Common use of Medical and Dental Insurance Clause in Contracts

Medical and Dental Insurance. The Board will continue to provide a medical, vision, prescription drug, dental, life and long-term disability insurance plan, which will be in effect for the 2022- 2026 school years. Contributions will be paid by the Board for employees who work a minimum of thirty (30) hours per week. Insurance contributions are based on 24 pay periods. For each school year, the total projected cost of the comprehensive medical, vision, prescription drug and dental plan, including anticipated claims, third- party administrative expenses, stop-loss premiums, hospital/physician network administration, life insurance premiums, long-term disability premiums, accidental death and disability premiums, anticipated employee assistance and wellness costs, shall be divided between the Board and the classified bargaining unit, with the Board paying 83% and the classified staff paying 17%. The specific allocation between the participant categories and the estimate of projected/anticipated claims and other cost items for which actual premiums are not then available, shall be determined by the Administration based upon recommendation from the District Insurance Committee as soon after October 30 as the prior year data is available. After the District Insurance Committee has met and any plan changes approved by the Association and the Board have been incorporated, employee premium contributions shall be established by the Administration based on projected costs. A. Insurance coverage is optional. New employees may elect not to participate in the district’s health and dental insurance plans upon written notice to the Business Office during the enrollment period. Those employees declining medical and dental insurance will continue to receive term life insurance coverage ($50,000), long-term disability insurance coverage and accidental death and dismemberment insurance coverage at Board expense. B. District married couples will receive one family plan coverage at the cost of two single contributions based on the most senior employee’s year of service. C. There will be no change in employee coverage – single to family or vice versa – unless there has been a change in status, i.e., marital, employment, birth, adoption. D. For the duration of the 2022-2026 Contract, employees who elect and maintain insurance coverage will have the annual option of selecting to participate in a Value Health Savings Account Plan (High Deductible Health Plan) or a Preferred Provider Organization (PPO) Plan. E. Employees who elect to continue coverage while on an unpaid leave of absence through COBRA do not interrupt membership in the plan. F. In the case of a qualifying event the employee will only be allowed to enroll in the district’s self-funded plan. All new employees will only be offered insurance coverage under the self-funded plan. G. The District’s Business Office will continue flexible spending accounts for employees choosing insurance coverage who are interested in using such an account for the transmittal of medical/dental monthly premiums. The accounts shall only be available for the premium transmittal as stated above and will be administered by a third party as selected by the Business Office. H. All newly hired employees choosing insurance coverage or all newly qualified employees choosing insurance coverage will be eligible to participate in the insurance program on the first day of the first month following their date of hire. For example, an eligible employee hired on September 7 will have insurance coverage on October 1; an employee hired on September 26 will have coverage on October 1. I. An Insurance Committee will be established with representation as follows: Group Maximum Members 1. Estimates of projected/anticipated claims and other cost items for which actual premiums are not then available; 2. The adjustment of employee contributions as provided in 16.07; 3. Potential adjustments in coverages/benefits, which would reduce costs for the Board and for employees; 4. The allocation of premiums among the four participant categories (Employee, EE+1, EE+2, and EE+3); The committee is advisory and will operate using the consensus model. The Association will have full and complete access to all school district policies, contracts, and provisions of those insurance plans affecting the Association. The Administration retains the right to limit access to regularly produced reports/records which may compromise or otherwise violate the confidentiality of the individuals covered under the plans. The Association will be permitted to be in attendance at meetings regarding the renewal process and premium adjustments each year. After the Insurance Committee has met, employee contributions will then be adjusted in accordance with 16.07 and any coverage/benefit changes approved in writing by the Association and the District. Any premium changes will be implemented for the first payroll in January.

