Common use of Medical and Dental Coverage Clause in Contracts

Medical and Dental Coverage. A. For new employees, medical and dental coverage benefits under this Section shall be effective at the beginning of the month that immediately follows the employee’s first pay period of employment in a regular position. Part-time employees must be employed a minimum of fifty percent (50%) of full-time in order to be eligible for insurance benefits. B. Preferred Provider Organization (PPO), Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) medical plans, and PPO and Dental Maintenance Organization (DMO) dental plans shall be available to employees. C. During the term of this agreement the County shall pay 100% (prorated for part- time employees) of the least-expensive medical and dental EPO employee-only premiums. The County shall contribute up to $13.03 twice monthly toward the cost of the twice monthly premium for employee-only dental plan coverage. These contributions are based on full-time employment; part-time employees shall receive a prorated contribution based on their percentage of full-time employment. Insurance plan premiums that exceed the County's contribution shall be paid by the employee through payroll deductions. Employees may select coverage from the following options: Medical* • PPO Medical Plan(s) • HMO Medical Plan(s) • EPO Medical Plan(s) * All medical plans include employee assistance program coverage. Dental • County Self-funded Dental Plan • DHMO/HMO Dental Plan D. Employees may ensure their eligible dependents (including registered domestic partners as defined below) under the medical and dental plans listed in C above, in accordance with the rules and regulations applicable to obtaining said dependent coverage. E. Employees who are placed on a leave of absence resulting from a medical condition including injury, illness, pregnancy and childbirth shall receive the County contribution toward health plan coverage for a leave period up to eighteen months. Premium amounts exceeding the County contribution and for dependents shall be the responsibility of the employee during the leave period. If an employee has paid leave accruals in excess of eighteen (18) months at the start of the leave, the County will continue to make its contribution toward health coverage while paid leave is being used and until such time as the paid leave is exhausted. F. If two regular County employees are either a) married to each other or b) registered as domestic partners as defined below, and are both eligible for a contribution from the County toward employee-only medical and dental coverage, they may consolidate the County contributions toward the premium cost for “employee plus dependents” coverage held by one of the employees. In this situation, one employee (referred to below as the “spouse” or “partner”) becomes a dependent on the other employee’s (referred to below as the “primary employee”) medical and dental coverage. In order to be eligible under this provision, all of the following conditions must be met: • Both employees are covered by the same medical and dental plan; • The spouse or partner is insured as a dependent on the primary employee’s medical and dental plan insurance; • The spouse or partner has waived employee-only coverage; • Both employees have authorized the consolidation of contributions on a form prescribed by the Human Resources Director. • In the case of domestic partnerships, the employees must be so registered with a domestic partner registry maintained by a California city, county, the State of California, or a public jurisdiction in another state provided the affected employee(s) sign the County’s Declaration of Domestic Partnership form. Employees registering as domestic partners shall be responsible for all tax consequences of this benefit. The amount of the consolidated contributions shall be that amount which would otherwise be contributed by the County toward the employee’s and the spouse’s or partner’s employee-only premiums for the respective medical and dental plans less the cost for participation by the spouse or partner in the Employee Assistance Program and the County’s healthcare advocacy program. The appropriate contributions shall be made by the respective departments employing each employee.

