Medical and Dental Plans. A. MEDICAL PLANS
Medical and Dental Plans. Each eligible employee may participate in one of the medical and dental plans offered as part of the Samaritan Choice Plans, in accordance with the terms applicable to the majority of the Medical Center’s employees. The Medical Center retains the right to change the medical and/or dental plans offered as part of the Samaritan Choice Plans, as applicable to the majority of the Medical Center’s employees, provided, however, that the Medical Center will provide notice prior to Open Enrollment to the Union of any such changes. For each year of the contract, any premium increases shall be shared as follows: The employee premium and the employer contribution will each be increased by the same percentage as the increase in total premium. However, if total premium increases by more than ten percent (10%) then employee premium increases are capped at ten percent (10%) with the employer responsible for the balance of the premium increase. Effective January 1, 2019, premiums for “Employee Only” coverage will not exceed $15.00 per pay period for full-time employees. Part-time “Employee Only” premiums will not exceed $30.00 per pay period.
Medical and Dental Plans. (A) Medical Plan
(i) The employer shall pay one hundred percent (100%) of the monthly contribution to the Medical Plan.
(ii) Upon appointment to employment all continuing and sessional employees shall be eligible to participate in the Medical Plan as outlined in (i) above.
(iii) After sixty-six (66) days of accumulated service, temporary employees shall be eligible to participate in the Medical Plan as outlined in (i) above.
Medical and Dental Plans. Each full-time nurse and part-time nurse who is 20 regularly scheduled to work at least twenty (20) hours per week may 21 participate in one (1) of the medical and dental plans offered as part of the 22 Samaritan Choice Plans, in accordance with its terms. The Hospital retains 23 the right to change the medical and/or dental plans offered as part of 24 Samaritan Choice Plans, provided that any such successor plan is 25 substantially equivalent to the previously existing plan.
Medical and Dental Plans. Each eligible employee may participate in one of the medical and dental plans offered as part of the Samaritan Choice Plans, in accordance with the terms applicable to the majority of the Medical Center’s employees. The Medical Center retains the right to change the medical and/or dental plans offered as part of the Samaritan Choice Plans, as applicable to the majority of the Medical Center’s employees, provided, however, that the Medical Center will provide notice prior to Open Enrollment to the Union of any such changes. Medical premiums for 2022, 2023 and 2024 will be as outlined in Exhibit A.
Medical and Dental Plans a. Employees hired in a benefit status will be eligible to enroll themselves and their eligible dependents in the Employer-sponsored group medical and dental plan during their first thirty-one (31) days of employment. Medical plan coverage will be effective on the first day of the month following employment. Dental plan coverage will be effective the first day of the month following three (3) months of employment in a benefit status. The medical coverage will be based on the Xxxxxx Foundation Health Plan of the Northwest “5A5AE” medical plan benefit array and will include vision and prepaid prescriptions (with a five dollar ($5.00) charge). The medical plan will also include coverage for durable medical equipment and orthotic and prosthetic devices (Plan B) as an amendment to the Employer’s Group Medical and Hospital Service Agreement. The dental coverage will be based on the Xxxxxx Foundation Health Plan of the Northwest “5CX” dental plan benefit array.
b. Employees in a non-benefit status will be eligible to enroll themselves and their eligible dependents in the Employer-sponsored group medical and dental plan (as described above) during the first thirty-one (31) days following the date that they enter (or re-enter) a benefit status. Medical plan coverage will be effective on the first day of the month following the latest date that the employee enters the benefit status. Dental plan coverage will be effective the first day of the month following three (3) months of employment in a benefit status. The three (3) month waiting period may be reduced if the employee has been employed in a benefit status previously.
c. Employees who become eligible for the medical and dental plan and do not enroll during the first thirty-one (31) days following initial eligibility must wait for the annual open enrollment period in January of each year. January of each year shall constitute the open enrollment period with medical coverage effective February 1. The effective date of dental coverage will be determined using the rules in this Article for newly eligible employees based on an employee’s actual employment period in a benefit status.
d. Employees who lose medical plan coverage from another source because of the death, divorce, or termination of employment of a spouse may, during the first thirty- one (31) days following the loss of coverage enroll themselves and their eligible dependents in the Employer-sponsored group medical and dental plan without waiting for the ...
Medical and Dental Plans. 7.9.1 Except as provided in this Article VII, effective as of the Closing Date, Buyer or the Company shall make enrollment available to all Company Employees and their eligible dependents without any waiting period in a Buyer plan or plans providing medical and dental benefits (the “Buyer Medical Plans”), to the extent such individuals were eligible for coverage under the Seller Medical Plans, as contemplated by Section 7.1. Such Buyer Medical Plans shall waive any restrictions and limitations for pre-existing conditions for all Company Employees and shall give credit to each Company Employee for any deductibles and out-of-pocket expenses paid during the current plan year by such Company Employee under Seller’s applicable medical and dental Plans (hereinafter collectively referred to as the “Seller Medical Plans”).
7.9.2 Buyer shall be responsible for medical and dental expenses covered under the terms of the Buyer Medical Plans incurred on or after the Closing Date by a Company Employee and/or his covered dependents who are enrolled in the Buyer Medical Plans. Seller shall be responsible only for medical and dental expenses covered under the terms of the Seller Medical Plans incurred prior to the Closing Date by a Company Employee and/or his covered dependents. If a Company Employee or a covered dependent of a Company Employee enrolled in the Seller Medical Plans is hospitalized on the Closing Date, the Seller Medical Plans shall continue to provide coverage for such person until he or she is discharged from the hospital, to the extent coverage is provided under the terms of the Seller Medical Plans.
