Medical-Hospital Sample Clauses

Medical-Hospital. The Employer will continue to cover all full-time employees whose regular schedules are at least thirty (30) hours per week and part-time employees whose regular schedules are at least twenty (20) hours per week, who elect such coverage, under mutually agreeable plans.
Sample 1Sample 2
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Medical-Hospital. (a) The Company will provide a group Extended Health Care Plan. (b) The Company will pay sixty-five per cent (65%) of the premium necessary to support this plan. (c) The Extended Health Care plan will include vision care coverage up to a maximum of $200.00 every twenty four (24) months per subscriber and each dependent. (d) The extended health care plan for employees resident in New Brunswick shall cover treatments covered by OHIP but not covered by the New Brunswick Medicare Plan. (e) The Company will provide group Out of Country Deluxe Travel coverage, through a rider to the current Extended Health Care Plan. Monthly premiums supporting this plan will be paid by the Company. The Company will provide single out-of-country coverage to employees who do not subscribe to the Manulife Extended Health Care Plan.
Sample 1
Medical-Hospital. Retired Employees To the extent permitted by the carrier of the then current plan, if any, the retired employees of the bargaining unit shall be permitted to retain medical/hospital coverage as members of the unit group until age 65 by paying the cost thereof in advance to the School District at such time or times as the School District shall direct. If the Employee fails to make payment by the due date set by the School District, both the employee and the Association shall be notified of such failure. Failure by the Employee to make payment to the School District within fifteen (15) days of said notice automatically shall terminate any further right of the Employee (or dependents) to participate in the program. It is understood that the School District will make no contribution to the HSA of a retired employee. However, retirees enrolled in the HSA may continue coverage in that plan or may enroll in the PPO 600 plan at the time of the next open enrollment period.
Sample 1
Medical-Hospital. Insurance and Dental (a) The Board agrees to contribute one hundred percent (100%) of the billed premiums covering the benefits under the Ontario Health Insurance Plan, xxxx accommodation, supplemented by Blue Cross Extended Health Care Benefits or equivalent on the basis of The Board agrees to provide Blue Cross Dental Plan No. or equivalent based on current sched- ule, for all employees when they are eligible to enroll under the regulations of the plan. Further, any Blue
Sample 1
Medical-Hospital. During the 2017-2018 school year, the employer shall pay ninety percent (90%) and the employee shall pay ten percent (10%) of the cost of the premium. During the 2018-2019 school year, the employer shall pay eighty-nine percent (89%) and the employee shall pay eleven percent (11%) of the cost of the premium. During the 2019- 2020 school year, the employer shall pay eighty-eight and one-half percent (88.5%) and the employee shall pay eleven and one-half percent (11.5%) of the cost of the premium. During the 2020-2021 school year, the employer shall pay eighty-eight percent (88%) and the employee shall pay twelve percent (12%) of the cost of the premium. During the 2021-2022 school year, the employer shall pay eighty-seven and one-half percent (87.5%) and the employee shall pay twelve and one-half percent (12.5%) of the cost of the premium. The employee premium share shall be subject to a fifteen percent (15%) maximum annual increase in each year of this contract. The employer will deduct from employee’s pay, on a semi-monthly basis, an amount equal to the above stated percent of the semi-monthly premium cost, hereinafter referred to as the “premium share,” pursuant to the health insurance category (single, parent/child, parent/children, two person, and family) selected by the employee. Said “premium share” shall be subject to deduction, upon completion of the applicable form as provided in Section 125 of the Internal Revenue Service (IRS) Code, on a pre-tax basis. The employer shall make available to members of the bargaining unit a Section 125 Flexible Spending Account program for Medical and Dependent Care Expenses. The Medical Maximum and Dependent Care Maximum shall be the maximum permitted by law. An Employee will only be covered by one medical plan provided by the Newport School District. Any changes in coverage required by legislation or the insurer will open Article 12 Insurance for renegotiation with premiums not to exceed current costs. A Medical Reimbursement Program (MERP) will continue and shall not affect employee out-of-pocket expenses or level of benefits provided to employees. Newport School District shall continue to have a medical plan through Highmark Blue Shield. The plan has a fiscal year $1,000 employee and $2,000 family deductible. In association with this medical plan Newport School District has a Health Reimbursement Arrangement. The Health Reimbursement Arrangement (HRA) will reimburse a portion of your deductible expense. The emp...
Sample 1
Medical-Hospital. (a) The Company will provide a group Extended Health Care Plan equivalent to that provided under Manulife Policy 37984 and will pay sixty-five per cent (65%) of the premium necessary to support this plan. (b) Effective June 01, 2006 or the first of the month following date of ratification, whichever is later, the Company will pay seventy-five per cent (75%) of the premium necessary to support this plan. (c) The extended health care plan for employees resident in New Brunswick shall cover treatments covered by OHIP but not covered by the New Brunswick Medicare Plan. (d) The Company will provide group Out of Country Travel coverage, through the current Extended Health Care Plan. Monthly premiums supporting this Travel coverage will be paid by the Company. The Company will provide single out-of-country coverage to employees who do not subscribe to the Manulife Extended Health Care Plan. (e) Extended Health Care changes to be effective June 01, 2006 or the first of the month following date of ratification, whichever is later:
Sample 1
Medical-Hospital. (a) The Company will provide the group Extended Health Care Plan equivalent to that provided under SunLife Policy 103188 in effect 2018 April 1, and will pay seventy-five per cent (75%) of the premium necessary for full-time continuing and regular part-time employees. (b) The Company will provide group Out-of-Country Travel Coverage which is part of the Extended Health Care Plan policy noted above. Monthly premiums supporting this coverage will be paid by the Company. The Company will provide single out-of-country coverage to employees who do not subscribe to the Extended Health Care Plan.
Sample 1
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Medical-Hospital. For the term of this collective bargaining agreement the Board shall pay the premiums as outlined in the subsequent paragraphs for the types of insurance coverage set forth in the Capital Blue Cross Master Plan Document(s) dated July 1, 2002 as outlined below. Master Plan Document(s) are on file in the District Office and as per individual professional employee health insurance booklets. It is understood that the present type of insurance coverage is with Capital Blue Cross via the South Central Trust and major medical, but that both parties can agree to purchase insurance coverage from other companies providing that said coverage can provide total coverage with exactly the same or better benefits. Employees shall be enrolled in the Blue Cross PPO medical coverage as outlined in the negotiated agreement. The district will offer the Blue Cross PPO coverage. Employees will be required to pay twelve percent (12%) of the district’s premium cost. The employee premium share shall be subject to a thirteen (13%) maximum annual increase in each year of the contract. Office visits for the PPO only will be $15 each year of the agreement. Retail prescriptions are subject to a $50 deductible. After such deductible is met, employees will be required to pay 20% coinsurance at the time of purchase. Mail order prescriptions Co- payment will be $5 Generic/$10 Brand Preferred/$15 Brand Non-Preferred. 90-day mail order supplies will also be provided for the duration of this agreement.
Sample 1
Medical-Hospital. (a) The Company will provide a group Extended Health Care Plan equivalent to that provided under Manulife Policy 31989 and will pay seventy-five per cent (75%) of the premium necessary to support this Plan. (b) The Extended Health Care Plan for employees resident in New Brunswick shall cover treatments covered by OHIP but not covered by the New Brunswick Medicare Plan. (c) The Company will provide group Out of Country Travel coverage, through the current Extended Health Care Plan. Monthly premiums supporting this Travel coverage will be paid by the Company. The Company will provide single out-of-country coverage to employees who do not subscribe to the Manulife Extended Health Care Plan.
Sample 1

