MEDICAL AND HOSPITAL PLAN Sample Clauses

MEDICAL AND HOSPITAL PLAN. The Company agree to pay the full premium cost of the Ontario Hospital Insurance (Standard Xxxx) Plan for all eligible approved regular employees who join the plan and their dependants. The Company agrees to pay the full premium cost of the Quaker Group Health Plan for all eligible approved regular employees who join the plan and their dependants. The Quaker Group Health Plan includes benefits under the Quaker Major Medical Plan and such benefits as are in effect October 1, 1969 under the Ontario Health Insurance Plan.
Sample 1
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MEDICAL AND HOSPITAL PLAN. 10.01 The Board shall pay to the Ontario Health Insurance Plan 100% of the current contract amounts payable in respect of each employee of the Police Service and for their spouse and/or dependent children under 21 years of age. (a) The Board shall engage a carrier to provide an Extended Health Plan for all employees and eligible dependents on a pay direct nondeductible basis. Such coverage shall include: (i) Private and semi-private hospital accommodation. (ii) Effective July 1, 2002, the allowance for eyeglasses or contact lenses shall be $225.00 every 2 years. Effective January 1, 2005, the allowance for eyeglasses or contact lenses shall be $250.00 every 2 years. (iii) The coverage shall also include hearing aid expenses to a maximum of $300.00 during a lifetime. Effective January 1, 2005, the coverage shall include hearing aid expenses to a maximum of $400.00 during a lifetime. (iv) The Board shall include in its benefit plan, coverage for chiropractic and masseur services to a maximum of $200.00 per year per person, coverage to be in effect only after coverage under the Provincial Government plan (if applicable) has been exhausted. The premium cost shall be paid 100% by the Board. It is understood that benefit changes will be effective the month following the signing of the collective agreement to allow for administrative changes. (b) For the purpose of this clause, dependents shall include: (i) employee’s spouse or common-law spouse; (ii) employee’s unmarried, unemployed children under the age of 22 years, including newborns; (iii) employee’s unmarried, unemployed dependent children to any age who are incapable of self-sustaining support or employment by reason of mental or physical disability; (iv) employee’s unmarried, unemployed dependent children over 22, but under 25 years of age, in full-time attendance at a school, college or university. (a) Effective November 15, 1991, the Board shall engage a carrier to provide a Dental Plan which is equivalent to Blue Cross Dental Plan #9, with payments based upon the Ontario Dental Fee schedule for the current year. (b) The Board shall also provide the equivalent of Rider #3 to Blue Cross Dental Plan #9 (orthodontics), being shared risk on a 50% basis to a maximum of $1,500.00 lifetime. Effective January 1, 2004, (orthodontics), being shared risk on a 50% basis to a maximum of $2,000.00 lifetime. Payments to be based upon the Ontario Dental Fee schedule for the current year. 10.04 Any employee off duty as ...
Sample 1
MEDICAL AND HOSPITAL PLAN. 10.01 The Board shall pay to the Ontario Health Insurance Plan 100% of the current contract amounts payable in respect of each employee of the Police Service and for their spouse and/or dependent children under 21 years of age. (a) The Board shall engage a carrier to provide an Extended Health Plan for all employees and eligible dependents on a pay direct non-deductible basis. Such coverage shall include: (i) private and semi-private hospital accommodation. Effective January 1, 2015, remove private hospital accommodation. (ii) The allowance for eyeglasses or contact lenses shall be $350.00 every 2 years. Effective upon ratification, the allowance for eyeglasses or contact lenses shall be $400.00 every 2 years, which coverage may be applied against eligible corrective eye surgery. Effective January 1, 2016, increase the allowance for eyeglasses or contact lenses to $450.00 every 2 