Common use of Insurance Opt-Out Clause in Contracts

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's satisfaction that this is the case. h. Employees who previously have received free health insurance because their spouse was also employed by the Board are not eligible for the opt- out payment.

Appears in 2 contracts

Samples: Master Contract, Master Contract

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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 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 insurance plan on July 1, 2011 2011, or be a new hire after July 1, 2011. b. Opt-out incentive payments will be prorated on a school year of September through August 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 a school year but in the case of an employee opting out other than during open enrollment, such pro-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-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- 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's satisfaction that this is the case. h. Employees who previously have received free health insurance because their spouse was also employed by the Board are not eligible for the opt- opt-out payment.

Appears in 2 contracts

Samples: Negotiated Agreement, Collective Bargaining Agreement

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