Related to Medical-Hospital

  • Hospital This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • Medical Care The Parents must comply with the School Welfare Officer's recommendations which may include a reasonable decision to release the Pupil home or to his / her education guardian when s/he is unwell.

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

  • Orthodontics We Cover orthodontics used to help restore oral structures to health and function and to treat serious medical conditions such as: cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias.

  • Clinical Management for Behavioral Health Services (CMBHS) System 1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000. 2. use the CMBHS time frames specified by System Agency. 3. use System Agency-specified functionality of the CMBHS in its entirety. 4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.

  • Wellness i. To support the statewide goal for a healthy and productive workforce, employees are encouraged to participate in a Well-Being Assessment survey. Employees will be granted work time and may use a state computer to complete the survey. ii. The Coalition of Unions agrees to partner with the Employer to educate their members on the wellness program and encourage participation. Eligible, enrolled subscribers who register for the Smart Health Program and complete the Well-Being Assessment will be eligible to receive a twenty-five dollar ($25) gift certificate. In addition, eligible, enrolled subscribers shall have the option to earn an annual one hundred twenty-five dollars ($125.00) or more wellness incentive in the form of reduction in deductible or deposit into the Health Savings Account upon successful completion of required Smart Health Program activities. During the term of this Agreement, the Steering Committee created by Executive Order 13-06 shall make recommendations to the PEBB regarding changes to the wellness incentive or the elements of the Smart Health Program.

  • 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.

  • Pharmacy Pharmacy hereby represents that neither Pharmacy, nor, to the best of Pharmacy’s knowledge, Pharmacist, Pharmacy’s employees, agents or independent

  • Behavioral Health Services Behavioral health services include the evaluation, management, and treatment for a mental health or substance use disorder condition. For the purpose of this plan, substance use disorder does not include addiction to or abuse of tobacco and/or caffeine. Mental health or substance use disorders are those that are listed in the most updated volume of either: • the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association; or • the International Classification of Disease Manual (ICD) published by the World Health Organization. This plan provides parity in benefits for behavioral healthcare services. Please see Section 10 for additional information regarding behavioral healthcare parity. This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • Hospice Individuals whose permanent residence and principal work location are outside the State of Minnesota and outside of the service areas of the health plans participating in Advantage. If these individuals use the plan administrator’s national preferred provider organization in their area, services will be covered at Benefit Level Two. If a national preferred provider is not available in their area, services will be covered at Benefit Level Two through any other provider available in their area. If the national preferred provider organization is available but not used, benefits will be paid at the POS level described in paragraph “i” below. All terms and conditions outlined in the Summary of Benefits will apply.

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