Appears in 2 contracts

Samples: Membership Agreement, Membership Agreement

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Medical and Dental Insurance. The Board will continue to provide a medical, vision, prescription drug, dental, life and long-term disability insurance plan, which will be in effect for the 2022- 2026 2015-2018 school years. Contributions will be paid by the Board for employees who work a minimum of thirty (30) hours per week. Insurance contributions are based on 24 pay periods. For each school year, the total projected cost of the comprehensive medical, vision, prescription drug and dental plan, including anticipated claims, third- third-party administrative expenses, stop-loss premiums, hospital/physician network administration, life insurance premiums, long-term disability premiums, accidental death and disability premiums, anticipated employee assistance and wellness costs, shall be divided between the Board and the classified bargaining unit, with the Board paying 83% and the classified staff paying 17%. The specific allocation between the participant categories and the estimate of projected/anticipated claims and other cost items for which actual premiums are not then available, shall be determined by the Administration based upon recommendation from the District Insurance Committee as soon after October 30 as the prior year data is available. After the District Insurance Committee has met and any plan changes approved by the Association and the Board have been incorporated, employee premium contributions shall be established by the Administration based on projected costs. A. Insurance coverage is optional. New employees may elect not to participate in B. New hires who choose to participate in the district’s health and health/dental insurance plans upon written notice will start on Step 1. An employee must be enrolled in the plan on January 1 to be considered at Step 1 for that year; if enrolled after January 1, the Business Office during employee will remain at Step 1 in the enrollment period. Those employees declining medical and dental insurance will continue to receive term life insurance coverage ($50,000), long-term disability insurance coverage and accidental death and dismemberment insurance coverage at Board expensefollowing year. B. C. District married couples will receive one family plan coverage at the cost of two single contributions based on the most senior employee’s year of service. C. D. There will be no change in employee coverage – single to family or vice versa – unless there has been a change in status, i.e., i.e. marital, employment, birth, adoption. D. For the duration of the 2022-2026 Contract, employees who elect and maintain insurance coverage will have the annual option of selecting to participate in a Value Health Savings Account Plan (High Deductible Health Plan) or a Preferred Provider Organization (PPO) Plan. E. Employees who elect to continue coverage while on an unpaid leave of absence through COBRA do not interrupt membership in the plan. F. In the case of a qualifying event the employee will only be allowed to enroll in the district’s self-funded plan. All new employees will only be offered insurance coverage under the self-funded plan. G. The District’s Business Office will continue flexible spending accounts for employees choosing insurance coverage who are interested in using such an account for the transmittal of medical/dental monthly premiums. The accounts shall only be available for the premium transmittal as stated above and will be administered by a third party as selected by the Business Office. H. All newly hired employees choosing insurance coverage or all newly qualified employees choosing insurance coverage will be eligible to participate in the insurance program on the first day of the first month following their date of hire. For example, an eligible employee hired on September 7 will have insurance coverage on October 1; an employee hired on September 26 will have coverage on October 1. I. An Insurance Committee will be established with representation as follows: Group Maximum Members 1. Estimates of projected/anticipated claims and other cost items for which actual premiums are not then available; 2. The adjustment of employee contributions as provided in 16.07; 3. Potential adjustments in coverages/benefits, which would reduce costs for the Board and for employees; 4. The allocation of premiums among the four participant categories (Employee, EE+1, EE+2, and EE+3); The committee is advisory and will operate using the consensus model. The Association will have full and complete access to all school district policies, contracts, and provisions of those insurance plans affecting the Association. The Administration retains the right to limit access to regularly produced reports/records which may compromise or otherwise violate the confidentiality of the individuals covered under the plans. The Association will be permitted to be in attendance at meetings regarding the renewal process and premium adjustments each year. After the Insurance Committee has met, employee contributions will then be adjusted in accordance with 16.07 and any coverage/benefit changes approved in writing by the Association and the District. Any premium changes will be implemented for the first payroll in January.

