MEDICAL INSURANCE and SECTION 125 FLEXIBLE SPENDING PLAN. A. Medical Insurance Coverage
a) BMCS Open Choice 1
b) BMCS Open Choice 2
c) BMCS Point of Service (POS)
d) BMCS Open Choice 3 2023-2024 19% 10% 2024-2025 19% 10% 2025-2026 20% 11% 2026-2027 20% 11% Full Time employees who are enrolled in a medical plan through their spouse (with the spouse not an employee of the Bucks IU) may opt to receive a cash payment in lieu of a Bucks IU provided medial benefit plan. Such cash payment will be in the total amount of Two Thousand Eight Hundred Dollars ($2,800) per year, payable in installments on the 15th and 30th of each month, subject to appropriate taxes. Employees who choose cash payment must provide the Bucks IU with proof of medical coverage through their spouse’s medical insurance plan. When an employee and spouse are both employed by the Bucks IU, the Health Care “Cash Back” option shall not apply, and it is understood that one spouse will be covered as an employee and the other spouse will be covered as a dependent on the spouse’s policy. Should the BMCS Consortium Trustees add Plan choices, the Bucks IU and Association will meet to agree upon the employee premium share after which the Plan(s) will be offered at the subsequent open enrollment. The Bucks IU and the Association agree annually to request jointly that the Consortium provide the Bucks IU and the Association with projected information as to whether or not any of the health benefit plans offered by the Consortium would be projected to incur or actually incur an excise tax, tax, or penalty, on the Consortium’s health benefit plan or on the Bucks IU’s health benefit plan as the result of the implementation of the Patient Protection and Affordable Care Act (ACA) or other applicable law. This process will be repeated annually thereafter and updated as needed. In the event that it is determined and/or projected that any of the health benefit plans offered by the Consortium will incur excise taxes, taxes, or penalties imposed on the Consortium or upon the Bucks IU health benefit plan as the result of the health benefit plans exceeding the thresholds provided in the ACA or any other applicable law, the Bucks IU shall take action to withdraw from the Consortium, if the Consortium fails to amend the health benefit plan offerings for thresholds that would be below the threshold limitations for such an excise tax or penalty. If the Consortium fails to provide or approve such changes, the Bucks IU will simultaneously start the process to withdraw from the Conso...
MEDICAL INSURANCE and SECTION 125 FLEXIBLE SPENDING PLAN. A. Medical Insurance Coverage In accordance with the federal Patient Protection and Affordable Care Act (ACA) benefits will be provided to all full-time employees defined as those working thirty or more hours per week. Effective July 1, 2019, three day a week workers (.60 FTE employees) shall not be eligible for Bucks IU healthcare or cash payments in lieu of medical benefits. It is understood that all three day a week (.60 FTE) workers in the 2018-2019 school year who are enrolled in the Bucks IU healthcare plans during the 2018-2019 school year shall be provided with the opportunity to move to four days a week or more, and all three day a week (.60 FTE) workers who are not currently enrolled in the Bucks IU healthcare during the 2018-2019 school year shall be provided the opportunity to move to four days a week or more and enroll in the Bucks IU healthcare, however, it is understood that they may decline that opportunity. Account Plan. The Bucks IU will continue to provide the existing Section 125 Flexible Spending The Bucks IU and the Association agree to continue the terms of the Memorandum of Understanding under which the Bucks IU participates in the Bucks and Xxxxxxxxxx County School’s Health Care Consortium for the purpose of providing medical benefits. Should the Bucks IU withdraw from the Consortium, except as provided herein, it shall provide the same or similar benefit plans as offered by the Consortium at the time of withdrawal. The parties agree that the Third Party Administrator (TPA) and medical plans are determined by the Board of Trustees of the Consortium and are subject to change by action taken by the Consortium’s Board of Trustees. At the time of the ratification of this Collective Bargaining Agreement, the Consortium’s TPA is Aetna and the preferred plans available to the employees of the Bucks IU covered by the Agreement and subject to the premium co-share as set forth herein, are as follows:
a. BMCS Open Choice 1
b. BMCS Open Choice 2
c. BMCS Point of Service (POS)
d. BMCS Open Choice 3 The employee premium share amounts for the term of this agreement shall be as follows: YEAR BMCS OPEN CHOICE 1, 2, and POS BMCS OPEN CHOICE 3 2018-2019 16% 10% 2019-2020 16% 10% 2020-2021 17% 10% 2021-2022 18% 10% 2022-2023 19% 10% Full Time employees who are enrolled in a medical plan through his/her spouse (with the spouse not an employee of the Bucks IU) may opt to receive a cash payment in lieu of a Bucks IU provided medial benefit plan. Such cas...
