Common use of Medical Insurance Benefits Clause in Contracts

Medical Insurance Benefits. ‌ Effective January 1, 2020, the City shall provide members of the FOP bargaining unit with coverage under its Anthem Blue Access 80/20 plan as set forth in Appendix C. The premium share shall be 10.0% of premium costs and are capped at $85.00 single and $200.00 family. Premiums will be deducted from paychecks on a pre-taxbasis. New employees shall be eligible for health care coverage on the first day of service and shall have the option to enroll in the City’s 80/20 health care plan. Terms of coverage, premium shares, co-pays, deductibles, and co-insurance shall be as listed in Appendix C-1. The member’s premium share for new employees shall be 10% of the premium costs capped at $85.00 single plan and $200.00 family plan. The City shall notify the Union of any proposed changes in insurance carriers and/or plans and will meet with the Union, if requested, prior to changing insurance carriers or plans. The City may change insurance carriers or plans, as long as a substantially similar plan is offered, with the same level of insurance benefits and co-payments, together with a comparable network of providers. In addition, members of the Police Department will be permitted to participate in the City Flexible Benefit Plan for purposes of establishing medical spending accounts to allow out- of- pocket medical expenses to be reimbursed on a pre-tax basis. Eligibility for membership in a health care plan shall be in effect immediately upon being sworn in as a member of the Cincinnati Police Department. Subject to the requirements of the insurer, the level of insurance benefits and co- payments as set forth in Appendix C, shall be guaranteed for the entire term of this agreement. In accordance with the Patient Protection and Affordable Care Act (ACA), an employee who is in a pay status for less than 1,560 hours during the City’s ACA Measurement Period of Pay Period 22 through the end of the following Pay Period 21, who is also enrolled in a health plan, shall have their coverage terminated as of 11:59pm on December 31st following the end of the Measurement Period. During that time the employee was receiving health benefits while in a non- pay status, the employee’s contributions will accumulate and the amount due will go into arrears to be paid back upon their return to full time status. As soon as the employee returns to full time status the employee may re-enroll in the health plan. This does not happen automatically. The employee must complete enrollment within 31 calendar days of their return to work indicating any dependents they want covered and including any supporting documentation required. Upon an employee’s return to full time status and reinstatement of health insurance, the employee will be monitored on a month to month basis, pursuant to the ACA, to ensure the employee is continuing to work on a full-time basis. If the employee is not paid for an average of at least 30 hours per week in any month, the health insurance will again be terminated until full time status is maintained. Any healthcare terms outlined in the Agreement are subject to a re-opened based upon mandated changes to the Patient Protection and Affordable Care Act. Disputes concerning eligibility for benefits under any of the medical plans shall be adjudicated according to the appeals process established by each respective group contract between the City and the medical plan provider. Health benefit disputes shall not be subject to the grievance procedure contained in this agreement. Dental/Vision Plan Effective January 1, 2009, the FOP shall select and administer dental and vision insurance plan on behalf of all members of the bargaining unit and the City shall pay the FOP, on a monthly basis, a sum equal to Seventy-seven Dollars and Twenty-Nine Cents ($77.29) per member per month for the term of the contract. The City acknowledges that if the FOP creates any savings in obtaining dental and vision insurance, it may be used to provide additional health or life insurance benefits for its members as it sees fit in accordance with the Ohio Revised Code and the parties’ collective bargaining agreement. However, this in no way guarantees that the City will provide additional health and life insurance benefits if savings are not realized by the FOP. Prior to making such payment to the FOP, the FOP will provide the City with the name of the insurance carrier, the extent of the coverage provided, the rates per member per month and the length of the contract.

