HOSPITALIZATION MEDICAL COVERAGE. A. The Employer agrees to provide bargaining unit employees the same medical/dental coverage provided to other NMC staff.
B. Employees are also eligible for participation in the Employer's Flexible Compensation Program.
HOSPITALIZATION MEDICAL COVERAGE. A. The Employer will provide Blue Care Network (HMO) with a $10 generic / $20 name brand drug rider as the base rate health insurance program and initial base cost with the Blue Cross for Dental and Vision. Beginning in 2005, the employee became responsible for 25% of any increase in monthly premiums with a cap of a $25.00 increase per month per year.
B. Employees may elect the County’s alternative health insurance options at a monthly cost, subject to payroll deduction, which will be based on the premium amount in excess of the current benefit rates and upon dependents covered. The employee will be responsible to pay the difference in premium expense from the base rate health insurance, if the alternative health insurance rate is higher.
C. The benefit rate and employee cost is established as identified in the Compensation Appendix (Appendix B).
D. The employee may select at their own expense and subject to payroll deduction the family continuation and/or sponsored dependent riders.
E. The County has established an IRS 125 Plan that will be available to employees covered by this Contract consistent with the County plan.
F. Employees covered by this Agreement who elect not to take Health, Prescription, Vision, and Dental coverage will receive a monthly buy-out payment as established in the Compensation Exhibit, which can be applied to 125 Benefits or taken as a cash option. If taken as a cash option, all taxes due will be the responsibility of the employee. Employees must provide proof of other medical coverage if this cash option is selected.
G. The Employer agrees to continue selected health insurance coverage, as agreed upon above, under the terms and conditions set forth below:
1) In the event of layoff, the Employer will continue to provide the benefit option selected by the Employee for one (1) month beyond the month in which the employee was laid off, with the understanding that the Employee makes their applicable payments as agreed.
2) In the event of absence due to illness, the Employer will continue to provide the benefit option selected by the Employee in the Employee's absence not to exceed one (1) year, with the understanding that the Employee makes their applicable payments as agreed.
3) In the event of absence due to a workmen's compensation illness or accident, the Employer will continue to provide option selected by the Employee during the Employee's absence, not to exceed two (2) years, with the understanding that the Employee makes their...
HOSPITALIZATION MEDICAL COVERAGE. A. Health Insurance Program. Effective January 1, 2005, the EMPLOYER will offer the following health insurance programs for eligible full-time employees and legal dependents. Such coverage commences on the first day of the month following the date of hire and upon completion of the required forms and acceptance by the carrier as a participant. BCBSM-POS: Blue Choice Certificate, POS DR 250/500, POS CR 80/20, POS AA, POS OV 20, POS ET 50 Prescription drug coverage will be provided by the Employer through a pharmacy benefits manager. Employees must elect the “Prescription Plan 1" as developed and approved by the Joint Health Care Cost Containment Committee. Prescription as follows: Prescription Drug Plan 1: Prescription drug co-payments for generic drugs will be $0. Prescription drug co-payments for brand drugs will be 20%, but not less than $15 nor more than $35. Maximum out-of-pocket expenses for drugs for each health care plan participant contract will be $1,100 per year. Coverage for mail order will also be provided, and a 90-day supply of a maintenance drug will only be available through mail order. PHP Plus (Point-of-Service) Plan 00000-000-000 Prescription drug coverage will be provided by the Employer through a pharmacy benefits manager. Employees must elect the “Prescription Plan 1" as developed and approved by the Joint Health Care Cost Containment Committee. Prescription as follows: Prescription Drug Plan 1: Prescription drug co-payments for generic drugs will be $0. Prescription drug co-payments for brand drugs will be 20%, but not less than $15 nor more than $35. Maximum out-of-pocket expenses for drugs for each health care plan participant contract will be $1,100 per year. Coverage for mail order will also be provided, and a 90-day supply of a maintenance drug will only be available through mail order. Health Advantage - High Plan Prescription drug coverage will be provided by the Employer through a pharmacy benefits manager. Employees must elect the “Prescription Plan 1" as developed and approved by the Joint Health Care Cost Containment Committee. Prescription as follows: Prescription Drug Plan 1: Prescription drug co-payments for generic drugs will be $0. Prescription drug co-payments for brand drugs will be 20%, but not less than $15 nor more than $35. Maximum out-of-pocket expenses for drugs for each health care plan participant contract will be $1,100 per year. Coverage for mail order will also be provided, and a 90-day supply of a mainte...
