Common use of Hospitalization Clause in Contracts

Hospitalization. A. The Xxxxx County Sheriff’s Office will offer medical insurance coverage for eligible bargaining unit employees pursuant to the same terms and conditions as insurance is offered to all other non-bargaining, General Fund Xxxxx County employees, except where such terms and conditions are expressly modified by this Article. The Xxxxx County Sheriff’s Office will contribute the same amount for each employee’s monthly health care premiums as is contributed to other non-bargaining County General Fund employees for coverage, except that the Employer shall contribute a minimum of eighty-five percent (85%) of the monthly premium toward the cost of the employee’s insurance premium and eligible bargaining unit employees shall contribute fifteen percent (15%). Should other non-bargaining Xxxxx County General Fund employees be offered a “holiday” or “reprieve” from premium contributions, the same benefit will be offered to employees covered by this agreement. B. It is agreed and understood that the schedule of benefits for bargaining unit employees electing insurance coverage shall be the same as procured by the Board of County Commissioners and set forth for all other Xxxxx County non-bargaining General Fund employees, including all conditions, payments and premium contributions as specified or required by individual carriers/providers of the health insurance plan and/or the County. In the event the County chooses to utilize a Health Savings Account (“HSA”), the County will partially fund the HSA of bargaining unit employees electing coverage in the following amounts on an annual basis in the following amounts (whichever is greater): Single Coverage: $1500 or sixty (60) percent of deductible Employee and Spouse: $3000 or sixty (60) percent of deductible Employee and Child: $3000 or sixty (60) percent of deductible Family: $3000 or sixty (60) percent of deductible The Employer’s portion of the employee’s HSA will be funded in pro-rata monthly contributions. The Employer shall contribute a minimum of one hundred and twenty-five dollars ($125) per month for each eligible bargaining unit employee electing Single coverage. Additionally, the Employer shall contribute a minimum of two hundred and fifty dollars ($250) per month for each eligible bargaining unit employee electing either Employee and Spouse, Employee and Child, or Family coverage. This number will increase in accordance with any increase specified above. However, employees electing coverage under the County’s health insurance plan may seek assistance with medical and prescription costs on a case-by-case basis consistent with the County’s Health Savings Hardship Policy effective April 1, 2010. It is further agreed and understood that during the term of this Agreement, such individual carriers/providers may, through no fault of the Employer, Union, or employees cease coverage. Should such occur, any employee adversely affected shall be given the opportunity to enroll with an alternative carrier with the appropriate premium rates subject to the premium rate applied herein or to waive coverage and receive an appropriate pro-rata amount of the waiver of coverage payment. Additionally, it is agreed and understood that during the term of this Agreement specific carriers/providers under the plan may unilaterally institute payments or conditions which modifications will be required for subscription to that carrier/provider. A bargaining unit employee’s eligibility to obtain County health insurance benefits is based upon the following: 1. An employee who is on the active payroll (receives pay) for a period of five (5) days in any month is entitled to this benefit. 2. An employee who does not receive pay for at least five (5) days in any month will be responsible for payment of the total premium due for continued hospitalization coverage. C. The Xxxxx County Sheriff’s Office will continue to provide a $10,000 AD & D policy in conjunction with the hospitalization policy as stated in paragraph A above. D. The Xxxxx County Board of Commissioners shall be the sole arbiters of the carrier of the Xxxxx County hospitalization plan. E. The Employer shall continue to try to make available to bargaining unit members and their eligible dependents substantially similar group health and hospitalization insurance coverage and benefits. The Employer reserves the right to change or provide alternate insurance carriers, health maintenance organizations, or benefit levels or to self-insure as it deems appropriate for any form or portion of insurance coverage referred to in this Article. The Employer will not be responsible for changes unilaterally imposed by an insurance provider in benefits, co-payment provisions or deductibles so long as the Employer uses its best efforts to minimize changes by incumbent insurance providers from one plan year to another. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. F. The Employer reserves the right to institute cost containment measures relative to insurance coverage, so long as it tries to maintain a substantially similar level of benefits. Such changes may include, but are not limited to, mandatory second opinions for elective surgery, pre-admission and continuing admission review, preferred provider provisions, prohibition on weekend admissions except in emergency situations, and mandatory out- patient elective surgery for certain designated surgical procedures. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. G. The extent of coverage under the insurance policies referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans. Any questions or disputes concerning said insurance policies or plans or benefits thereunder shall be resolved in accordance with the terms and conditions set forth in said policies or plans and shall not be subject to the grievance and arbitration procedure set forth in this Agreement. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it has contracted or is obligated shall result in no liability to the Employer, nor shall such failure be considered a breach by the Employer of any obligation undertaken under this or any other Agreement. However, nothing in this Agreement shall be construed to relieve any insurance carrier(s) or plan administrator(s) from any liability it may have to the Employer, bargaining unit member or beneficiary of any bargaining unit member. H. Employees who are eligible for the County’s health insurance and waive coverage and at the completion of twelve (12) months without coverage shall receive a payment of one thousand dollars ($1000) per year by way of separate check. Employees will be required to show they have proof of health insurance coverage to be eligible for payment. Employees receiving medical insurance benefits through another family member working for Xxxxx County will be eligible for the one thousand dollar ($1000) payment. In the event that the employee opts back into the coverage during the twelve (12) month period, the employee will be paid a pro-rata portion of the bonus for each month during which he/she opted out of coverage. Employees who are not enrolled in the Health Plan shall be eligible for payment on April 15th of each year, provided that they are otherwise eligible pursuant to the above terms. I. In the event that the County returns to a “conventional or traditional” health insurance coverage plan after having provided coverage through an HSA plan, it shall be similar to the type of coverage plan in effect prior to the effective date of the HSA plan and , the Employer shall pay a minimum of eighty-five percent (85%) of the monthly premium of the plan chosen from the hospitalization, surgical, major medical plan or HMO plan made available to eligible bargaining unit employees of the Xxxxx County Sheriff’s Office, whereas, eligible bargaining unit employees electing coverage shall pay fifteen percent (15%) of the monthly premium.

Hospitalization. A. The Xxxxx County Sheriff’s Office will offer medical insurance coverage for eligible bargaining unit employees pursuant to full-time members of the same terms Harmony Township Police Department and conditions as insurance is offered to all other non-bargaining, General Fund Xxxxx County employees, except where such terms and conditions are expressly modified by this Article. The Xxxxx County Sheriff’s Office will contribute the same amount for each employee’s monthly their families shall receive health care premiums as is contributed to other non-bargaining County General Fund employees for coverage, except that the Employer shall contribute a minimum of eighty-five percent (85%) of the monthly premium toward the cost of the employee’s insurance premium and eligible bargaining unit employees shall contribute fifteen percent (15%). Should other non-bargaining Xxxxx County General Fund employees be offered a “holiday” or “reprieve” from premium contributions, the same benefit will be offered to employees covered by this agreement. B. It is agreed and understood that the schedule of benefits for bargaining unit employees electing insurance coverage shall be the same as procured by the Board of County Commissioners and set forth for all other Xxxxx County non-bargaining General Fund employees, including all conditions, payments and premium contributions as specified or required by individual carriers/providers of the health insurance plan and/or the County. In the event the County chooses to utilize a Health Savings Account (“HSA”), the County will partially fund the HSA of bargaining unit employees electing coverage defined in the following amounts on an annual basis in agreement with Highmark Blue Cross Blue Shield PPO Blue Program. Coverage shall also include Vision and High Option Dental and a prescription plan with the following amounts (whichever is greater): Single Coverage: $1500 or sixty (60) percent of deductible Employee and Spouse: $3000 or sixty (60) percent of deductible Employee and Child: $3000 or sixty (60) percent of deductible Family: $3000 or sixty (60) percent of deductible The Employer’s portion of Township paying for the employee’s HSA will be funded in pro-rata monthly contributions. The Employer shall contribute a minimum of one hundred and twenty-five dollars ($125) per month for each eligible bargaining unit employee electing Single coverage. Additionally, the Employer shall contribute a minimum of two hundred and fifty dollars ($250) per month for each eligible bargaining unit employee electing either Employee and Spouse, Employee and Child, or Family coverage. This number will increase in accordance with any increase specified above. However, employees electing coverage under the County’s health insurance plan may seek assistance with medical and prescription costs on a case-by-case basis consistent with the County’s Health Savings Hardship Policy effective April 1, 2010. It is further agreed and understood that during For the term of this Agreementcontract coverage shall remain as is, such individual carriers/providers maythe township and the bargaining unit agree to meet and explore other medical-benefit options including but not limited to a deductible plan with MEIT. Any changes made will not cost bargaining unit members any additional out of pocket expenses. Beginning January 1, 2020 full time officers will contribute 7% of their annual healthcare cost. The cost will be calculated at the beginning of each year and will be withheld through no fault of payroll deduction. All officers who retire from the Employer, Union, or employees cease coverage. Should such occur, any employee adversely affected Harmony Township Police Department shall be given the opportunity to enroll with an alternative carrier with the appropriate premium rates subject entitled to the premium rate applied herein or to waive coverage and receive an appropriate pro-rata amount continuation of the waiver of coverage payment. Additionally, it is agreed and understood that during the term of this Agreement specific carriers/providers under the plan may unilaterally institute payments or conditions which modifications will be required for subscription to that carrier/provider. A bargaining unit employee’s eligibility to obtain County health insurance their medical benefits is based upon the following: 1. An employee who is on the active payroll (receives pay) for a period not to exceed 10 years in duration, except that any officer hired after January 1, 2000 who opts to take an early retirement (pursuant to Act 24 of five (51998) days in any month is entitled to this benefit. 