years. (iii) eye examination, to a maximum of $110.00 per visit every 2 years. Effective January 1, 2014, eye examination increased to a maximum of $130.00 per visit every 2 years. (iv) hearing aid expenses to a maximum of $500.00 every 4 years. Effective January 1, 2015, hearing aid expenses shall be increased to a maximum of $600.00 every 4 years. (v) coverage for chiropractic and masseur services to a combined maximum of $600.00 per year per person, chiropractic services to be used in conjunction with the employee’s annual OHIP eligibility. Effective January 1, 2014, the foregoing amount shall be increased to $850.00 per year on the same terms. Effective January 1, 2016, the foregoing amount shall be increased to $1,000.00 per year on the same terms. The premium cost shall be paid 100% by the Board. (vi) The Plan shall provide for mandatory generic drugs with no substitution except where the member’s treating physician expressly directs otherwise. (vii) Effective January 1, 2015, introduction of the services of a Podiatrist/Chiropodist, Naturopath and Osteopath to a combined maximum of $1,200 per year per member. (viii) Moulded Orthotics up to a maximum of $250.00 per pair limited to two pairs per calendar year. Effective January 1, 2015, moulded orthotics up to a maximum of $350.00 per pair limited to two pairs per calendar year, per insured person. It is understood that benefit changes will be effective the month following the signing of the collective agreement to allow for administrative changes. (b) For the purpose of this clause, dependents shall include: (i) employee’s s...
Sample 1
MEDICAL AND HOSPITAL PLAN. 10.01 (a) The Board shall engage a carrier to provide an Extended Health Plan for all members and eligible dependents on a pay direct non-deductible basis. Such coverage shall include: (i) private and semi-private hospital accommodation; (ii) effective January 1, 2005, the allowance for eyeglasses or contact lenses shall be $250.00 every two years. Effective January 1, 2008, the allowance for eyeglasses or contact lenses shall be $300.00 every two years; (iii) effective January 1, 2007, eye examination, to a maximum of $85.00 per visit, every 2 years; (iv) hearing aid expenses to a maximum of $400.00 during a lifetime; (v) chiropractic/masseur combined services to a maximum of $500.00 per year per person, chiropractic services to be used in conjunction with member’s annual OHIP eligibility. The premium cost shall be paid 100% by the Board. It is understood that benefit changes will be effective the month following the signing of the collective agreement to allow for administrative changes.
Sample 1
MEDICAL AND HOSPITAL PLAN. The Board shall pay to the Ontario Health Insurance Plan of the current contract amounts payable in respect of each employee of the Police Service and for their spouse dependent children under years of age.
Sample 1
MEDICAL AND HOSPITAL PLAN. 10.01 (a) The Board shall engage a carrier to provide an Extended Health Plan for all members and eligible dependents on a pay direct non-deductible basis. The premium cost shall be paid 100% by the Board. Such coverage shall include: (i) private and semi-private hospital accommodation; (ii) effective upon ratification, the allowance for eyeglasses or contact lenses shall be $325.00 every two years. Effective January 1, 2011, the allowance for eyeglasses or contact lenses shall be $350.00 every two years; (iii) effective upon ratification, eye examination, to a maximum of $100.00 per visit, every two years, increased to $110.00 effective January 1, 2012; (iv) hearing aid expenses to a maximum of $400.00 during a lifetime, increased to (v) chiropractic/masseur combined services to a maximum of $500.00 per year per person, chiropractic services to be used in conjunction with member’s annual OHIP eligibility. Effective January 1, 2010, such coverage shall be increased to a combined maximum of $550.00 per year per eligible person, and further increased to (vi) effective January 1, 2010, orthotics coverage shall be $250.00 per pair, limited to two pairs per calendar year
Sample 1

