Hospitalization Insurance. A) Effective January 1, 2012, all eligible employees shall be enrolled into Blue Cross Blue Shield Community Blue 4 (CB4) medical plan with a closed formulary $5 generic/$40 preferred brand/$80 non-preferred brand prescription drug card. The CB4 medical plan shall include a $500 single/$1,000 couple/family first dollar deductible, after which coinsurance will be provided at 80% with an annual employee maximum co-insurance out of pocket at $1,500 single and $3,000 family. In accordance with Health Care Reform preventative care is covered 100%. Copays shall include $30 for office visits, $30 for urgent care, and $150 for emergency room visits. Effective July 1, 2019 the City will also provide Blue Cross Blue Shield Simply Blue PPO with a $5 generic/$40 preferred brand/$80 non-preferred prescription drug card as a voluntary option for employees. Effective January 1, 2012, the City shall establish a Cafeteria Plan Section 125 Flexible Spending Account (FSA) for qualified medical expenses compliant with all IRS regulations. Employees may elect to contribute into the FSA on a pre-tax basis up to a limit set by the employer in compliance with IRS regulations and Health Care Reform. Employees must establish their contributions each calendar year, and the amount may not be altered unless the employee experiences a qualifying event as defined by the IRS. The City shall not contribute into the employee’s FSA for calendar year 2011, 2012 or 2013. Effective with calendar year 2014 the City’s contribution into the FSA will be in accordance with Article IV Section 5. Qualified purchases during the calendar year using FSA funds must be submitted for reimbursement no later than the last day of February the following calendar year. Any money contributed into the FSA and not spent will be forfeited by the employee. Effective July 1, 2019 the FSA plan year shall be July through June to coincide with the medical plan year. Qualified purchases during the plan year using FSA funds must be submitted for reimbursement no later than the last day of September following the close of the plan year June 30th. Any money contributed into the FSA and not spent will be forfeited by the employee, except for the amount allowed by IRS regulations. The City reserves the right to self insure any and all medical insurance plans as described in this Collective Bargaining Agreement at the City’s sole discretion.
Hospitalization Insurance. No coverage
Hospitalization Insurance. The Employer shall provide: HOSPITALIZATION INSURANCE Effective as soon as is practical after September 1, 2011 or date of ratification, whichever is sooner. Community Blue PPO 4$2/25/50 Prescription Drug Rider Dental Plan 2 $ Mandatory Mail-Order for Maintenance Drugs $ On Mail-Order- Pay for 2 month supply, get 3 month supply $ Mandatory Generic Drugs$ $10 Office and Chiropractic Visit Employees Contribute $10 per Pay Period for spousal coverage. Effective the first pay period after 9/1/2011 or as soon as is practicable employees hired before 9/1/11 shall pay 5% of the illustrated rate for the health and dental coverage they select. Effective 1/1/2012 employees hired before 9/1/11 shall pay 10% of the illustrated rate for the health and dental coverage they select.Effective the first pay period after 9/1/2011 or as soon as is practicable, for employees hired on or after 9/1/11, employees shall contribute 20% of the illustrated rate for the coverage the employee selects.
A. All employees shall be eligible for the “Our County Choices” flex plan, but only during the appropriate enrollment period. Employees wishing to “buy-up” to other medical, dental and prescription plans available through the flex plan may do so during the appropriate enrollment period, but must pay the difference in the BC/BS computed yearly cost between the plan designated above and the computed cost of the medical benefit chosen, PLUS THE APPLICABLE EMPLOYEE SHARE OF THE ILLUSTRATED RATE. Effective for plan year beginning 1/1/2014, employees will no longer be offered the ability to purchase additional PTO (or vacation) days through Our County Choices.
B. Effective during the next enrollment period, unit employees will be offered a Short Term Disability Plan as part of Our County Choices which may be elected and paid for by unit employees. The cost of such plan will be determined at individual (and not group) rates fixed by the plan. Unit employees who elect Short Term Disability as part of Our County Choices and who have a minimum of 120 hours of banked PTO at the time of distribution will have the option, on an annual basis, to sell back a minimum of 12 hours and a maximum of 48 hours of PTO at the employee’s straight time rate. Such payments shall be subject to required deductions for state and federal taxes and other deductions required by law.
C. The County may substitute an alternate medical and hospitalization insurance carrier provided 90% of the doctors in the Community Blue PP...
Hospitalization Insurance. 1. No employee will be eligible to receive any benefits until they have satisfactorily completed the probationary period.
2. 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.
Hospitalization Insurance. The Employer agrees to provide hospitalization insurance for eligible full- time employees as set forth below:
A. The County agrees to provide eligible full time employees with the plan set forth in Attachment “1” to this Agreement. The County=s contribution to this Plan, shall be limited to the amount in effect after the Plan is implemented in 2011, being the BCN Premium then in effect as listed below, and the HRA amounts paid as provided in subsection B below. The monthly BCN premium levels for 2011 shall be: BCN Premium Single Person - $390.26 Two Person - $878.08 Family - $1,053.73
B. After December 31, 2011, any increase in the cost for this BCN Plan Premium shall be borne equally (50/50) between the County and the employee, with the Employee share paid through payroll deduction. Should the BCN Premium levels fall below the 2011 levels listed above, those savings shall be shared equally (50/50) between the Employer and the Employee by equally reducing any employee premium payments, provided, however, lower insurance premium payments that arise from the Employer self-insuring for greater amounts under the HRA, or otherwise increasing Employer costs, shall not be considered as a savings under this provision. Should the employee savings share exceed the then in effect Employee premium payment deduction level, the Union and the Employer shall mutually agree how the savings will be paid. These cost sharing provisions will become effective after subsection I below has been complied with.