2. An employee who does not receive pay for at least five (5) days in any month will be responsible for payment of the total premium due for continued hospitalization coverage. C. The Xxxxx County Sheriff’s Office will continue to provide a $10,000 AD & D policy in conjunction with the hospitalization policy as stated in paragraph A above. D. The Xxxxx County Board of Commissioners shall be the sole arbiters of the carrier of the Xxxxx County hospitalization plan. E. The Employer shall continue to try to make available to bargaining unit members and their eligible dependents substantially similar group health and hospitalization insurance coverage and benefits. The Employer reserves the right to change or provide alternate insurance carriers, health maintenance organizations, or benefit levels or to self-insure as it deems appropriate for any form or portion of insurance coverage referred to in this Article. The Employer will not be responsible for changes unilaterally imposed by an insurance provider in benefits, co-payment provisions or deductibles so long as the Employer uses its best efforts to minimize changes by incumbent insurance providers from one plan year to another. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. F. The Employer reserves the right to institute cost containment measures relative to insurance coverage, so long as it tries to maintain a substantially similar level of benefits. Such changes may include, but are not limited to, mandatory second opinions for elective surgery, pre-admission and continuing admission review, preferred provider provisions, prohibition on weekend admissions except in emergency situations, and mandatory out- patient elective surgery for certain designated surgical procedures. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. G. The extent of coverage under the insurance policies referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans. Any questions or disputes concerning said insurance policies or plans or benefits thereunder shall be resolved in accordance with the terms and conditions set forth in said policies or plans and shall not be subject to the grievance and arbitration procedure set forth in this Agreement. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it has contracted or is obligated shall result in no liability to the Employer, nor shall such failure be considered a breach by the Employer of any obligation undertaken under this or any other Agreement. However, nothing in this Agreement shall be construed to relieve any insurance carrier(s) or plan administrator(s) from any liability it may have to the Employer, bargaining unit member or beneficiary of any bargaining unit member. H. Employees who are eligible for his 10 years of post- retirement medical benefits until such officer reaches the County’s health insurance and waive coverage and at the completion age of twelve (12) months without coverage shall receive a payment of one thousand dollars ($1000) per year by way of separate check. Employees will be required to show they have proof of health insurance coverage to be eligible for payment. Employees receiving medical insurance benefits through another family member working for Xxxxx County will be eligible for the one thousand dollar ($1000) payment55. In the event that an officer hired after January 1, 2000 chooses to take an early retirement under Act 24, Post- retirement medical insurance shall be paid on a reduced scale as follows: These retired officers shall be permitted to purchase benefits, at their expense, through the employee opts back into Township plan if the coverage during provider permits it. At the twelve (12) month period, time an officer who is on normal retirement reaches Medicare age the employee township will be paid permitted to reduce the full coverage to a prosupplemental plan that covers any additional costs not covered by Medicare. For any full time officer retiring after January 1st, 2020 will be required to contribute 7% of their annual post-rata portion of the bonus for each month during which he/she opted out of coverageretirement healthcare costs. Employees Any Employee who are not enrolled elects to obtain coverage through some other means will be compensated in the Health Plan shall be eligible for payment on April 15th of each year, provided that they are otherwise eligible pursuant amount equal to the above terms. I. In the event that the County returns to a “conventional or traditional” health insurance coverage plan after having provided coverage through an HSA plan, it shall be similar to the type of coverage plan in effect prior to the effective date of the HSA plan and , the Employer shall pay a minimum of eighty-five fifty percent (8550%) of the monthly premium costs of the plan chosen from plan, which that employee would have been provided or not to exceed the hospitalization, surgical, major medical plan monetary amounts per month: Employee Only: $500.00 Employee Spouse or HMO plan made available to eligible bargaining unit employees of the Xxxxx County Sheriff’s Office, whereas, eligible bargaining unit employees electing coverage shall pay fifteen percent (15%) of the monthly premiumEmployee Dependent: $750.00 Employee Family: $1200.00.

Hospitalization. A. The Xxxxx County Sheriff’s Office will offer medical insurance coverage for eligible bargaining unit employees pursuant to 1. During the same terms and conditions as insurance is offered life of this contract, the Board shall provide to all other non-bargaining, General Fund Xxxxx County employees, except where such terms and conditions are expressly modified by this Article. The Xxxxx County Sheriffeligible Employees Highmark’s Office will contribute Preferred Provider Organization (PPO) Plan G offered through the same amount for each employee’s monthly health care premiums as is contributed to other non-bargaining County General Fund employees for coverage, except that the Employer shall contribute a minimum of eighty-five percent (85%) of the monthly premium toward the cost of the employee’s insurance premium and eligible bargaining unit employees shall contribute fifteen percent (15%). Should other non-bargaining Xxxxx County General Fund employees be offered a “holiday” or “reprieve” from premium contributions, the same benefit will be offered to employees covered by this agreement. B. It is agreed and understood that the schedule of benefits for bargaining unit employees electing insurance coverage shall be the same as procured by the Board of County Commissioners and set forth for all other Xxxxx County non-bargaining General Fund employees, including all conditions, payments and premium contributions as specified or required by individual carriers/providers of the health insurance plan and/or the County. In the event the County chooses to utilize a Health Savings Account (“HSA”), the County will partially fund the HSA of bargaining unit employees electing coverage in the following amounts on an annual basis in the following amounts (whichever is greater): Single Coverage: $1500 or sixty (60) percent of deductible Employee and Spouse: $3000 or sixty (60) percent of deductible Employee and Child: $3000 or sixty (60) percent of deductible Family: $3000 or sixty (60) percent of deductible The Employer’s portion of the employee’s HSA will be funded in pro-rata monthly contributions. The Employer shall contribute a minimum of one hundred and twenty-five dollars ($125) per month for each eligible bargaining unit employee electing Single coverage. Additionally, the Employer shall contribute a minimum of two hundred and fifty dollars ($250) per month for each eligible bargaining unit employee electing either Employee and Spouse, Employee and Child, or Family coverage. This number will increase in accordance with any increase specified above. However, employees electing coverage under the County’s health insurance plan may seek assistance with medical and prescription costs on a case-by-case basis consistent with the County’s Health Savings Hardship Policy effective April 1, 2010. It is further agreed and understood that during the term of this Agreement, such individual carriers/providers may, through no fault of the Employer, Union, or employees cease coverage. Should such occur, any employee adversely affected shall be given the opportunity to enroll with an alternative carrier with the appropriate premium rates subject to the premium rate applied herein or to waive coverage and receive an appropriate pro-rata amount of the waiver of coverage payment. Additionally, it is agreed and understood that during the term of this Agreement specific carriers/providers under the plan may unilaterally institute payments or conditions which modifications will be required for subscription to that carrier/provider. A bargaining unit employee’s eligibility to obtain County health insurance benefits is based upon the following: 1. An employee who is on the active payroll (receives pay) for a period of five (5) days in any month is entitled to this benefit. 2. An employee who does not receive pay for at least five (5) days in any month will be responsible for payment of the total premium due for continued hospitalization coverage. C. The Xxxxx County Sheriff’s Office will continue to provide a $10,000 AD & D policy in conjunction with the hospitalization policy as stated in paragraph A above. D. The Xxxxx County Board of Commissioners shall be the sole arbiters of the carrier of the Xxxxx County hospitalization plan. E. The Employer shall continue to try to make available to bargaining unit members and their eligible dependents substantially similar group health and hospitalization insurance coverage and benefits. The Employer reserves the right to change or provide alternate insurance carriers, health maintenance organizations, or benefit levels or to self-insure as it deems appropriate for any form or portion of insurance coverage referred to in this Article. The Employer will not be responsible for changes unilaterally imposed by an insurance provider in benefits, co-payment provisions or deductibles so long as the Employer uses its best efforts to minimize changes by incumbent insurance providers from one plan year to another. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. F. The Employer reserves the right to institute cost containment measures relative to insurance coverage, so long as it tries to maintain a substantially similar level of benefits. Such changes may include, but are not limited to, mandatory second opinions for elective surgery, pre-admission and continuing admission review, preferred provider provisions, prohibition on weekend admissions except in emergency situations, and mandatory out- patient elective surgery for certain designated surgical procedures. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. G. The extent of coverage under the insurance policies referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans. Any questions or disputes concerning said insurance policies or plans or benefits thereunder shall be resolved in accordance with the terms and conditions set forth in said policies or plans and shall not be subject to the grievance and arbitration procedure set forth in this Agreement. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it has contracted or is obligated shall result in no liability to the Employer, nor shall such failure be considered a breach by the Employer of any obligation undertaken under this or any other Agreement. However, nothing in this Agreement shall be construed to relieve any insurance carrier(s) or plan administrator(s) from any liability it may have to the Employer, bargaining unit member or beneficiary of any bargaining unit member. H. Employees who are eligible for the County’s health insurance and waive coverage and at the completion of twelve (12) months without coverage shall receive a payment of one thousand dollars ($1000) per year by way of separate check. Employees will be required to show they have proof of health insurance coverage to be eligible for payment. Employees receiving medical insurance benefits through another family member working for Xxxxx County will be eligible for the one thousand dollar ($1000) paymentXxxxxxxxxxxx Rate Stabilization Consortium. In the event that the employee opts back into plan is no longer made available by the coverage during the twelve (12) month periodcarrier, the employee Board and Association shall form a joint committee to explore alternatives. The District will not be paid a proresponsible for out-rata portion of-pocket health care costs incurred by members as part of the bonus for each month during which he/she opted out implementation of coveragea new health care plan under this provision. 