Medical and Hospitalization Insurance. 22.1: The Employer shall provide full family, PPO 4, which provides 80% coverage with an annual deductible of $500/$1,000 and annual co-insurance maximum of $1,500/$3,000. The plan will have a 3-tier drug card of $2/$25/$50 and a 2 times mail order benefit. Employees hired prior to June 20, 2011 shall pay 10% of the premium/illustrated rate for medical coverage. Employees hired on or after June 20, 2011 shall contribute 20% of the premium/illustrated rate for medical coverage. Employees shall pay $10 per pay period for spouses enrolled in the medical plan. Step-children for whom the employee provides 50% or more support are included under this section. 22.2: An employee may choose not to be covered by the medical and hospitalization insurance stated under this article if they have qualified group medical insurance elsewhere. The decision to waive coverage can only be made once per calendar year. The waiver agreement, provided by the Employer, must be signed by the employee. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine. In the event the employee elects not to be covered by such medical insurance: a. Employees who have waived coverage prior to 12/31/15 and who do not re-enroll on County insurance shall receive twenty-five (25%) percent of the premium cost of a plan which the employee has at the time of election (full family, single subscriber, et cetera), at the Blue Cross/Blue Shield rate as salary. b. Employees who waive coverage on or after 1/1/15 shall receive $1,800.00 annually as salary. The waiver salary payment shall be made at the end of each calendar quarter for which the employee waived coverage. Employees may be required to periodically provide proof of dependent eligibility consistent with the County policy regarding the definition of dependents. Employees may be returned to County coverage on the first of each month. Should the employee separate from County employment prior to the end of such calendar quarter, the employee shall be paid on a prorated basis for each full calendar month of waived coverage. Employees with County-employed spouses receive either insurance coverage from the County or the opt-out amount, not both. 22.3: Notwithstanding the above, if the County Board of Commissioners implements, in its discretion and pursuant to 2011 PA 152, either a cap election or employee contributions necessary to meet the requirement that the employer pay no more than 80% of the total annual costs of all of the medical benefit plans election, then the above section shall be superseded and unit employees will be required to make contributions under the election made by the Board of Commissioners. The Employer will give the Union notice of any change in the election for complying with 2011 PA 152 and will, upon request, bargain regarding mandatory subjects regarding the implementation of such election. 22.4: Consistent with Resolution 0000-00-000, elective abortion coverage is eliminated from all health plans. Elective abortion is as defined in MCLA 550.551(a).
Appears in 1 contract
Samples: Collective Bargaining Agreement
Medical and Hospitalization Insurance. 22.1: The Employer shall provide full family, PPO 4, which provides 80% coverage with an annual deductible of $500/$1,000 and annual co-insurance maximum of $1,500/$3,000. The plan will have a 3-tier drug card of $2/$25/$50 and a 2 times mail order benefit. Employees hired prior to June 20, 2011 shall pay 10% of the premium/illustrated rate for medical coverage. Employees hired on or after June 20, 2011 shall contribute 20% of the premium/illustrated rate for medical coverage. Employees shall pay $10 per pay period for spouses enrolled in the medical plan. Step-children for whom the employee provides 50% or more support are included under this section.
22.2: An employee may choose not to be covered by the medical and hospitalization insurance stated under this article if they have qualified group medical insurance elsewhere. The decision to waive coverage can only be made once per calendar year. The waiver agreement, provided by the Employer, must be signed by the employee. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine. In the event the employee elects not to be covered by such medical insurance:
a. Employees who have waived coverage prior to 12/31/15 and who do not re-enroll on County insurance shall receive twenty-five (25%) percent of the premium cost of a plan which the employee has at the time of election (full family, single subscriber, et cetera), at the Blue Cross/Blue Shield rate as salary.
b. Employees who waive coverage on or after 1/1/15 shall receive $1,800.00 annually as salary. The waiver salary payment shall be made at the end of each calendar quarter for which the employee waived coverage. Employees may be required to periodically provide proof of dependent eligibility consistent with the County policy regarding the definition of dependents. Employees may be returned to County coverage on the first of each month. Should the employee separate from County employment prior to the end of such calendar quarter, the employee shall be paid on a prorated basis for each full calendar month of waived coverage. Employees with County-employed spouses receive either insurance coverage from the County or the opt-out amount, not both.
22.3: Notwithstanding the above, if the County Board of Commissioners implements, in its discretion and pursuant to 2011 PA 152, either a cap election or employee contributions necessary to meet the requirement that the employer pay no more than 80% of the total annual costs of all of the medical benefit plans election, then the above section shall be superseded and unit employees will be required to make contributions under the election made by the Board of Commissioners. The Employer will give the Union notice of any change in the election for complying with 2011 PA 152 and will, upon request, bargain regarding mandatory subjects regarding the implementation of such election.
22.4: Consistent with Resolution 0000-00-000, elective abortion coverage is eliminated from all health plans. Elective abortion is as defined in MCLA 550.551(a).
