Common use of Medical and Dental Plans Clause in Contracts

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 based on the proportion of the hours on paid status within that pay period to the normal full time hours for the job classification, provided further that the employee is on paid status at least fifty percent of the normal full-time pay period for the job classification.

Medical and Dental Plans. 8.A. MEDICAL PLAN COVERAGE COVERAGE 1. Medical Plan Coverage for Full-Time Employees a. April 9, 2017 – January 31, 2019: The County and covered employees will share in the cost of health care premiums. For coverage effective July 16April 9, 2017 through January 31, 2019, the County will pay ninety percent (90%) of the total semi-monthly premium of for a Health Maintenance Organization (HMO) plan: i. The County shall contribute plan or ninety percent (90% %) of the total semi- monthly premium of the lowest cost HMO plan toward the total semi-monthly premium for an HMO a Preferred Provider Organization (PPO)/Indemnity Plan at the corresponding level of coverage (i.e. 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 (Selfb. February 1, Self+1 dependent2019 – January 31, Family) in a plan year. b. 2022: For coverage effective February 1, 2019 through January 31, 2022, the County will pay eighty-seven and a one half percent (87.5%) of the total semi- semi-monthly premium for coverage at the full-time employee’s applicable level of enrollment (i.e. Selfself, Self self + 1 dependent, Familyfamily) for an HMO plan offered through the County. Alternatively, Alternatively the County will contribute toward the semi- semi-monthly premium for a PPO/Indemnity Plan offered through the County in an amount not to exceed eighty-seven and a one half percent (87.5%) of the semi- semi-monthly premium for coverage at the employee’s applicable level of enrollment (i.e. Selfself, Self + 1 dependentself +1, 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. February 1, 2022: For coverage effective February 1, 2022 through the remaining term of the MOU2022, the County will pay eighty-eighty- five percent (85%) of the total semi-monthly premium for coverage at the full-time employee’s applicable level of enrollment (i.e. i.e., Self, Self + 1 dependent, Family) for an HMO plan offered through the County. Alternatively, the County will contribute toward the semi- 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. i.e., Self, Self + +1 dependent, Family) of the lowest cost HMO plan offered through the County. The County contribution toward balance of the provider’s charge shall monthly medical premium will be the full-time contribution provided that paid by 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 based on the proportion of the hours on paid status within that pay period to the normal full time hours for the job classification, provided further that the employee is on paid status at least fifty percent of the normal full-time pay period for the job classificationthrough payroll deduction.