Related to MEDICAL AND HOSPITAL PLAN

  • Medical There shall be an open enrollment period for medical coverage in each year of this Agreement. An employee may elect no medical coverage during any open enrollment period. An employee who has elected no medical coverage may elect medical coverage during an open enrollment period. No pre-existing condition limitations will apply.

  • Medical Plan ‌ Eligible employees and dependants shall be covered by the British Columbia Medical Services Plan or carrier approved by the British Columbia Medical Services Commission. The Employer shall pay one hundred percent (100%) of the premium. An eligible employee who wishes to have coverage for other than dependants may do so provided the Medical Plan is agreeable and the extra premium is paid by the employee through payroll deduction. Membership shall be a condition of employment for eligible employees who shall be enrolled for coverage following the completion of three (3) months’ employment or upon the initial date of employment for those employees with portable service as outlined in Article 14.12.

  • Medical and Dental If an employee is not actively at work on the initial effective date of coverage due to a reason other than hospitalization or medical disability of the employee or dependent, medical and dental coverage will be effective on the first day of the employee’s return to work. The effective date of a change in coverage is not delayed in the event that, on the date the coverage change would be effective, an employee is on an unpaid leave of absence or layoff.

  • Medical and Dental Benefits If Executive’s employment is subject to a Termination, then to the extent that Executive or any of Executive’s dependents may be covered under the terms of any medical or dental plans of the Company (or an Affiliate) for active employees immediately prior to the Termination Date, then, provided Executive is eligible for and elects coverage under the health care continuation rules of COBRA, the Company shall provide Executive and those dependents with coverage equivalent to the coverage in effect immediately prior to the Termination. For a period of twelve (12) months (18 months for a Termination during a Covered Period), Executive shall be required to pay the same amount as Executive would pay if Executive continued in employment with the Company during such period and thereafter Executive shall be responsible for the full cost of such continued coverage; provided, however, that such coverage shall be provided only to the extent that it does not result in any additional tax or other penalty being imposed on the Company (or an Affiliate) or violate any nondiscrimination requirements then applicable with respect to the applicable plans. The coverages under this Section 4(e) may be procured directly by the Company (or an Affiliate, if appropriate) apart from, and outside of the terms of the respective plans, provided that Executive and Executive’s dependents comply with all of the terms of the substitute medical or dental plans, and provided, further, that the cost to the Company and its Affiliates shall not exceed the cost for continued COBRA coverage under the Company’s (or an Affiliate’s) plans, as set forth in the immediately preceding sentence. In the event Executive or any of Executive’s dependents is or becomes eligible for coverage under the terms of any other medical and/or dental plan of a subsequent employer with plan benefits that are comparable to Company (or Affiliate) plan benefits, the Company’s and its Affiliates’ obligations under this Section 4(e) shall cease with respect to the eligible Executive and/or dependent. Executive and Executive’s dependents must notify the Company of any subsequent employment and provide information regarding medical and/or dental coverage available.

  • Health Plan An appropriately licensed entity that has entered into a contract with Subcontractor, either directly or indirectly, under which Subcontractor provides certain administrative services for Health Plan pursuant to the State Contract. For purposes of this Appendix, Health Plan refers to UnitedHealthcare Insurance Company.

  • Vision The Employer agrees to offer group vision insurance to bargaining unit employees and their dependents, at employee cost.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Dental specific medications for dental purposes, including fluoride medications (except for children less than five years of age with a non-fluorinated water supply);