C. The County shall also offer to eligible employees covered by this BCN Plan a Health Reimbursement Account program (HRA) with reimbursement for eligible medical expenses, up to the levels set forth in Attachment “1”.
D. If an employee participating in the Medical Insurance Program wishes to purchase the Community Blue PPO 2 as in effect in December of 2010, the employee may do so by paying the increased costs through payroll deduction. The following amounts per two-week pay period shall be paid during 2011toward the purchase of such a Community Blue PPO 2 Plan: Single Person - $8.60 Two Person - $28.97 Family - $46.66 After 2011, the employee electing to be under this Community Blue PPO 2 Plan shall be responsible for payment of the difference in rate between the Employer’s premium share toward the BCN Plan referred to in Subsections A above, and the Community Blue PPO 2 plan.
E. If an employee wishes to be covered by any other available BC/BS plan, the employee shall be ...
Hospitalization Insurance. Section 52.1
Hospitalization Insurance. The Employer agrees to continue basic group hospitalization insurance premium payments for one (1) additional month after an employee is on lay off.
(a) The employee may continue to pay his part of the premium subject to the provisions of the COBRA Law, provided the payment is received by the Risk Management Department on or before the fifth (5th) day of each month.
(b) But in no event may the coverage be continued beyond the date the employee became eligible for coverage under any other group type plan.
Hospitalization Insurance. The Board shall make available to full-time bargaining unit members and their eligible dependents substantially similar group health and hospitalization insurance coverage and benefits as existed in the Board’s conventional insurance plan immediately prior to the signing of this Agreement. The Board reserves the right to change or provide alternate insurance carriers, or to self-insure as it deems appropriate for any form or portion of insurance coverage referred to in this Article, so long as the new coverage and benefits are substantially similar to the conventional insurance which predated this Agreement. The Board shall pay 85% of the premium for bargaining unit members hired prior to August 1, 2009. The Board shall pay 70% of the premium, for bargaining unit members hired after July 31, 2009. Whenever a Bargaining unit member, grandfathered in at the 85% premium paid by the Board retires under a State of Ohio retirement system, the Board will move the most senior employee hired after August 1, 2009 from the Board payment of seventy percent (70%) of the health insurance premium up to eighty-five percent (85%) of the health insurance premium being paid by the Board.
Hospitalization Insurance. The Tecumseh Local School District will offer the United Health Care Core Plan with the option for bargaining unit members to enroll in the UHC Buy-Up Plan (the 2009-2010 Plan.) Those bargaining unit members who enroll in the UHC Buy-Up Plan (the 2009- 2010 Plan) will pay 17% of the Core Plan premium for 2013-14 as well as the difference in monthly premium costs between the Core Plan and UHC Buy-Up Plan (the 2009-2010 Plan.) Payment for the Core Plan hospitalization insurance shall be as follows: 83% shall be paid by the board for full-time employees. 17% shall be paid by the full-time employee. The Board will pay 42.5% of the total Core Plan premium for half-time employees. It is understood that the Core Plan and UHC Buy-Up Plan (the 2009-2010 Plan) provide for prescription drugs, vision care, major medical and emergency hospitalization as well as basic coverage. The Core Plan will offer Single, Employee +kids, and Family coverage. The UHC Buy-Up Plan (the 2009-2010 Plan) will offer Single and Family coverage.
Hospitalization Insurance. (a) The Western Reserve Board of Education will finance a plan of group health insurance for each full time long hour classified employee working four (4) or more hours each day.
(b) The Western Reserve Board of Education agrees to provide insurance coverage as per contract agreement for hospitalization, surgical, major medical, prescription drug, and dental. Effective FY 2019, the agreed upon coverage shall be pursuant to the HESE Wellness Plan (see Forms) The Western Reserve Board of Education reserves the right at all times to change insurance carriers. In the event of a change of carrier, there will not be any attempt by the Board to reduce benefit coverage below the coverage in existence with the present carrier. The Western Reserve Board of Education shall be entitled to implement cost saving programs including but not limited to such programs as Second Opinion Surgery (S.O.S.) and Hospital Utilization Review (H.U.R.) including a two hundred dollar ($200) penalty assessed by the carrier for noncompliance.
(c) Employee Insurance Contributions
(i) Effective July 1, 2022, full-time employees working four hours or more per day will pay 11% insurance premium and be eligible for any applicable insurance holiday for each year of the contract.
(ii) Effective July 1, 2023, full-time employees working four hours or more per day will pay 11.5% insurance premium and be eligible for any applicable insurance holiday for each year of the contract.
(iii) Effective July 1, 2024, full-time employees working four hours or more per day will pay 12% insurance premium and be eligible for any applicable insurance holiday for each year of the contract.
(iv) Part-time employees working less than four hours per day shall be offered medical insurance at full cost.
(v) Additional insurance information located under FORMS.
(d) $2,000.00 shall be paid at the end of the school year to any employee who does not participate in the medical insurance coverage.
(i) This amount would be pro-rated if less than a full school year.
(ii) Ability to pick-up school district coverage (medical) due to loss of coverage from another source within a thirty (30) day waiting period.
(e) Flex Plan IRS Flex Account four hundred ($400.00) dollars for Single Plan IRS Flex Account five hundred ($500.00) dollars for Family Plan
(f) Section 125 Account The Board shall implement a Section 125 Plan to enable employees to pay for his/her insurance premium contributions with pre-tax dollars. In addition, the B...
