Insurance Opt-Out. As part of the annual open enrollment process, employees who opt out of the district’s family medical insurance plan shall be paid a total of $4,000, paid in two separate payments of $2,000. Employees who opt out of the district’s single medical insurance plan shall be paid a total of $2,000, paid in two separate payments of $1,000. These payments will be made the first pay in December and the first pay in June. Employees who enroll in the plan during the plan year after opting out due to loss of coverage elsewhere shall receive a pro-rated payment.
Insurance Opt-Out. Effective July 1, 2002, an employee who “opts-out” of the City provided health insurance plan shall receive one hundred dollars ($100.00) per month. Such employee must provide proof of insurance coverage from an insurance plan not funded by the City of Xxxxxx.
Insurance Opt-Out. The fees that the Member pays for services provided by Wellscape Direct MD are not intended to be advance payments for any form of benefit or otherwise constitute any form of insurance. The Member acknowledges that Wellscape Direct MD has explained that its doctor(s) and any staff members have opted out of participating in and are not contracted with any type of insurance, such as a third party payer, health plan, or government program, including the Medicare Program. Members who are Medicare beneficiaries will complete Schedule C, attached. The Member understands that Wellscape Direct MD will not xxxx or otherwise seek payment in any form from any insurer or third party payer to which the Member may be entitled to benefits or coverage for the Services. Although Wellscape Direct MD and its doctor(s) have chosen to opt out of participating with any insurer, the Member is not prohibited from seeking payment for the services from such payers (with the exception of Medicare); however, the Member will be solely responsible for seeking reimbursement from such payers directly.
Insurance Opt-Out. As an incentive for bargaining unit employees to obtain health insurance from sources other than the health insurance provided by the Board pursuant to this Collective Bargaining Agreement, the Board will pay an annual incentive for employees who decline coverage under the following conditions.
a. To be eligible for the incentive payment, the employee must have been receiving health insurance benefits under the Collective Bargaining Agreement prior to the implementation of this section of the contract. Specifically, employees must have been enrolled in the Board’s health plan on July 1, 2011 or be a new hire after July 1, 2011.
b. Opt-out incentive payments will be prorated on a school year basis should an employee opt out during that school year.
c. Opt-out incentive payments will be made in two installments, normally October and April, for that school year but in the case of an employee opting out other than during open enrollment, such pro-rated payments will be distributed in two (2) equal installments. The first installment will occur within thirty (30) calendar days of the initiation of the opt-out and the second installment will be approximately half way through the remainder of the school year.
d. Employees with single coverage who are eligible for the opt-out incentive will receive Fifteen Hundred Dollars ($1,500) per school year. Employees with family coverage who are eligible for the opt-out incentive will receive Three Thousand Dollars ($3,000) per school year. These amounts are subject to proration as provided above.
e. Employees who opt-out may return to the Board health insurance plan upon experiencing a qualifying event. In that case, the return to the Board plan will subject the employee to proration of any incentive payment received for the school year during which the employee returns to the Board plan, and may in some cases require the employee to return some incentive money. The Board will permit the employee to elect to return incentive money through payroll deduction over the remainder of the school year.
f. Employees who receive opt-out incentive payments and subsequently re- enroll in the Board plan at any time, either due to a qualifying event or during open enrollment, shall be ineligible to receive the opt-out incentive for three (3) consecutive school years of employment thereafter.
g. No employee may opt-out unless the employee has health insurance through other sources. The Board may require the employee to prove to the Board...
Insurance Opt-Out. Teachers who are eligible for the family plan, who elect not to be covered by the School’s Medical Insurance, and who participate in the insurance opt-out under Part III, Section A 4 shall receive a bonus as follows: Teachers enrolled in the opt-out during the 2003-04 school year and who in consecutive years continue to opt out receive an annual opt-out bonus of four thousand four dollars and thirty-five cents ($4,004.35). Teachers enrolled in the opt-out during the 2007-08 school year and who in consecutive years continue to opt out receive an annual opt-out bonus of three thousand dollars ($3,000). Teachers enrolled in the opt-out during the 2008-09 school year and thereafter will receive an annual opt-out bonus of one thousand five hundred dollars ($1,500). Teachers who are eligible for the single plan who elect not to be covered by the School’s Medical Insurance shall receive an annual opt-out bonus of seven hundred fifty dollars ($750). Teachers who are eligible for the family plan, who elect not to be covered by the School’s Dental and Vision Insurance, and who participate in the insurance opt-out under Part III, Section A 4 shall receive a bonus as follows: Teachers enrolled in the opt-out during the 2008-09 school year and thereafter will receive an annual opt-out bonus of three hundred seventy-five dollars ($375) for dental and one hundred dollars ($100) for vision. Teachers who are eligible for the single plan who elect not to be covered by the School’s Dental and Vision Insurance will receive an annual opt-out bonus of one hundred eighty-seven dollars and fifty cents ($187.50) for dental and fifty dollars ($50) for vision. Subject to the following provisions:
a. The teacher must waive his/her right to coverage in writing to the Treasurer by November 15th of each year;
b. Coverage must be waived for the entire plan year.