Medical and Dental Coverage. A. For new employees, medical and dental coverage benefits under this Section shall be effective at the beginning of the month that immediately follows the employee’s 's first pay period of employment in a regular position. Part-time employees must be employed a minimum of fifty percent (50%) of full-time in order to be eligible for insurance benefits. B. Preferred Provider Organization (PPO), Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) medical plans, and PPO and Dental Maintenance Organization (DMO) dental plans shall be available to employees. C. During the term of this agreement the County shall pay 100% (prorated for part- part-time employees) of the least-expensive medical and dental EPO employee-only premiums. The County shall contribute up to $13.03 twice monthly toward the cost of the twice monthly premium for employee-only dental plan coverage. These contributions are based on full-time employment; part-time employees shall receive a prorated contribution based on their percentage of full-time employment. Insurance plan premiums that exceed the County's contribution shall be paid by the employee through payroll deductions. Employees may select coverage from the following options: Medical* • PPO Medical Plan(s) • HMO Medical Plan(s) • EPO Medical Plan(s) * All medical plans include employee assistance program coverage. Dental • County Self-funded Dental Plan • DHMO/HMO Dental Plan D. Employees may ensure insure their eligible dependents (including registered domestic partners as defined below) under the medical and dental plans listed in C above, in accordance with the rules and regulations applicable to obtaining said dependent coverage. E. Employees who are placed on a leave of absence resulting from a medical condition including injury, illness, pregnancy and childbirth shall receive the County contribution toward health plan coverage for a leave period up to eighteen months. Premium amounts exceeding the County contribution and for dependents shall be the responsibility of the employee during the leave period. If an employee has paid leave accruals in excess of eighteen (18) months at the start of the leave, the County will continue to make its contribution toward health coverage while paid leave is being used and until such time as the paid leave is exhausted. F. If two regular County employees are either a) married to each other or b) registered as domestic partners as defined below, and are both eligible for a contribution from the County toward employee-only medical and dental coverage, they may consolidate the County contributions toward the premium cost for “"employee plus dependents” " coverage held by one of the employees. In this situation, one employee (referred to below as the “"spouse” " or “"partner”") becomes a dependent on the other employee’s 's (referred to below as the “"primary employee”") medical and dental coverage. In order to be eligible under this provision, all of the following conditions must be met: • Both employees are covered by the same medical and dental plan; • The spouse or partner is insured as a dependent on the primary employee’s 's medical and dental plan insurance; • The spouse or partner has waived employee-only coverage; • Both employees have authorized the consolidation of contributions on a form prescribed by the Human Resources Director. • In the case of domestic partnerships, the employees must be so registered with a domestic partner registry maintained by a California city, county, the State of California, or a public jurisdiction in another state provided the affected employee(s) sign the County’s 's Declaration of Domestic Partnership form. Employees registering as domestic partners shall be responsible for all tax consequences of this benefit. The amount of the consolidated contributions shall be that amount which would otherwise be contributed by the County toward the employee’s 's and the spouse’s 's or partner’s 's employee-only premiums for the respective medical and dental plans less the cost for participation by the spouse or partner in the Employee Assistance Program and the County’s 's healthcare advocacy program. The appropriate contributions shall be made by the respective departments employing each employee.

Medical and Dental Coverage. A. For new employees, medical and dental coverage benefits under this Section shall be effective at the beginning start of the month that immediately follows the employee’s first third pay period of employment in a regular position. Part-time employees must be employed a minimum of fifty percent (50%) of full-time in order to be eligible for insurance benefits. B. Preferred Provider Organization (PPO), Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) medical plans, and PPO and Dental Maintenance Organization (DMO) dental plans shall be available to employees. C. During the term of this agreement agreement, the County shall pay up to 100% (prorated pro-rated for part- time employees) of the least-least expensive medical and dental EPO employee-only premiums. In addition, for the 2023 plan year the County shall provide a $25 subsidy of employee’s twice monthly medical premiums for employee + one coverage and a $155 subsidy of employees’ twice monthly medical premiums for employee + family coverage. For the 2024 plan year the County shall increase the subsidy for employee + one coverage to $50 and shall increase the subsidy for employee + family coverage to $310 twice monthly. The County shall contribute up to $13.03 twice monthly toward the cost of the twice monthly premium for employee-employee- only dental plan coverage. These contributions are based on full-time employment; part-part- time employees shall receive a prorated contribution based on their percentage of full-full- time employment. Insurance plan premiums that exceed the County's biweekly contribution shall be paid by the employee through payroll deductions. Employees may select coverage from the following options: Medical* • PPO Medical Plan(s) Plan • Fire Fighter Medical Plan • HMO Medical Plan(s) • EPO