Appears in 1 contract

Samples: Membership Agreement

Medical and Dental Insurance. The Board will continue to provide a medical, vision, prescription drug, dental, life and long-term disability insurance plan, which will be in effect for the 2022- 2026 2010-2012 school years. Contributions will be paid by the Board for employees who work a minimum of thirty (30) hours per week. Insurance contributions are based on 24 pay periods. For each school year, the total projected cost of the comprehensive medical, vision, prescription drug and dental plan, including anticipated claims, third- third-party administrative expenses, stop-loss premiums, hospital/physician network administration, life insurance premiums, long-long- term disability premiums, accidental death and disability premiums, anticipated employee assistance and wellness costs, shall be divided between the Board and the classified bargaining unit, with the Board paying 83% and the classified staff paying 17%. The specific allocation between the participant categories and the estimate of projected/anticipated claims and other cost items for which actual premiums are not then available, shall be determined by the Administration based upon recommendation from the District Insurance Committee as soon after October 30 as the prior year data is available. After the District Insurance Committee has met and any plan changes approved by the Association and the Board have been incorporated, employee premium contributions shall be established by the Administration based on projected costs. A. Insurance coverage is optional. New employees may elect not to participate in the district’s health and dental insurance plans upon written notice to the Business Office Human Resources Department during the enrollment period. Those employees declining medical and dental insurance will continue to receive term life insurance coverage ($50,000), long-term disability insurance coverage and accidental death and dismemberment accidental B. New hires who choose to participate in the district’s health/dental insurance coverage plans will start on Step 1. An employee must be enrolled in the plan on January 1 to be considered at Board expenseStep 1 for that year; if enrolled after January 1, the employee will remain at Step 1 in the following year. B. C. District married couples will receive one family plan coverage at the cost of two single contributions based on the most senior employee’s year of service. C. D. There will be no change in employee coverage – single to family or vice versa – unless there has been a change in status, i.e., i.e. marital, employment, birth, adoption. D. For the duration of the 2022-2026 Contract, employees who elect and maintain insurance coverage will have the annual option of selecting to participate in a Value Health Savings Account Plan (High Deductible Health Plan) or a Preferred Provider Organization (PPO) Plan. E. Employees who elect to continue coverage while on an unpaid leave of absence through COBRA do not interrupt membership in the plan. F. In the case of a qualifying event the employee will only be allowed to enroll in the district’s self-funded plan. All new employees will only be offered insurance coverage under the self-funded plan. G. The District’s Business Office will continue flexible spending accounts for employees choosing insurance coverage who are interested in using such an account for the transmittal of medical/dental monthly premiums. The accounts shall only be available for the premium transmittal as stated above and will be administered by a third party as selected by the Business Office. H. All newly hired employees choosing insurance coverage or all newly qualified employees choosing insurance coverage will be eligible to participate in the insurance program on the first day of the first month following their date of hire. For example, an eligible employee hired on September 7 will have insurance coverage on October 1; an employee hired on September 26 will have coverage on October 1. I. An Insurance Committee will be established with representation as follows: Group Maximum Members 1. Estimates of projected/anticipated claims and other cost items for which actual premiums are not then available; 2. The adjustment of employee contributions as provided in 16.07; 3. Potential adjustments in coverages/benefits, which would reduce costs for the Board and for employees; 4. The allocation of premiums among the four participant categories (Employee, EE+1, EE+2, and EE+3); The committee is advisory and will operate using the consensus model. The Association will have full and complete access to all school district policies, contracts, and provisions of those insurance plans affecting the Association. The Administration retains the right to limit access to regularly produced reports/records which may compromise or otherwise violate the confidentiality of the individuals covered under the plans. The Association will be permitted to be in attendance at meetings regarding the renewal process and premium adjustments each year. After the Insurance Committee has met, employee contributions will then be adjusted in accordance with 16.07 and any coverage/benefit changes approved in writing by the Association and the District. Any premium changes will be implemented for the first payroll in January.

