Hospital-Surgical-Medical Benefits a. It is expressly understood that the determination of the carrier or the decision to self-insure is the right of the board.
b. New hires, hired directly from a contractor with whom Birmingham Public Schools has an existing contract with will receive health care benefits on their first day of employment, all other new hires will receive benefits on their 89th day of employment.
c. The parties agree that the Board has no obligation to provide hospital-surgical-medical insurance coverage to either the spouse and/or dependents of an employee who are otherwise eligible to be covered by any such comparable insurance benefits elsewhere; for example, by virtue of the employment of the spouse.
d. An employee who is laid off in accordance with Article 15, Section E, or who is on a leave of absence in accordance with Article 12, shall continue to have the Employer provide the hospitalization coverage provided in this Article for 90 days immediately following the month his/her layoff or leave of absence becomes effective. Thereafter, a laid off employee or an employee on a leave of absence who elects to have this coverage, will be required to elect coverage through COBRA and shall pay the total and current monthly premium for the additional time of his/her layoff or leave of absence to the districts third party administrator. If an employee is on sick leave because the employee is the victim of a serious injury, illness or disease, such as cancer, stroke, etc., the Employer may continue to provide this insurance coverage for a longer period than stated above at no cost to the employee.
e. An employee whose weekly straight time work schedule is for less than twenty (20) hours per week shall, subject to all the conditions set forth herein, be eligible for hospitalization coverage by agreeing to pay one-half (1/2) the monthly premium for such coverage. Employees shall receive fully paid insurance that is set forth in A.1, above, by working 28 hours per week or more. Working 20 through 27 hours per week, the employee shall pay one quarter (1/4) the monthly premium for insurance. Working 19 hours or less per week, the employee shall pay one half (1/2) the monthly premium for insurance. Eligible twelve (12) month employees who choose health coverage, whose straight time hours are for 37.5 per week or more, shall have their health premium paid by the board. All such twelve (12) month employees whose straight time work schedules are for fewer than 37.5 hours per week but fo...
Hospital-Surgical-Medical Benefits. It is expressly understood that the determination of the carrier or the decision to self- insure is the right of the Board. For the duration of this agreement, a teacher may choose health benefits from the following:
x. XXXXX Choices for the 2009 plan year
x. XXXXX Choices with the $10 office visit rider for the 2010 plan year The Board will provide each eligible teacher with a copy of the Board's summary of plan descriptions which gives details of the benefits available under each plan. The parties agree that the Board has no obligation to provide hospital-surgical-medical insurance coverage to either the spouse or dependents of a teacher who are otherwise eligible to be covered by any such comparable insurance benefits elsewhere; for example, by virtue of the employment of the spouse. This coverage shall remain in effect during the duration of this Agreement.
Hospital-Surgical-Medical Benefits. It is expressly understood that the determination of the carrier or the decision to self-insure is the right of the Board. For the duration of this agreement, a teacher may choose health benefits from the following:
x. XXXXX Choices with the $500/$1,000 deductible, the $20/$25/$50 office visit rider and the Saver Rx prescription rider or
x. XXXXX CHOICES ABC Plan 1 with the $1,250/$2,500 deductible. The Board will provide each eligible teacher with a copy of the Board's summary of plan descriptions which gives details of the benefits available under each plan. The parties agree that the Board has no obligation to provide hospital-surgical-medical insurance coverage to either the spouse or dependents of a teacher who are otherwise eligible to be covered by any such comparable insurance benefits elsewhere; for example, by virtue of the employment of the spouse. This coverage shall remain in effect during the duration of this Agreement. For the 2014/15 school year. One half of the 2014 Hard Cap amount and one half of the 2015 Hard Cap amounts will be paid by the board towards the premium costs. Any balance left over from the Hard Cap will be contributed to the teacher’s HSA or FSA. Any balance owing for premiums after the payment of the Hard Cap will be paid by the teacher in 20 pre-tax payments.
Hospital-Surgical-Medical Benefits. It is expressly understood that the determination of the carrier or the decision to self-insure is the right of the board. An employee may choose health benefits as listed on the Birmingham Public Schools “Flexible Benefits Enrollment Form.”
Hospital-Surgical-Medical Benefits. 1. It is expressly understood that the determination of the carrier or the decision to self-insure is the right of the Board. For the duration of this agreement, a teacher may choose health benefits from the following:
x. XXXXX Choices
x. XXXXX ABC Plan 1
2. The Board will provide each eligible teacher with a copy of the Board's summary of plan descriptions which gives details of the benefits available under each plan.
3. The parties agree that the Board has no obligation to provide hospital-surgical-medical insurance coverage to either the spouse or dependents of a teacher who are otherwise eligible to be covered by any such comparable insurance benefits elsewhere; for example, by virtue of the employment of the spouse.