Point of Service (POS) Medical Plan(s) * Plan *All medical plans include employee assistance program coverage. Dental • County Self-funded Indemnity Dental Plan • DHMO/Fire Fighters Dental Plan • HMO Dental Plan D. C. Employees may ensure insure their eligible dependents (including registered domestic partners as defined below) under the medical and dental plans listed in C B above, in accordance with the rules and regulations applicable to obtaining said dependent coverage. D. The County shall meet and confer with the Union prior to reducing the level of benefits provided by the Self-Funded dental insurance plans. E. Employees who are placed on The Union may offer the Firefighters' Medical, Prescription Drugs and Dental Plans as an alternative to the Self-Funded Medical/Dental Plans and HMO Plans. The County may collect through payroll deduction from each employee participating in the Firefighter Plans a leave of absence resulting from a medical condition including injury, illness, pregnancy and childbirth shall receive charge for allowing the County contribution toward health plan coverage for a leave period up employee access to eighteen monthsthe County's employee assistance program. Premium amounts exceeding the County contribution and for dependents These optional plans shall be made available through payroll deductions in accordance with procedures established by the responsibility Auditor-Controller. The County contributions toward medical and dental plans coverage, as provided for in Paragraph B above, may be applied to the corresponding premium schedule of the optional Firefighter medical and dental plans. The County does not agree to any additional contributions toward employee during or dependent premiums in conjunction with the leave periodoptional health plan. If an employee has paid leave accruals During the course of this agreement the parties shall work cooperatively to resolve issues related to accurately tracking enrollment in excess of eighteen (18) months at the start of the leaveUnion and County plans. There shall be a reopener to discuss these issues, the County will continue with any changes in enrollment practices to make its contribution toward health coverage while paid leave is being used and until such time as the paid leave is exhaustedbe subject to mutual agreement. F. The Union shall meet and confer with the County prior to increasing the number of medical and dental plans offered through the County payroll system. G. If two regular County employees are either a) married to each other or b) registered as domestic partners as defined below, and are both eligible for a contribution from the County toward employee-only medical and dental coverage, they may consolidate the County contributions toward the premium cost for “"employee plus two or more dependents” " coverage held by one of the employees. In this situation, one employee (referred to below as the “"spouse” or “partner”") becomes a dependent on the other employee’s 's (referred to below as the “"primary employee”") medical and dental coverage. In order to be eligible under this provision, all of the following conditions must be met: • Both employees are covered by the same medical and dental planplans; • The spouse or partner is insured as a dependent on the primary employee’s 's medical and dental plan insurance; • The spouse or partner has waived employee-only coverage; • Both employees have authorized the consolidation of contributions on a form prescribed by the Human Resources Assistant CEO/HR Director. • In the case of domestic partnerships, the employees must be so registered with a domestic partner registry maintained by a California city, county, the State of California, or a public jurisdiction in another state provided the affected employee(s) sign the County’s Declaration of Domestic Partnership form. Employees registering as domestic partners shall be responsible for all tax consequences of this benefit. The amount of the consolidated contributions shall be that amount which would otherwise be contributed by the County toward the primary employee’s 's and the spouse’s or partner’s employee-only 's employee premiums for the respective medical and dental plans plans, less the cost for of participation by the spouse or partner in the Employee Assistance Program and the County’s healthcare advocacy programProgram. The appropriate contributions shall be made by the respective departments employing each employee.

Medical and Dental Coverage. A. For new employees, medical and dental coverage benefits under this Section shall be effective at the beginning of the month that immediately follows the employee’s first pay period of employment in a regular position. Part-time employees must be employed a minimum of fifty percent (50%) of full-time in order to be eligible for insurance benefits. B. The County and the Association agree that Preferred Provider Organization (PPO), Exclusive Provider Organization (EPO), Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) medical plans, and PPO County Self-funded and Dental Maintenance Organization (DMO) HMO dental plans shall be available to employees. C. During the term of this agreement agreement, the County shall pay 100% (prorated pro-rated for part- time employees) of the least-least expensive medical and dental EPO employee-only premiums. The County shall contribute up to $13.03 twice monthly toward the cost of the twice monthly biweekly premium for employee-only dental plan coverage. These contributions are based on full-time employment; part-time employees shall receive a prorated contribution based on their percentage of full-time employment. Insurance plan premiums that exceed the County's ’s twice monthly contribution shall be paid by the employee through payroll deductions. Employees may select coverage from the following options: Medical* • EPO Medical Plan(s) PPO Medical Plan(s) • HMO Medical Plan(s) • EPO Medical Plan(s) * All medical plans include employee assistance program coverage. Dental • County Self-funded Dental Plan • DHMO/HMO DMO Dental Plan D. Employees