Hospitalization Sample Clauses
The Hospitalization clause defines the terms and conditions that apply when an individual covered by the agreement is admitted to a hospital. Typically, this clause outlines the circumstances under which hospitalization is considered necessary, the process for notifying relevant parties, and any limitations or requirements for coverage of hospital-related expenses. For example, it may specify that only medically necessary hospital stays are covered or require pre-authorization for non-emergency admissions. The core function of this clause is to clarify the rights and obligations of both parties regarding hospital care, thereby preventing disputes and ensuring that expectations for coverage and procedures are clearly established.
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Hospitalization. The Employer will pay one hundred percent (100%) of the Employer Health Tax for all employees covered by this Agreement, as per the Legislation, as amended.
Hospitalization. In the event an employee is hospitalized overnight, the employee will have access to their EIB accrual at the first day of absence due to the hospitalization. Same day surgery, if requiring five (5) or more days of recovery, may also be paid from the employee’s EIB account.
Hospitalization. The equity-adjusted rate of HHSC Inpatient Bed Days in the population of the local service area shall be less than or equal to 1.9%.
Hospitalization. Hospitalization means admission in a Hospital for a minimum period of 24 consecutive ‘In-patient Care’ hours except for specified procedures/ treatments, where such admission could be for a period of less than 24 consecutive hours.
Hospitalization. The Board shall provide single or family medical coverage, with, SuperMed Plus (non-gatekeeper).
a. Effective July 1, 2019 employee premium contribution will be as follows:
i. Single coverage: $700
ii. Family coverage: $1,850 All employee contributions and prorated premium payments will be subject to Section 125 Flexible Spending.
Hospitalization. The equity-adjusted rate of System Agency Inpatient Bed Days in the population of the local service area shall be less than or equal to 1.9%.
Hospitalization. Hospital charges (excluding physician charges) for employees covered by the PPO will be waived if a plan participant is hospitalized at SHC and/or LPCH. Hospitalization includes same day surgery and ATU. This does not include charges when the plan participant is not hospitalized, e.g., outpatient charges for MRI.
Hospitalization. Effective 1/1/2011 or as soon as is practicable thereafter, all employees go to PPO 4 (80%/20% coverage with $500/1000 Deductible, annual co- insurance max of $1,500/3,000, Rx-$2/25/50, with 2 times mail order on drugs) and contribute by payroll deduction 5% of the carrier’s rate for the health care and dental coverage they select (single, double, family). Effective 7/1/2011, all employees contribute by payroll deduction 10% of the carrier’s rate for the health care and dental coverage they select. For 2011, any buy-up to a different plan offered through County Choices, employee will contribute by payroll deduction the equivalent to 5% of the monthly premium for the buy-up plan plus additional buy up costs effective 1/1/2011, and 10% of the monthly premium for the buy-up plan plus additional buy up costs effective 7/1/2011. Effective 1/1/2011 there shall be a spousal surcharge of $10 per pay period for enrolled spouses. Employees hired on or after 1/1/2011 shall contribute 20% toward the cost of the PPO 4. The County may substitute an alternate medical and hospitalization insurance carrier provided 90% of the doctors in the Community Blue PPO 4 network are in the new network and the benefits are commensurate or better than current benefit levels. At the request of the Union, the Employer will meet with the Union to discuss the alternative carrier. However, if no agreement is reached within thirty (30) days of the notice of carrier change, the Employer may proceed with the substitute if the benefits are commensurate with or better than current benefit levels. Notwithstanding the above, if the County Board of Commissioners implements, in its discretion and pursuant to 2011 PA 152, either a cap election or employee contributions necessary to meet the requirement that the employer pay no more than 80% of the total annual costs of all of the medical benefit plans election, then the above section shall be superseded and unit employees will be required to make contributions under the election made by the Board of Commissioners. The Employer will give the Union notice of any change in the election for complying with 2011 PA 152 and will, upon request, bargain regarding mandatory subjects regarding the implementation of such election.
Hospitalization. 1. In the event of the hospitalization of a member of the immediate family, the employee will be allowed one (1) day per admittance, and, if needed, one (1) day to bring the member of the immediate family home, which will be deducted from paid leave.
Hospitalization. 1. The Board will furnish and contribute premiums for single or family coverage. The Board will continue to furnish Medicare, if elected, by those 65 years old and over. Medicare payments will be made to the individual annually. It is the responsibility of the employee to file all applications, forms, etc., necessary to obtain the above coverage. The Board shall not be liable in the event that an employee fails to file appropriate applications. No employee will receive any insurance or fringe benefits unless the employee is regularly scheduled to work at least 3.75 hours each day during that year. In the event an employee performs work under the Board’s collective bargaining agreement with the Ohio Association of Public School Employees Local 102, those hours shall count for the purposes of this requirement.
2. Any employee regularly scheduled to work 1425 hours/year or more who elects coverage, will be required to make a contribution toward the payment of premium as follows: Effective July 1, 2019 Single coverage $58.33 (pre-tax) per month Family coverage $154.17(pre-tax) per month Effective March 1, 2021, the full-time employee monthly premium contribution for medical coverage, including prescription drug, will be as follows:
a. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) less than 0.8 multiplied by BA Step 1 of the Regular Salary Schedule in Appendix B of the negotiated agreement for the Cleveland Heights Teachers Union (“Regular Salary Schedule”) shall contribute 9% of the monthly premium for single coverage and 9% of the monthly premium for family coverage
b. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) equal to or more than 0.8 multiplied by BA Step 1 of the Regular Salary Schedule but less than 1.4 multiplied by BA Step 1 of the Regular Salary Schedule shall contribute 10% of the monthly premium for single coverage and 10% of the monthly premium for family coverage
c. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) equal to or more than 1.4 multiplied by BA Step 1 of the Regular Salary Schedule shall contribute 11% of the monthly premium for single coverage and 11% of the monthly premium for family coverage *“Annual compensation” for hourly employees is calculated as an employee’s regularly scheduled hours per day multiplied by hourly rate multiplied by work d...