Common use of Hospitalization Insurance Clause in Contracts

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 Board shall implement a flexible spending account option including a childcare component. Participation in such an account shall be at the option of each individual employee. The account shall be funded through monies supplied solely by the employee. Administrative fees, if any, for the various Section 125 options shall be paid by the employee.

Hospitalization Insurance. (a) 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) 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) C. Employee Insurance Contributions (i) 1. Effective July 101, 20222019, full-full time long hour employees working four hours or more per day will pay 9% insurance premium and be eligible for any applicable insurance holiday for each year of the contract. 2. Effective July 01, 2020, full time long hour employees working four hours or more per day will pay 10% insurance premium and be eligible for any applicable insurance holiday for each year of the contract. 3. Effective July 01, 2021, full time long hour 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-4. Part 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 short hour employees working less than four hours per day shall be offered medical insurance at full cost. (v) 5. Additional insurance information located under FORMS. (d) 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) 1. This amount would be pro-rated if less than a full school year. (ii) 2. 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 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) 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 Board shall implement a flexible spending account option including a childcare component. Participation in such an account shall be at the option of each individual employee. The account shall be funded through monies supplied solely by the employee. Administrative fees, if any, for the various Section 125 options shall be paid by the employee.