal Revenue Service Code Section 125, shall be deposited into the JPE. 14.2. Hospital-medical benefit Plan coverage shall become effective the first day of the month following the date of hire. 14.3. During the first 24 months from the date of injury or illness causing an Employee's disability pursuant to Article 27, the Employer shall provide such hospital-medical benefit Plan coverage and monthly Employer premium cost-sharing for such Employee to the same extent as active Employees. Employer will deduct the Employee's portion of the monthly hospital-medical benefit Plan premium from Employee's disability income protection payments. If deduction is not possible, the Employee must pay his or her share of the hospital-medial benefit Plan premium each month to maintain coverage. 14.4. Any proposed change in the hospital-medical benefit Plan design that constitutes a reduction in the aggregate value of benefits shall be negotiated with the bargaining unit. 14.5. The Employer shall provide hospital-medical benefit Plan coverage to the same extent as active Employees for the dependents of a deceased Employee, who was classified as an active Employee at the time of death. The surviving spouse's coverage ceases when the spouse dies or remarries. The minor dependent's coverage ceases when each ceases to be defined as a dependent in the applicable section of Minnesota Statutes Chapter 62A, as amended. 14.6. The Employer will include the following provisions in the Plan 3A comprehensive hospital-medical insurance Plan: a. Lifetime benefit of no less than $2,000,000. b. Bone marrow, heart, liver, kidney, heart/lung, cornea, and pancreas transplants. c. Preventive care as defined in the Health Care Benefit Plan, and provided by in-network providers, will be fully covered and not subject to a deductible. 14.7. The insured shall be responsible for the following prescription drug co-pays or co- insurance; Zero dollars ($0) for generic and approved over the counter (OTC) prescriptions (Tier One), fifteen dollars ($15) for preferred brand name prescriptions (Tier Two), and a 30% co- insurance with a minimum thirty dollar ($30)/maximum one hundred dollar ($100) co-insurance payment per non-preferred brand name prescription (Tier Three). When the prescribing physician recommends a Tier Three medication over a Tier Two or Tier One medication for medical necessity, the insured shall be responsible for the Tier Two co-pay.

Hospital-Medical Insurance. 14.1. The Employer will make available to Employees comprehensive hospital-medical benefit Plan 3A only. a. The Employer agrees to pay for the Employees without claimed dependents 90% of the monthly premium for single Employee hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's salary or wages the amount by which the monthly premium cost of the Employee's single hospital-medical Plan coverage exceeds the Employer's contribution that is stated in this paragraph. b. The Employer agrees to pay 80% of the monthly premium for family hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's salary or wages the amount by which the monthly premium cost of the Employee's hospital-medical Plan family-dependent coverage exceeds the Employer's contribution that is stated in this paragraph. c. All Employees' unused flexible benefits spending account monies as of the end of the calendar year that are not eligible for carryover pursuant to Internal Revenue Service Code Section 125, shall be deposited into the JPE. 14.2. Hospital-medical benefit Plan coverage shall become effective the first day of the month following the date of hire. 14.3. During the first 24 months from the date of injury or illness causing an Employee's disability pursuant to Article 27, the Employer shall provide such hospital-medical benefit Plan coverage and monthly Employer premium cost-sharing for such Employee to the same extent as active Employees. Employer will deduct the Employee's portion of the monthly hospital-medical benefit Plan premium from Employee's disability income protection payments. If deduction is not possible, the Employee must pay his or her share of the hospital-medial benefit Plan premium each month to maintain coverage. 14.4. Any proposed change in the hospital-medical benefit Plan design that constitutes a reduction in the aggregate value of benefits shall be negotiated with the bargaining unit. 14.5. The Employer shall provide hospital-medical benefit Plan coverage to the same extent as active Employees for the dependents of a deceased Employee, who was classified as an active Employee at the time of death. The surviving spouse's coverage ceases when the spouse dies or remarries. The minor dependent's coverage ceases when each ceases to be defined as a dependent in the applicable section of Minnesota Statutes Chapter 62A, as amended. 14.6. The Employer will include the following provisions in the Plan 3A comprehensive hospital-medical insurance Plan: a. Lifetime benefit of no less than $2,000,000. b. Bone marrow, heart, liver, kidney, heart/lung, cornea, and pancreas transplants. c. Preventive care as defined in the Health Care Benefit Plan, and provided by in-network providers, will be fully covered and not subject to a deductible. 14.7. The insured shall be responsible for the following prescription drug co-pays or co- co-insurance; Zero dollars ($0) for generic and approved over the counter (OTC) prescriptions (Tier One), fifteen dollars ($15) for preferred brand name prescriptions (Tier Two), and a 30% co- co-insurance with a minimum thirty dollar ($30)/maximum one hundred dollar ($100) co-insurance payment per non-preferred brand name prescription (Tier Three). When the prescribing physician recommends a Tier Three medication over a Tier Two or Tier One medication for medical necessity, the insured shall be responsible for the Tier Two co-pay.