HOSPITALIZATION MEDICAL COVERAGE. (a) The Employer agrees to pay the premium for hospitalization medical coverage under the following schedule paragraph:
HOSPITALIZATION MEDICAL COVERAGE. 1. The Board of Education shall provide Medical Mutual of Ohio Insurance, or its equivalent, either full family or single coverage as appropriate, to the bargaining unit members working at least seven (7) hours per day. The bargaining unit member may elect to receive SuperMed Plus or the minimum value plan, the current schedules of benefits for which are set forth generally below and more fully explained and detailed in the current certificate benefits booklets, which shall serve as the authority for determining coverage issues. Each bargaining unit member working at least seven (7) hours per day electing to receive Board coverage will pay fifteen percent (15%) of the Board’s cost of medical/prescription drug coverage. For all bargaining unit members working less than seven (7) hours per day, and hired on or before July 31, 2013, and electing to receive family medical/prescription coverage, the Board shall pay sixty percent (60%) of the complete family coverage with the employee paying forty percent (40%) of the complete family coverage. Those employees hired on or after August 1, 2013 and working at least four (4) hour but less than seven (7) hours, are eligible for family coverage and the Board shall pay sixty percent (60%) of the complete family coverage with the employee paying forty percent (40%) of the complete family coverage. All employees working less than seven hours electing to receive single coverage will pay fifteen percent (15%) of the Board’s cost of medical/prescription drug coverage. Effective August 1, 2018, the total monthly employee contribution for all insurance coverage (Medical and prescription drug) shall be capped at $141.50 per month for family coverage and $83.00 per month for single coverage. Effective August 1, 2019, the total monthly employee contribution for all insurance coverage (Medical and prescription drug) shall be capped at $158.00 per month for family coverage and $91.00 per month for single coverage. Effective August 1, 2020, the total monthly employee contribution for all insurance coverage (Medical and prescription drug) shall be capped at $175.00 per month for family coverage and $100.00 per month for single coverage. Contributions will be deducted twice per month for staff members receiving 26 paychecks per year. Any bargaining unit member who does not receive twenty-six (26) paychecks a year will pay the insurance amount as if he/she had received twenty-six (26) paychecks. The total amount owed will be evenly ta...
HOSPITALIZATION MEDICAL COVERAGE. A. All employees will have the choice of the following group health insurance (which includes hospitalization, dental, vision, and prescription drug coverage) for each eligible employee, spouse, and dependents under the age of twenty-six (26) years of age. If the Federal Health Care (Affordable Care Act) laws regarding mandatory dependent coverage are subsequently changed, the coverage age will be revised to twenty-three (23) years of age.
1. Hospitalization: Blue Cross Blue Shield Community Blue Plan 3: (Community Blue Basic, ASFP, BMT,CB-PCB, CRNA, CNM, CNP, DXTMG, EBMT, ECIP, ESRD, FC DC, GCO, GLE-1, HMN, ICMP, K260, PTFS-COMPS, PTS-PSG, SUBRO2, SOTPE, RAPS)
2. Prescription: Blue Cross Blue Shield Drug Rider: PD-CR $15.00 GENERIC/$30.00 BRAND, MOPD $15.00 GENERIC/$30.00 BRAND, PREFERRED RX, PD-BC2X, RXDAA
3. Dental: Blue Cross Blue Shield Group Dental Care: Class I - 100%; Class II - 80%, Class III - 50% with a $50 per person/$100 per family deductible; $1,000.00 per year for Classes I, II, III; Class IV - Orthodontics Services 50% lifetime limitation $1000.00 up to age 19. (K1000, CDC-FC, DXTMG, RDC-DENTAL, SUBRO2, OS-50-1000, FC DC, GCO)
4. Vision: Blue Cross Blue Shield Vision Plan: VCA-80, FLVS (A), FC DC, GCOC. The City will be responsible for the remaining premium cost of this coverage, after the required contribution is made by the employee in accordance with Public Act 152 of 2011 (Publicly Funded Health Insurance Contribution Act). All employees may voluntarily elect the following coverages (Community Blue Plan 1 PPO, Blue Care Network HMO) with the difference in cost from the Community Blue Plan 3 PPO Base Plan (described above), including the employee contribution under PA 152 of 2011, being borne by the employee through payroll deduction.
1. Hospitalization: Blue Cross Blue Shield Community Blue Plan 1: (Community Blue Basic, ASFP, BMT,CB-PCB, CRNA, CNM, CNP, DXTMG, EBMT, ECIP, ESRD, FC DC, GCO, GLE-1, HMN, ICMP, K260, PTFS-COMPS, PTS-PSG, SUBRO2, SOTPE, RAPS)
2. Prescription: Blue Cross Blue Shield Drug Rider: PD-CR $15.00 GENERIC/$30.00 BRAND, MOPD $15.00 GENERIC/$30.00 BRAND, PREFERRED RX, PD-BC2X, RXDAA
3. Dental: Blue Cross Blue Shield Group Dental Care: Class I - 100%; Class II - 80%, Class III - 50% with a $50 per person/$100 per family deductible; $1,000.00 per year for Classes I, II, III; Class IV - Orthodontics Services 50% lifetime limitation $1000.00 up to age 19. (K1000, CDC-FC, DXTMG, RDC-DENTAL, SUBRO2, OS-50-1000, FC DC, GCO)...