7.9.3 Buyer, at no expense to Seller, shall provide the benefits, if any, required from and after the Closing Date pursuant to COBRA for any Company Employee who is or becomes entitled to such continuation medical coverage from Seller or Buyer on or after the Closing Date, and Seller shall be responsible for any benefits required pursuant to COBRA prior to the Closing Date.
7.9.4 At the Closing Date, the Company shall assume or retain sole liability for all obligations with respect to post-retirement medical and other welfare benefits for all Company Employees and all Former Employees of the Company. The liabilities with respect to such post-retirement benefits shall be determined in accordance with the applicable methodology and assumptions set forth in Schedule 7.6.2. Seller shall cause to be transferred to the Company the trusts funding the post-retirement...
Medical and Dental Plans. MEDICAL PLAN COVERAGE
1. Medical Plan Coverage for Full-Time Employees
a. The County and covered employees will share in the cost of health care premiums. For coverage effective July 16, 2017 through January 31, 2019, the County will pay ninety percent (90%) of the total semi-monthly premium of a Health Maintenance Organization (HMO) plan:
i. The County shall contribute 90% of the total semi-monthly premium for an HMO at the corresponding level of coverage (i.e. Self, Self + 1 dependent, Family) in a Plan Year.
ii. The County shall contribute 90% of the total semi-monthly premium of the lowest cost HMO plan toward the total premium for a Preferred Provider Organization (PPO)/ Indemnity Plan at the corresponding level of coverage (Self, Self+1 dependent, Family) in a plan year.
b. For coverage effective February 1, 2019 through January 31, 2022, the County will pay eighty-seven and a half percent (87.5%) of the total semi- monthly premium for coverage at the full-time employee’s applicable level of enrollment (i.e. Self, Self + 1 dependent, Family) for an HMO plan offered through the County. Alternatively, the County will contribute toward the semi- monthly premium for a PPO/Indemnity Plan offered through the County in an amount not to exceed eighty-seven and a half percent (87.5%) of the semi- monthly premium for coverage at the employee’s applicable level of enrollment (i.e. Self, Self + 1 dependent, family) of the lowest cost HMO plan offered through the County. The balance of the semi-monthly medical premium will be paid by the employee through payroll deduction.
c. For coverage effective February 1, 2022 through the remaining term of the MOU, the County will pay eighty-five percent (85%) of the total semi-monthly premium for coverage at the full-time employee’s applicable level of enrollment (i.e. Self, Self + 1 dependent, Family) for an HMO plan offered through the County. Alternatively, the County will contribute toward the semi- monthly premium for a PPO/Indemnity Plan offered through the County in an amount not to exceed eighty-five percent (85%) of the semi-monthly premium for coverage at the employee’s applicable level of enrollment (i.e. Self, Self + The County contribution toward the provider’s charge shall be the full-time contribution provided that the employee is on full-time paid status. If the employee is on paid status on less than a full-time basis, the County contribution shall be the full-time contribution prorated each pay period base...
Medical and Dental Plans. As of his or her Employment Date, each Transferred Employee will be eligible to enroll in a medical and dental plan established or maintained by the Buyer which shall provide coverage comparable to that provided by the Buyer to its similarly situated employees. The Buyer will cause the Buyer's medical and dental plans to waive any pre-existing condition limitations to the extent reasonably possible under the terms of the applicable plan of Buyer and to recognize each such Transferred Employee's (and his or her covered dependents') expenditures under the corresponding Seller medical and dental plans for the calendar year in which the Employment Date occurs toward any applicable deductible and annual out-of-pocket limit for such calendar year. The Seller will cause the Seller's medical and dental plans to be liable for covered expenses of the Transferred Employees and their dependents that were incurred before the applicable Employment Date or during hospital stays that began before such Employment Date, and the Buyer's medical and dental plans may exclude liability for such expenses. Any benefits provided by the Buyer pursuant to this paragraph are subject to the Buyer's right to amend or terminate its medical and dental plans at any time.
Medical and Dental Plans. Commencing July 1, 2013, the District agrees to pay: (1) the lowest-cost Santa Xxxxx County employee plus family medical plan premium rate and that same amount for any other County of Santa Xxxxx medical plan; (2) the Delta Dental Service plan employee and dependent premium; and (3) the Vision Service Plan Employee and dependent premium. In the event premiums for these benefit plans are increased for the July 2014 and/or the July 2015 plan years the District will increase its contribution toward medical, dental and vision benefits, accordingly. Increases in premiums after the expiration of the MOU, will be the subject of bargaining between the parties. With proof of alternative health coverage, an employee may opt to waive District provided health coverage. Effective with each new plan year starting November 1, an employee who waives health coverage (for self and family) must do so for the entire plan year by signing up in the open enrollment period, typically in the prior September. Any unused part of the District's contribution for the plan of the employee's choice or non-coverage will be contributed to the deferred compensation plan currently in effect at the District for an amount up to $1,250 per month. Employees who waive health coverage must re-elect each calendar year during the open enrollment period. During the plan year, an employee is eligible to re-enroll for coverage within thirty (30) calendar days of an Internal Revenue Service (IRS) defined qualifying event.