Medical Insurance Benefits. ‌ Effective January 1, 2020, the City shall provide members of the FOP bargaining unit with coverage under its Anthem Blue Access 80/20 plan as set forth in Appendix C. The premium share shall be 10.0% of premium costs and are capped at $85.00 single and $200.00 family. Premiums will be deducted from paychecks on a pre-taxbasistax basis. New employees shall be eligible for health care coverage on the first day of service and shall have the option to enroll in the City’s 80/20 health care plan. Terms of coverage, premium shares, co-pays, deductibles, and co-insurance shall be as listed in Appendix C-1. The member’s premium share for new employees shall be 10% of the premium costs capped at $85.00 single plan and $200.00 family plan. The City shall notify the Union of any proposed changes in insurance carriers and/or plans and will meet with the Union, if requested, prior to changing insurance carriers or plans. The City may change insurance carriers or plans, as long as a substantially similar plan is offered, with the same level of insurance benefits and co-payments, together with a comparable network of providers. In addition, members of the Police Department will be permitted to participate in the City Flexible Benefit Plan for purposes of establishing medical spending accounts to allow out- out-of- pocket medical expenses to be reimbursed on a pre-tax basis. Eligibility for membership in a health care plan shall be in effect immediately upon being sworn in as a member of the Cincinnati Police Department. Subject to the requirements of the insurer, the level of insurance benefits and co- payments as set forth in Appendix C, shall be guaranteed for the entire term of this agreement. In accordance with the Patient Protection and Affordable Care Act (ACA), an employee who is in a pay status for less than 1,560 hours during the City’s ACA Measurement Period of Pay Period 22 through the end of the following Pay Period 21, who is also enrolled in a health plan, shall have their coverage terminated as of 11:59pm on December 31st following the end of the Measurement Period. During that time the employee was receiving health benefits while in a non- pay status, the employee’s contributions will accumulate and the amount due will go into arrears to be paid back upon their return to full time status. As soon as the employee returns to full time status the employee may re-enroll in the health plan. This does not happen automatically. The employee must complete enrollment within 31 calendar days of their return to work indicating any dependents they want covered and including any supporting documentation required. Upon an employee’s return to full time status and reinstatement of health insurance, the employee will be monitored on a month to month basis, pursuant to the ACA, to ensure the employee is continuing to work on a full-time basis. If the employee is not paid for an average of at least 30 hours per week in any month, the health insurance will again be terminated until full time status is maintained. Any healthcare terms outlined in the Agreement are subject to a re-opened based upon mandated changes to the Patient Protection and Affordable Care Act. Disputes concerning eligibility for benefits under any of the medical plans shall be adjudicated according to the appeals process established by each respective group contract between the City and the medical plan provider. Health benefit disputes shall not be subject to the grievance procedure contained in this agreement. Dental/Vision Plan Effective January 1, 2009, the FOP shall select and administer dental and vision insurance visioninsurance plan on behalf of all members of the bargaining unit and the City shall pay the FOP, on a monthly basis, a sum equal to Seventy-seven Dollars and Twenty-Nine Cents ($77.29) per member per month for the term of the contract. The City acknowledges that if the FOP creates any savings in obtaining dental and vision insurance, it may be used to provide additional health or life insurance benefits for its members as it sees fit in accordance with the Ohio Revised Code and the parties’ collective bargaining agreement. However, this in no way guarantees that the City will provide additional health and life insurance benefits if savings are not realized by the FOP. Prior to making such payment to the FOP, the FOP will provide the City with the name of the insurance carrier, the extent of the coverage provided, the rates per member per month and the length of the contract.

Medical Insurance Benefits. ‌ Effective January 1, 2020, the City shall provide members of the FOP bargaining unit with coverage under its Anthem Blue Access 80/20 plan as set forth in Appendix C. The premium share shall be 10.0% of premium costs and are capped at $85.00 single and $200.00 family. Premiums will be deducted from paychecks on a pre-taxbasis. New employees shall be eligible for health care coverage on the first day of service and shall have the option to enroll in the City’s 80/20 health care plan. Terms of coverage, premium shares, co-pays, deductibles, and co-insurance shall be as listed in Appendix C-1. The member’s premium share for new employees shall be 10% of the premium costs capped at $85.00 single plan and $200.00 family plan. The City shall notify the Union of any proposed changes in insurance carriers and/or plans and will meet with the Union, if requested, prior to changing insurance carriers or plans. The City may change insurance carriers or plans, as long as a substantially similar plan is offered, with the same level of insurance benefits and co-payments, together with a comparable network of providers. In addition, members of the Police Department will be permitted to participate in the City Flexible Benefit Plan for purposes of establishing medical spending accounts to allow out- out-of- pocket medical expenses to be reimbursed on a pre-tax basis. Eligibility for membership in a health care plan shall be in effect immediately upon being sworn in as a member of the Cincinnati Police Department. Subject to the requirements of the insurer, the level of insurance benefits and co- payments as set forth in Appendix C, shall be guaranteed for the entire term of this agreement. In accordance with the Patient Protection and Affordable Care Act (ACA), an employee who is in a pay status for less than 1,560 hours during the City’s ACA Measurement Period of Pay Period 22 through the end of the following Pay Period 21, who is also enrolled in a health plan, shall have their coverage terminated as of 11:59pm on December 31st following the end of the Measurement Period. During that time the employee was receiving health benefits while in a non- pay status, the employee’s contributions will accumulate and the amount due will go into arrears to be paid back upon their return to full time status. As soon as the employee returns to full time status the employee may re-enroll in the health plan. This does not happen automatically. The employee must complete enrollment within 31 calendar days of their return to work indicating any dependents they want covered and including any supporting documentation required. Upon an employee’s return to full time status and reinstatement of health insurance, the employee will be monitored on a month to month basis, pursuant to the ACA, to ensure the employee is continuing to work on a full-time basis. If the employee is not paid for an average of at least 30 hours per week in any month, the health insurance will again be terminated until full time status is maintained. Any healthcare terms outlined in the Agreement are subject to a re-opened based upon mandated changes to the Patient Protection and Affordable Care Act. Disputes concerning eligibility for benefits under any of the medical plans shall be adjudicated according to the appeals process established by each respective group contract between the City and the medical plan provider. Health benefit disputes shall not be subject to the grievance procedure contained in this agreement. Dental/Vision Plan Effective January 1, 2009, the FOP shall select and administer dental and vision insurance plan on behalf of all members of the bargaining unit and the City shall pay the FOP, on a monthly basis, a sum equal to Seventy-seven Dollars and Twenty-Nine Cents ($77.29) per member per month for the term of the contract. The City acknowledges that if the FOP creates any savings in obtaining dental and vision insurance, it may be used to provide additional health or life insurance benefits for its members as it sees fit in accordance with the Ohio Revised Code and the parties’ collective bargaining agreement. However, this in no way guarantees that the City will provide additional health and life insurance benefits if savings are not realized by the FOP. Prior to making such payment to the FOP, the FOP will provide the City with the name of the insurance carrier, the extent of the coverage provided, the rates per member per month and the length of the contract.