2. Employees who are not enrolled Any change in plan, resulting from a change in the Health Plan insured Employee's family or marital status, shall be eligible for payment on April 15th recognized by the Board upon receipt of each year, provided that they are otherwise eligible pursuant to written request from the above termsEmployee. All such changes must be authorized by the carrier and must be in accordance with basic provision. I. In 3. Any Employee who retires and has not reached the event that the County returns to a “conventional or traditional” health insurance coverage plan after having provided coverage through an HSA plan, it age of 65 shall be similar entitled to the type of continue his/her Medical, Dental and Vision coverage plan in effect prior to the effective date of the HSA plan and , the Employer shall pay a minimum of eighty-five percent (85%) until Medicare benefits become available. The cost of the monthly premium shall be paid by the retiring Employee. This provision is intended to comply with Act 43 of 1989 and COBRA. 4. If both husband and wife are Employees of the District, they are entitled one (1) family plan chosen from depending on the hospitalizationnumber of dependents. 5. Alternate coverage, surgicalalternate carriers, major medical and/or modifications must be mutually agreed to by both parties. 6. The District agrees to permit the Norwin Education Association to form a sick leave bank, using Association members' days, to be administered by the Association. The District's responsibility for this plan or HMO plan made available is limited only to transferring individual sick days as outlined in writing by eligible bargaining unit employees and to keep a cumulative total of days in the sick leave bank. The Association agrees to hold the District harmless with regard to any disputes arising out of the Xxxxx County SheriffN.E.A.'s administration of this sick leave bank. 7. Employees will contribute to the District’s Officehospitalization plan as noted in the scale below over the life of the contract: If two employees in the District are married, whereasthen the couple shall pay only one (1) dependent premium share. 8. Employees choosing not to enroll in a District plan shall receive a payment of three thousand dollars ($3,000.00) provided there are a minimum of twenty-nine (29) employees who elect the health insurance buyout, eligible bargaining unit which is considered to be non-retirement compensation by PSERS. In the event the number of employees electing the health insurance buyout is less than (or drops below) twenty-nine (29) employees, the buyout number shall be one thousand five hundred dollars ($1,500.00) and payments made to employees shall, if necessary, be prorated. Eligibility for payment is subject to the insurance eligibility provisions included in Article XVIII, A-4. The payment shall be in two equal installments in the first pays of December and June of each year. The election to decline coverage must be made in writing to the Business Office each year by August 1 or within thirty (30) days’ of being hired by the District. Employees may re-enroll in the health insurance coverage as a result of a change in status within thirty (30) days’ notice. Under such circumstances, any payment due the employee shall pay fifteen percent be prorated. If any provision of this section would cause the benefits of employees not selecting this option to become taxable, then this section shall not be implemented. 9. The District will hold an open enrollment period to opt in or opt out one (15%1) time per year. Employees must notify the District no later than August 1 of his/her intentions. Employees may also opt in or opt out when there is a life changing event, specifically: death of a spouse or child, birth or legal adoption of a child, receiving legal guardianship of a child, or change in employment status of a spouse that impacts hospitalization plan coverage. When necessary, extenuating circumstances may be presented to the monthly premiumSuperintendent of Schools. The decision by the Superintendent of Schools will be final.

Hospitalization. A. The Xxxxx County Sheriff’s Office will offer medical insurance coverage for eligible bargaining unit employees pursuant to the same terms and conditions as insurance is offered to all other non-bargaining, General Fund Xxxxx County employees, except where such terms and conditions are expressly modified by this Article. The Xxxxx County Sheriff’s Office will contribute the same amount for each employee’s monthly health care premiums as is contributed to other non-non- bargaining County General Fund employees for coverage, except that the Employer shall contribute a minimum of eighty-five percent (85%) of the monthly premium toward the cost of the employee’s insurance premium and eligible bargaining unit employees shall contribute fifteen percent (15%). . Should other non-bargaining Xxxxx County General Fund employees be offered a “holiday” or “reprieve” from premium contributions, the same benefit will be offered to employees covered by this agreement. B. It is agreed and understood that the schedule of benefits for bargaining unit employees electing insurance coverage shall be the same as procured by the Board of County Commissioners and set forth for all other Xxxxx County non-non- bargaining General Fund employees, including all conditions, payments and premium contributions as specified or required by individual carriers/providers of the health insurance plan and/or the County. In the event the County chooses to utilize a Health Savings Account (“HSA”), the County will partially fund the HSA of bargaining unit employees electing coverage in the following amounts on an annual basis in the following amounts (whichever is greater): Single Coverage: $1500 or sixty (60) percent of deductible Employee and Spouse: $3000 or sixty (60) percent of deductible Employee and Child: $3000 or sixty (60) percent of deductible Family: $3000 or sixty (60) percent of deductible The Employer’s portion of the employee’s HSA will be funded in pro-rata monthly contributions. The Employer shall contribute a minimum of one hundred and twenty-five dollars ($125) per month for each eligible bargaining unit employee electing Single coverage. Additionally, the Employer shall contribute a minimum of two hundred and fifty dollars ($250) per month for each eligible bargaining unit employee electing either Employee and Spouse, Employee and Child, or Family coverage. This number will increase in accordance with any increase specified above. However, employees electing coverage under the County’s health insurance plan may seek assistance with medical and prescription costs on a case-by-case basis consistent with the County’s Health Savings Hardship Policy effective April 1, 2010. It is further agreed and understood that during the term of this Agreement, such individual carriers/providers may, through no fault of the Employer, Union, or employees cease coverage. Should such occur, any employee adversely affected shall be given the opportunity to enroll with an alternative carrier with the appropriate premium rates subject to the premium rate applied herein or to waive coverage and receive an appropriate pro-rata amount of the waiver of coverage payment. Additionally, it is agreed and understood that during the term of this Agreement specific carriers/providers under the plan may unilaterally institute payments or conditions which modifications will be required for subscription to that carrier/provider. A bargaining unit employee’s eligibility to obtain County health insurance benefits is based upon the following: 1. An employee who is on the active payroll (receives pay) for a period of five (5) days in any month is entitled to this benefit. 2. An employee who does not receive pay for at least five (5) days in any month will be responsible for payment of the total premium due for continued hospitalization coverage. C. The Xxxxx County Sheriff’s Office will continue to provide a $10,000 AD & D policy in conjunction with the hospitalization policy as stated in paragraph A above. D. The Xxxxx County Board of Commissioners shall be the sole arbiters of the carrier of the Xxxxx County hospitalization plan. E. The Employer shall continue to try to make available to bargaining unit members and their eligible dependents substantially similar group health and hospitalization insurance coverage and benefits. The Employer reserves the right to change or provide alternate insurance carriers, health maintenance organizations, or benefit levels or to self-insure as it deems appropriate for any form or portion of insurance coverage referred to in this Article. The Employer will not be responsible for changes unilaterally imposed by an insurance provider in benefits, co-payment provisions or deductibles so long as the Employer uses its best efforts to minimize changes by incumbent insurance providers from one plan year to another. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. F. The Employer reserves the right to institute cost containment measures relative to insurance coverage, so long as it tries to maintain a substantially similar level of benefits. Such changes may include, but are not limited to, mandatory second opinions for elective surgery, pre-admission and continuing admission review, preferred provider provisions, prohibition on weekend admissions except in emergency situations, and mandatory out- out-patient elective surgery for certain designated surgical procedures. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. G. The extent of coverage under the insurance policies referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans. Any questions or disputes concerning said insurance policies or plans or benefits thereunder shall be resolved in accordance with the terms and conditions set forth in said policies or plans and shall not be subject to the grievance and arbitration procedure set forth in this Agreement. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it has contracted or is obligated shall result in no liability to the Employer, nor shall such failure be considered a breach by the Employer of any obligation undertaken under this or any other Agreement. However, nothing in this Agreement shall be construed to relieve any insurance carrier(s) or plan administrator(s) from any liability it may have to the Employer, bargaining unit member or beneficiary of any bargaining unit member. H. Employees who are eligible for the County’s health insurance and waive coverage and at the completion of twelve (12) months without coverage shall receive a payment of one thousand dollars ($1000) per year by way of separate check. Employees will be required to show they have proof of health insurance coverage to be eligible for payment. Employees receiving medical insurance benefits through another family member working for Xxxxx County will be eligible for the one thousand dollar ($1000) payment. In the event that the employee opts back into the coverage during the twelve (12) month period, the employee will be paid a pro-rata portion of the bonus for each month during which he/she opted out of coverage. Employees who are not enrolled in the Health Plan shall be eligible for payment on April 15th of each year, provided that they are otherwise eligible pursuant to the above terms. I. In the event that the County returns to a “conventional or traditional” health insurance coverage plan after having provided coverage through an HSA plan, it shall be similar to the type of coverage plan in effect prior to the effective date of the HSA plan and , the Employer shall pay a minimum of eighty-five percent (85%) of the monthly premium of the plan chosen from the hospitalization, surgical, major medical plan or HMO plan made available to eligible bargaining unit employees of the Xxxxx County Sheriff’s Office, whereas, eligible bargaining unit employees electing coverage shall pay fifteen percent (15%) of the monthly premium.