Appears in 1 contract

Samples: Membership Agreement

Medical and Dental Insurance. The Board will continue to provide a medical, vision, prescription drug, dental, life and long-term disability insurance plan, which will be in effect for the 2022- 2026 2012-2015 school years. Contributions will be paid by the Board for employees who work a minimum of thirty (30) hours per week. Insurance contributions are based on 24 pay periods. For each school year, the total projected cost of the comprehensive medical, vision, prescription drug and dental plan, including anticipated claims, third- third-party administrative expenses, stop-loss premiums, hospital/physician network administration, life insurance premiums, long-term disability premiums, accidental death and disability premiums, anticipated employee assistance and wellness costs, shall be divided between the Board and the classified bargaining unit, with the Board paying 83% and the classified staff paying 17%. The specific allocation between the participant categories and the estimate of projected/anticipated claims and other cost items for which actual premiums are not then available, shall be determined by the Administration based upon recommendation from the District Insurance Committee as soon after October 30 as the prior year data is available. After the District Insurance Committee has met and any plan changes approved by the Association and the Board have been incorporated, employee premium contributions shall be established by the Administration based on projected costs. A. Insurance coverage is optional. New employees may elect not to participate in B. New hires who choose to participate in the district’s health and health/dental insurance plans upon written notice will start on Step 1. An employee must be enrolled in the plan on January 1 to be considered at Step 1 for that year; if enrolled after January 1, the Business Office during employee will remain at Step 1 in the enrollment period. Those employees declining medical and dental insurance will continue to receive term life insurance coverage ($50,000), long-term disability insurance coverage and accidental death and dismemberment insurance coverage at Board expensefollowing year. B. C. District married couples will receive one family plan coverage at the cost of two single contributions based on the most senior employee’s year of service. C. D. There will be no change in employee coverage – single to family or vice versa – unless there has been a change in status, i.e., i.e. marital, employment, birth, adoption. D. For the duration of the 2022-2026 Contract, employees who elect and maintain insurance coverage will have the annual option of selecting to participate in a Value Health Savings Account Plan (High Deductible Health Plan) or a Preferred Provider Organization (PPO) Plan. E. Employees who elect to continue coverage while on an unpaid leave of absence through COBRA do not interrupt membership in the plan. F. In the case of a qualifying event the employee will only be allowed to enroll in the district’s self-funded plan. All new employees will only be offered insurance coverage under the self-funded plan. G. The District’s Business Office will continue flexible spending accounts for employees choosing insurance coverage who are interested in using such an account for the transmittal of medical/dental monthly premiums. The accounts shall only be available for the premium transmittal as stated above and will be administered by a third party as selected by the Business Office. H. All newly hired employees choosing insurance coverage or all newly qualified employees choosing insurance coverage will be eligible to participate in the insurance program on the first day of the first month following their date of hire. For example, an eligible employee hired on September 7 will have insurance coverage on October 1; an employee hired on September 26 will have coverage on October 1. I. An Insurance Committee will be established with representation as follows: Group Maximum Members 1. Estimates of projected/anticipated claims and other cost items for which actual premiums are not then available; 2. The adjustment of employee contributions as provided in 16.07; 3. Potential adjustments in coverages/benefits, which would reduce costs for the Board and for employees; 4. The allocation of premiums among the four participant categories (Employee, EE+1, EE+2, and EE+3); The committee is advisory and will operate using the consensus model. The Association will have full and complete access to all school district policies, contracts, and provisions of those insurance plans affecting the Association. The Administration retains the right to limit access to regularly produced reports/records which may compromise or otherwise violate the confidentiality of the individuals covered under the plans. The Association will be permitted to be in attendance at meetings regarding the renewal process and premium adjustments each year. After the Insurance Committee has met, employee contributions will then be adjusted in accordance with 16.07 and any coverage/benefit changes approved in writing by the Association and the District. Any premium changes will be implemented for the first payroll in January.

