Hospital/Surgical Insurance — Refusal Option. 1. Full time bargaining unit members who are insured under a health insurance plan and who are eligible to receive Board paid contributions to health insurance plan benefits provided in this Agreement, and who do not subscribe to those insurance benefits, and for whom the Board makes no insurance premium contributions, are eligible to participate in the refusal option. For employees hired on or after September 1, 2005, this provision does not apply when both spouses are employed by the Board. For such employees hired on or after September 1, 2005, each family is entitled to only one (1) family plan.
2. The refusal option must be exercised by the member at the beginning of the plan year. The member will notify the treasurer’s office in writing of his/her decision to exercise the refusal option.
3. Full time bargaining unit members who exercise the refusal option will be paid an amount equal to twenty-five (25) percent of the amount which the Board would have been required to contribute to that member’s health insurance premium payment, had the member been eligible for, and subscribed to, that coverage. This payment shall be paid within thirty (30) days after the end of the plan year.
Hospital/Surgical Insurance — Refusal Option. 1. Full time bargaining unit members who are insured under a health insurance plan and who are eligible to receive Board paid contributions to health insurance plan benefits provided in this agreement, and who do not subscribe to those insurance benefits, and for whom the Board makes no insurance premium contributions are eligible to participate in the refusal option. For employees hired on or after September 1, 2005, this provision does not apply when both spouses are employed by the Board. For such employees hired on or after September 1, 2005, each family is entitled to only one family plan.
2. The refusal option must be exercised by the member at the beginning of the plan year. The member will notify the treasurer’s office in writing of his/her decision to exercise the refusal option which shall continue until the employee notifies the treasurer’s office of re-enrollment.
3. Full time bargaining unit members who exercise the refusal option will be paid an amount equal to twenty percent (20%) of the amount which the Board would have been required to contribute to that member’s health insurance premium payment had the member been eligible for, and subscribed to, that coverage. In no event shall the amount paid pursuant to this paragraph exceed Four Thousand Dollars ($4,000.00). This payment shall be paid in November.
4. Bargaining unit members who exercise the refusal option and who involuntarily lose other health insurance coverage through the layoff of a spouse, death of a spouse, or divorce from a spouse, will be permitted to enroll in the Board provided health insurance plan. Notice of intent to enroll will be provided in writing to the treasurer’s office not later than the third Monday of the month following a qualifying event with coverage to be effective the first day of the following month. Members who enroll under this provision shall forfeit any payment they may have become eligible for by remaining under the refusal option for the entire plan year.
5. The issue of re-entry into the plan without a physical or pre-existing condition exclusion shall be referred to the insurance committee for resolution.