Hospitalization. A. The Xxxxx County Sheriff’s Office will offer medical insurance coverage for eligible bargaining unit employees pursuant to the same terms and conditions as insurance is offered to all other non-bargaining, General Fund Xxxxx County employees, except where such terms and conditions are expressly modified by this Article1. The Xxxxx County Sheriff’s Office will contribute the same amount for each employee’s monthly health care premiums as is contributed to other non-bargaining County General Fund employees for coverage, except that the Employer shall contribute a minimum of eighty-five percent (85%) of the monthly premium toward Commissioner will maintain the cost of current or comparable hospitalization insurance for the employee’s insurance premium and eligible bargaining unit employees shall contribute fifteen percent (15%). Should other non-bargaining Xxxxx County General Fund employees be offered a “holiday” or “reprieve” from premium contributions, the same benefit will be offered to employees covered by this agreement. B. It is agreed and understood that the schedule of benefits for bargaining unit employees electing insurance coverage shall be the same as procured by the Board of County Commissioners and set forth for all other Xxxxx County non-bargaining General Fund employees, including all conditions, payments and premium contributions as specified or required by individual carriers/providers of the health insurance plan and/or the County. In the event the County chooses to utilize a Health Savings Account (“HSA”), the County will partially fund the HSA of bargaining unit employees electing coverage in the following amounts on an annual basis in the following amounts (whichever is greater): Single Coverage: $1500 or sixty (60) percent of deductible Employee and Spouse: $3000 or sixty (60) percent of deductible Employee and Child: $3000 or sixty (60) percent of deductible Family: $3000 or sixty (60) percent of deductible The Employer’s portion of the employee’s HSA will be funded in pro-rata monthly contributions. The Employer shall contribute a minimum of one hundred and twenty-five dollars ($125) per month for each eligible bargaining unit employee electing Single coverage. Additionally, the Employer shall contribute a minimum of two hundred and fifty dollars ($250) per month for each eligible bargaining unit employee electing either Employee and Spouse, Employee and Child, or Family coverage. This number will increase in accordance with any increase specified above. However, employees electing coverage under the County’s health insurance plan may seek assistance with medical and prescription costs on a case-by-case basis consistent with the County’s Health Savings Hardship Policy effective April 1, 2010. It is further agreed and understood that during the term period of this Agreement, such individual carriers/providers may, through no fault except as modified by Addendum F. 2. The Office of the EmployerCommissioner shall pay 80% of the premium for hospitalization insurance for all umpires who retired prior to January 1, Union1987 and 100% of the premium for umpires who retired on or after January 1, or employees cease coverage1987. Should such occur, any employee adversely affected These premiums shall be given paid during the opportunity to enroll with an alternative carrier with period of this Agreement from the appropriate premium rates subject date of retirement to the premium rate applied herein date on which Medicare benefits become available to the retired umpire and for the spouse of each such umpire during his life to the date on which Medicare benefits become available to the umpire’s spouse; and in the event of death of a retired umpire prior to his widow’s Medicare age such payment will be made for his widow until his or to waive coverage and receive an appropriate pro-rata amount her Medicare age. 3. The Office of the waiver of coverage payment. AdditionallyCommissioner shall, it is agreed in addition to the premi- ums mentioned in Article 18.A.2 and understood that in accordance with Addendum F, provide Medicare Advantage insurance during the term of this Agreement specific carriers/providers for any Medicare eligible umpire and Medicare eligible spouse of any umpire who retired between January 1, 1991 and December 31, 2014. Any umpire who retires during the term of this Agreement (and the umpire’s spouse) shall be eligible for this Medicare Advantage insurance only if such umpire was at least 55 years old as of December 31, 2014. 4. In all instances in this Agreement the terms “hospitalization cov- erage” or “hospitalization insurance” shall mean total medical benefits under the plan may unilaterally institute payments Highmark Blue Cross-Blue Shield coverage, or conditions which modifications will be required for subscription to that carrier/provider. A bargaining unit employee’s eligibility to obtain County health insurance benefits is based upon the following: 1. An employee who is on the active payroll (receives pay) for a period of five (5) days in any month is entitled to this benefit. 2. An employee who does not receive pay for at least five (5) days in any month will be responsible for payment of the total premium due for continued hospitalization comparable coverage. C. The Xxxxx County Sheriff’s Office will continue to provide a $10,000 AD & D policy in conjunction with 5. Any umpire who terminates employment during the hospitalization policy as stated in paragraph A above. D. The Xxxxx County Board term of Commissioners shall be the sole arbiters of the carrier of the Xxxxx County hospitalization plan. E. The Employer shall continue to try to make available to bargaining unit members and their eligible dependents substantially similar group health and hospitalization this Basic Agreement may receive post-employment medical insurance coverage and benefits. The Employer reserves the right to change or provide alternate insurance carriers, health maintenance organizations, or benefit levels or to self-insure as it deems appropriate for any form or portion of insurance coverage referred to in this Article. The Employer will not be responsible for changes unilaterally imposed by an insurance provider in benefits, co-payment provisions or deductibles so long as the Employer uses its best efforts to minimize changes by incumbent insurance providers from one plan year to another. Should the group and hospitalization insurance coverage and bene- fits before he receives benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. F. The Employer reserves the right to institute cost containment measures relative to insurance coverage, so long as it tries to maintain a substantially similar level of benefits. Such changes may include, but are not limited to, mandatory second opinions for elective surgery, pre-admission and continuing admission review, preferred provider provisions, prohibition on weekend admissions except in emergency situations, and mandatory out- patient elective surgery for certain designated surgical procedures. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. G. The extent of coverage under the insurance policies referred to in this Agreement shall be governed by Defined Benefit Retirement Plan, provided that the terms sum of his age and conditions set forth in said policies or plansthe number of his years of service equals at least 65 on his termination date. Any questions or disputes concerning said insurance policies or plans or benefits thereunder shall be resolved in accordance with the terms and conditions set forth in said policies or plans and shall not be subject to the grievance and arbitration procedure set forth in this Agreement. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it has contracted or is obligated shall result in An umpire will no liability to the Employer, nor shall such failure be considered a breach by the Employer of any obligation undertaken under this or any other Agreement. However, nothing in this Agreement shall be construed to relieve any insurance carrier(s) or plan administrator(s) from any liability it may have to the Employer, bargaining unit member or beneficiary of any bargaining unit member. H. Employees who are eligible for the County’s health insurance and waive coverage and at the completion of twelve (12) months without coverage shall receive a payment of one thousand dollars ($1000) per year by way of separate check. Employees will longer be required to show they have proof of health insurance coverage commence benefits under the Defined Benefit Retirement Plan in order to be eligible for payment. Employees receiving post-employment medical insurance benefits through another family member working for Xxxxx County will be eligible for the one thousand dollar ($1000) paymentbenefits. 6. In the event that the employee opts back into the coverage during the twelve (12) month period, the employee will be paid a pro-rata portion The Office of the bonus Commissioner will provide domestic partner medical benefits for each month during which he/she opted out of coverage. Employees who are not enrolled in both active and retired umpires under the Health Plan shall be eligible for payment on April 15th of each year, provided that they are otherwise eligible pursuant same xxx- gibility terms applicable to the above terms. I. In the event that the County returns to a “conventional or traditional” health insurance coverage plan after having provided coverage through an HSA plan, it shall be similar to the type of coverage plan in effect prior to the effective date Major League Baseball League-Wide Insurance Program for Baseball Office of the HSA plan and , the Employer shall pay a minimum of eighty-five percent (85%) of the monthly premium of the plan chosen from the hospitalization, surgical, major medical plan or HMO plan made available to eligible bargaining unit employees of the Xxxxx County Sheriff’s Office, whereas, eligible bargaining unit employees electing coverage shall pay fifteen percent (15%) of the monthly premiumCommissioner.

Hospitalization. A. The Xxxxx County Sheriff’s Office District shall provide at no expense to the members represented by the Association a full hospital and surgical plan coverage as provided under the State Health Benefits Program. 1. Coverage shall be at full family coverage including dependent children until age 23, major medical coverage, dental with orthodontic rider and vision plan. 2. The prescription plan shall be as follows: a. The co-pay will offer be $20.00 for a brand name prescription when there is no generic available. The generic co-pay shall be $10.00. The mail order co-pay shall be $5.00 for generic and $10.00 for brand name. The prescription co-pay cannot be submitted to major medical insurance coverage for eligible bargaining reimbursement. 3. Each member shall be entitled with his or her spouse and dependent children to a physical examination as provided annually by the Direct Access Plan. 4. New unit employees pursuant to hired after the same terms and conditions as date of ratification shall be covered by single insurance is offered to all other non-bargaining, General Fund Xxxxx County employees, except where such terms and conditions are expressly modified by this Article(if otherwise eligible) for the first two (2) years of employment. The Xxxxx County Sheriff’s Office will contribute the same amount for each employee’s monthly health care premiums as is contributed Employees may buy in to other non-bargaining County General Fund employees for coverage, except that enrollment levels during this period under rules promulgated by the Employer shall contribute a minimum of eighty-five percent (85%) of the monthly premium toward the cost of the employee’s insurance premium and eligible bargaining unit employees shall contribute fifteen percent (15%). Should other non-bargaining Xxxxx County General Fund employees be offered a “holiday” or “reprieve” from premium contributions, the same benefit will be offered to employees covered by this agreementAdministration. B. It is agreed Hospital and understood that Medical “Opt Out” – Any staff member who drops out of the schedule of benefits for bargaining unit employees electing insurance coverage shall be the same as procured Medical Plan, Prescription Plan, Dental Plan and/or Optical Plan provided by the Board of County Commissioners Education for any full calendar year shall receive a cash payment of 50% (2009 Premium)for the Family Plan. Members shall notify the Business Administrator at least thirty (30) days in advance. The member will be compensated in two equal payments disbursed on June 30 and set forth for all other Xxxxx County non-bargaining General Fund employees, including all conditions, payments December 31 and premium contributions will be able to re- enroll annually.” Opt Out Amounts as specified or required by individual carriers/providers of the health insurance plan and/or the County. In the event the County chooses to utilize a Health Savings Account follows: • Medical Plans: Family Plan (“HSA”50%), the County will partially fund the HSA of bargaining unit employees electing coverage in the following amounts on an annual basis in the following amounts Husband/Wife Plan (whichever 50%), Spouse/Child (50%) • Single Plan (50%), Prescription Plans (50%), Dental Plans (50%), Optical Plans (50%) C. Dental Plan shall provide $1,500.00 annually, payment is greater): Single Coverage: $1500 or sixty (60) percent of deductible Employee and Spouse: $3000 or sixty (60) percent of deductible Employee and Child: $3000 or sixty (60) percent of deductible Family: $3000 or sixty (60) percent of deductible The Employer’s portion of the employee’s HSA will be funded in pro-rata monthly contributions. The Employer shall contribute a minimum of one hundred and twenty-five dollars ($125) per month for each eligible bargaining unit employee electing Single coverage. Additionally, the Employer shall contribute a minimum of two hundred and fifty dollars ($250) per month for each eligible bargaining unit employee electing either Employee and Spouse, Employee and Child, or Family coverage. This number will increase in accordance with any increase specified above. However, employees electing coverage under the County’s health insurance plan may seek assistance with medical and prescription costs on a case-by-case basis consistent with the County’s Health Savings Hardship Policy effective April 1, 2010. It is further agreed and understood that during the term of this Agreement, such individual carriers/providers may, through no fault of the Employer, Union, or employees cease coverage. Should such occur, any employee adversely affected shall be given the opportunity to enroll with an alternative carrier with the appropriate premium rates subject to the premium rate applied herein or to waive coverage and receive an appropriate pro-rata amount terms of the waiver of coverage payment. Additionally, it is agreed and understood that during the term of this Agreement specific carriers/providers under the plan may unilaterally institute payments or conditions which modifications will be required for subscription to that carrier/provider. A bargaining unit employee’s eligibility to obtain County health insurance benefits is based upon the following: 1Dental Plan. An employee who is on the active payroll (receives pay) for a period of five (5) days in any month is entitled to this benefit. 2. An employee who does not receive pay for at least five (5) days in any month will orthodontic rider shall be responsible for payment of the total premium due for continued hospitalization coverage. C. The Xxxxx County Sheriff’s Office will continue to provide a $10,000 AD & D policy in conjunction with the hospitalization policy as stated in paragraph A aboveincluded. D. A free standing vision plan shall also be provided to employees covered under this contract. The Xxxxx County Board of Commissioners plan shall be the sole arbiters of the carrier of the Xxxxx County hospitalization planprovide for exams, lens and frames (12/12/24). E. The Employer shall continue to try to make available to bargaining unit members and their eligible dependents substantially similar group health and hospitalization insurance coverage and benefits. The Employer reserves the right to change or provide alternate insurance carriers, health maintenance organizations, or benefit levels or to self-insure as it deems appropriate for any form or portion of insurance coverage referred to in this Article. The Employer will not be responsible for changes unilaterally imposed by an insurance provider in benefits, co-payment provisions or deductibles so long as the Employer uses its best efforts to minimize changes by incumbent insurance providers from one plan year to another. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. F. The Employer reserves the right to institute cost containment measures relative to insurance coverage, so long as it tries to maintain a substantially similar level of benefits. Such changes may include, but are not limited to, mandatory second opinions for elective surgery, pre-admission and continuing admission review, preferred provider provisions, prohibition on weekend admissions except in emergency situations, and mandatory out- patient elective surgery for certain designated surgical procedures. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. G. The extent of coverage under the insurance policies referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans. Any questions or disputes concerning said insurance policies or plans or benefits thereunder shall be resolved in accordance with the terms and conditions set forth in said policies or plans and shall not be subject to the grievance and arbitration procedure set forth in this Agreement. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it has contracted or is obligated shall result in no liability to the Employer, nor shall such failure be considered a breach by the Employer of any obligation undertaken under this or any other Agreement. However, nothing in this Agreement Nothing contained herein shall be construed to relieve any insurance deny or restrict the Board in making sole determination of the carrier(s) or plan administrator(s) from any liability provided it may have can demonstrate to the Employer, bargaining unit member or beneficiary of Association that any bargaining unit memberchange in carrier(s) results in no reduction in benefits and services. H. Employees who are eligible for the County’s health insurance and waive coverage and at the completion of twelve (12) months without coverage shall receive a payment of one thousand dollars ($1000) per year by way of separate check. Employees will be required to show they have proof of health insurance coverage to be eligible for payment. Employees receiving medical insurance benefits through another family member working for Xxxxx County will be eligible for the one thousand dollar ($1000) payment. In the event that the employee opts back into the coverage during the twelve (12) month period, the employee will be paid a pro-rata portion of the bonus for each month during which he/she opted out of coverage. Employees who are not enrolled in the Health Plan shall be eligible for payment on April 15th of each year, provided that they are otherwise eligible pursuant to the above terms. I. In the event that the County returns to a “conventional or traditional” health insurance coverage plan after having provided coverage through an HSA plan, it shall be similar to the type of coverage plan in effect prior to the effective date of the HSA plan and , the Employer shall pay a minimum of eighty-five percent (85%) of the monthly premium of the plan chosen from the hospitalization, surgical, major medical plan or HMO plan made available to eligible bargaining unit employees of the Xxxxx County Sheriff’s Office, whereas, eligible bargaining unit employees electing coverage shall pay fifteen percent (15%) of the monthly premium.

Hospitalization. A. The Xxxxx County Sheriff’s Office will offer medical insurance coverage for eligible bargaining unit employees pursuant to 1. During the same terms and conditions as insurance is offered life of this contract, the Board shall provide to all other non-bargaining, General Fund Xxxxx County employees, except where such terms and conditions are expressly modified by this Article. The Xxxxx County Sheriffeligible Employees Highmark’s Office will contribute Preferred Provider Organization (PPO) Plan G offered through the same amount for each employee’s monthly health care premiums as is contributed to other non-bargaining County General Fund employees for coverage, except that the Employer shall contribute a minimum of eighty-five percent (85%) of the monthly premium toward the cost of the employee’s insurance premium and eligible bargaining unit employees shall contribute fifteen percent (15%). Should other non-bargaining Xxxxx County General Fund employees be offered a “holiday” or “reprieve” from premium contributions, the same benefit will be offered to employees covered by this agreement. B. It is agreed and understood that the schedule of benefits for bargaining unit employees electing insurance coverage shall be the same as procured by the Board of County Commissioners and set forth for all other Xxxxx County non-bargaining General Fund employees, including all conditions, payments and premium contributions as specified or required by individual carriers/providers of the health insurance plan and/or the County. In the event the County chooses to utilize a Health Savings Account (“HSA”), the County will partially fund the HSA of bargaining unit employees electing coverage in the following amounts on an annual basis in the following amounts (whichever is greater): Single Coverage: $1500 or sixty (60) percent of deductible Employee and Spouse: $3000 or sixty (60) percent of deductible Employee and Child: $3000 or sixty (60) percent of deductible Family: $3000 or sixty (60) percent of deductible The Employer’s portion of the employee’s HSA will be funded in pro-rata monthly contributions. The Employer shall contribute a minimum of one hundred and twenty-five dollars ($125) per month for each eligible bargaining unit employee electing Single coverage. Additionally, the Employer shall contribute a minimum of two hundred and fifty dollars ($250) per month for each eligible bargaining unit employee electing either Employee and Spouse, Employee and Child, or Family coverage. This number will increase in accordance with any increase specified above. However, employees electing coverage under the County’s health insurance plan may seek assistance with medical and prescription costs on a case-by-case basis consistent with the County’s Health Savings Hardship Policy effective April 1, 2010. It is further agreed and understood that during the term of this Agreement, such individual carriers/providers may, through no fault of the Employer, Union, or employees cease coverage. Should such occur, any employee adversely affected shall be given the opportunity to enroll with an alternative carrier with the appropriate premium rates subject to the premium rate applied herein or to waive coverage and receive an appropriate pro-rata amount of the waiver of coverage payment. Additionally, it is agreed and understood that during the term of this Agreement specific carriers/providers under the plan may unilaterally institute payments or conditions which modifications will be required for subscription to that carrier/provider. A bargaining unit employee’s eligibility to obtain County health insurance benefits is based upon the following: 1. An employee who is on the active payroll (receives pay) for a period of five (5) days in any month is entitled to this benefit. 