may ensure insure their eligible dependents (including registered domestic partners as defined below) under the medical and dental plans listed in C above, in accordance with the rules and regulations applicable to obtaining said dependent coverage. E. Employees who are placed on a leave The County shall meet and confer with the Association prior to reducing the level of absence resulting from a medical condition including injury, illness, pregnancy and childbirth shall receive benefits provided by the County contribution toward health plan coverage for a leave period up to eighteen months. Premium amounts exceeding the County contribution and for dependents shall be the responsibility of the employee during the leave period. If an employee has paid leave accruals in excess of eighteen (18) months at the start of the leave, the County will continue to make its contribution toward health coverage while paid leave is being used and until such time as the paid leave is exhaustedSelf-funded Dental Plan. F. The County's Group Health Committee will include two employee representatives. Such representatives shall be selected from the County's recognized employee organizations. Employee representatives shall serve a two- year term. Except as indicated above, the administration of the committee shall be governed by preexisting Board resolution(s) and the committee members themselves. The Human Resources Director shall act as the coordinator for the committee. G. If two regular County employees are either a) married a)married to each other or b) registered b)registered as domestic partners as defined specified below, and are both eligible for a contribution from the County toward employee-only medical and dental coverage, they may consolidate the County contributions toward the premium cost for “employee plus dependentsdependent(s)” coverage held by one of the employees. In this situation, one employee (referred to below as the “spouse” or “partner”) becomes a dependent on the other employee’s (referred to below as the “primary employee”) medical and dental coverage. In order to be eligible under this provision, all of the following conditions must be met: •  Both employees are covered by the same medical and dental plan; •  The spouse or partner is insured as a dependent on the primary employee’s 's medical and dental plan insurance; •  The spouse or partner has waived employee-only coverage; •  Both employees have authorized the consolidation of contributions on a form prescribed by the Human Resources Director. •  In the case of domestic partnerships, the employees must be so registered with a domestic partner registry maintained by a California city, county, the State of California, or a public jurisdiction in another state provided the affected employee(s) sign the County’s Declaration of Domestic Partnership form. Employees registering as domestic partners shall be responsible for all tax consequences of this benefit. The amount of the consolidated contributions shall be that amount which would otherwise be contributed by the County toward the employee’s 's and the spouse’s 's or partner’s employee-only premiums for the respective medical and dental plans less the cost for participation by the spouse or partner in the Employee Assistance Program and the County’s healthcare advocacy program. The appropriate contributions shall be made by the respective departments employing each employee.

Medical and Dental Coverage. A. For new employees, medical and dental coverage benefits under this Section shall be effective at the beginning of the month that immediately follows the employee’s first pay period of employment in a regular position. Part-time employees must be employed a minimum of fifty percent (50%) of full-time in order to be eligible for insurance benefits. B. The County and the Union agree that Preferred Provider Organization (PPO), Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) medical plans, plans and PPO and Dental Maintenance Organization (DMO) dental plans shall be available to employees. C. During the term of this agreement agreement, the County shall pay 100% (prorated pro rated for part- time employees) of the least-least expensive medical and dental EPO employee-only premiums. .The County shall contribute up to $13.03 twice monthly toward the cost of the twice monthly premium for employee-only dental plan coverage. These contributions are based on full-time employment; part-time employees shall receive a prorated contribution based on their percentage of full-time employment. Insurance plan premiums that exceed the County's biweekly contribution shall be paid by the employee through payroll deductions. Employees may select coverage from the following options: Medical* • PPO Medical Plan(s) • HMO Medical Plan(s) • EPO Medical Plan(s) * *All medical plans include employee assistance program coveragecoverage and healthcare advocacy services. Dental • County Self-funded Dental Plan • DHMO/HMO Dental Plan D. Employees may ensure insure their eligible dependents (including registered domestic partners as defined below) under the medical and dental plans listed in C above, in accordance with the rules and regulations applicable to obtaining said dependent coverage. E. Employees who are placed on a leave The County shall meet and confer with the Union prior to reducing the level of absence resulting from a medical condition including injury, illness, pregnancy and childbirth shall receive benefits provided by the County contribution toward health plan coverage for a leave period up to eighteen months. Premium amounts exceeding the County contribution and for dependents shall be the responsibility of the employee during the leave period. If an employee has paid leave accruals in excess of eighteen (18) months at the start of the leave, the County will continue to make its contribution toward health coverage while paid leave is being used and until such time as the paid leave is exhaustedindemnity dental plan. F. If two regular County employees are either a) married to each other or b) registered