Common use of Hospitalization Insurance Clause in Contracts

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 Xxxxxxxxxx County Flex Benefits 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 open enrollment. Effective for the 1/1/2019 benefit year, employees shall no longer be eligible for buy-up to the PPO 1 plan. B. Effective during the next enrollment period, unit employees will be offered a Short Term Disability Plan as part of open enrollment 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. C. 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. D. Notwithstanding the above section, 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. E. Effective upon ratification of this agreement by all parties, employees who choose not to enroll in hospitalization and prescription drug coverage shall receive a $1,800 “opt-out.” This opt-out shall be payable in equal installments over twenty-six (26) pay periods to those who provide proof of qualified group medical insurance coverage from some other source, who remain dis-enrolled, and who sign a waiver attesting to their intention not to receive insurance coverage under the County-sponsored group plan. Employees with County- employed spouses receive either insurance coverage from the County or the opt- out amount, not both. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine.

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 Xxxxxxxxxx “Our County Flex Benefits PlanChoices” 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 open enrollment. Effective for the 1/1/2019 benefit year, employees shall no longer be eligible for buy-up to the PPO 1 planOur County Choices. B. Effective during the next enrollment period, unit employees will be offered a Short Term Disability Plan as part of open enrollment 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 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. D. Notwithstanding the above section, 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. E. Effective upon ratification of this agreement by all parties, employees who choose not to enroll in hospitalization and prescription drug coverage shall receive a $1,800 “opt-out.” This opt-out shall be payable in equal installments over twenty-six (26) pay periods to those who provide proof of qualified group medical insurance coverage from some other source, who remain dis-enrolled, and who sign a waiver attesting to their intention not to receive insurance coverage under the County-sponsored group plan. Employees with County- employed spouses receive either insurance coverage from the County or the opt- out amount, not both. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine.

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 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$ 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 Xxxxxxxxxx County Flex Benefits 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 open enrollment. Effective for the 1/1/2019 benefit year, employees shall no longer be eligible for buy-up to the PPO 1 plan. B. Effective during the next enrollment period, unit employees will be offered a Short Term Disability Plan as part of open enrollment 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. C. 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. D. Notwithstanding the above section, 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. E. Effective upon ratification of this agreement by all parties, employees who choose not to enroll in hospitalization and prescription drug coverage shall receive a $1,800 “opt-out.” This opt-out shall be payable in equal installments over twenty-six (26) pay periods to those who provide proof of qualified group medical insurance coverage from some other source, who remain dis-enrolled, and who sign a waiver attesting to their intention not to receive insurance coverage under the County-County- sponsored group plan. Employees with County- County-employed spouses receive either insurance coverage from the County or the opt- opt-out amount, not both. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine. F. Effective 1/1/2021, consistent with Resolution 0000-00-000, elective abortion coverage is eliminated from all health plans.

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 Xxxxxxxxxx “Our County Flex Benefits PlanChoices” 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 open enrollment. Effective for the 1/1/2019 benefit year, employees shall no longer be eligible for buy-up to the PPO 1 planOur County Choices. B. Effective during the next enrollment period, unit employees will be offered a Short Term Disability Plan as part of open enrollment 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 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. D. Notwithstanding the above section, 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. E. Effective upon ratification of this agreement by all parties, employees who choose not to enroll in hospitalization and prescription drug coverage shall receive a $1,800 “opt-out.” This opt-out shall be payable in equal installments over twenty-six (26) pay periods to those who provide proof of qualified group medical insurance coverage from some other source, who remain dis-enrolled, and who sign a waiver attesting to their intention not to receive insurance coverage under the County-sponsored group plan. Employees with County- employed spouses receive either insurance coverage from the County or the opt- out amount, not both. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine.thirty

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 RiderDental 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 Xxxxxxxxxx County Flex Benefits 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 open enrollment. Effective for the 1/1/2019 benefit year, employees shall no longer be eligible for buy-up to the PPO 1 plan. B. Effective during the next enrollment period, unit employees will be offered a Short Term Disability Plan as part of open enrollment 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. C. 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. D. Notwithstanding the above section, 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. E. Effective upon ratification of this agreement by all parties, employees who choose not to enroll in hospitalization and prescription drug coverage shall receive a $1,800 “opt-out.” This opt-out shall be payable in equal installments over twenty-six (26) pay periods to those who provide proof of qualified group medical insurance coverage from some other source, who remain dis-enrolled, and who sign a waiver attesting to their intention not to receive insurance coverage under the County-sponsored group plan. Employees with County- employed spouses receive either insurance coverage from the County or the opt- out amount, not both. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine. F. Effective 1/1/2021, consistent with Resolution 0000-00-000, elective abortion coverage is eliminated from all health plans.

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 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$ 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 Xxxxxxxxxx Livingston County Flex Benefits 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 open enrollment. Effective for the 1/1/2019 benefit year, employees shall no longer be eligible for buy-up to the PPO 1 plan. B. Effective during the next enrollment period, unit employees will be offered a Short Term Disability Plan as part of open enrollment 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. C. 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. D. Notwithstanding the above section, 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. E. Effective upon ratification of this agreement by all parties, employees who choose not to enroll in hospitalization and prescription drug coverage shall receive a $1,800 “opt-out.” This opt-out shall be payable in equal installments over twenty-six (26) pay periods to those who provide proof of qualified group medical insurance coverage from some other source, who remain dis-enrolled, and who sign a waiver attesting to their intention not to receive insurance coverage under the County-County- sponsored group plan. Employees with County- County-employed spouses receive either insurance coverage from the County or the opt- opt-out amount, not both. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine. F. Effective 1/1/2021, consistent with Resolution 0000-00-000, elective abortion coverage is eliminated from all health plans.

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 Xxxxxxxxxx “Our County Flex Benefits PlanChoices” 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 open enrollment. Effective for the 1/1/2019 benefit year, employees shall no longer be eligible for buy-up to the PPO 1 plan. B. Effective during the next enrollment period, unit employees will be offered a Short Term Disability Plan as part of open enrollment 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. C. 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. D. Notwithstanding the above section, 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. E. Effective upon ratification of this agreement by all parties, employees who choose not to enroll in hospitalization and prescription drug coverage shall receive a $1,800 “opt-out.” This opt-out shall be payable in equal installments over twenty-six (26) pay periods to those who provide proof of qualified group medical insurance coverage from some other source, who remain dis-enrolled, and who sign a waiver attesting to their intention not to receive insurance coverage under the County-sponsored group plan. Employees with County- employed spouses receive either insurance coverage from the County or the opt- out amount, not both. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine.