Joint Committees on Health and Dental Benefits. (a) The State and NYSCOPBA agree to continue the Joint Committee on Health and Dental Benefits. The Committee shall consist of at least three representatives selected by NYSCOPBA and three representatives selected by the State. (b) The State shall seek the appropriation of funds by the Legislature to support committee initiatives and to carry out the administrative responsibilities of the Joint Committee. Funding for the Joint Committee shall be as follows: $165,000 for the period April 1,2012 to March 31,2013; $165,000 for the period April 1,2013 to March 31,2014; $168,300 for the period April 1,2014 to March 31,2015; and, $171,666 for the period April 1,2015 to March 31,2016. In no case will more than 50% of these appropriations be allocated to either the State or NYSCOPBA individually. (c) The Joint Committee on Health and Dental Benefits shall meet within 14 days after a request to meet has been made by either side. (d) The Joint Committee shall work with appropriate State agencies to review and oversee the various health plans available to employees represented by NYSCOPBA. (e) The Joint Committee on Health and Dental Benefits shall work with appropriate State agencies to monitor future employer and employee health plan cost adjustments. (f) The Joint Committee shall be provided with each carrier rate renewal request upon submission and be briefed in detail periodically on the status of the development of each rate renewal. (g) The State shall require that the insurance carriers for the State Health Insurance Plan submit claims and experience data reports directly to the Joint Committee on Health and Dental Benefits in the format and with such frequency as the Committee shall determine. (h) The Joint Committee on Health and Dental Benefits shall work with appropriate State agencies to make mutually agreed upon changes in the Plan benefit structure through such initiatives as: (1) HMO Workgroup (participation/efficiency);
Appears in 1 contract
Samples: Collective Bargaining Agreement
Joint Committees on Health and Dental Benefits. (a) The State and NYSCOPBA agree to continue the Joint Committee on Health and Dental Benefits. The Committee shall consist of at least three representatives selected by NYSCOPBA and three representatives selected by the State.
(b) The State shall seek the appropriation of funds by the Legislature to support committee initiatives and to carry out the administrative responsibilities of the Joint Committee. Funding for the Joint Committee shall be as follows: $165,000 for the period April 1,2012 1, 2012 to March 31,201331, 2013; $165,000 for the period April 1,2013 1, 2013 to March 31,201431, 2014; $168,300 for the period April 1,2014 1, 2014 to March 31,201531, 2015; and, $171,666 for the period April 1,2015 1, 2015 to March 31,201631, 2016. In no case will more than 50% of these appropriations be allocated to either the State or NYSCOPBA individually.
(c) The Joint Committee on Health and Dental Benefits shall meet within 14 days after a request to meet has been made by either side.
(d) The Joint Committee shall work with appropriate State agencies to review and oversee the various health plans available to employees represented by NYSCOPBA.
(e) The Joint Committee on Health and Dental Benefits shall work with appropriate State agencies to monitor future employer and employee health plan cost adjustments.
(f) The Joint Committee shall be provided with each carrier rate renewal request upon submission and be briefed in detail periodically on the status of the development of each rate renewal.
(g) The State shall require that the insurance carriers for the State Health Insurance Plan submit claims and experience data reports directly to the Joint Committee on Health and Dental Benefits in the format and with such frequency as the Committee shall determine.
(h) The Joint Committee on Health and Dental Benefits shall work with appropriate State agencies to make mutually agreed upon changes in the Plan benefit structure through such initiatives as: (1) HMO Workgroup (participation/efficiency);
Appears in 1 contract
Samples: Collective Bargaining Agreement
Joint Committees on Health and Dental Benefits. (a) The State and NYSCOPBA agree to continue the Joint Committee on Health and Dental Benefits. The Committee shall consist of at least three representatives selected by NYSCOPBA and three representatives selected by the State.