as domestic partners as defined specified below, and are both eligible for a contribution from the County toward employee-only medical and dental coveragecoverage (as in Paragraph C above), they may consolidate the County contributions toward the premium cost for “employee plus dependentsdependent(s)” coverage held by one of the employees. In this situation, one employee (referred to below as the “spouse” or “partner”) becomes a dependent on the other employee’s (referred to below as the “primary employee”) medical and dental coverage. In order to be eligible under this provision, all of the following conditions must be met: • ▪ Both employees are covered by the same medical and dental planplans; • ▪ The spouse or partner is insured as a dependent on the primary employee’s medical and dental plan insurance; • ▪ The spouse or partner has waived employee-only coverage; • ▪ Both employees have authorized the consolidation of contributions on a form prescribed by the Human Resources Director. • ▪ In the case of domestic partnerships, the employees must be so registered with a domestic partner registry maintained by a California city, county, city or county government or by the State of California, or a public jurisdiction in another state provided the affected employee(s) sign the County’s Declaration of Domestic Partnership form. Employees registering as domestic partners shall be responsible for all tax consequences of this benefit. The amount of the consolidated contributions shall be that amount which would otherwise be contributed by the County toward the primary employee’s and the spouse’s or partner’s employee-only premiums for the respective medical and dental plans plan, less the cost for participation by the spouse or partner in the Employee Assistance Program and the County’s healthcare advocacy program. The appropriate contributions shall be made by the respective departments employing each employee.

Medical and Dental Coverage. A. For new employees, medical and dental coverage benefits under this Section shall be effective at the beginning of the month that immediately follows the employee’s first pay period of employment in a regular position. Part-time employees must be employed a minimum of fifty percent (50%) of full-time in order to be eligible for insurance benefits. B. Preferred Provider Organization (PPO), Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) medical plans, plans and PPO County Self-funded and Dental Maintenance Organization (DMO) HMO dental plans shall be available to employees. C. During the term of this agreement the The County shall pay 100% (prorated for part- time employees) contribute up to $344.97 twice monthly toward the cost of the least-expensive medical and dental EPO twice monthly premium for employee-only premiumsmedical coverage. The County shall contribute up to $13.03 twice monthly toward the cost of the twice monthly premium for employee-only dental plan coverage. These contributions are based on full-time employment; part-time employees shall receive a prorated contribution based on their percentage of full-time employment. Insurance plan premiums that exceed the County's twice monthly contribution shall be paid by the employee through payroll deductions. During the term of this agreement, the County shall pay 100% (pro-rated for part-time employees) of the least expensive EPO employee- only premiums. Employees may select coverage from the following options: Medical* • EPO Medical Plan (s) • PPO Medical Plan(sPlan (s) • HMO Medical Plan(s) • EPO Medical Plan(s) * All medical plans include employee assistance program coverage. Dental • County Self-funded Dental Plan • DHMO/HMO Dental Plan D. Employees may ensure their eligible dependents (including registered domestic partners as defined below) under the medical and dental plans listed in C above, in accordance with the rules and regulations applicable to obtaining said dependent coverage. E. Employees who are placed on a leave of absence resulting from a medical condition including injury, illness, pregnancy and childbirth The County's existing Labor/Management Health Oversight Committee shall include one voting Union representative or his/her alternate. Up to two employee representatives shall receive reasonable release time to attend committee meetings. F. Except as indicated above, the administration of the committee shall be governed by the committee members themselves. The Human Resources Director shall act as the coordinator for committee. Decisions reached and recommendations made by the committee shall be subject to the meet and confer process. G. The Union acknowledges that health insurance is a valuable benefit to employees and a major cost to the County contribution toward and that the increase in health plan coverage for a leave period up insurance costs is included in the cost of living index or CPI. The Union pledges its full cooperation to eighteen months. Premium amounts exceeding the County contribution and for dependents shall be in the responsibility implementation of measures to control the costs of employee health insurance. H. The parties agree that, during the leave period. If an employee term of this agreement, upon notification by the Union that it has paid leave accruals in excess of eighteen (18) months at the start of the leavea proposal to present, the County and the Union will continue to make its contribution toward meet and confer regarding the subject of a Union-sponsored health coverage while paid leave is being used and until such time as the paid leave is exhaustedplan. F. I. If two regular County employees are either a) married to each other or b) registered as domestic partners as defined specified below, and are both eligible for a contribution from the County toward employee-only medical and dental coverage, they may consolidate the County contributions toward the premium cost for “employee plus dependents” coverage held by one of the employees. In this situation, one employee (referred to below as the “spouse” or “partner”) becomes a dependent on the other employee’s (referred to below as the “primary employee”) medical and dental coverage. In order to be eligible under this provision, all of the following conditions must be met: • Both employees are covered by the same medical and dental plan; • The spouse or partner is insured as a dependent on the primary employee’s medical and dental plan insurance; • The spouse or partner has waived employee-only coverage; • Both employees have authorized the consolidation of contributions on a form prescribed by the Human Resources Director. ; • In the case of domestic partnerships, the employees must be so registered with a domestic partner registry maintained by a California city, county, the State of California, or a public jurisdiction in another state provided the affected employee(s) sign the County’s Declaration of Domestic Partnership form. Employees registering as domestic partners shall be responsible for all tax consequences of this benefit. The amount of the consolidated contributions shall be that amount which would otherwise be contributed by the County toward the employee’s and the spouse’s or partner’s employee-only premiums for the respective medical and dental plans less the cost for participation by the spouse or partner in the Employee Assistance Program and the County’s healthcare advocacy program. The appropriate contributions shall be made by the respective departments employing each employee.

Medical and Dental Coverage. A. For new employees, medical and dental coverage benefits under this Section shall be effective at the beginning of the month that immediately follows the employee’s first pay period of employment in a regular position. Part-time employees must be employed a minimum of fifty percent (50%) of full-time in order to be eligible for insurance benefits. B. Preferred Provider Organization (PPO), Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) medical plans, and PPO and Dental Maintenance Organization (DMO) dental plans shall be available to employees. C. During the term of this agreement the County shall pay 100% (prorated for part- time employees) of the least-expensive medical and dental EPO employee-only premiumspremium for the Low EPO medical plan In addition, for the 2023 plan year the County shall provide a $25 subsidy of employee’s twice monthly medical premiums for employee + one coverage and a $155 subsidy of employees’ twice monthly medical premiums for employee + family coverage. For the 2024 plan year the County shall increase the subsidy for employee + one coverage to $50 and shall increase the subsidy for employee + family coverage to $310 twice monthly. The County shall contribute up to $13.03 twice monthly toward the cost of the twice monthly premium for employee-only dental plan coverage. These contributions are based on full-time employment; part-time employees shall receive a prorated contribution based on their percentage of full-time employment. Insurance plan premiums that exceed the County's contribution shall be paid by the employee through payroll deductions. Employees may select coverage from the following options: Medical* • PPO Medical Plan(s) • HMO Medical Plan(s) • EPO Medical Plan(s) * All medical plans include employee assistance program coverage. Dental • County Self-funded Dental Plan • DHMO/HMO Dental Plan D. Employees may ensure their eligible dependents (including registered domestic partners as defined below) under the medical and dental plans listed in C above, in accordance with the rules and regulations applicable to obtaining said dependent coverage. E. Employees who are placed on a leave of absence resulting from a medical condition including injury, illness, pregnancy and childbirth shall receive the County contribution toward health plan coverage for a leave period up to eighteen months. Premium amounts exceeding the County contribution and for dependents shall be the responsibility of the employee during the leave period. If an employee has paid leave accruals in excess of eighteen (18) months at the start of the leave, the County will continue to make its contribution toward health coverage while paid leave is being used and until such time as the paid leave is exhausted. F. If two regular County employees are either a) married to each other or b) registered as domestic partners as defined below, and are both eligible for a contribution from the County toward employee-only medical and dental coverage, they may consolidate the County contributions toward the premium cost for “employee plus dependents” coverage held by one of the employees. In this situation, one employee (referred to below as the “spouse” or “partner”) becomes a dependent on the other employee’s (referred to below as the “primary employee”) medical and dental coverage. In order to be eligible under this provision, all of the following conditions must be met: • Both employees are covered by the same medical and dental plan; • The spouse or partner is insured as a dependent on the primary employee’s medical and dental plan insurance; • The spouse or partner has waived employee-only coverage; • Both employees have authorized the consolidation of contributions on a form prescribed by the Human Resources Director. • In the case of domestic partnerships, the employees must be so registered with a domestic partner registry maintained by a California city, county, the State of California, or a public jurisdiction in another state provided the affected employee(s) sign the County’s Declaration of Domestic Partnership form. Employees registering as domestic partners shall be responsible for all tax consequences of this benefit. The amount of the consolidated contributions shall be that amount which would otherwise be contributed by the County toward the employee’s and the spouse’s or partner’s employee-only premiums for the respective medical and dental plans less the cost for participation by the spouse or partner in the Employee Assistance Program and the County’s healthcare advocacy program. The appropriate contributions shall be made by the respective departments employing each employee.

