In Lieu or Dual Medical Coverage. In the event an eligible employee elects to waive participation in City- provided health insurance due to coverage in a group health plan from another source (e.g. spouse, parent, etc.), the employee shall receive the appropriate in-lieu amount: $500.00 – Family coverage or two-party coverage $350.00 – Single party coverage The employee may receive the in-lieu amount in cash (taxable) or they may elect to contribute the in-lieu amount (not taxable) towards the 457 ICMA Deferred Compensation Plan as a supplemental retirement benefit. To elect this option, the employee shall demonstrate that he or she is adequately covered at the applicable level of coverage by another source of group health insurance. If an employee loses primary coverage, he or she shall be covered by the City health plan as soon as possible, in accordance with CalPERS regulations and this MOU. The City’s obligation to pay the monthly supplemental allowance may be conditioned upon the employee providing reasonable evidence and attestation that the employee and all individuals in the employee’s expected tax family have alternate minimum essential coverage for every plan year in which the employee receives the monthly supplemental allowance, in accordance with. IRS requirements for an eligible opt out program. The City shall not pay the monthly supplemental allowance if the City knows or has reason to know that the employee or individual in the employee’s tax family does not have qualifying alternate coverage.
In Lieu or Dual Medical Coverage. In the event employee elects to waive participation in a medical plan due to coverage from another source (e.g. spouse, parent, etc.), the employee shall receive the appropriate in-lieu amount: $500.00 - Family coverage or two party coverage $350.00 - Single party coverage The employee may receive the in-lieu amount in cash (taxable) or they may elect to contribute the in-lieu amount (not taxable) towards the 457 ICMA Deferred Compensation Plan as a supplemental retirement benefit. To elect this option, the employee shall demonstrate the he or she is adequately covered by another source. If an employee loses secondary coverage due to unforeseen circumstances, he or she shall be covered by the City health plan as soon as possible, subject to P.E.R.S. regulations.
In Lieu or Dual Medical Coverage. Employees who elect not to receive the District’s medical insurance shall be provided an alternative benefit in the form of a monthly five-hundred-dollar ($500) cash payment in lieu of benefits listed in Article IV, A., ‘Health Plan Benefits Current Employees,’ of this Memorandum of Understanding. Eligibility for receipt of alternative benefits is restricted to those employees in regular or probationary status who, in accordance with PEMHCA regulations: (1) elect to opt-out of the District’s medical insurance and (2) provide proof of medical insurance coverage from an alternative plan.
