Common use of Hospitalization Clause in Contracts

Hospitalization. 1. The Board will furnish and contribute premiums for single or family coverage. The Board will continue to furnish Medicare, if elected, by those 65 years old and over. Medicare payments will be made to the individual annually. It is the responsibility of the employee to file all applications, forms, etc., necessary to obtain the above coverage. The Board shall not be liable in the event that an employee fails to file appropriate applications. No employee will receive any insurance or fringe benefits unless the employee is regularly scheduled to work at least 3.75 hours each day during that year. In the event an employee performs work under the Board’s collective bargaining agreement with the Ohio Association of Public School Employees Local 102, those hours shall count for the purposes of this requirement. 2. Any employee regularly scheduled to work 1425 hours/year or more who elects coverage, will be required to make a contribution toward the payment of premium as follows: Effective July 1, 2019 Single coverage $58.33 (pre-tax) per month Family coverage $154.17(pre-tax) per month Effective March 1, 2021, the full-time employee monthly premium contribution for medical coverage, including prescription drug, will be as follows: a. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) less than 0.8 multiplied by BA Step 1 of the Regular Salary Schedule in Appendix B of the negotiated agreement for the Cleveland Heights Teachers Union (“Regular Salary Schedule”) shall contribute 9% of the monthly premium for single coverage and 9% of the monthly premium for family coverage b. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) equal to or more than 0.8 multiplied by BA Step 1 of the Regular Salary Schedule but less than 1.4 multiplied by BA Step 1 of the Regular Salary Schedule shall contribute 10% of the monthly premium for single coverage and 10% of the monthly premium for family coverage c. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) equal to or more than 1.4 multiplied by BA Step 1 of the Regular Salary Schedule shall contribute 11% of the monthly premium for single coverage and 11% of the monthly premium for family coverage *“Annual compensation” for hourly employees is calculated as an employee’s regularly scheduled hours per day multiplied by hourly rate multiplied by work days per contract year. 3. Employees regularly scheduled to work less than 1425 hours/year but at least (3.75) hours per day who elect coverage, will have their premium contribution prorated on the basis of 1,425 hours/year, and will not be required to pay the above amounts but will follow the tiered benefit schedule contribution as set forth in this section below. School Bus Drivers will have any proration calculated on a work year of 200 days per school year. Annual Hours 1,425 Lower Range Upper Range % of Total Cost of Medical, vision, drug and dental to be paid by Board Tier 1 1,365 1,424 89% Tier 2 1,274 1,364 88% Tier 3 1,176 1,273 81% Tier 4 1,079 1,175 74% Tier 5 980 1,078 66% Tier 6 731 979 50% 4. No contribution will be made by the Board toward family coverage if the applicant already has family coverage by an existing policy in a Comprehensive Major Medical Plan, or similar group fully paid for by the contract holder’s employer.

Hospitalization. 1. The Board will furnish and contribute premiums for shall provide single or family medical coverage. The Board will continue to furnish Medicare, if elected, by those 65 years old and over. Medicare payments will be made to the individual annually. It is the responsibility of the employee to file all applications, forms, etc., necessary to obtain the above coverage. The Board shall not be liable in the event that an employee fails to file appropriate applications. No employee will receive any insurance or fringe benefits unless the employee is regularly scheduled to work at least 3.75 hours each day during that year. In the event an employee performs work under the Board’s collective bargaining agreement with the Ohio Association of Public School Employees Local 102, those hours shall count for the purposes of this requirement. 2. Any employee regularly scheduled to work 1425 hours/year or more who elects coverage, will be required to make a contribution toward the payment of premium as follows: a. Effective July 1, 2019 employee premium contribution will be as follows: i. Single coverage coverage: $58.33 (pre-tax) per month 700 ii. Family coverage coverage: $154.17(pre-tax) per month 1,850 All employee contributions and prorated premium payments will be subject to Section 125 Flexible Spending. b. Effective March 1, 2021, the full-time employee monthly premium contribution for medical coverage, including prescription drug, will be as follows: a. i. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) less than 0.8 multiplied by BA Step 1 of the Regular Salary Schedule in Appendix B of the negotiated agreement for the Cleveland Heights Teachers Union (“Regular Salary Schedule”) shall contribute 9% of the monthly premium for single coverage and 9% of the monthly premium for family coverage b. ii. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) equal to or more than 0.8 multiplied by BA Step 1 of the Regular Salary Schedule but less than 1.4 multiplied by BA Step 1 of the Regular Salary Schedule shall contribute 10% of the monthly premium for single coverage and 10% of the monthly premium for family coverage c. iii. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) equal to or more than 1.4 multiplied by BA Step 1 of the Regular Salary Schedule shall contribute 11% of the monthly premium for single coverage and 11% of the monthly premium for family coverage *“Annual compensation” for hourly employees is calculated as an employee’s regularly scheduled hours per day multiplied by hourly rate multiplied by work days per contract year. 3. Employees regularly scheduled to work less than 1425 hours/year but at least (3.75) hours per day who elect coverage, will have their All employee contributions and prorated premium contribution prorated on the basis of 1,425 hours/year, and will not be required to pay the above amounts but will follow the tiered benefit schedule contribution as set forth in this section below. School Bus Drivers will have any proration calculated on a work year of 200 days per school year. Annual Hours 1,425 Lower Range Upper Range % of Total Cost of Medical, vision, drug and dental to be paid by Board Tier 1 1,365 1,424 89% Tier 2 1,274 1,364 88% Tier 3 1,176 1,273 81% Tier 4 1,079 1,175 74% Tier 5 980 1,078 66% Tier 6 731 979 50% 4. No contribution payments will be made by the Board toward family coverage if the applicant already has family coverage by an existing policy in a Comprehensive Major Medical Plan, or similar group fully paid for by the contract holder’s employersubject to Section 125 Flexible Spending.