Hospital-Medical Insurance. 14.1. 18.1 The Employer will make available to Employees employees comprehensive hospital-medical benefit Plan 3A only. a. The (a) Employer agrees to pay for the Employees without claimed dependents 90% of the monthly premium for single Employee hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's ’s salary or wages the amount by which the monthly premium cost of the Employee's ’s single hospital-medical Plan plan coverage exceeds the Employer's ’s contribution that is stated in this paragraph. b. (b) The Employer agrees to pay 80% of the monthly premium for family hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's employee’s salary or wages the amount by which the monthly premium cost of the Employee's ’s hospital-medical Plan plan family-dependent coverage exceeds the Employer's ’s contribution that is stated in this paragraph. c. All (c) The Employer agrees to deposit all Employees' ’ unused flexible benefits spending account monies as of the end of the calendar year that are not eligible for carryover pursuant to Internal Revenue Service Code Section 125, shall be deposited 125 into the JPEJPE Trust. 14.2. Hospital-medical benefit Plan coverage shall become effective (d) If any bargaining unit receives a higher employer contribution for the first day of same year(s) pursuant to a negotiated collective bargaining agreement that is ratified after this Agreement is ratified, the month following higher employer contribution will be applied to the date of hireFirefighters agreement. 14.3. During the first 24 months from the date of injury or illness causing (e) The Employer agrees to hold an Employee's disability pursuant to Article 27, the Employer shall provide such hospital-medical benefit Plan coverage and monthly Employer premium cost-sharing annual open enrollment period for such Employee to the same extent as active Employees. Employer will deduct the Employee's portion of the monthly hospital-medical benefit Plan premium from Employee's disability income protection payments. If deduction is not possible, the Employee must pay his or her share of the hospital-medial benefit Plan premium each month to maintain coverage. 14.4. Any proposed change in the hospital-medical benefit Plan design that constitutes a reduction in the aggregate value of benefits shall be negotiated with the bargaining unit. 14.5selection. The Employer shall provide hospital-medical benefit Plan coverage to Employee may change their benefits selection during the same extent as active Employees for the dependents of a deceased Employee, who was classified as an active Employee annual open enrollment period or at the time of death. The surviving spouse's coverage ceases when a qualifying life event as defined by the spouse dies or remarries. The minor dependent's coverage ceases when each ceases to be defined as a dependent in the applicable section of Minnesota Statutes Chapter 62A, as amendedInternal Revenue Service. 14.6. (f) The Employer will include Employer’s representative on the following provisions in the Plan 3A comprehensive hospital-medical insurance Plan: a. Lifetime benefit Board of no less than $2,000,000. b. Bone marrow, heart, liver, kidney, heart/lung, cornea, and pancreas transplants. c. Preventive care Trustees as defined in the Health Care Benefit Plan, and provided by in-network providers, Joint Powers Agreement will be fully covered and not subject propose to a deductible. 14.7. The insured the Board that premiums shall be responsible established by October 15 of the prior year, to be in effect January 1 of each year for the following prescription drug co-pays or co- insurance; Zero dollars ($0) for generic and approved over the counter (OTC) prescriptions (Tier One), fifteen dollars ($15) for preferred brand name prescriptions (Tier Two), and a 30% co- insurance with a minimum thirty dollar ($30)/maximum one hundred dollar ($100) co-insurance payment per non-preferred brand name prescription (Tier Three). When the prescribing physician recommends a Tier Three medication over a Tier Two or Tier One medication for medical necessity, the insured shall be responsible for the Tier Two co-pay.twelve