Medical and Dental Coverage. ‌ A. For new employees, medical and dental coverage benefits under this Section shall be effective at the beginning of the month that immediately follows the employee’s first pay period of employment in a regular position. Part-time employees must be employed a minimum of fifty percent (50%) of full-time in order to be eligible for insurance benefits. B. Preferred Provider Organization (PPO), Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) medical plans, and PPO and Dental Maintenance Organization (DMO) dental plans shall be available to employees. C. During the term of this agreement the County shall pay 100% (prorated for part- part-time employees) of the least-expensive medical and dental EPO employee-only premiums. The County shall contribute up to $13.03 twice monthly toward the cost of the twice monthly premium for employee-only dental plan coverage. These contributions are based on full-time employment; part-time employees shall receive a prorated contribution based on their percentage of full-time employment. Insurance plan premiums that exceed the County's contribution shall be paid by the employee through payroll deductions. . Employees may select coverage from the following options: Medical* • PPO Medical Plan(s) • HMO Medical Plan(s) • EPO Medical Plan(s) * All medical plans include employee assistance program coverage. Dental • County Self-funded Dental Plan • DHMO/HMO Dental Plan D. Employees may ensure their eligible dependents (including registered domestic partners as defined below) under the medical and dental plans listed in C above, in accordance with the rules and regulations applicable to obtaining said dependent coverage. E. Employees who are placed on a leave of absence resulting from a medical condition including injury, illness, pregnancy and childbirth shall receive the County contribution toward health plan coverage for a leave period up to eighteen months. Premium amounts exceeding the County contribution and for dependents shall be the responsibility of the employee during the leave period. If an employee has paid leave accruals in excess of eighteen (18) months at the start of the leave, the County will continue to make its contribution toward health coverage while paid leave is being used and until such time as the paid leave is exhausted. F. If two regular County employees are either a) married to each other or b) registered as domestic partners as defined below, and are both eligible for a contribution from the County toward employee-only medical and dental coverage, they may consolidate the County contributions toward the premium cost for “employee plus dependents” coverage held by one of the employees. In this situation, one employee (referred to below as the “spouse” or “partner”) becomes a dependent on the other employee’s (referred to below as the “primary employee”) medical and dental coverage. In order to be eligible under this provision, all of the following conditions must be met: •  Both employees are covered by the same medical and dental plan; •  The spouse or partner is insured as a dependent on the primary employee’s medical and dental plan insurance; •  The spouse or partner has waived employee-only coverage; •  Both employees have authorized the consolidation of contributions on a form prescribed by the Human Resources Director. •  In the case of domestic partnerships, the employees must be so registered with a domestic partner registry maintained by a California city, county, the State of California, or a public jurisdiction in another state provided the affected employee(s) sign the County’s Declaration of Domestic Partnership form. Employees registering as domestic partners shall be responsible for all tax consequences of this benefit. The amount of the consolidated contributions shall be that amount which would otherwise be contributed by the County toward the employee’s and the spouse’s or partner’s employee-only premiums for the respective medical and dental plans less the cost for participation by the spouse or partner in the Employee Assistance Program and the County’s healthcare advocacy program. The appropriate contributions shall be made by the respective departments employing each employee.