(ba) The State shall seek the appropriation of funds by the Legislature to support committee initiatives and to carry out the administrative responsibilities of the Joint Committee. Funding for the Joint Committee shall be as follows: $165,000 175,099 for the period of April 1,2012 1, 2016 to March 31,2013; 31, 2017, $165,000 178,601 for the period of April 1,2013 1, 2017 to March 31,2014; 31, 2018, $168,300 182,173 for the period of April 1,2014 1, 2018 to March 31,2015; and31, 2019, $171,666 185,816 for the period of April 1,2015 1, 2019 to March 31,201631, 2020, $189,532 for the period of April 1, 2020 to March 31, 2021, $193,323 for the period of April 1, 2021 to March 31, 2022, and $197,189 for the period of April 1, 2022 to March 31, 2023. In no case will more than 50% of these appropriations be allocated to either the State or NYSCOPBA individually.
(cb) The Joint Committee on Health and Dental Benefits shall meet within 14 days after a request to meet has been made by either side.
(dc) The Joint Committee shall work with appropriate State agencies to review and oversee the various health plans available to employees represented by NYSCOPBA.
(ed) The Joint Committee on Health and Dental Benefits shall work with appropriate State agencies to monitor future employer and employee health plan cost adjustments.
(fe) The Joint Committee shall be provided with each carrier rate renewal request upon submission and be briefed in detail that periodically on the status of the development of each rate renewal.
(gf) The State shall require that the insurance carriers for the State Health Insurance Plan submit claims and experience data reports directly to the Joint Committee on Health and Dental Benefits in the format and with such frequency as the Committee shall determine.
(g) At the demand of the Joint Committee on Health and Dental Benefits, the State shall request proposals from existing or other carriers, or alternative third-party administrators, for the Empire Plan, Dental, Drug and Vision Plans providing the benefits are identical. A replacement insurance carrier or third-party administrator will not be selected without Joint Committee consent.
(h) The Joint Committee on Health and Dental Benefits shall work with appropriate State agencies to make mutually agreed upon changes in the Plan benefit structure through such initiatives as: :
(1) HMO Workgroup (participation/efficiency);
(2) Ambulatory Surgery Center development
(3) HCAP/ER benefit-review
(4) The ongoing review of the Managed Physical Medicine Program
(5) Review of the appropriateness of providing a benefit for autologous blood donations.
(6) Review the appropriateness of additional chronic copayment waivers
(7) Work with the dental carrier to increase access to participating dental specialists such as orthodontists.
(8) Explore the addition of a Lyme Vaccine to the list of injectable adult immunizations should one become available.
(9) Work with the State to monitor and oversee voluntary disease management programs under the medical component of The Empire Plan. The State and the NYSCOPBA Joint Committee on Health Benefits will explore the possible implementation of additional disease management and/or wellness activities to support enrollees with chronic illnesses and employees seeking to improve their general health and well-being.
(10) Work with the State to implement and oversee a Healthy Back Disease Management Program.
(11) Work with the State to monitor and oversee ongoing review of a Medical Flexible Spending Account.
(12) Work with the State to implement, monitor and oversee a direct debit vehicle utilized under the Medical Flexible Spending Account.
(13) Work with the State to monitor and oversee the voluntary “Centers of Excellence” program for organ and tissue transplants within the hospital component of the Empire Plan.
(14) Work with the State and medical carrier to develop an enhanced network of urgent care facilities.
(15) Work with the State to implement and oversee a Bariatric Surgery Program.
(16) Review the Corrective Vision Care coverage component at regular intervals to monitor utilization, network adequacy and cost.
(17) Work with the State to develop a voluntary Value Based Insurance Design (VBID) Pilot Program with the goal of improving health outcomes while lowering costs through copayment waivers or reductions.
(18) Work with the State to develop a voluntary Pilot Telemedicine Program. The purpose of the Telemedicine Program is to increase access to health care services by establishing a program to use telecommunications to provide healthcare.
(19) If reimportation of prescription drugs becomes permissible under applicable law, rule, regulation, or other appropriate approval, the parties agree to work through the JCHB to explore the plan’s use of such reimported drugs and evaluate the overall impact to the Empire Plan Prescription Drug Program. The parties will determine whether to recommend the implementation of the plan’s utilization of such drugs if both parties agree that it is practicable, cost effective and able to be implemented into and become part of the current Empire Plan Prescription Drug Program. Implementation of the alternative drug program for NYSCOPBA-represented employees will not take place without the agreement of the NYSCOPBA Joint Committees on Health Benefits.