Appears in 1 contract

Samples: Membership Agreement

Medical and Dental Insurance. The Board will continue to provide a medical, vision, prescription drug, dental, life and long-term disability insurance plan, which will be in effect for the 2022- 2026 2009-2010 school yearsyear. Contributions will be paid by the Board for employees who work a minimum of thirty (30) hours per week. Insurance contributions are based on 24 pay periods. For each school year, the total projected cost of the comprehensive medical, vision, prescription drug and dental plan, including anticipated claims, third- third-party administrative expenses, stop-loss premiums, hospital/physician network administration, life insurance premiums, long-long- term disability premiums, accidental death and disability premiums, anticipated employee assistance and wellness costs, shall be divided between the Board and the classified bargaining unit, with the Board paying 83% and the classified staff paying 17%. The specific allocation between the participant categories and the estimate of projected/anticipated claims and other cost items for which actual premiums are not then available, shall be determined by the Administration based upon recommendation from the District Insurance Committee as soon after October 30 as the prior year data is available. After the District Insurance Committee has met and any plan changes approved by the Association and the Board have been incorporated, employee premium contributions shall be established by the Administration based on projected costs. A. Insurance coverage is optional. New employees Any employee may elect to not to participate in the district’s health and dental insurance plans upon written notice to the Business Office Human Resources Department during the open enrollment period. Those employees declining medical and dental insurance will continue to receive term life insurance coverage ($50,000), long-term disability insurance coverage and accidental death and dismemberment accidental B. New hires who choose to participate in the district’s health/dental insurance coverage plans will start on Step 1. An employee must be enrolled in the plan on January 1 to be considered at Board expenseStep 1 for that year; if enrolled after January 1, the employee will remain at Step 1 in the following year. B. C. District married couples will receive one family plan coverage at the cost of two single contributions based on the most senior employee’s year of service. C. D. There will be no change in employee coverage – single to family or vice versa – unless there has been a change in status, i.e., i.e. marital, employment, birth, adoption. D. For E. If an employee who elected to not be covered decides to reinstate or begin coverage, that employee will be treated as a late entrant and will be placed at step #1 on the duration of the 2022-2026 Contract, employees who elect and maintain insurance coverage will have the annual option of selecting contribution scale. Note: There are significant eligibility requirements that must be met to participate in a Value Health Savings Account Plan (High Deductible Health Plan) or a Preferred Provider Organization (PPO) Planthe plan. E. F. Employees who elect to continue coverage while on an unpaid leave of absence through COBRA do not interrupt membership in the plan. F. G. In the case of a qualifying event the employee will only be allowed to enroll in the district’s self-funded plan. All new employees will only be offered insurance coverage under the self-funded plan. G. H. The District’s Business Office will continue flexible spending accounts for employees choosing insurance coverage who are interested in using such an account for the transmittal of medical/dental monthly premiums. The accounts shall only be available for the premium transmittal as stated above and will be administered by a third party as selected by the Business Office. H. I. All newly hired employees choosing insurance coverage or all newly qualified employees choosing insurance coverage will be eligible to participate in the insurance program on the first day of the first month following their date of hire. For example, an eligible employee hired on September 7 will have insurance coverage on October 1; an employee hired on September 26 will have coverage on October 1. I. J. An Insurance Committee will be established with representation as follows: Group Maximum Members 1. Estimates of projected/anticipated claims and other cost items for which actual premiums are not then available; 2. The adjustment of employee contributions as provided in 16.07; 3. Potential adjustments in coverages/benefits, which would reduce costs for the Board and for employees; 4. The allocation of premiums among the four participant categories (Employee, EE+1, EE+2, and EE+3); The committee is advisory and will operate using the consensus model. The Association will have full and complete access to all school district policies, contracts, and provisions of those insurance plans affecting the Association. The Administration retains the right to limit access to regularly produced reports/records which may compromise or otherwise violate the confidentiality of the individuals covered under the plans. The Association will be permitted to be in attendance at meetings regarding the renewal process and premium adjustments each year. After the Insurance Committee has met, employee contributions will then be adjusted in accordance with 16.07 and any coverage/benefit changes approved in writing by the Association and the District. Any premium changes will be implemented for the first payroll in January.