Medical Insurance Benefits. ‌ Effective January 1, 2020, the City shall provide members of the FOP bargaining unit with coverage under its Anthem Blue Access 80/20 plan as set forth in Appendix C. The premium share shall be 10.0% of premium costs and are capped at $85.00 single and $200.00 family. Premiums will be deducted from paychecks on a pre-taxbasistax basis. New employees shall be eligible for health care coverage on the first day of service and shall have the option to enroll in the City’s 80/20 health care plan. Terms of coverage, premium shares, co-pays, deductibles, and co-insurance shall be as listed in Appendix C-1. The member’s premium share for new employees shall be 10% of the premium costs capped at $85.00 single plan and $200.00 family plan. The City shall notify the Union of any proposed changes in insurance carriers and/or plans and will meet with the Union, if requested, prior to changing insurance carriers or plans. The City may change insurance carriers or plans, as long as a substantially similar plan is offered, with the same level of insurance benefits and co-payments, together with a comparable network of providers. In addition, members of the Police Department will be permitted to participate in the City Flexible Benefit Plan for purposes of establishing medical spending accounts to allow out- out-of- pocket medical expenses to be reimbursed on a pre-tax basis. Eligibility for membership in a health care plan shall be in effect immediately upon being sworn in as a member of the Cincinnati Police Department. Subject to the requirements of the insurer, the level of insurance benefits and co- payments as set forth in Appendix C, shall be guaranteed for the entire term of this agreement. In accordance with the Patient Protection and Affordable Care Act (ACA), an employee who is in a pay status for less than 1,560 hours during the City’s ACA Measurement Period of Pay Period 22 through the end of the following Pay Period 21, who is also enrolled in a health plan, shall have their coverage terminated as of 11:59pm on December 31st following the end of the Measurement Period. During that time the employee was receiving health benefits while in a non- pay status, the employee’s contributions will accumulate and the amount due will go into arrears to be paid back upon their return to full time status. As soon as the employee returns to full time status the employee may re-enroll in the health plan. This does not happen automatically. The employee must complete enrollment within 31 calendar days of their return to work indicating any dependents they want covered and including any supporting documentation required. Upon an employee’s return to full time status and reinstatement of health insurance, the employee will be monitored on a month to month basis, pursuant to the ACA, to ensure the employee is continuing to work on a full-time basis. If the employee is not paid for an average of at least 30 hours per week in any month, the health insurance will again be terminated until full time status is maintained. Any healthcare terms outlined in the Agreement are subject to a re-opened based upon mandated changes to the Patient Protection and Affordable Care Act. Disputes concerning eligibility for benefits under any of the medical plans shall be adjudicated according to the appeals process established by each respective group contract between the City and the medical plan provider. Health benefit disputes shall not be subject to the grievance procedure contained in this agreement. Dental/Vision Plan Effective January 1, 2009, the FOP shall select and administer dental and vision insurance plan on behalf of all members of the bargaining unit and the City shall pay the FOP, on a monthly basis, a sum equal to Seventy-seven Dollars and Twenty-Nine Cents ($77.29) per member per month for the term of the contract. The City acknowledges that if the FOP creates any savings in obtaining dental and vision insurance, it may be used to provide additional health or life insurance benefits for its members as it sees fit in accordance with the Ohio Revised Code and the parties’ collective bargaining agreement. However, this in no way guarantees that the City will provide additional health and life insurance benefits if savings are not realized by the FOP. Prior to making such payment to the FOP, the FOP will provide the City with the name of the insurance carrier, the extent of the coverage provided, the rates per member per month and the length of the contract.