Hospitalization. 1. The Board will furnish and contribute premiums for single coverage or family coverage. The Board will continue to furnish Medicare, if elected, by those 65 years old and over. Medicare payments will be made to the individual annually. It is the responsibility of the employee to file all applications, forms, etc., necessary to obtain the above coverage. The Board shall not be liable in the event that an employee fails to file appropriate applications. No employee will receive any insurance or fringe benefits unless the employee is regularly scheduled to work at least 3.75 hours each day during that year. In the event an employee performs work under the Board’s collective bargaining agreement with the Ohio Association of Public School Employees Local 102, those hours shall count for the purposes of this requirement. 2. Any employee regularly scheduled to work 1425 hours/year or more who elects coverage, coverage will be required to make a contribution toward the payment of premium as follows: Effective July 1, 2019 2019: Single coverage $$ 58.33 (pre-tax) per month Family coverage $154.17(pre154.17 (pre-tax) per month Effective March 1, 2021, the full-time employee monthly premium premiums contribution for medical coverage, including prescription drug, will be as follows: a. i. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) less than 0.8 multiplied by BA Step 1 of the Regular Salary Schedule in Appendix B of the negotiated agreement for the Cleveland Heights Teachers Union (“Regular Salary Schedule”) shall contribute 9% of the monthly premium for single coverage and 9% of the monthly premium for family coverage b. ii. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) equal to or more than 0.8 multiplied by BA Step 1 of the Regular Salary Schedule but less than 1.4 multiplied by BA Step 1 of the Regular Salary Schedule shall contribute 10% of the monthly premium for single coverage and 10% of the monthly premium for family coverage c. iii. Bargaining unit members with a salary (for salaried employees) or annual compensation* (for hourly employees) equal to or more than 1.4 multiplied by BA Step 1 of the Regular Salary Schedule shall contribute 11% of the monthly premium for single coverage and 11% of the monthly premium for family coverage *“Annual compensation” for hourly employees is calculated as an employee’s regularly scheduled hours per day multiplied by hourly rate multiplied by work days per contract year. 3. Employees regularly scheduled to work less than 1425 hours/year but at least (3.75) 3.75 hours per day who elect coverage, will have their premium contribution prorated on the basis of 1,425 1425 hours/year, and will not be required to pay the above amounts but will follow the tiered benefit schedule contribution as set forth in this section below. School Bus Drivers will have any proration calculated on a work year of 200 days per school year. Annual Hours 1,425 Lower Range Upper Range % of Total Cost of Medical, vision, drug and dental to be paid by Board Tier 1 1,365 1,424 89% Tier 2 1,274 1,364 88% Tier 3 1,176 1,273 81% Tier 4 1,079 1,175 74% Tier 5 980 1,078 66% Tier 6 731 979 50% 4. No contribution will be made by the Board toward family coverage if the applicant already has family coverage by an existing policy in a Comprehensive Major Medical Plan, managed care plan or similar group fully paid for by the contract holder’s employer.