Hospital/Surgical/Major Medical Insurance. The Colonel Xxxxxxxx Local Schools will offer any insurance plan to its employees that have been adopted and offered by the Wyandot-Xxxxxxxx Consortium.
Hospital/Surgical/Major Medical Insurance. The Board shall purchase what is referred to in the health insurance industry or business as "point- of-service" medical insurance. This insurance purchased by the Board shall be insurance which meets or exceeds the specifications below. All unit members of the bargaining unit shall be entitled to participate in the plan as set forth below either on a single, employee plus kids, or family plan as is appropriate under the circumstances and requirements of the insurer. Premium Charge Premiums will be deducted from two (2) pays each month. Employer-employee percentage contribution for medical health insurance premiums will be: Employer pays 85% Employee pays 15% Specifications of Select Medical Plan United Health Care has designed this health care benefit program, which permits you to choose benefit options to best meet your individual needs each time you need medical coverage. When you use a United Health Care participating provider, you receive "In-Network" coverage. When you receive care from a provider out of the United Health Care network, you will receive "Out-of-Network" coverage.
Hospital/Surgical/Major Medical Insurance. The Board of Education shall purchase, from a carrier licensed by the State of Ohio, medical insurance and make it available to each eligible member of the bargaining unit. The Board may choose to purchase medical insurance independently or by joining a consortium. The Board will offer at least two plans: a High Deductible (H.S.A.) plan and a traditional POS/PPO or similar plan. These plans contain four (4) tiers, Single, Employee and Spouse, Employee and child(ren), and Family. The Board and the eligible employee shall share the cost of medical insurance. The Board shall pay 86% of the premium and the employee shall pay 14% of the premium. Health insurance coverage will be offered to employees who average at least thirty (30) hours per week for the previous school year. The parties agree to establish a District Insurance/Healthcare Benefits Review Committee for the purpose of examining the District’s current healthcare benefit offerings, Wellness Program and exploring alternatives. The Committee will be comprised of three (3) representatives from each bargaining unit, and up to three (3) additional representatives on behalf of the Board. The Committee will meet monthly. Either party may request consultants to be present at Committee meetings. Insurance coverage shall continue to be in full force and effect until August 31st in the year a staff member retires. This applies to teachers who work the entire school year and not to teachers who do not complete the entire school year (exceptions – end of May). If any employee has a current health care plan provided by the Board, the Board shall provide one thousand two hundred dollars per year ($1200/year) for each family and six hundred dollars per year ($600/year) for a single plan who elect to opt out of the Board provided plan. Any employee with a spouse employed in the District shall receive six hundred dollars per year ($600/year), if he/she elects to opt out of health insurance coverage and remain under the spouse’s plan. Employees shall notify the Board if they elect to opt out of the Board provided health insurance plan during open enrollment. Persons who opt out of health insurance coverage shall be paid following the end of a plan year. Employees may revert to plan coverage if any COBRA situation attaches. The open enrollment period will be held in the fall for the following plan year beginning on January 1, 2021 and continue every year of this contract pending approval of the insurance carrier.
Hospital/Surgical/Major Medical Insurance. 1. The Board of Education will pay for hospital/surgical/major medical insurance for each employee. Specifications for the coverage shall be no less than those contained in the PORTAGE AREA SCHOOLS CONSORTIUM, except as specified in this article.
Hospital/Surgical/Major Medical Insurance. If the employees choose to see a doctor out of network, the coinsurance would be 70/30 instead of the normal 90/10. Any eligible employee who wishes to waive medical, dental, and vision insurance for the school year will receive an additional $2,000.00 per year, paid through payroll. New hires as of 2007-2008 will pay fifteen percent (15%) of their insurance costs with the Board picking up eighty-five percent (85%) of the cost. Spouses of new hires must be covered under their own insurance plan, if one is offered at their place of employment. This will be decided on a monthly basis. Written confirmation of availability of insurance may be required of the spouses’ employment. MAJOR MEDICAL BENEFITS Plan Name: Xxxxxxx-Xxxxxxxx Health Benefit Fund Third Party Administrator: Medical Mutual Plus Network PPO: Medical Mutual of Ohio Plan Number: 501 Schedule of Benefits Covered Comprehensive Medical Benefits are subject to the deductible and paid at the percentages listed below: Deductible - Individual - $250.00 - Family - $500.00 Coinsurance Outpatient Mental Illness, 80% of the Usual and Customary Alcoholism, and Substance Charge Abuse Treatment (Charges do not apply to the Out-of-Pocket Maximum) Well Child Care Preferred Providers 100% of the Usual and Customary (Office visits are subject Charge to a $5.00 co-pay.) Non-Preferred Providers 90% of the Usual and Customary Charge All other treatment 90% of the Usual and Customary Charge Out-of-Pocket Maximums (Including Deductible) Preferred Providers Individual - $450.00 Family - $700.00 Non-Preferred Providers Individual - $500.00 Family - $750.00 Combined for Preferred and Non-Preferred Providers Individual - $500.00 Family - $750.00 Benefit Maximum Inpatient Hospital Charges 120 Days per Confinement Private Room Maximum Average Semi-Private Room Rate + $10.00 Special Care Facility Calendar Year Maximum $1,000.00 Daily Allowable Maximum $35.00 Outpatient Mental Illness, Alcoholism, and Substance Abuse Treatment Calendar Year Maximum $1,200.00 Daily Allowable Maximum $45.00 Benefit Maximum Routine Mammogram Calendar Year Maximum $85.00 Routine Pap Smear Calendar Year Maximum 1 Pap Smear Well Child Care Birth to age 1 $500.00 Age 1 to age 9 $150.00 per Calendar year TMJ Lifetime Maximum $1,000.00 Human Organ Transplant Lifetime Maximum $1,000,000.00 Hospital Xxxx Xxxx-Audit Program 50%, up to $250.00 Lifetime Plan Maximum $1,000,000.00 Lifetime Maximum Reinstatement $2,000.00 per Calendar Year Mail Order Prescrip...
Hospital/Surgical/Major Medical Insurance. The Board shall pay 85% of the enrollment costs.