Hospital-Medical Insurance. 14.1. 18.1 The Employer will make available to Employees comprehensive hospital-medical benefit Plan 3A only. a. The (a) Employer agrees to pay for the Employees without claimed dependents 90% of the monthly premium for single Employee hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's ’s salary or wages the amount by which the monthly premium cost of the Employee's ’s single hospital-hospital- medical Plan plan coverage exceeds the Employer's ’s contribution that is stated in this paragraph. b. (b) The Employer agrees to pay 80% of the monthly premium for family hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's employee’s salary or wages the amount by which the monthly premium cost of the Employee's ’s hospital-medical Plan plan family-dependent coverage exceeds the Employer's ’s contribution that is stated in this paragraph. c. All (c) The Employer agrees to deposit all Employees' ’ unused flexible benefits spending account monies as of the end of the calendar year that are not eligible for carryover pursuant to Internal Revenue Service Code Section 125125 into the JPE Trust. (d) If any bargaining unit receives a higher employer contribution for the same year(s) pursuant to a negotiated collective bargaining agreement that is ratified after this Agreement is ratified, the higher employer contribution will be applied to the Firefighters agreement. (e) The Employer agrees to hold an annual open enrollment period for benefits selection. The Employee may change their benefits selection during the annual open enrollment period or at the time of a qualifying life event as defined by the Internal Revenue Service. (f) The Employer’s representative on the Board of Trustees as defined in the Joint Powers Agreement will propose to the Board that premiums shall be deposited into established by October 15 of the JPEprior year, to be in effect January 1 of each year for twelve (12) consecutive calendar months. 14.2. 18.2 Hospital-medical benefit Plan insurance coverage shall become effective the first day of the month following the date of hire. 14.3. During the first 24 months from the date of injury or illness causing an Employee's disability pursuant to Article 27, the Employer shall provide such hospital-medical benefit Plan coverage and monthly Employer premium cost-sharing for such Employee to the same extent as active Employees. Employer will deduct the Employee's portion of the monthly hospital-medical benefit Plan premium from Employee's disability income protection payments. If deduction is not possible, the Employee must pay his or her share of the hospital-medial benefit Plan premium each month to maintain coverage. 14.4. 18.3 Any proposed change in the hospital-medical benefit Plan plan design that constitutes a reduction in the aggregate value of benefits shall be negotiated with the bargaining unit. 14.5. The Employer shall provide hospital-medical benefit Plan coverage to the same extent as active Employees for the dependents of a deceased Employee, who was classified as an active Employee at the time of death. The surviving spouse's coverage ceases when the spouse dies or remarries. The minor dependent's coverage ceases when each ceases to be defined as a dependent in the applicable section of Minnesota Statutes Chapter 62A, as amended. 14.6. The Employer will include the following provisions in the Plan 3A comprehensive hospital-medical insurance Plan: a. Lifetime benefit of no less than $2,000,000. b. Bone marrow, heart, liver, kidney, heart/lung, cornea, and pancreas transplants. c. Preventive care as defined in the Health Care Benefit Plan, and provided by in-network providers, will be fully covered and not subject to a deductible. 14.7. 18.4 The insured shall be responsible for the following prescription drug co-pays or co- co insurance; Zero dollars ($0) for generic and approved over the counter (OTC) prescriptions (Tier One), fifteen dollars ($15) for preferred brand name prescriptions (Tier Two), and a 30% co- co-insurance with a minimum thirty dollar dollars ($30)/maximum 30)/ maximum one hundred dollar ($100) co-insurance payment per non-preferred brand name prescription (Tier Three). When the prescribing physician recommends a Tier Three medication over a Tier Two or Tier One medication for a medical necessity, the insured shall be responsible for the Tier Two co-pay. 18.5 The Employer will include the following provisions in the Plan 3A Comprehensive hospital-medical insurance Plan: (a) Lifetime benefit of no less than $2,000,000.00. (b) Bone marrow, heart, liver, kidney, heart/lung, cornea, and pancreas transplants. (c) Preventive care as defined in the Health Care Benefit Plan, and provided by in- network providers, will be fully covered and not subject to a deductible. 18.6 The Employer shall provide hospital-medical benefit plan coverage to the same extent as active employees for the dependents of an active employee who dies. The surviving spouse's coverage ceases when the spouse dies or remarries. The minor dependent’s coverage ceases when the dependent ceases to be defined as a dependent in the applicable section of Minnesota Statutes Chapter 62A, as amended. 18.7 If the Employer contracts with a claims administrator or purchases a fully-insured plan from a provider, the allowed amount for any covered service provided by out-of-network providers shall be the usual customary reasonable (UCR) fee as approved by the Board of Trustees as part of the selection process.

