Hospitalization and Major Medical. The terms of the health insurance plan are listed in Appendix 6 for informational purposes. Plan changes may be made during the term of the Master Agreement by agreement of the Insurance Committee, and as approved by the Board of Education and the Pickerington Education Association. The Board will provide the current health plan, or one or more health insurance plans as recommended by the insurance committee and approved by the Board, with Board contributions as follows:
1. The Board will offer a Section 125 plan with medical and dental insurance.
Hospitalization and Major Medical. A. For those full-time bargaining unit members who participate in the Board’s hospitalization and major medical plan, the Board shall pay on a monthly basis $800.00 of a single member premium for the 2024-2025 school year, $830.00 for the 2025-2026 school year, and $865.00 for the 2026-2027. If the monthly premium is less than the above stated Board’s payment, the board shall pay only the full premium amount. (Dental and vision coverage is optional and therefore it is not covered by Board payment.) Increases in the Board’s payment will be effective commencing with September of each school year.
B. Married employees (who are both employed by Liberty C.U.S.D. #2) shall have the option of either receiving a single insurance contribution for each employee or applying each individual’s board paid portion toward the cost of a family policy.
C. Prior to August 1, 2002, the Board has provided a cash option of $110.00 per month ($1,320.00 maximum per year) for all bargaining unit members who chose not to participate in the District hospitalization and major medical plan. This $110.00 is inclusive of Board payments to TRS and THIS. Except as herein provided, that option is eliminated for all persons. No newly hired employee whose first date of compensated employment is on or after August 1, 2002 may elect the cash option payment. No current participants in the hospitalization and major medical plan may, subsequent to December 31, 2002, elect such a cash option. Full-time bargaining unit members who previously elected the cash option, and subsequent to that date, elect to participate in the District’s hospitalization plan, but may not thereafter elect return to the cash option payment.
Hospitalization and Major Medical. The Board shall make available for each full time certified employee life, health, and major medical insurance. The Board agrees to pay 100% of the monthly premium for employee insurance. The Board and Association shall agree upon the specifications and carrier. The Western Area School Health Benefit Plan shall remain in force for the duration of this agreement. The Board and the Association will form a joint committee to review health insurance alternatives. In lieu of the 27.5% payment of dependent care health coverage, the Board agrees to add $2200 plus TRS payment ($229.00), a total of $2429.00 to the salary schedule for every full time certified employee. The Board and the Association, as part of this Agreement, agree to form a joint committee, hereinafter the “Committee”, between the Board and the Association to review health insurance alternatives and options on an annual basis. Said committee will meet at a time agreed upon by the Board and the Association. The Board and the Association agree to the following:
a. The Board and the Association will form the Committee comprised of not more than three members each. The Committee will be jointly chaired by a representative from each of the Board and the Association. Administrative staff may assist the Board and additional certified staff may assist the Association in completion of the work set forth herein;
b. Goals of the Committee will include but not be limited to: better health insurance coverage for the Association; lower premium costs for the Board and the Association members; and, the implementation of a flexible spending plan to save Association members taxes on IRS allowed medical costs;
c. The Committee will be charged with exploring all avenues for alternative insurance coverage and flexible spending accounts for Association members and
d. All information regarding the work set forth in this agreement will be shared freely between the Board and the Association;
Hospitalization and Major Medical. 14.01 The Buckeye Local Board of Education shall make available to each certified employee hospitalization and major medical insurance, dental insurance and prescription coverage. Beginning FY 2019 All existing employees will be offered the following: HMO Plan Deductibles: $500 Single/$1,000 Family Employees Share: 10% Board Share: 90% *All plans are defined as inclusive of the combined premium of medical and dental. Option B will be the only plan available for new employees hired on or after September 1, 2019. BUCKEYE LOCAL SCHOOLS HMO $20 W/$500 Deductible Option B – HMO $20 W/$2,000 Deductible Benefits: In-Network In-Network Annual Deductible Single Family Coinsurance Plan Year Deductible $500 $1,000 0% Plan Year Deductible $2,000 $4,000 0% Out of Pocket maximum (includes Deductible in OOP) Single Family Lifetime Maximum Includes deductible, medical & RX Copays $6,850 $13,700 Unlimited Includes deductible, medical & RX Copays $6,850 $13,700 Unlimited Physician Office Visit Primary Care Specialist Preventative $20 copay $20 copay No Cost Share $20 copay $20 copay No Cost Share Hospital Services $0 after deductible $0 after deductible Emergency Services Urgent Care Emergency Room $35 copay $150 copay $35 copay $150 copay Other Services Durable Medical Equipment & Prosthetics (see certificate for limitations) Spinal Manipulation $0 after deductible (Limited to Plan’s basic allowance) $20 Copay-20 Visit Limit $0 after deductible (Limited to Plan’s basic allowance) $20 Copay-20 Visit Limit Notes: Insulin pumps & supplies, durable medical equipment, prosthetics, and orthotics are covered at 100%, after deductible, limited to Plan’s basic allowance. Biofeedback therapy, family planning, and infertility services are covered at 100% after deductible. (See certificate of coverage for limitations) Insulin pumps & supplies, durable medical equipment, prosthetics & orthotics are covered at 100%, after deductible, limited to Plan’s basic allowance. Biofeedback therapy, family planning & infertility services are covered at 100% after deductible (see certificate of limitations) Prescription Drugs OOP Maximum None None Retail Tier 1 Tier 2 Tier 3 Tier 4 $10 copay $20 copay $50 copay 30% coins or $300 copay $10 copay $20 copay $50 copay 30% coins or $300 copay Mail Order Tier 1 Tier 2 Tier 3 Tier 4 $25 copay $50 copay $125 copay 30% or $300 $25 copay $50 copay $125 copay 30% or $300 For a complete list of Benefit changes and limitations, please see the Health Plan summar...