Appears in 1 contract

Samples: Membership Agreement

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Medical and Dental Insurance. The Board will continue to provide a medical, vision, prescription drug, dental, life and long-term disability insurance plan, which will be in effect for the 2022- 2026 2018- 2022 school years. Contributions will be paid by the Board for employees who work a minimum of thirty (30) hours per week. Insurance contributions are based on 24 pay periods. For each school year, the total projected cost of the comprehensive medical, vision, prescription drug and dental plan, including anticipated claims, third- party administrative expenses, stop-loss premiums, hospital/physician network administration, life insurance premiums, long-term disability premiums, accidental death and disability premiums, anticipated employee assistance and wellness costs, shall be divided between the Board and the classified bargaining unit, with the Board paying 83% and the classified staff paying 17%. The specific allocation between the participant categories and the estimate of projected/anticipated claims and other cost items for which actual premiums are not then available, shall be determined by the Administration based upon recommendation from the District Insurance Committee as soon after October 30 as the prior year data is available. After the District Insurance Committee has met and any plan changes approved by the Association and the Board have been incorporated, employee premium contributions shall be established by the Administration based on projected costs. A. Insurance coverage is optional. New employees may elect not to participate in the district’s health and dental insurance plans upon written notice to the B. New hires who choose to participate in the Business Office during the enrollment period. Those employees declining medical and district’s health/dental insurance plans will continue start on Step 1. An employee must be enrolled in the plan on January 1 to receive term life insurance coverage ($50,000)be considered at Step 1 for that year; if enrolled after January 1, long-term disability insurance coverage and accidental death and dismemberment insurance coverage the employee will remain at Board expenseStep 1 in the following year. B. C. District married couples will receive one family plan coverage at the cost of two single contributions based on the most senior employee’s year of service. C. D. There will be no change in employee coverage – single to family or vice versa – unless there has been a change in status, i.e., i.e. marital, employment, birth, adoption. D. For the duration of the 2022-2026 Contract, employees who elect and maintain insurance coverage will have the annual option of selecting to participate in a Value Health Savings Account Plan (High Deductible Health Plan) or a Preferred Provider Organization (PPO) Plan. E. Employees who elect to continue coverage while on an unpaid leave of absence through COBRA do not interrupt membership in the plan. F. In the case of a qualifying event the employee will only be allowed to enroll in the district’s self-funded plan. All new employees will only be offered insurance coverage under the self-funded plan. G. The District’s Business Office will continue flexible spending accounts for employees choosing insurance coverage who are interested in using such an account for the transmittal of medical/dental monthly premiums. The accounts shall only be available for the premium transmittal as stated above and will be administered by a third party as selected by the Business Office. H. All newly hired employees choosing insurance coverage or all newly qualified employees choosing insurance coverage will be eligible to participate in the insurance program on the first day of the first month following their date of hire. For example, an eligible employee hired on September 7 will have insurance coverage on October 1; an employee hired on September 26 will have coverage on October 1. I. An Insurance Committee will be established with representation as follows: Group Maximum Members 1. Estimates of projected/anticipated claims and other cost items for which actual premiums are not then available; 2. The adjustment of employee contributions as provided in 16.07; 3. Potential adjustments in coverages/benefits, which would reduce costs for the Board and for employees; 4. The allocation of premiums among the four participant categories (Employee, EE+1, EE+2, and EE+3); The committee is advisory and will operate using the consensus model. The Association will have full and complete access to all school district policies, contracts, and provisions of those insurance plans affecting the Association. The Administration retains the right to limit access to regularly produced reports/records which may compromise or otherwise violate the confidentiality of the individuals covered under the plans. The Association will be permitted to be in attendance at meetings regarding the renewal process and premium adjustments each year. After the Insurance Committee has met, employee contributions will then be adjusted in accordance with 16.07 and any coverage/benefit changes approved in writing by the Association and the District. Any premium changes will be implemented for the first payroll in January.

Appears in 1 contract

Samples: Membership Agreement

Medical and Dental Insurance. The Board will continue to provide a medical, vision, prescription drug, dental, life and long-term disability insurance plan, which will be in effect for the 2022- 2026 2012- 2014 school years. Contributions will be paid by the Board for employees who work a minimum of thirty (30) hours per week. Insurance contributions are based on 24 pay periods. For each school year, the total projected cost of the comprehensive medical, vision, prescription drug and dental plan, including anticipated claims, third- third-party administrative expenses, stop-loss premiums, hospital/physician network administration, life insurance premiums, long-term disability premiums, accidental death and disability premiums, anticipated employee assistance and wellness costs, shall be divided between the Board and the classified bargaining unit, with the Board paying 83% and the classified staff paying 17%. The specific allocation between the participant categories and the estimate of projected/anticipated claims and other cost items for which actual premiums are not then available, shall be determined by the Administration based upon recommendation from the District Insurance Committee as soon after October 30 as the prior year data is available. After the District Insurance Committee has met and any plan changes approved by the Association and the Board have been incorporated, employee premium contributions shall be established by the Administration based on projected costs. A. Insurance coverage is optional. New employees may elect not to participate in the district’s health and dental insurance plans upon written notice to the Business Office Human Resources Department during the enrollment period. Those employees declining medical and dental insurance will continue to receive term life insurance coverage ($50,000), long-term disability insurance coverage and accidental death and dismemberment insurance coverage at Board expense. Effective January 1, 2011, for those employees who have chosen not to participate in the medical/dental plan and wish to reinstate coverage, they will be allowed to do so only as a Late Entrant in the case of a qualifying event. B. New hires who choose to participate in the district’s health/dental insurance plans will start on Step 1. An employee must be enrolled in the plan on January 1 to be considered at Step 1 for that year; if enrolled after January 1, the employee will remain at Step 1 in the following year. C. District married couples will receive one family plan coverage at the cost of two single contributions based on the most senior employee’s year of service. C. D. There will be no change in employee coverage – single to family or vice versa – unless there has been a change in status, i.e., i.e. marital, employment, birth, adoption. D. E. For the duration of the 20222012-2026 2014 Contract, employees who elect and maintain insurance coverage will have the annual option of selecting to participate in either a Value High Deductible Health Plan with a Health Savings Account Plan (High Deductible Health Plan) or a Preferred Provider Organization (PPO) Plan. E. F. Employees who elect to continue coverage while on an unpaid leave of absence through COBRA do not interrupt membership in the plan. F. G. In the case of a qualifying event the employee will only be allowed to enroll in the district’s self-funded plan. All new employees will only be offered insurance coverage under the self-funded plan. G. H. The District’s Business Office will continue flexible spending accounts for employees choosing insurance coverage who are interested in using such an account for the transmittal of medical/dental monthly premiums. The accounts shall only be available for the premium transmittal as stated above and will be administered by a third party as selected by the Business Office. H. I. All newly hired employees choosing insurance coverage or all newly qualified employees choosing insurance coverage will be eligible to participate in the insurance program on the first day of the first month following their date of hire. For example, an eligible employee hired on September 7 will have insurance coverage on October 1; an employee hired on September 26 will have coverage on October 1. I. J. An Insurance Committee will be established with representation as follows: Group Maximum Members: 1. Estimates of projected/anticipated claims and other cost items for which actual premiums are not then available; 2. The adjustment of employee contributions as provided in 16.07; 3. Potential adjustments in coverages/benefits, which would reduce costs for the Board and for employees; 4. The allocation of premiums among the four participant categories (Employee, EE+1, EE+2, and EE+3); The committee is advisory and will operate using the consensus model. The Association will have full and complete access to all school district policies, contracts, and provisions of those insurance plans affecting the Association. The Administration retains the right to limit access to regularly produced reports/records which may compromise or otherwise violate the confidentiality of the individuals covered under the plans. The Association will be permitted to be in attendance at meetings regarding the renewal process and premium adjustments each year. After the Insurance Committee has met, employee contributions will then be adjusted in accordance with 16.07 and any coverage/benefit changes approved in writing by the Association and the District. Any premium changes will be implemented for the first payroll in January.

Appears in 1 contract

Samples: Membership Agreement

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