Hospital-Medical Insurance. 14.121.1. The Employer will make available to eligible Employees comprehensive hospital-hospital- medical benefit Plan 3A only. a. (a) The Employer agrees to pay for the Employees without claimed dependents 90% the entire cost of the monthly premium for single Employee hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's salary or wages the amount by which the monthly premium cost of the Employee's single hospital-medical Plan coverage exceeds the Employer's contribution that is stated in this paragraph.3A. b. (b) The Employer agrees to pay 80% of the monthly premium for family hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's ’s salary or wages the amount by which the monthly premium cost of the Employee's ’s hospital-medical Plan plan family-dependent coverage exceeds the Employer's ’s contribution that is stated in this paragraph. c. All Employees' (c) The Employer agrees to deposit into the Joint Insurance Pool Trust at the end of each fiscal year, any unused balance in each Employee’s flexible benefits spending account monies as of the end of the calendar year that are not eligible for carryover pursuant to Internal Revenue Service Code Section 125, shall be deposited into the JPEaccount. 14.221.2. Hospital-medical benefit Plan plan coverage shall become effective the first day of the month following the date of hire. 14.321.3. During the first 24 months from the date of injury or illness causing While an Employee's Employee is entitled to receive long-term disability income protection pursuant to Article 2730 of this Agreement, the Employer shall provide maintain such hospital-medical benefit Plan plan coverage and monthly Employer premium cost-sharing premiums for such Employee to the same extent as it does for active Employees. Employer will deduct the Employee's portion of the monthly hospital-medical benefit Plan premium from Employee's disability income protection payments. If deduction is not possible, the Employee must pay his or her share of the hospital-medial benefit Plan premium each month to maintain coverage. 14.421.4. Any proposed change in the hospital-medical benefit Plan plan design that constitutes a reduction in the aggregate value of benefits shall be negotiated with the bargaining unit. 14.521.5. The Employer dependents of a deceased-active Employee shall provide hospital-continue to receive hospital- medical benefit Plan plan coverage to the same extent as active Employees for the dependents of a deceased Employee, who was classified as an active Employee at the time of deathEmployees. The surviving spouse's coverage ceases when the spouse dies or remarries. The minor dependent's coverage ceases when each ceases to be defined as a dependent in the applicable section of Minnesota Statutes Chapter 62A62, as amended. 14.621.6. The Employer will include the following provisions in the Plan 3A comprehensive hospital-medical insurance Plan: a. (a) Lifetime benefit of no less than $2,000,000. b. (b) Bone marrow, heart, liver, kidney, heart/lung, cornea, and pancreas transplants. c. (c) Preventive care as defined in the Health Care Benefit Plan, and provided by in-network providers, will be fully covered and not subject to a deductible. 14.721.7. The insured shall be responsible for the following prescription drug co-pays or co- insurance; pays: Zero dollars ($0) for generic and approved over the counter (OTC) prescriptions (Tier One), fifteen dollars ($15) for preferred brand name prescriptions (Tier Two), and a 30% co- co-insurance with a minimum of thirty dollar dollars ($30)/maximum one hundred dollar dollars ($100) co-insurance payment per non-preferred brand name prescription (Tier Three). When the prescribing physician recommends a Tier Three medication over a Tier Two or Tier One medication for medical necessity, the insured shall be responsible for the Tier Two co-pay. 21.8. The Union acknowledges that the City is authorized to operate a joint self-insurance pool under Minnesota Statutes Chapter 471 and Minnesota Rules Chapter 2785. In the event the City ceases to become a member of the joint self-insurance pool or the pool is dissolved, the language in Article 21.1(c) and (e), Article 21.8, and Article 21.9 as set forth in the 2010 collective bargaining agreement between the parties shall become effective immediately.