c. Spouses employed by the District are not eligible for this benefit;
d. Part-time teachers shall receive the bonus pro-rated to the time of employment;
e. This bonus shall be paid in two (2) equal installments, the first installment will be included in the first paycheck in May and the second installment will be included in the first paycheck in December.
f. Teachers who use this option and lose other health insurance coverage through the layoff, death or divorce of a spouse will be permitted to re-enroll in the Board’s Health Insurance plan provided that said members forfeit any payment which they have received or become eligi...
Insurance Opt-Out. All bargaining unit members will be given an option to decline health insurance coverage offered by the District. This option to decline health insurance coverage will be given annually in writing to the Treasurer. Any bargaining unit member who, due to changes in circumstances, needs to begin utilizing health insurance coverage may do so by informing the Treasurer in writing and filling out the necessary new insurance enrollment forms. The desired insurance will be reinstated as soon as possible in accordance with the terms and conditions of the insurance carrier. Bargaining unit members desiring to forego coverage for an entire year will be paid, through the District’s 125 Plan, the following: Health Insurance 12% of annual premium (9,10,11 month proration) Dental Insurance $100.00 Any bargaining unit member who has not taken any of the above insurance coverage for at least 9 months of the entire preceding year will be entitled to payment by September 30th following the end of the contract year. Employees shall have a right to opt back in to any health benefits by applying for reinstatement. In personal emergencies such as divorce, death of spouse, or termination of spouse's insurance or employment, an employee may opt back into the group plan. Reinstatement shall occur the month following the written notice setting forth the emergency. Employees choosing to opt back in as a result of an emergency shall forfeit opt-out compensation.
Insurance Opt-Out. Any employee who does not elect to receive health insurance benefits and can demonstrate that they have eligible insurance coverage, shall be eligible to receive $150.00 biweekly through payroll.
Insurance Opt-Out. If an Employee has minimal essential medical coverage for themselves and all other individuals for whom the employee can reasonably expect to claim a personal tax exemption deduction , the Employee may elect not to enroll in core (medical, dental and vision) benefit coverage and is eligible to receive a monthly Employer payment of two- hundred dollars ($200). An Employee may elect to opt out of medical only coverage and will receive a monthly Employer payment of one-hundred dollars ($100). An employee receiving a monthly opt-out cash payment, may receive it as cash added to their wages, or may designate it to a pretax option such as a Flexible Spending Account (FSA), in accordance with I.R.C. 125(i), for medical reimbursement, dependent care reimbursement, or deferred compensation, in accordance with I.R.C. 457(f). Eligible Employees electing to opt out must:
a. Opt out of medical, dental and vision benefits or medical only benefits;
b. Provide proof of current medical coverage under another employer-sponsored group plan, Medicare, TRICARE or other plan that meets the minimal essential coverage standard;
c. Complete the Employer opt-out form and submit their election to opt out through the OEBB benefit management system; and
d. Opt out at the time of hire, when initially meeting eligibility, during an open enrollment period, or following a qualifying event.
Insurance Opt-Out. The Board shall contribute an annually-negotiated amount to employees who opt out of group health insurance.
Insurance Opt-Out. A full-time teacher who is eligible for family medical coverage (medical, drug, dental and vision) elects to enroll in family medical coverage elsewhere and who remains off the District’s insurance for twelve (12) months shall be paid a lump sum of eighteen hundred dollars ($1,800.00). That full-time teacher shall be paid an additional eighteen hundred dollars ($1,800.00) for each twelve (12) months thereafter that such employee stays off the District’s insurance. A full-time teacher who remains off the District’s family medical insurance for twelve (12) months shall receive a lump sum payment of fourteen hundred dollars ($1,400.00) on the same terms above. Normal rules for changing enrollment due to death or change in family status will apply, but re-enrollment will disqualify the teacher from lump sum payment for that twelve (12) month period. This paragraph shall be treated as part of the District’s “cafeteria plan” under Internal Revenue Code Section 125 and shall be subject to all “cafeteria plan” requirements. This amount will be pro-rated monthly if the employee is not employed for a full twelve (12) month period. Teachers who want to receive the opt-out payment must provide reasonable evidence that they and their dependents have or will have minimum essential healthcare insurance through some source other than the individual market, state marketplace, or federal marketplace. Those receiving coverage through individual market, state marketplace, or federal marketplace will not be eligible for the opt-out payment.