HOSPITALIZATION MEDICAL COVERAGE. Section 1. Health Insurance Program.
A. Effective January 1, 2018, the Employer will provide the following Health Insurance Program for eligible full-time employees and legal dependents. The out-of-network costs for the Standard Plan shall be fully covered through the Employer’s premium contribution. Prescription drug coverage will be provided by the Employer through Physicians Health Plan using the CVS/Caremark as the Pharmacy Benefit Manager.
HOSPITALIZATION MEDICAL COVERAGE. The Board shall provide premiums as described in Article 41 for Messa Pak insurance coverage as follows: MESSA CHOICES II - $10/$10-RX $10.00 Office Visit Co-payment Option Delta Dental 80/80/80: $1,000 annual maximum 80 $1,300 lifetime maximum Vision VSP 3 Negotiated Life $5,000.00 with AD&D Employees will receive a $200.00 Stipend for health care. This offer sunsets on June 30, 2010. MESSA CHOICES II - $10/$20-RX $200.00/$400.00 In-Network deductible $10.00 Office Visit Co-payment Option Delta Dental 80/80/80: $1,000 annual maximum 80 $1,300 lifetime maximum Vision VSP 3 Negotiated Life $5,000.00 with AD&D Coverage will be provided for a full twelve month period for the employee and his/her entire family and any other eligible dependents as defined by MESSA. Any employee not electing health care Pak-A Plan as provided above, may, upon written application receive: Pak-B Plan: Vision VSP 3 Negotiated Life $5,000.00 with AD&D Eligible employees not electing the health insurance program cited above shall be eligible for a Board paid subsidy in the amount of $150 per month. This Board paid subsidy may be used for one of the following:
A. Tax sheltered annuity
B. Paid semi-annually in December and June of each year.
HOSPITALIZATION MEDICAL COVERAGE. A. The Employer agrees to pay the required premiums for each full-time bargaining unit employee who has completed ninety (90) calendar days of employment with the Employer, the Employee's spouse, and all dependents under the age of nineteen (19) years, under the Blue Cross/Blue Shield Medical Insurance Program, or an alternate program of health insurance coverage selected by the Employer pursuant to this Agreement. The Employer reserves the right to: select or change the insurance carrier and to choose and change the administrator of such insurance program, provided the level of such benefits remains substantially the same. In the event the Employer and the Union are unable to agree on whether a proposed plan is substantially the same, the dispute shall be submitted to binding arbitration for a decision.
B. Effective as soon after the signing of this agreement in 2006, the Insurance program shall be changed as follows with Blue Cross/Blue Shield: Community Blue PPO – Non-Standard Plan D250P, D500NP, 30% NP, RX 10/40 Emergency Room $50.00 Office visit including chiropractic services $15.00 Preventative services $250.00 Deductible $250/$500. Drug Rider $10/$40, Rx Rider, Riders CI, PCD, PD-CM Hearing Aid coverage Vision Series A80 Dental 50 50 50 1000 OS 50 1000
C. The Employer agrees to pay the required premiums for health and life insurance of an employee while on Child Care Leave to a maximum of six (6) weeks.
D. Effective January 1, 2000, employees who elect not to participate in the health insurance program of the County will be reimbursed at the rate of $1500.00 per year ($125 per month), on the first regular payday in December, for the months not covered by the County provided insurance program.
E. Employees who agree to payment in lieu of insurance will sign a waiver in that regard.
HOSPITALIZATION MEDICAL COVERAGE. Section 1. The employer agrees to pay the full premium for hospital-medical coverage for the employee and the employee's family.
A. Employees working twenty-five (25) hours or more per week shall receive benefits as listed above. Employees working less than twenty-five (25) hours per week shall not be eligible for the benefits listed above.
B. The employee's hospital medical plan shall continue in effect for three (3) months after the date of layoff.
C. Either party may reopen this article for the purpose of negotiating cost containment. Any changes to the coverage(s) must be mutually agreed to by the parties.
D. For those employees electing not to enroll in the group health insurance plan offered by the Board of Education, the Board agrees to pay directly to the employee the appropriate amount specified in the chart below for each month the employee elects not to be enrolled in the plan.