Hospital-Medical Insurance. 14.118.1. The Employer will make available to eligible Employees comprehensive hospital-hospital- medical benefit Plan 3A only. a. The Employer agrees to pay for the Employees without claimed dependents 100% of the monthly premium for a single Employee hospital-medical benefit Plan 3A through December 31, 2012. Effective January 1, 2013, the Employer agrees to pay for the Employees without claimed dependents 90% of the monthly premium for single Employee hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's salary or wages the amount by which the monthly premium cost of the Employee's single hospital-medical Plan plan coverage exceeds the Employer's ’s contribution that is stated in this paragraph. b. The Employer agrees to pay 80% of the monthly premium for family hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's salary or wages the amount by which the monthly premium cost of the Employee's hospital-medical Plan plan family-dependent coverage exceeds the Employer's ’s contribution that is stated in this paragraph. c. All The Employer agrees to hold an annual open enrollment period for benefits selection. The Employee may change their benefits selection during the annual open enrollment period or at the time of a qualifying life event as defined by the Internal Revenue Service. d. The Employer agrees to deposit all Employees' unused flexible benefits spending account monies as of the end of the calendar year that are not eligible for carryover carry over pursuant to Internal Revenue Service Code Section 125, 125 into the JPE Trust. e. The Employer's representative on the Board of Trustees as defined in the JPA will propose to the Board that premiums shall be deposited into established by October 15 of the JPEprior year, to be in effect January 1 of each year for twelve (12) consecutive calendar months. 14.218.2. Hospital-medical benefit Plan plan coverage shall become effective the first day of the month following the date of hire. 14.318.3. During the first 24 months from the date of injury or illness causing While an Employee's Employee is entitled to receive long-term disability income protection pursuant to Article 2729 of this Agreement, the Employer shall provide such hospitalprovidehospital-medical benefit Plan plan coverage and maintain monthly Employer premium cost-sharing for such Employee to the same extent as it does for active Employees. The Employer will shall deduct from each eligible and enrolled Employee's long-term disability income protection payments the amount by which the monthly premium cost of the Employee's portion of the monthly single or family-dependent hospital-medical benefit Plan premium from Employeeplan coverage exceeds the Employer's disability income protection payments. If deduction is not possible, the Employee must pay his or her share of the hospital-medial benefit Plan premium each month to maintain coveragecontribution stated in Article 18.1(a)-(b) above. 14.418.4. Any proposed change in the hospital-medical benefit Plan plan design that constitutes a reduction in the aggregate value of benefits shall be negotiated with the bargaining unit. 14.518.5. The Employer shall provide hospital-medical benefit Plan plan coverage to the same extent as active Employees for the dependents of a deceased Employee, an Employee who was classified as an active Employee at the time of deathdies. The surviving spouse's coverage ceases when the spouse dies or remarries. The minor dependent's coverage ceases when each ceases to be defined as a dependent in the applicable section of Minnesota Statutes Chapter 62A, as amended. 14.618.6. The Employer will include the following provisions in the Plan 3A comprehensive 3Acomprehensive hospital-medical insurance Planplan: a. Lifetime benefit of no less than $2,000,000. b. Bone marrow, heart, liver, kidney, heart/lung, cornea, and pancreas transplants. c. Preventive care as defined in the Health Care Benefit Plan, and provided by in-network providers, will be fully covered and not subject to a deductible. 14.718.7. The insured shall be responsible for the following prescription drug co-pays or co- insurance; Zero dollars ($0) for generic and approved over the counter (OTC) prescriptions (Tier One), fifteen dollars ($15) for preferred brand name prescriptions (Tier Two), and a 30% co- insurance with a minimum thirty dollar ($30)/maximum one hundred dollar ($100) co-insurance payment per non-preferred brand name prescription (Tier Three). When the prescribing physician recommends a Tier Three medication over a Tier Two or Tier One medication for medical necessity, the insured shall be responsible for the Tier Two co-pay. 18.8. If the Employer contracts with a claims administrator or purchases a fully-insured plan from a provider, the allowed amount for any covered service provided by out-of-network providers shall be the usual customary reasonable (UCR) fee as approved by the Board of Trustees as part of the selection process.