Hospitalization and Major Medical. The Board will pay all but the following premium costs for the PPO coverage detailed below: 2022-2023 10% 10% 2023-2024 10% 10% 2024-2025 10% 10%
Hospitalization and Major Medical. The School Board will participate in the hospitalization/medical insurance program by paying for full-time service employees the following amounts toward the monthly premium costs of any plan approved by the School Board. Any additional cost of premium shall be borne by the employee and paid by payroll deduction. The monthly premium cost up to the maximum described in the following table will be paid by the school district. January 1, 2023 $794 $969 January 1, 2024 $839 $1,014
8-2-1 Effective January 1, 2013, for full time employees who enroll in a Comprehensive Major Medical Insurance Plan with a single plan annual deductible of at least $750 or a family plan annual deductible of at least $1500, the district shall contribute a monthly amount of $45.84 to a VEBA account.
Hospitalization and Major Medical. 1. The Board agrees to make available for the teachers, group hospitalization, surgical, medical and a major medical insurance program.
2. For the 2014 calendar year, the board agrees to pay $5,492 for single plan and $11,380 for family plan to be applied by each individual teacher to any of the group health plans currently available to the Southern Xxxxx staff through the School Employees Benefit Trust. Teachers who are employed at Southern Xxxxx for the entire 2013-2014 school year and do not choose to participate in the health insurance program will receive an additional eleven hundred dollars ($1,100) in the final paycheck of the contract year.
Hospitalization and Major Medical. A. Each full time employee will be eligible to join the County Health Insurance Plan. The Plan available to employees, including benefits and contribution by the employee will be based upon the Plan accepted by the County Commissioners as the County Plan which is available to general fund county employees. Upon receiving quotes or proposals, the Union representative will be given the opportunity to have input regarding the County Plan before action is taken by the Commissioners. At the time this agreement is approved, the County currently has a cafeteria type plan available to county employees. A copy of the cost of those different plans is attached as Appendix “A”. This plan is subject to change when the County’s Plan expires. The County will attempt to continue to offer a similar type cafeteria style plan in future years.
B. During this contract there will be a cap upon the amount any bargaing unit member will pay upon the County Health Insurance plan under this option as follows. Employees will contribute an amount designated by the employer, with a maximum of twenty percent (20%) of the total premium .
C. Employees who refuse health insurance coverage, and are not otherwise covered by any health insurance plan subsidized by the County, shall receive $1,000.00 or such other greater amount as the County adopts for its “county-wide policy.”
Hospitalization and Major Medical. SECTION 26.1. The Employer agrees to maintain any medical insurance programs implemented by the County Commissioners each medical program contract year during the life of this Agreement.
SECTION 26.2. The Employer agrees to provide any new insurance programs that the Commissioners add during the life of the contract. In addition, any increases in current benefits implemented by the Board of Belmont County Commissioners will automatically apply in the term of this Agreement.
SECTION 26.3. All employees shall pay, through payroll deduction, Fourteen (14%) percent towards their hospitalization insurance premiums for the life of this agreement.
SECTION 26.4. Belmont County may provide all eligible full-time employees under the age of 65, life insurance protection, and/or accidental death and dismemberment (AD&D) coverage in such amounts and upon such terms as the Board of County Commissioners shall determine.
SECTION 26.5. An employee may opt to waive the insurance coverage provided by the County. An employee will be paid in accordance with the Belmont County Personalized Employee Plan. Each employee who waives hospitalization will receive $1,000.00 annually to be paid quarterly. The employee shall be required to provide a proof of Insurance (hospitalization) to the Employer before the “opt out” benefit is agreed to.
Hospitalization and Major Medical. The Board shall provide hospitalization, surgical, and major medical insurance coverage for each certificated employee (assigned for six (6) or more hours) and family through a P.P.O. currently provided by the Ashtabula County Council of Governments providing comparable coverage reflecting the benefits outlined in Appendix I and summary plan document dated October 1, 2005. Employees will be provided with plan documentation reflecting the extent of Board coverage. Employees receiving medical services are responsible for the payment of same unless the service(s) are covered by the plan in effect at the time the services are rendered. Employees having assignments for less than six (6) hours shall not be eligible for Board insurance coverage. Beginning with the 2017-2018 contract year, employees shall pay 15% of the actual medical and prescription premium charged to the District. The maximum amount used for this calculation shall be $950 single/$1,800 family per month. The maximum amounts may increase up to 8% each year of the contract. This premium will be equally deducted, pre-tax, from the first two (2) paychecks each month.