2. An employee who does not receive pay for at least five (5) days in any month will be responsible for payment of the total premium due for continued hospitalization coverage. C. The Xxxxx County Sheriff’s Office will continue to provide a $10,000 AD & D policy in conjunction with the hospitalization policy as stated in paragraph A above. D. The Xxxxx County Board of Commissioners shall be the sole arbiters of the carrier of the Xxxxx County hospitalization plan. E. The Employer shall continue to try to make available to bargaining unit members and their eligible dependents substantially similar group health and hospitalization insurance coverage and benefits. The Employer reserves the right to change or provide alternate insurance carriers, health maintenance organizations, or benefit levels or to self-insure as it deems appropriate for any form or portion of insurance coverage referred to in this Article. The Employer will not be responsible for changes unilaterally imposed by an insurance provider in benefits, co-payment provisions or deductibles so long as the Employer uses its best efforts to minimize changes by incumbent insurance providers from one plan year to another. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. F. The Employer reserves the right to institute cost containment measures relative to insurance coverage, so long as it tries to maintain a substantially similar level of benefits. Such changes may include, but are not limited to, mandatory second opinions for elective surgery, pre-admission and continuing admission review, preferred provider provisions, prohibition on weekend admissions except in emergency situations, and mandatory out- patient elective surgery for certain designated surgical procedures. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. G. The extent of coverage under the insurance policies referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans. Any questions or disputes concerning said insurance policies or plans or benefits thereunder shall be resolved in accordance with the terms and conditions set forth in said policies or plans and shall not be subject to the grievance and arbitration procedure set forth in this Agreement. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it has contracted or is obligated shall result in no liability to the Employer, nor shall such failure be considered a breach by the Employer of any obligation undertaken under this or any other Agreement. However, nothing in this Agreement shall be construed to relieve any insurance carrier(s) or plan administrator(s) from any liability it may have to the Employer, bargaining unit member or beneficiary of any bargaining unit member. H. Employees who are eligible for the County’s health insurance and waive coverage and at the completion of twelve (12) months without coverage shall receive a payment of one thousand dollars ($1000) per year by way of separate check. Employees will be required to show they have proof of health insurance coverage to be eligible for payment. Employees receiving medical insurance benefits through another family member working for Xxxxx County will be eligible for the one thousand dollar ($1000) paymentXxxxxxxxxxxx Rate Stabilization Consortium. In the event that the employee opts back into plan is no longer made available by the coverage during the twelve (12) month periodcarrier, the employee Board and Association shall form a joint committee to explore alternatives. The District will not be paid a proresponsible for out-rata portion of-pocket health care costs incurred by members as part of the bonus for each month during which he/she opted out implementation of coveragea new health care plan under this provision. 2. Employees who are not enrolled Any change in plan, resulting from a change in the Health Plan insured Employee's family or marital status, shall be eligible for payment on April 15th recognized by the Board upon receipt of each year, provided that they are otherwise eligible pursuant to written request from the above termsEmployee. All such changes must be authorized by the carrier and must be in accordance with basic provision. I. In 3. Any Employee who retires and has not reached the event that the County returns to a “conventional or traditional” health insurance coverage plan after having provided coverage through an HSA plan, it age of 65 shall be similar entitled to the type of continue his/her Medical, Dental and Vision coverage plan in effect prior to the effective date of the HSA plan and , the Employer shall pay a minimum of eighty-five percent (85%) until Medicare benefits become available. The cost of the monthly premium shall be paid by the retiring Employee. This provision is intended to comply with Act 43 of 1989 and COBRA. 4. If both husband and wife are Employees of the District, they are entitled to two (2) individual plans or one (1) family plan chosen from depending on the hospitalizationnumber of dependents. 5. Alternate coverage, surgicalalternate carriers, major medical and/or modifications must be mutually agreed to by both parties. 6. The District agrees to permit the Norwin Education Association to form a sick leave bank, using Association members' days, to be administered by the Association. The District's responsibility for this plan or HMO plan made available is limited only to transferring individual sick days as outlined in writing by eligible bargaining unit employees and to keep a cumulative total of days in the sick leave bank. The Association agrees to hold the District harmless with regard to any disputes arising out of the Xxxxx County SheriffN.E.A.'s administration of this sick leave bank. 7. Employees will contribute to the District’s Officehospitalization plan as noted in the scale below over the life of the contract: 2007-2008 School Year $48.00 individual/mo. $72.00 dependent per month 2008-2009 School Year $48.00 individual/mo. $72.00 dependent per month 2009-2010 School Year $58.00 individual/mo. $87.00 dependent per month 2010-2011 School Year $58.00 individual/mo. $87.00 dependent per month 2011-2012 School Year $68.00 individual/mo. $92.00 dependent per month If two employees in the District are married, whereas, eligible bargaining unit employees electing coverage then the couple shall pay fifteen percent only one (15%1) dependent premium share. 8. Employees choosing not to enroll in a District plan shall receive a payment of two thousand five hundred dollars ($2,500.00). Eligibility for payment is subject to the monthly premium.insurance eligibility provisions included in Article XVIII, A-4. The payment shall be in two equal installments in the first pays of December and June of each year. The election to decline coverage must be made in writing to the Business Office each year by August 1 or within thirty (30) days of being hired by the District. Employees may re-enroll in the health insurance coverage as a result of a change in status within thirty

Hospitalization. A. The Xxxxx County Sheriff’s Office will offer medical insurance coverage for eligible bargaining unit employees pursuant to the same terms and conditions as insurance BOCES Hospitalization Policy is offered to all other non-bargaining, General Fund Xxxxx County employees, except where such terms and conditions are expressly modified by this Articlecontributory for all employees in the bargaining unit. The Xxxxx County Sheriff’s Office will contribute the same amount for each employee’s monthly health care premiums as is contributed to other non-bargaining County General Fund employees for coverage, except Association acknowledges that the Employer District may provide coverage under the DEHIC or DEHIC Alternative Plan as its policy. Effective January 1, 2001, the District shall provide coverage under the DEHIC PPO as its policy. Effective April 1, 2005, the BOCES shall provide coverage under the DEHIC Alternate PPO. Effective July 1, 2006, unit members shall be required to contribute a minimum 5% of eighty-five percent (85%) of the monthly premium toward the cost of individual and family health insurance premiums on a monthly basis with the employee’s District contributing the other 95%. The BOCES shall maintain a comprehensive §125 Internal Revenue Code Flexible Benefits Plan with child care/elder care capped at $5,000.00. Such plan will be implemented through a third party administrator. The BOCES shall maintain a Dual Spousal Coverage Restriction regarding health insurance premium and where both spouses are eligible bargaining unit employees shall contribute fifteen percent (15%). Should other to participate in the DEHIC and/or DEHIC Alternative Plans such that both spouses may elect individual coverages or the non-bargaining Xxxxx County General Fund employees BOCES employed spouse must provide the sole family coverage, whereupon the spouse employed by the BOCES would receive the health buy-out of Article XI(J); provided, however, that if both spouses are employed by the BOCES they may decide which one will be offered a “holiday” or “reprieve” from premium contributionsenrolled for family coverage or, in the absence of agreement, the same benefit one with the earlier birthday shall be enrolled. If the other spouse is employed by an employer participating in the DEHIC or DEHIC Alternative Plan having a dual restriction policy or contractual provision, the rules of the DEHIC Plan or the DEHIC Alternative Plan will determine which spouse will be offered enrolled for the family coverage. Retirees shall remain entitled to employees covered by this agreement. B. It is agreed and understood that the schedule District contributions paid towards the cost of benefits for bargaining unit employees electing insurance coverage shall be health insurance, including Medicare related payments, on the same basis as procured by at the Board of County Commissioners and set forth for all other Xxxxx County non-bargaining General Fund employees, including all conditions, payments and premium contributions as specified or required by individual carriers/providers time of the health insurance plan and/or change from the CountyEmpire Plan to the Dutchess Health Insurance Cooperative. In the event the County chooses to utilize If a Health Savings Account (“HSA”)teacher is excessed and laid off, the County will partially fund the HSA of bargaining unit employees electing coverage in the following amounts on an annual basis in the following amounts (whichever is greater): Single Coverage: $1500 or sixty (60) percent of deductible Employee and Spouse: $3000 or sixty (60) percent of deductible Employee and Child: $3000 or sixty (60) percent of deductible Family: $3000 or sixty (60) percent of deductible The Employer’s portion of the employee’s HSA will be funded in pro-rata monthly contributions. The Employer shall contribute a minimum of one hundred and twenty-five dollars ($125) per month for each eligible bargaining unit employee electing Single coverage. Additionally, the Employer shall contribute a minimum of two hundred and fifty dollars ($250) per month for each eligible bargaining unit employee electing either Employee and Spouse, Employee and Child, or Family coverage. This number will increase in accordance with any increase specified above. However, employees electing coverage under the County’s health insurance plan may seek assistance with medical and prescription costs on a case-by-case basis consistent with the County’s Health Savings Hardship Policy effective April 1, 2010. It is further agreed and understood that during the term of this Agreement, such individual carriers/providers may, through no fault of the Employer, Union, or employees cease coverage. Should such occur, any employee adversely affected shall be given the opportunity to enroll with an alternative carrier with the appropriate premium rates subject to the premium rate applied herein or to waive coverage and receive an appropriate pro-rata amount of the waiver of coverage payment. Additionally, it is agreed and understood that during the term of this Agreement specific carriers/providers under the plan may unilaterally institute payments or conditions which modifications will be required for subscription to that carrier/provider. A bargaining unit employee’s eligibility to obtain County health insurance benefits is based upon the following: 1. An employee who is on the active payroll (receives pay) for a period of five (5) days in any month is entitled to this benefit. 