  • Health Care Benefits A. Each regular, full-time employee may elect coverage for himself and his eligible dependents* under one of the following health insurance plans: 1. Blue Cross/Blue Shield of Michigan Flexible Blue 3 with Flexible Blue Rx Prescription Drug Coverage with a Health Savings Account (hereinafter collectively referred to as the “H.S.A Plan”). The Employer shall pay for the illustrated premium cost of this coverage and make an annual contribution to each participating employee’s Health Savings Account in the amount of $500 for those selecting single coverage and $1,000 for those selecting Employee & Spouse, Employee Child(ren) or Family coverage, or the maximum annual amount the Employer is permitted to pay under Section 3 of the Publicly Funded Health Insurance Contribution Act, Public Act 152 of the Michigan Public Acts of 2011, whichever results in the lesser Employer contribution to the cost of such plan. Employees may, at their option, make additional contributions through bi-weekly pre-tax payroll deduction as permitted by applicable law. 2. Blue Cross/Blue Shield of Michigan Community Blue PPO Option 3 Revised Plan with Blue Preferred Rx Prescription Drug Coverage with a 50% co-pay ($5 floor and a $50 ceiling). Employees shall pay the difference between the illustrated premium cost of this coverage and the amount of the Employer’s total contribution towards the cost of coverage under the H.S.A. Plan as described in Section 1 (a) (1), for the same level of benefit (i.e. single, employee/spouse, employee/child(ren) and family), or pay the difference between the total cost of such coverage and the maximum annual amount the Employer is permitted to pay under Section 3 of the Publicly Funded Health Insurance Contribution Act, Public Act 152 of the Michigan Public Acts of 2011, whichever results in the greater employee contribution. 3. Blue Cross/Blue Shield of Michigan Community Blue PPO Option 6 Revised Plan with Blue Preferred Rx Prescription Drug Coverage with a 50% co-pay ($5 floor and a $50 ceiling). Employees shall pay the difference between the illustrated premium cost of this coverage and the amount of the Employer’s total contribution towards the cost of coverage under the H.S.A. Plan as described in Section 1 (a) (1), for the same level of benefit (i.e. single, employee/spouse, employee/child(ren) and family), or pay the difference between the total cost of such coverage and the maximum annual amount the Employer is permitted to pay under Section 3 of the Publicly Funded Health Insurance Contribution Act, Public Act 152 of the Michigan Public Acts of 2011, whichever results in the greater employee contribution. (a) All coverage under any of the foregoing plans shall be subject to such terms, conditions, exclusions, limitations, deductibles, co-payments premium cost-sharing, and other provisions of the plans. Coverage shall commence on the employee’s ninetieth (90th) day of continuous employment. The employee’s contribution to the cost of such coverage shall be payable on a bi-weekly basis through automatic payroll deduction. (b) To qualify for health care benefits as above described each employee must individually enroll and make proper application for such benefits at the Human Resources Department upon the commencement of his regular employment with the Employer. (c) Except as otherwise provided under the Family and Medical Leave Act, when on an authorized unpaid leave of absence of more than two weeks, the employee will be responsible for paying all his benefit costs for the period he is not on the active payroll. Proper application and arrangements for the payment of such continued benefits must be made at the Human Resources Department prior to the commencement of the leave. If such application and arrangements are not made as herein described, the employee's health care benefits shall automatically terminate upon the effective date of the unpaid leave of absence. (d) Except as otherwise provided under this Agreement and/or under COBRA, an employee's health care benefits shall terminate on the date the employee goes on a leave of absence for more than two weeks, terminates, retires or is laid off. Upon return from a leave of absence or layoff, an employee's health care benefits coverage shall be reinstated commencing with the employee's return. (e) An employee who is on layoff or leave of absence for more than two weeks or who terminates may elect under COBRA to continue the coverage herein provided at his own expense. (f) The Employer reserves the right to change a carrier(s), a plan(s), and/or the manner in which it provides the above benefits, provided that the benefits and conditions are equal to or better than the benefits and conditions outlined above. (g) To be eligible for health care benefits as provided above, an employee must document all coverage available to him under his spouse's medical plan and cooperate in the coordination of coverage to limit the Employer's expense. If an employee’s spouse or eligible dependent children work for an employer who provides medical coverage, they are required to elect medical coverage with their employer, so long as the spouse’s or monthly contribution to the premium does not exceed 20% of the total premium cost of said coverage. The Monroe County Plan shall provide secondary coverage. (h) Each employee is responsible for notifying the Human Resources Department of any change in his status, which might affect his insurance coverage or benefits, such as, marriage, divorce, births, adoptions, deaths, etc.

  • Health Overcoming or managing one’s disease(s) as well as living in a physically and emotionally healthy way;

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