Appears in 1 contract
Samples: Collective Bargaining Agreement
Joint Committees on Health and Dental Benefits. (a) The State and NYSCOPBA Council 82 agree to continue the Joint Committee on Health and Dental Benefits. The Committee shall consist of at least three representatives selected by NYSCOPBA Council 82 and three representatives selected by the State.
(b) The State shall seek the appropriation of funds by the Legislature to support committee initiatives and to carry out the administrative responsibilities of the Joint Committee. Funding for the Joint Committee shall be as follows: $165,000 follows:$6,500 for the period April 1,2012 1, 2012 to March 31,201331, 2013; $165,000 6,500 for the period April 1,2013 1, 2013 to March 31,201431, 2014; $168,300 6,630 for the period April 1,2014 1, 2014 to March 31,201531, 2015; and, and $171,666 6,763 for the period April 1,2015 1, 2015 to March 31,201631, 2016. In no case will more than 50% of these appropriations be allocated to either the State or NYSCOPBA Council 82 individually.
(c) The Joint Committee on Health and Dental Benefits shall meet within 14 days after a request to meet has been made by either side.
(d) The Joint Committee shall work with appropriate State agencies to review and oversee the various health plans available to employees represented by NYSCOPBACouncil 82.
(e) The Joint Committee on Health and Dental Benefits shall work with appropriate State agencies to monitor future employer and employee health plan cost adjustments.
(f) The Joint Committee shall be provided with each carrier rate renewal request upon submission and be briefed in detail periodically on the status of the development of each rate renewal.
(g) The State shall require that the insurance carriers for the State Health Insurance Plan submit claims and experience data reports directly to the Joint Committee on Health and Dental Benefits in the format and with such frequency as the Committee shall determine.
(h) The Joint Committee on Health and Dental Benefits shall work with appropriate State agencies to make mutually agreed upon changes in the Plan benefit structure through such initiatives as: (1) HMO Workgroup (participation/efficiency);; (2)
Appears in 1 contract
Samples: Collective Bargaining Agreement
Joint Committees on Health and Dental Benefits. (a) The State and NYSCOPBA the PBA (Agency Police Services Unit) agree to continue the Joint Committee on Health and Dental Benefits. The Committee shall consist of at least three representatives selected by NYSCOPBA the PBA (Agency Police Services Unit) and three representatives selected by the State.
(b) The State shall seek the appropriation of funds by the Legislature to support committee initiatives and to carry out the administrative responsibilities of the Joint Committee. Funding for Committee in the Joint Committee shall be as follows: amount of $165,000 3680 for the period April 1,2012 1, 2011 to March 31,2013; 31, 2012, $165,000 3680 for the period April 1,2013 1, 2012 to March 31,2014; 31, 2013, $168,300 3680 for the period April 1,2014 1, 2013 to March 31,2015; and31, 2014 and $171,666 3754 for the period April 1,2015 1, 2014 to March 31,2016. In no case will more than 50% of these appropriations be allocated to either the State or NYSCOPBA individually31, 2015.
(c) The Joint Committee on Health and Dental Benefits shall meet within 14 days after a request to meet has been made by either side.
(d) The Joint Committee shall work with appropriate State agencies to review and oversee the various health plans available to employees represented by NYSCOPBAthe PBA (Agency Police Services Unit).
(e) The Joint Committee on Health and Dental Benefits shall work with appropriate State agencies to monitor future employer and employee health plan cost adjustments.
(f) The Joint Committee shall be provided with each carrier rate renewal request upon submission and be briefed in detail periodically on the status of the development of each rate renewal.
(g) The State shall require that the insurance carriers for the New York State Health Insurance Plan Program submit claims and experience data reports directly to the Joint Committee on Health and Dental Benefits in the format and with such frequency as the Committee shall determine.
(h) The Joint Committee on Health and Dental Benefits shall work with appropriate State agencies to make mutually agreed upon changes in the Plan benefit structure through such initiatives as: (1) HMO Workgroup (participation/efficiency);Workgroup
Appears in 1 contract
Samples: Collective Bargaining Agreement