4. This coverage shall remain in effect during the duration of this Agreement.
Hospital-Surgical-Medical Benefits. It is expressly understood that the determination of the carrier or the decision to self-insure is the right of the Board. For the duration of this agreement, a teacher may choose health benefits from the following:
x. XXXXX Choices with the $500/$1,000 deductible, the $20/$25/$50 office visit rider and the Saver Rx prescription rider or x. XXXXX ABC Plan 1 with the $1300/$2600 deductible. The Board will provide each eligible teacher with a copy of the Board's summary of plan descriptions which gives details of the benefits available under each plan. The parties agree that the Board has no obligation to provide hospital-surgical-medical insurance coverage to either the spouse or dependents of a teacher who are otherwise eligible to be covered by any such comparable insurance benefits elsewhere; for example, by virtue of the employment of the spouse. This coverage shall remain in effect during the duration of this Agreement.
Hospital-Surgical-Medical Benefits. 1. Effective July 1, 2013, the maximum monthly contribution of the College towards the premiums, payable on behalf of employees participating in the College’s sponsored health insurance plan who are entitled to employer paid contributions towards those premiums, shall not exceed the applicable annual legislatively fixed/hard caps for full family, two person, or single coverage. Should the Board of Trustees elect the 80/20 option under Public Act 152 of 2011, the College shall pay 80% of the applicable premiums for eligible employees and their families. In the 2013-2014 contractual year, premium contributions will be collected on a monthly or bi-weekly basis, whichever is applicable (e.g. no deductions will occur until new plans are implemented and an open enrollment is complete.
2. The coverage for which the Board shall contribute under the foregoing may be, at the teacher's option, coverage for (1) self only or (2) self and family (including only spouse and eligible dependents). Coverage shall be provided only if proper enrollment forms and/or contract revision forms have been properly filed with the Office of Human Resources.
3. Teachers may enroll under the "new hire" clause, within thirty (30) days of the date of original employment. Subsequent opportunities to enroll in either of the above plans shall be provided only during enrollment periods specified by the carrier.
4. Teachers on approved leaves of absence, as provided in this contract, may retain coverage for group hospital-medical-surgical, dental, optical, hearing, term life, accidental death or dismemberment insurance, and long term care benefits at group rates provided written approval is obtained by the administration from the insurer's underwriting department. The teacher must make the premium payments to the Board in advance by the first of each month, or the teacher shall forfeit all rights under this provision, with exception of those covered by sabbatical leave.
Hospital-Surgical-Medical Benefits. 1. It is expressly understood that the determination of the carrier or the decision to self-insure is the right of the Board. An employee may choose health benefits from among the following plans:
Hospital-Surgical-Medical Benefits. 1. The Board will provide to the employee and eligible family, MESSA Choices 2 PPO plan with a 10% member co-share on premium through payroll deduction. Beginning January 1, 2012 through June 30, 2012 the following riders will be implemented - the $10/20 Prescription Drug Rider, the $300/$600 Panel (In Network) $600/$1200 Non Panel (Out of Network) Deductible Amendment and Adult Immunizations Amendment and the $10 Office Visit Rider. The board will cover the cost of the $300/$600 deductible for January 1, 2012 to June 30, 2012. Beginning July 1, 2012 and thereafter, the Board’s contribution toward health care costs will be made on behalf of the employees toward the health care plan chosen annually by the MFSA and accepted by the District. The Board will pay up to the legislated hard cap maximums toward the annual costs or illustrative rates and any payments for reimbursement of co-pays, deductibles, or payments into health savings accounts, flexible spending accounts, or similar accounts used for health care costs. The maximum legislated health care hard caps for 2012 calendar year are $5,500 for employees with single person coverage, up to $11,000 for employees with individual and spouse coverage, and up to $15,000 for employees with family coverage. By October 1 of each year, the state treasurer will adjust the maximum payment permitted based on the changes in the medical care component of the United States consumer price index. In the event that the total cost for health benefits exceeds the legislated amounts, the remainder of the costs will be paid through payroll deductions of the bargaining unit members.
2. Administrators will participate in a self-funded dental and vision program. The dental plan will provide benefits equal to Delta Dental 80/80 with a $1,000 ortho-rider. Vision benefits will be equal to Vision Plan Service III Plus.
3. Those employees who choose not to enroll in the hospitalization plan may have $200.00 per month paid toward the purchase of mutually agreeable options including annuities. The parties will investigate the correct IRS guidelines to accomplish this in order not to jeopardize the benefit package for others.
4. Administrators being terminated or no longer receiving payroll checks have the option of applying for coverage under the policy on a direct payment basis under the rules established by the carrier.
Hospital-Surgical-Medical Benefits. 1. The Board will provide to the employee and eligible family, MESSA Choices 2 PPO plan. Beginning January 1, 2010 the following riders will be implemented - the $10/20 Prescription Drug Rider, the $200/$400 Panel (In Network) $400/$800 Non Panel (Out of Network) Deductible Amendment and Adult Immunizations Amendment. The board will cover the cost of the $200/400 deductible for the duration of this contract reimbursed annually.
2. Administrators will participate in a self-funded dental and vision program. The dental plan will provide benefits equal to Delta Dental 80/80 with a $1,000 ortho-rider. Vision benefits will be equal to Vision Plan Service III Plus.