Appears in 1 contract
Samples: Collective Bargaining Agreement
Medical and Hospitalization Insurance. 22.1: The Employer shall provide full family, PPO 4, which provides 80% coverage with an annual deductible of $500/$1,000 and annual co-insurance maximum of $1,500/$3,000. The plan will have a 3-tier drug card of $2/$25/$50 and a 2 times mail order benefit. Employees hired prior to June 20, 2011 shall pay 10% of the premium/illustrated rate for medical coverage. Employees hired on or after June 20, 2011 shall contribute 20% of the premium/illustrated rate for medical coverage. Employees shall pay $10 per pay period for spouses enrolled in the medical plan. Step-children for whom the employee provides 50% or more support are included under this section.
22.2: An employee may choose not to be covered by the medical and hospitalization insurance stated under this article if they have qualified group medical insurance elsewhere. The decision to waive coverage can only be made once per calendar year. The waiver agreement, provided by the Employer, must be signed by the employee. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine. In the event the employee elects not to be covered by such medical insurance:
a. Employees who have waived coverage prior to 12/31/15 and who do not re-enroll on County insurance shall receive twenty-five (25%) percent of the premium cost of a plan which the employee has at the time of election (full family, single subscriber, et cetera), at the Blue Cross/Blue Shield rate as salary.
b. Employees who waive coverage on or after 1/1/15 shall receive $1,800.00 annually as salary. The waiver salary payment shall be made at the end of each calendar quarter for which the employee waived coverage. Employees may be required to periodically provide proof of dependent eligibility consistent with the County policy regarding the definition of dependents. Employees may be returned to County coverage on the first of each month. Should the employee separate from County employment prior to the end of such calendar quarter, the employee shall be paid on a prorated basis for each full calendar month of waived coverage. Employees with County-employed spouses receive either insurance coverage from the County or the opt-out amount, not both.
22.3: Notwithstanding the above, if the County Board of Commissioners implements, in its discretion and pursuant to 2011 PA 152, either a cap election or employee contributions necessary to meet the requirement that the employer pay no more than 80% of the total annual costs of all of the medical benefit plans election, then the above section shall be superseded and unit employees will be required to make contributions under the election made by the Board of Commissioners. The Employer will give the Union notice of any change in the election for complying with 2011 PA 152 and will, upon request, bargain regarding mandatory subjects regarding the implementation of such election.
22.4: Consistent with Resolution 0000-00-000, elective abortion coverage is eliminated from all health plans. Elective abortion is as defined in MCLA 550.551(a). Also, abortion in the case of rape or incest shall not be considered an elective abortion.
Appears in 1 contract
Samples: Collective Bargaining Agreement
Medical and Hospitalization Insurance. 22.1: The Employer shall provide full family, PPO 4, which provides 80% coverage with an annual deductible of $500/$1,000 and annual co-insurance maximum of $1,500/$3,000. The plan will have a 3-tier drug card of $2/$25/$50 and a 2 times mail order benefit. Employees hired prior to June 20, 2011 shall pay 10% of the premium/illustrated rate for medical coverage. Employees hired on or after June 20, 2011 shall contribute 20% of the premium/illustrated rate for medical coverage. Employees shall pay $10 per pay period for spouses enrolled in the medical plan. Step-children for whom the employee provides 50% or more support are included under this section.
22.2: An employee may choose not to be covered by the medical and hospitalization insurance stated under this article if they have qualified group medical insurance elsewhere. The decision to waive coverage can only be made once per calendar year. The waiver agreement, provided by the Employer, must be signed by the employee. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine. In the event the employee elects not to be covered by such medical insurance:
a. Employees who have waived coverage prior to 12/31/15 and who do not re-enroll on County insurance shall receive twenty-five (25%) percent of the premium cost of a plan which the employee has at the time of election (full family, single subscriber, et cetera), at the Blue Cross/Blue Shield rate as salary.
b. Employees who waive coverage on or after 1/1/15 shall receive $1,800.00 annually as salary. The waiver salary payment shall be made at the end of each calendar quarter for which the employee waived coverage. Employees may be required to periodically provide proof of dependent eligibility consistent with the County policy regarding the definition of dependents. Employees may be returned to County coverage on the first of each month. Should the employee separate from County employment prior to the end of such calendar quarter, the employee shall be paid on a prorated basis for each full calendar month of waived coverage. Employees with County-employed spouses receive either insurance coverage from the County or the opt-out amount, not both.
22.3: Notwithstanding the above, if the County Board of Commissioners implements, in its discretion and pursuant to 2011 PA 152, either a cap election or employee contributions necessary to meet the requirement that the employer pay no more than 80% of the total annual costs of all of the medical benefit plans election, then the above section shall be superseded and unit employees will be required to make contributions under the election made by the Board of Commissioners. The Employer will give the Union notice of any change in the election for complying with 2011 PA 152 and will, upon request, bargain regarding mandatory subjects regarding the implementation of such election.
22.4: Consistent with Resolution 0000-00-000, elective abortion coverage is eliminated from all health plans. Elective abortion is as defined in MCLA 550.551(a).
Appears in 1 contract
Samples: Collective Bargaining Agreement