Hospitalization and Medical Program. 10.4.1 The Board will, during the life of the Agreement, maintain and contribute to the cost for the current hospitalization and medical program for bargaining unit members regularly scheduled to work thirty (30) hours or more per week (1,560 hours or more per year). Employees regularly scheduled to work twenty (20) or more hours per week but less than thirty (30) hours per week are eligible for the hospitalization and medical program by paying the University the difference between the University’s full contribution and the full-time equivalent cost (e.g., for an employee scheduled to work twenty [20] hours per week, the University will pay fifty percent [50%] of the specified contribution and the employee will pay fifty percent [50%]). If an employee elects not to pay the prorated contribution, the employee will not be covered for this benefit. Employees must complete and file an application in accordance with the Board’s and the administrator’s regulations.
Hospitalization and Medical Program. 27.01 The CITY will continue to provide the Group Health Coverage Plans, including the Flexible Spending Program and the Dental Plan, with the level of benefits that were in effect as of December 1, 2003 and the premium rates for this coverage will continue to be allocated on an eighty percent (80%) City/twenty percent (20%) employee basis. The following changes in the health insurance plans were negotiated by the CITY and the ASSOCIATION and were implemented as of December 1, 2003: • Lump sum payment of $700 upon implementation of the health insurance changes. • A one-time payment of $500 to current subscribers of POS individual plan, a one-time $1000 payment to current subscribers of the POS family plan to switch to an EPO or HMO plan by August 1st, 2011 and for the duration of this agreement. • Emergency Room visits – increase co-payments for emergency room visits to $50. Health Insurance: • POS Flat rate equal to HMO rate • Introduce a limited network plan as recommended through IAC • Front End Deductible for Unauthorized Services – POS Unauthorized Services Deductible from $100 to $250 with an annual Unauthorized Services Out-of-Pocket maximum from $1,000 per individual to $2,500 per family. • Inpatient Admission Deductible -150 deductible for any inpatient admission with an out of pocket annual maximum of $300. The CITY may provide additional group health plans and, if it does, it will pay the same eighty percent (80%) of the premiums for any such additional group health plans as it pays for the current Group Health Coverage Plans.
