Hospitalization, Medical, Prescription, Vision and Dental Insurance Sample Clauses

Hospitalization, Medical, Prescription, Vision and Dental Insurance. The Board shall make available hospitalization, major medical, vision and dental insurance coverage which will meet or exceed the specifications in effect as of March 21, 2017, asset forth in the plan documents for the plans selected by the parties, which shall include the following provisions (which shall prevail over any inconsistencies with the plan documents): a) Effective August 1, 2017, when the drug is approved by the carrier selected by the consortium, the drug program shall provide a $10 co-pay for generic prescriptions, a $25 co-pay preferred name brand prescriptions, and a $40 co-pay for non-preferred name brand prescriptions; a $10 co-pay for mail order generic, a $25 co-pay for mail order preferred name brand, and a $40 for mail order non-preferred. For initial issuance of prescriptions for long-term drugs (defined as those to be prescribed to be for one year or more), the employee’s physician will issue a thirty day prescription to be filled at a local store with concurrent issuance of a prescription for mail order. Effective September 1, 2017, all prescriptions shall be governed by the terms and conditions of Express Scripts' step therapy program. b) The major medical deductible shall be $150/$300 (in-network/out-of-network) per year for single coverage and $300/$600 (in-network/out-of-network) per year for family coverage. c) A Section 125 plan shall provide a tax sheltering benefit for the employee contributions required under this health insurance program. d) Doctors who perform unanticipated additional surgical procedures during an approved operation will be reimbursed at the normal rate for the unanticipated procedure. e) Diabetic testing supplies will be covered by the insurance program. f) Hospice care (home or hospice facility) will be covered as an option where the patient is otherwise eligible to be hospitalized. g) Subject to the rules of the carrier, domestic partners will be eligible for coverage under the family insurance program. To be eligible for such domestic partner coverage, the employee and domestic partner must be the sole domestic partner of each other, at least 18 years of age, and have provided to the carrier at least three of the following: joint lease, mortgage or deeds; joint ownership of vehicle; joint ownership of checking account or credit account; designation of the domestic partner as a beneficiary for the employee’s life insurance or retirement benefits; designation of the domestic partner as a beneficiary o...
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Related to Hospitalization, Medical, Prescription, Vision and Dental Insurance

  • Medical and Dental Insurance The Company shall pay Employee’s monthly Medical and Dental Insurance premiums in association with Company provided health insurance plans.

  • Health and Dental Insurance ☐ Husband ☐ Wife shall maintain coverage for each minor child under the medical and dental insurance provided through his/her employment. To facilitate the use of such coverage for the child(ren), the Couple shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments. For purposes of duration and modification, this provision shall be deemed part of the child support orders made by the local court in the Couples’ dissolution action.

  • Health and Hospitalization Insurance Single Coverage: The School District shall contribute a sum not to exceed $284.00 per month toward the premium for individual coverage for each full-time employee employed by the School District who qualifies for and is enrolled in single coverage in the School District’s group health and hospitalization insurance plan. Any additional cost of the premium shall be borne by the employee and paid by payroll deduction.

  • Medical, Dental and Vision Insurance a. Effective July 1, 2002, medical benefits shall be offered through CalPERS Health Plans. b. The Employer shall pay up to eight percent (8%) of future premium increases for medical, dental, and vision plans. In the event that a medical plan has a premium decrease (<0%), the Employer will apply ninety percent (90%) of the premium decrease towards Employer contribution and ten percent (10%) towards employee plan premiums. c. Each employee shall pay through payroll deduction any premium cost in excess of the Employer’s contribution. Each employee may select from among the plans made available by the Employer and the Union.

  • 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.

  • Group Dental Insurance Not available to part-time Station Attendants. Group insurance coverage for temporary full-time employees will be in accordance with XXX #1. Such benefits, once established, are retained even if an employee's status reverts back to part-time, providing that employment has been continuous.

  • Medical Plan ‌ Eligible employees and dependants shall be covered by the British Columbia Medical Services Plan or carrier approved by the British Columbia Medical Services Commission. The Employer shall pay one hundred percent (100%) of the premium. An eligible employee who wishes to have coverage for other than dependants may do so provided the Medical Plan is agreeable and the extra premium is paid by the employee through payroll deduction. Membership shall be a condition of employment for eligible employees who shall be enrolled for coverage following the completion of three (3) months’ employment or upon the initial date of employment for those employees with portable service as outlined in Article 14.12.

  • Life Insurance No portion of your IRA may be invested in life insurance contracts.

  • Long Term Care Insurance The University offers full-time faculty the opportunity to purchase Long-Term Care Insurance through a voluntary Long-Term Care Insurance policy. Faculty members are responsible for 100% of the premium, which may be remitted through payroll deduction.

  • Dental Insurance The State agrees to pay one hundred percent (100%) of the employee premium of a dental insurance program for full-time employees. The benefit levels of this program shall provide one hundred percent (100%) coverage for preventive care and eighty percent (80%) coverage for general service care. The State agrees to provide payroll deduction for dental insurance, provided such arrangements are agreed to by the insurance carrier. Dependent coverage will be available provided there is sufficient employee participation in the dental insurance program. Dependent coverage will be at the employees' expense.

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