HOSPITALIZATION/MAJOR MEDICAL INSURANCE. The Board shall provide and pay the entire premiums for hospitalization, major medical and dental insurance for the Administrator, the Administrator’s spouse, and the dependent members (as defined by the contract of insurance then in effect) of the Administrator’s immediate family during the term of this Agreement. The benefits of such coverage shall be in accordance with the basic insurance coverage provided to certified staff pursuant to the collective bargaining agreement between the Board of Education and the Proviso Teachers Union Local 571 as amended from time to time. Should the Board, during the term of this Agreement, no longer provide insurance coverage for the certificated/licensed staff and/or be subject to an excise tax or penalties, this paragraph shall become null and void and the Board shall immediately meet with the Administrator to determine a monetary equivalent for this benefit or to provide an alternative benefit that does not incur an excise tax or penalty.
HOSPITALIZATION/MAJOR MEDICAL INSURANCE. All members of the bargaining unit may choose to be included in the health insurance program underwritten by the Board. Effective January 1, 2005, each employee who qualifies will be able to choose from the available plans offered by the Board. The Board and Association understand that plan design and the monitoring of the comprehensive insurance plan will be the responsibility of the District Insurance Committee of which the Association is a charter member. As outlined in the Healthcare Committee Charter, there shall be a standing committee to be known as the District Health Care Committee, comprised of 5 administrative members, 5 ETA members, 5 Region 63 support staff members, and 1 SEIU member, with authority and responsibilities as described in this Charter. The Committee is established to monitor, advise, evaluate, and make recommendations, including changes, concerning the Health Care Plan to the Board of Education. The District Insurance Committee will see that appeal procedures are in place with providers for matters of plan and benefit interpretation and, therefore, such matters will not be subject to the grievance procedure contained within this Agreement. The contribution for employees for single, employee + spouse, employee + dependent children, or employee + spouse + dependent children (family) coverage will be 10% of the rate established in the applicable calendar year by an independent actuary selected by the Board after consultation with the District Health Insurance Committee. If the estimated aggregate per employee per year cost of the medical program (determined by the independent actuary) increases by more than 5% in a single calendar year, each employee’s contribution of 10% of the medical plan and coverage elected will increase by $130 per calendar year regardless of the type of medical option or coverage elected. If the estimated aggregate per employee per calendar year cost of the medical program increases by more than 8% in a single calendar year, each employee’s contribution will increase by the amount set above for the 5% change plus an additional $65 regardless of the type of medical option or coverage elected. Teachers’ contributions shall be made on a pro-rated basis through payroll deduction, and, in accord with applicable federal laws and regulations, will be on a pre-tax basis to the extent allowed by state and federal law and regulations.
HOSPITALIZATION/MAJOR MEDICAL INSURANCE. The BOARD will provide and pay 80% of the cost of premiums for hospitalization and major medical insurance, as either individual or family coverage, in accordance with the basic insurance coverage provided to certificated members of the professional staff. The SUPERINTENDENT will be responsible for the remaining 20% of the cost of the premiums.
HOSPITALIZATION/MAJOR MEDICAL INSURANCE. All full-time classified employees working thirty-five (35) or more hours per week shall receive hospitalization/major medical insurance, prescription, dental and vision, either single or family coverage. Employees working twenty (20) to thirty-four (34) hours per week shall be granted single coverage of the above. Such employees may purchase family coverage by paying the difference between single and family coverage by the 20th day of the preceding month. Employees shall contribute a monthly premium payment as follows: 10% Contributions to premium will be based on 100% of the Consortium premium rate. Employees may elect to have premium payments deducted through a per-pay basis through a premium pass through process utilizing an IRS qualified Section 125 plan. Should the Consortium demand a premium payment from the employees that is greater than the agreed to amounts, the Board shall reimburse the employees in a mutually agreeable manner any amount employees pay in excess of the agreed to amounts.
HOSPITALIZATION/MAJOR MEDICAL INSURANCE. The Board will provide the level of hospitalization, major medical, and prescription drug benefits to eligible employees described in the “Schedule of Benefits” attached hereto as Attachment “A”.
HOSPITALIZATION/MAJOR MEDICAL INSURANCE. 1. The Board shall pay ninety-five percent (95%) of the premium for Board-approved Hospitalization/Major Medical Insurance for either Single or Family Plan, for full-time employees. Beginning July 1, 2018, the Board shall pay ninety-four (94%) of the premium for Board- approved Hospitalization/Major Medical Insurance for either Single or Family Plan, for full-time employees.