Hospital-Medical Insurance. 14.121.1. The Employer will make available to eligible Employees comprehensive hospital-hospital- medical benefit Plan 3A only. a. (a) The Employer agrees to pay for the Employees without claimed dependents 90% of the monthly premium for single Employee hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's ’s salary or wages the amount by which the monthly premium cost of the Employee's ’s single hospital-medical Plan plan coverage exceeds the Employer's ’s contribution that is stated in this paragraph. b. (b) The Employer agrees to pay 80% of the monthly premium for family hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's ’s salary or wages the amount by which the monthly premium cost of the Employee's ’s hospital-medical Plan plan family-dependent coverage exceeds the Employer's ’s contribution that is stated in this paragraph. c. All (c) The Employer agrees to deposit all Employees' ’ unused flexible benefits spending account monies as of the end of the calendar year that are not eligible for carryover pursuant to Internal Revenue Service Code Section 125, 125 into the JPE Trust. (d) The Employer’s representative on the Board of Trustees as defined in the JPA will propose to the Board that premiums shall be deposited into established by October 15 of the JPEprior year, to be in effect January 1 of each year for twelve (12) consecutive calendar months. 14.221.2. Hospital-medical benefit Plan plan coverage shall become effective the first day of the month following the date of hire. 14.321.3. During the first 24 months from the date of injury or illness causing While an Employee's Employee is entitled to receive long-term disability income protection pursuant to Article 2731 of this Agreement, the Employer shall provide such hospital-medical benefit Plan plan coverage and monthly Employer premium cost-sharing for such Employee to the same extent as active Employees. The Employer will shall deduct from each eligible and enrolled Employee’s long- term disability income protection payments the amount by which the monthly premium cost of the Employee's portion of the monthly ’s single or family-dependent hospital-medical benefit Plan premium from Employee's disability income protection payments. If deduction is not possible, plan coverage exceeds the Employee must pay his or her share of the hospital-medial benefit Plan premium each month to maintain coverageEmployer’s contribution stated in Article 21.1(a) and (b) above. 14.421.4. Any proposed change in the hospital-medical benefit Plan plan design that constitutes a reduction in the aggregate value of benefits shall be negotiated with the bargaining unit. 14.521.5. The Employer dependents of an active Employee who dies shall provide hospital-continue to receive hospital- medical benefit Plan plan coverage to the same extent as active Employees for the dependents of a deceased Employee, who was classified as an active Employee at the time of deathEmployees. The surviving spouse's coverage ceases when the spouse dies or remarries. The minor dependent's coverage ceases when each ceases to be defined as a dependent in the applicable section of Minnesota Statutes Chapter 62A62, as amended. 14.621.6. The Employer will include the following provisions in the Plan 3A comprehensive hospital-medical insurance Plan: a. (a) Lifetime benefit of no less than $2,000,000. b. (b) Bone marrow, heart, liver, kidney, heart/lung, cornea, and pancreas transplants. c. (c) Preventive care as defined in the Health Care Benefit Plan, and provided by in-network providers, will be fully covered and not subject to a deductible. 14.721.7. The insured shall be responsible for the following prescription drug co-pays or co- insurance; pays: Zero dollars ($0) for generic and approved over the counter (OTC) prescriptions (Tier One), fifteen dollars ($15) for preferred brand name prescriptions (Tier Two), and a 30% co- co-insurance with a minimum of thirty dollar dollars ($30)/maximum one hundred dollar dollars ($100) co-insurance payment per non-preferred brand name prescription (Tier Three). When the prescribing physician recommends a Tier Three medication over a Tier Two or Tier One medication for medical necessity, the insured shall be responsible for the Tier Two co-pay.