2. An employee who does not receive pay for at least five (5) days in any month will be responsible for payment of the total premium due for continued hospitalization coverage. C. The Xxxxx County Sheriff’s Office District will continue to provide a $10,000 AD & D policy in conjunction with the hospitalization policy as stated in paragraph A above. D. The Xxxxx County Board of Commissioners shall be the sole arbiters of the carrier of the Xxxxx County hospitalization plan. E. The Employer shall continue to try to make available to bargaining unit members and their eligible dependents substantially similar group pay health and hospitalization insurance coverage and benefits. The Employer reserves the right to change or provide alternate insurance carriers, health maintenance organizations, or benefit levels or to self-insure as it deems appropriate premiums required by this Contract for any form or portion of insurance coverage referred to in this Article. The Employer will not be responsible for changes unilaterally imposed by an insurance provider in benefits, co-payment provisions or deductibles so long as the Employer uses its best efforts to minimize changes by incumbent insurance providers from one plan year to another. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen two (142) calendar days of months after the notice of the changeexcess and layoff. F. The Employer reserves the right to institute cost containment measures relative to insurance coverage, so long as it tries to maintain a substantially similar level of benefits. Such changes may include, but are not limited to, mandatory second opinions for elective surgery, pre-admission and continuing admission review, preferred provider provisions, prohibition on weekend admissions except in emergency situations, and mandatory out- patient elective surgery for certain designated surgical procedures. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. G. The extent of coverage under the insurance policies referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans. Any questions or disputes concerning said insurance policies or plans or benefits thereunder shall be resolved in accordance with the terms and conditions set forth in said policies or plans and shall not be subject to the grievance and arbitration procedure set forth in this Agreement. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it has contracted or is obligated shall result in no liability to the Employer, nor shall such failure be considered a breach by the Employer of any obligation undertaken under this or any other Agreement. However, nothing in this Agreement shall be construed to relieve any insurance carrier(s) or plan administrator(s) from any liability it may have to the Employer, bargaining unit member or beneficiary of any bargaining unit member. H. Employees who are eligible for the County’s health insurance and waive coverage and at the completion of twelve (12) months without coverage shall receive a payment of one thousand dollars ($1000) per year by way of separate check. Employees will be required to show they have proof of health insurance coverage to be eligible for payment. Employees receiving medical insurance benefits through another family member working for Xxxxx County will be eligible for the one thousand dollar ($1000) payment. In the event that the employee opts back into the coverage during the twelve (12) month period, the employee will be paid a pro-rata portion of the bonus for each month during which he/she opted out of coverage. Employees who are not enrolled in the Health Plan shall be eligible for payment on April 15th of each year, provided that they are otherwise eligible pursuant to the above terms. I. In the event that the County returns to a “conventional or traditional” health insurance coverage plan after having provided coverage through an HSA plan, it shall be similar to the type of coverage plan in effect prior to the effective date of the HSA plan and , the Employer shall pay a minimum of eighty-five percent (85%) of the monthly premium of the plan chosen from the hospitalization, surgical, major medical plan or HMO plan made available to eligible bargaining unit employees of the Xxxxx County Sheriff’s Office, whereas, eligible bargaining unit employees electing coverage shall pay fifteen percent (15%) of the monthly premium.

Hospitalization. A. The Xxxxx County Sheriff’s Office All permanent, full-time seniority employees employed on a full-time basis, (six (6) hours or more per day or who are hired after January 1, 2006) will offer be eligible for hospital medical insurance hospitalization coverage either through a Health Maintenance Organization (HMO) or through a Blue Cross and Blue Shield PPO that provides for hospitalization medical coverage. Those permanent, seniority employees employed prior to January 1, 2006 will continue to be eligible bargaining unit employees pursuant for this benefit at 5 hours per day or more. 1. If the eligible employee's spouse has or is eligible for any type of fully paid, full- family hospitalization coverage which is equal to or better in coverage than that offered by the same terms and conditions as insurance is offered to all other non-bargaining, General Fund Xxxxx County employees, except where such terms and conditions are expressly modified by this Article. The Xxxxx County Sheriff’s Office will contribute the same amount for each employee’s monthly health care premiums as is contributed to other non-bargaining County General Fund employees for coverage, except that the Employer shall contribute a minimum of eighty-five percent (85%) of the monthly premium toward the cost of the employee’s insurance premium and eligible bargaining unit employees shall contribute fifteen percent (15%). Should other non-bargaining Xxxxx County General Fund employees be offered a “holiday” or “reprieve” from premium contributionsRochester Community Schools, the same benefit employee involved will not be offered to employees covered by this agreement. B. It is agreed and understood that the schedule of benefits eligible for bargaining unit employees electing insurance full-family or single subscriber hospitalization coverage shall be the same as procured by the Board of County Commissioners and set forth for all other Xxxxx County non-bargaining General Fund employees, including all conditions, payments and premium contributions as specified or required by individual carriers/providers of the health insurance plan and/or the County. In the event the County chooses to utilize a Health Savings Account (“HSA”), the County will partially fund the HSA of bargaining unit employees electing coverage in the following amounts on an annual basis in the following amounts (whichever is greater): Single Coverage: $1500 or sixty (60) percent of deductible Employee and Spouse: $3000 or sixty (60) percent of deductible Employee and Child: $3000 or sixty (60) percent of deductible Family: $3000 or sixty (60) percent of deductible The Employer’s portion of the employee’s HSA will be funded in pro-rata monthly contributions. The Employer shall contribute a minimum of one hundred and twenty-five dollars ($125) per month for each eligible bargaining unit employee electing Single coverage. Additionally, the Employer shall contribute a minimum of two hundred and fifty dollars ($250) per month for each eligible bargaining unit employee electing either Employee and Spouse, Employee and Child, or Family coverage. This number will increase in accordance with any increase specified above. However, employees electing coverage under the County’s health insurance plan may seek assistance with medical and prescription costs on a case-by-case basis consistent with the County’s Health Savings Hardship Policy effective April 1, 2010Rochester Community Schools. It is further agreed and understood that during the term of this Agreement, such individual carriers/providers may, through no fault of the Employer, Union, or employees cease coverage. Should such occur, any employee adversely affected shall be given the opportunity to enroll with an alternative carrier with the appropriate premium rates subject to the premium rate applied herein or to waive double coverage and receive an appropriate pro-rata amount of the waiver of coverage payment. Additionally, it is agreed and understood that during the term of this Agreement specific carriers/providers under the plan may unilaterally institute payments or conditions which modifications will be required for subscription to that carrier/provider. A bargaining unit employee’s eligibility to obtain County health insurance benefits is based upon the following: 1. An employee who is on the active payroll (receives pay) for a period of five (5) days in any month is entitled to this benefitprohibited. 2. An For the appropriate coverage, the employee who does shall certify, in writing, that he/she is entitled to such coverage. Violation of this certification may require the employee to reimburse the Board for all payments made in his/her behalf. In addition, it is firmly understood that such employee may be disciplined. 3. All eligible employees shall not receive be entitled to the above mentioned coverage until they have satisfactorily completed the probationary period. 4. Employees on leaves of absence in excess of three (3) weeks shall be required to pay for at least five (5) days in any month the benefit or else it will be responsible for payment terminated. 5. Upon request, the employee may be required to submit proof of "supporting spouse of family or declared head of household." Refusal or failure to submit proof may mean the suspension of the total premium due for continued hospitalization coveragecoverage to such employee. C. The Xxxxx County Sheriff’s Office will continue to provide a $10,000 AD & D policy in conjunction with the hospitalization policy as stated in paragraph A above. D. The Xxxxx County Board of Commissioners 6. There shall be the sole arbiters no duplication of the carrier of the Xxxxx County hospitalization plan. E. The Employer shall continue to try to make available to bargaining unit members and their eligible dependents substantially similar group health and hospitalization insurance coverage and benefits. The Employer reserves employee must notify the right to change Department of Human Resources of any duplicate coverage, either through personal coverage or provide alternate insurance carriers, health maintenance organizations, coverage from the spouse's or benefit levels or to self-insure as it deems appropriate for family's plan. If the employee is covered by any form or portion of insurance coverage referred to in this Article. The Employer will not be responsible for changes unilaterally imposed by an insurance provider in benefits, co-payment provisions or deductibles so long as the Employer uses its best efforts to minimize changes by incumbent insurance providers from one plan year to another. Should the group and hospitalization insurance coverage and benefits changeduplicated hospitalization, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must Board's obligations under this provision shall be presented within fourteen (14) calendar days of the notice of the changewaived. F. The Employer reserves the right to institute cost containment measures relative to insurance coverage, so long as it tries to maintain a substantially similar level of benefits7. Such changes may include, but are not limited to, mandatory second opinions for elective surgery, pre-admission and continuing admission review, preferred provider provisions, prohibition on weekend admissions except in emergency situations, and mandatory out- patient elective surgery for certain designated surgical procedures. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. G. The extent of coverage under the insurance policies referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans. Any questions or disputes concerning said insurance policies or plans or benefits thereunder shall be resolved in accordance with the terms and conditions set forth in said policies or plans and shall not be subject to the grievance and arbitration procedure set forth in this Agreement. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it has contracted or is obligated shall result in no liability to the Employer, nor shall such failure be considered a breach by the Employer of any obligation undertaken under this or any other Agreement. However, nothing in this Agreement shall be construed to relieve any insurance carrier(s) or plan administrator(s) from any liability it may have to the Employer, bargaining unit member or beneficiary of any bargaining unit member. H. Employees Unmarried children who are eligible for the County’s health insurance and waive coverage and at the completion of twelve (12) months without coverage shall receive a payment of one thousand dollars ($1000) per year by way of separate check. Employees will be required to show they have proof of health insurance coverage to be eligible for payment. Employees receiving medical insurance benefits through another family full-time students and/or dependent on member working for Xxxxx County support will be eligible for family member benefits for health insurance through the one thousand dollar calendar year the dependent becomes age twenty-five (25). The employee must make arrangements with the Human Resources’ Department to provide for the deduction of $1000150 which will cover all eligible children in the family. 8. The Board will deposit monies in a Health Reimbursement Account (HRA) payment. In the event that the employee opts back into the coverage during the twelve (12) month period, the employee will be paid a pro-rata portion of the bonus for each month during which he/she opted out of coverage. Employees who are not enrolled in the Health Plan shall be eligible for payment on April 15th of each year, provided that they are otherwise eligible pursuant to the above terms. I. In the event that the County returns to a “conventional or traditional” health insurance coverage plan after having provided coverage through an HSA plan, it shall be similar to the type of coverage plan in effect prior to the effective date of the HSA plan and , the Employer shall pay a minimum of eighty-five percent employee as defined under Section 105 (85%h) of the monthly premium Internal Revenue Code (IRC). Employees with a one-person benefit plan will have $300.00 deposited each year. Employees with a two-person benefit plan will have $500.00 deposited each year. Employees with a full family benefit plan will have $700.00 deposited each year. The HRA will operate on a calendar year (January to December) beginning on January 1, 2006. Members becoming eligible for this benefit during the year, other than January 1st will receive a prorated amount based on the number of months of coverage eligibility. If there are remaining funds in a member’s HRA at the end of the plan chosen from the hospitalizationcalendar year, surgical, major medical plan or HMO plan made available to eligible bargaining unit employees one- half of the Xxxxx County Sheriffremaining HRA balance will be carried over to the next calendar year, not to exceed a carryover of $1,200. The HRA can be used to reimburse members for eligible medical expenses as defined by IRC 213 (this regulation is on file in the district’s Human Resources Office). This includes doctor office co-pays and/or deductibles, whereasprescription co-pays, dental co-pays and/or deductibles, eye exams, glasses, contacts, laser eye surgery, etc. If a member contributes to a Section 125 plan, their section 125 plan monies must be used before a member can be reimbursed under the HRA. Members who retire or resign or eligible bargaining unit employees electing coverage shall pay fifteen percent (15%) dependents of members who die will continue to have access to the monthly premiumHRA money in their account at the time of leaving the District for three years after the date of leaving. Retirees may submit the cost of their MPSERS health, dental, and/or vision insurance reimbursement from their monies remaining in their HRA.

Hospitalization. A. The Xxxxx County Sheriff’s Office will offer medical insurance coverage for eligible bargaining unit employees pursuant to the same terms and conditions as insurance is offered to all other non-bargaining, General Fund Xxxxx County employees, except where such terms and conditions are expressly modified by this Article. The Xxxxx County Sheriff’s Office will contribute the same amount for each employee’s monthly health care premiums as is contributed to other non-bargaining County General Fund employees for coverage, except that the Employer shall contribute a minimum of eighty-five percent (85%) of the monthly premium toward the cost of the employee’s insurance premium and eligible bargaining unit employees shall contribute fifteen percent (15%). Should other non-bargaining Xxxxx County General Fund employees be offered a “holiday” or “reprieve” from premium contributions, the same benefit will be offered to employees covered by this agreement. B. It is agreed and understood that the schedule of benefits for bargaining unit employees electing insurance coverage shall be the same as procured by the Board of County Commissioners and set forth for all other Xxxxx County non-bargaining General Fund employees, including all conditions, payments and premium contributions as specified or required by individual carriers/providers of the health insurance plan and/or the County. In the event the County chooses to utilize a Health Savings Account (“HSA”), the County will partially fund the HSA of bargaining unit employees electing coverage in the following amounts on an annual basis in the following amounts (whichever is greater): Single Coverage: $1500 or sixty (60) percent of deductible Employee and Spouse: $3000 or sixty (60) percent of deductible Employee and Child: $3000 or sixty (60) percent of deductible Family: $3000 or sixty (60) percent of deductible The Employer’s portion of the employee’s HSA will be funded in pro-rata monthly contributions. The Employer shall contribute a minimum of one hundred and twenty-five dollars ($125) per month for each eligible bargaining unit employee electing Single coverage. Additionally, the Employer shall contribute a minimum of two hundred and fifty dollars ($250) per month for each eligible bargaining unit employee electing either Employee and Spouse, Employee and Child, or Family coverage. This number will increase in accordance with any increase specified above. However, employees electing coverage under the County’s health insurance plan may seek assistance with medical and prescription costs on a case-by-case basis consistent with the County’s Health Savings Hardship Policy effective April 1, 2010. It is further agreed and understood that during the term of this Agreement, such individual carriers/providers may, through no fault of the Employer, Union, or employees cease coverage. Should such occur, any employee adversely affected shall be given the opportunity to enroll with an alternative carrier with the appropriate premium rates subject to the premium rate applied herein or to waive coverage and receive an appropriate pro-rata amount of the waiver of coverage payment. Additionally, it is agreed and understood that during the term of this Agreement specific carriers/providers under the plan may unilaterally institute payments or conditions which modifications will be required for subscription to that carrier/provider. A bargaining unit employee’s eligibility to obtain County health insurance benefits is based upon the following: 1. An employee who is on the active payroll (receives pay) for a period of five (5) days in any month is entitled to this benefit. 2. An employee who does not receive pay for at least five (5) days in any month will be responsible for payment of the total premium due for continued hospitalization coverage. C. The Xxxxx County Sheriff’s Office will continue to provide a $10,000 AD & D policy in conjunction with the hospitalization policy as stated in paragraph A above. D. The Xxxxx County Board of Commissioners shall be the sole arbiters of the carrier of the Xxxxx County hospitalization plan. E. The Employer shall continue to try to make available to bargaining unit members and their eligible dependents substantially similar group health and hospitalization insurance coverage and benefits. The Employer reserves the right to change or provide alternate insurance carriers, health maintenance organizations, or benefit levels or to self-insure as it deems appropriate for any form or portion of insurance coverage referred to in this Article. The Employer will not be responsible for changes unilaterally imposed by an insurance provider in benefits, co-payment provisions or deductibles so long as the Employer uses its best efforts to minimize changes by incumbent insurance providers from one plan year to another. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. F. The Employer reserves the right to institute cost containment measures relative to insurance coverage, so long as it tries to maintain a substantially similar level of benefits. Such changes may include, but are not limited to, mandatory second opinions for elective surgery, pre-pre- admission and continuing admission review, preferred provider provisions, prohibition on weekend admissions except in emergency situations, and mandatory out- out-patient elective surgery for certain designated surgical procedures. Should the group and hospitalization insurance coverage and benefits change, the Employer, upon written request of the Union, agrees to meet in good faith, consider options and discuss the effects of the changes. Written request from the Union must be presented within fourteen (14) calendar days of the notice of the change. G. The extent of coverage under the insurance policies referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans. Any questions or disputes concerning said insurance policies or plans or benefits thereunder shall be resolved in accordance with the terms and conditions set forth in said policies or plans and shall not be subject to the grievance and arbitration procedure set forth in this Agreement. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it has contracted or is obligated shall result in no liability to the Employer, nor shall such failure be considered a breach by the Employer of any obligation undertaken under this or any other Agreement. However, nothing in this Agreement shall be construed to relieve any insurance carrier(s) or plan administrator(s) from any liability it may have to the Employer, bargaining unit member or beneficiary of any bargaining unit member. H. Employees who are eligible for the County’s health insurance and waive coverage and at the completion of twelve (12) months without coverage shall receive a payment of one thousand dollars ($1000) per year by way of separate check. Employees will be required to show they have proof of health insurance coverage to be eligible for payment. Employees receiving medical insurance benefits through another family member working for Xxxxx County will be eligible for the one thousand dollar ($1000) payment. In the event that the employee opts back into the coverage during the twelve (12) month period, the employee will be paid a pro-rata portion of the bonus for each month during which he/she opted out of coverage. Employees who are not enrolled in the Health Plan shall be eligible for payment on April 15th of each year, provided that they are otherwise eligible pursuant to the above terms. I. In the event that the County returns to a “conventional or traditional” health insurance coverage plan after having provided coverage through an HSA plan, it shall be similar to the type of coverage plan in effect prior to the effective date of the HSA plan and , the Employer shall pay a minimum of eighty-five percent (85%) of the monthly premium of the plan chosen from the hospitalization, surgical, major medical plan or HMO plan made available to eligible bargaining unit employees of the Xxxxx County Sheriff’s Office, whereas, eligible bargaining unit employees electing coverage shall pay fifteen percent (15%) of the monthly premium.