2. Five hour bus drivers hired after July 1, 2003 will have the option to select single medical coverage or pay the difference for family coverage. Upon receiving a continuing contract, five hour bus drivers will have the option to select single medical coverage or pay fifty percent (50%) for family coverage.
3. The deductible for the Hospitalization/Major Medical Insurance shall be $300 Single/$650 Family (In-network) with a total Out-of-Pocket Maximum of $1,000 Single/$1,500 Family (In-network) and $650 Single/$1,300 Family (Non-network) with a total Out-of-Pocket Maximum of $2,000 Single/$4,000 Family (Non-network).
HOSPITALIZATION/MAJOR MEDICAL INSURANCE. 1. a. The Board shall purchase Hospital/Surgical insurance coverage which meets or exceeds the current specifications for each member of the bargaining unit, now and hereinafter employed, and his or her eligible dependents.
HOSPITALIZATION/MAJOR MEDICAL INSURANCE. A group hospitalization/major medical insurance plan shall be procured by the Board and made available to all eligible full-time employees (35 hours or more). Except as the Union shall otherwise specifically agree in writing, the benefits shall be no less than those agreed to between the parties on July 1, 2016 and July 1, 2017 respectively. In the event the changes made in 2016 and 2017 are not enough to keep the Hospitalization/Major Medical Insurance under the Affordable Care Act (ACA) cap, the Insurance Committee will convene to determine what additional items would be needed to reduce the premiums below the Affordable Care Act cap. The Board shall contribute toward the applicable annual premium rates as established by the District’s Third Party Administrator or such other consultant or plan administrator as may exist from time to time. Effective with the 2003-04 school term, the Board shall pay ninety percent (90%) of the annual premium for individual coverage and eighty percent (80%) of any additional annual premium for any family coverage (i.e., family, employee and spouse, or employee and child(ren)) selected by the employee. Upon request, every employee shall receive a copy of the policy and its specific coverage and cost. Employees who work at least nine (9) months a year and at least twenty (20) hours per week may participate in group health coverage at their own cost, provided premiums are paid on a timely basis as determined by the business office. Retiring employees, at least fifty-five (55) years old, who have served the District for ten
HOSPITALIZATION/MAJOR MEDICAL INSURANCE. A group hospitalization/major medical insurance plan shall be procured by the Board and made available to all eligible full-time employees (35 hours or more). Except as the Union shall otherwise specifically agree in writing, the benefits shall be no less than those agreed to between the parties on July 1, 2021. In the event the changes made in 2021 are not enough to keep the Hospitalization / Major Medical Insurance under the Affordable Care Act (ACA) cap, the Insurance Committee will convene to determine what additional items would be needed to reduce the premiums below the Affordable Care Act cap. The Board shall contribute toward the applicable annual premium rates as established by the District’s insurance consultant or plan administrator as may exist from time to time. The Board shall pay ninety percent (90%) of the annual premium for individual coverage and eighty percent (80%) of any additional premium for any family coverage. Upon request, every employee shall receive a copy of the policy and its specific coverage and cost. Employees who work at least nine (9) months a year and at least twenty (20) hours per week may participate in group health coverage at their own cost. Premiums shall be paid on a timely basis as determined by the business office. Retiring employees, at least fifty-five (55) years old, who have served the District for ten (10) years or more, may continue to carry the group health care insurance at their own cost provided premiums are paid at least one month in advance, until such employees become eligible for Medicare or under such circumstances and for such period of time as may be permitted by law, whichever is greater (See 215 ILCS 5/367j). The Union President shall appoint one (1) person to the District Insurance Committee.
HOSPITALIZATION/MAJOR MEDICAL INSURANCE. A. The Board shall continue to provide health insurance including major medical, dental, vision, and prescription drug coverage, in accordance with existing plans: provided that the Board’s total cost for health, dental, prescription drug and long-term disability plans, including administrative expenses, re-insurance premiums and other related costs will not exceed 105% of the prior year’s cost. Should the cost exceed 105%, the District Insurance Committee will convene to discuss adjustments in the plans and/or employee contribution increases necessary to limit the Board’s cost to 105% of the prior year.
B. The district Insurance Committee will consist of a number of representatives from the Board, the Union, other employee unions, administrators and non-represented employees as are agreed upon by all concerned. The Committee shall review insurance cost data, claims history, cost projections and other information necessary to evaluate options for controlling insurance expenses. The committee shall not have the authority to alter benefit or premium levels, but shall report findings and recommendations to the Board, the Union and other constituent groups.