Hospital-Medical Insurance. 14.121.1. The Employer will make available to eligible Employees comprehensive hospital-hospital- medical benefit Plan 3A only. a. (a) The Employer agrees to pay for the Employees without claimed dependents 90% of the monthly premium for single Employee hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's salary or wages the amount by which the monthly premium cost of the Employee's single hospital-medical Plan plan coverage exceeds the Employer's contribution that is stated in this paragraph. b. (b) The Employer agrees to pay 80% of the monthly premium for family hospital-medical benefit Plan 3A. The Employer shall deduct from each eligible and enrolled Employee's salary or wages the amount by which the monthly premium cost of the Employee's hospital-medical Plan plan family-dependent coverage exceeds the Employer's contribution that is stated in this paragraph. c. All (c) The Employer agrees to deposit all Employees' unused flexible benefits spending account monies as of the end of the calendar year that are not eligible for carryover pursuant to Internal Revenue Service Code Section 125, 125 into the JPE Trust. (d) The Employer's representative on the Board of Trustees as defined in the JPA will propose to the Board that premiums shall be deposited into established by October 15 of the JPEprior year, to be in effect January 1 of each year for twelve (12) consecutive calendar months. 14.221.2. Hospital-medical benefit Plan plan coverage shall become effective the first day of the month following the date of hire. 14.321.3. During the first 24 months from the date of injury or illness causing While an Employee's Employee is entitled to receive long-term disability income protection pursuant to Article 2731 of this Agreement, the Employer shall provide such hospital-medical benefit Plan plan coverage and monthly Employer premium cost-sharing for such Employee to the same extent as active Employees. The Employer will shall deduct from each eligible and enrolled Employee's long- term disability income protection payments the amount by which the monthly premium cost of the Employee's portion of the monthly single or family-dependent hospital-medical benefit Plan premium from Employeeplan coverage exceeds the Employer's disability income protection payments. If deduction is not possible, the Employee must pay his or her share of the hospital-medial benefit Plan premium each month to maintain coveragecontribution stated in Article 19.1(a) and (b) above. 14.421.4. Any proposed change in the hospital-medical benefit Plan plan design that constitutes a reduction in the aggregate value of benefits shall be negotiated with the bargaining unit. 14.521.5. The Employer dependents of an active Employee who dies shall provide hospital-continue to receive hospital- medical benefit Plan plan coverage to the same extent as active Employees for the dependents of a deceased Employee, who was classified as an active Employee at the time of deathEmployees. The surviving spouse's coverage ceases when the spouse dies or remarries. The minor dependent's coverage ceases when each ceases to be defined as a dependent in the applicable section of Minnesota Statutes Chapter 62A62, as amended. 14.621.6. The Employer will include the following provisions in the Plan 3A comprehensive hospital-medical insurance Plan: a. (a) Lifetime benefit of no less than $2,000,000. b. (b) Bone marrow, heart, liver, kidney, heart/lung, cornea, and pancreas transplants. c. (c) Preventive care as defined in the Health Care Benefit Plan, and provided by in-network providers, will be fully covered and not subject to a deductible. 14.721.7. The insured shall be responsible for the following prescription drug co-pays or co- insurance; pays: Zero dollars ($0) for generic and approved over the counter (OTC) prescriptions (Tier One), fifteen dollars ($15) for preferred brand name prescriptions (Tier Two), and a 30% co- co-insurance with a minimum of thirty dollar dollars ($30)/maximum one hundred dollar dollars ($100) co-insurance payment per non-preferred brand name prescription (Tier Three). When the prescribing physician recommends a Tier Three medication over a Tier Two or Tier One medication for medical necessity, the insured shall be responsible for the Tier Two co-pay.