Medical Insurance Benefits. ‌ Effective January 1, 2020, the City shall provide members of the FOP bargaining unit with coverage under its Anthem Blue Access 80/20 plan as set forth in Appendix C. The premium share shall be 10.0% of premium costs and are capped at $85.00 single and $200.00 family. Premiums will be deducted from paychecks on a pre-taxbasis. New employees shall be eligible for health care coverage on the first day of service and shall have the option to enroll in the City’s 80/20 health care plan. Terms of coverage, premium shares, co-pays, deductibles, and co-insurance shall be as listed in Appendix C-1. The member’s premium share for new employees shall be 10% of the premium costs capped at $85.00 single plan and $200.00 family plan. The City shall notify the Union of any proposed changes in insurance carriers and/or plans and will meet with the Union, if requested, prior to changing insurance carriers or plans. The City may change insurance carriers or plans, as long as a substantially similar plan is offered, with the same level of insurance benefits and co-payments, together with a comparable network of providers. In addition, members of the Police Department will be permitted to participate in the City Flexible Benefit Plan for purposes of establishing medical spending accounts to allow out- of- pocket medical expenses to be reimbursed on a pre-tax basis. Eligibility for membership in a health care plan shall be in effect immediately upon being sworn in as a member of the Cincinnati Police Department. Subject to the requirements of the insurer, the level of insurance benefits and co- payments as set forth in Appendix C, shall be guaranteed for the entire term of this agreement. In accordance with the Patient Protection and Affordable Care Act (ACA), an employee who is in a pay status for less than 1,560 hours during the City’s ACA Measurement Period of Pay Period 22 through the end of the following Pay Period 21, who is also enrolled in a health plan, shall have their coverage terminated as of 11:59pm on December 31st following the end of the Measurement Period. During that time the employee was receiving health benefits while in a non- pay status, the employee’s contributions will accumulate and the amount due will go into arrears to be paid back upon their return to full time status. As soon as the employee returns to full time status the employee may re-enroll in the health plan. This does not happen automatically. The employee must complete enrollment within 31 calendar days of their return to work indicating any dependents they want covered and including any supporting documentation required. Upon an employee’s return to full time status and reinstatement of health insurance, the employee will be monitored on a month to month basis, pursuant to the ACA, to ensure the employee is continuing to work on a full-time basis. If the employee is not paid for an average of at least 30 hours per week in any month, the health insurance will again be terminated until full time status is maintained. Any healthcare terms outlined in the Agreement are subject to a re-opened based upon mandated changes to the Patient Protection and Affordable Care Act. Disputes concerning eligibility for benefits under any of the medical plans shall be adjudicated according to the appeals process established by each respective group contract between the City and the medical plan provider. Health benefit disputes shall not be subject to the grievance procedure contained in this agreement. Dental/Vision Plan Effective January 1, 2009, the FOP shall select and administer dental and vision insurance plan on behalf of all members of the bargaining unit and the City shall pay the FOP, on a monthly basis, a sum equal to Seventy-seven Dollars and Twenty-Nine Cents ($77.29) per member per month for the term of the contract. The City acknowledges that if the FOP creates any savings in obtaining dental and vision insurance, it may be used to provide additional health or life insurance benefits for its members as it sees fit in accordance with the Ohio Revised Code and the parties’ collective bargaining agreement. However, this in no way guarantees that the City will provide additional health and life insurance benefits if savings are not realized by the FOP. Prior to making such payment to the FOP, the FOP will provide the City with the name of the insurance carrier, the extent of the coverage provided, the rates per member per month and the length of the contract.

Medical Insurance Benefits. ‌ Effective January 1, 2020, 2009 the City shall provide members of the FOP bargaining unit with coverage under its Anthem Blue Access 80/20 plan as set forth in Appendix C. The premium share shall be 10.0% of premium costs and are capped at $85.00 single and $200.00 family. Premiums will be deducted from paychecks on a pre-taxbasis. New employees shall be eligible for health care coverage on the first day of service and shall have the option to enroll in the City’s 80/20 health care plan. Terms of coverage, premium shares, co-pays, deductibles, and co-insurance shall be as listed in Appendix C-1. The member’s premium share for new employees shall be 10% of the premium costs capped at $85.00 single plan and $200.00 family plan. The City shall notify the Union of any proposed changes in insurance carriers and/or plans and will meet with the Union, if requested, prior to changing insurance carriers or plans. The City may change insurance carriers or plans, as long as a substantially similar plan is offered, with the same level of insurance benefits and co-co- payments, together with a comparable network of providers. The premium share shall be 5% of premium costs capped at $35 single and $75 family. Premiums will be deducted from paychecks on a pre-tax basis. In addition, members of the Police Department will be permitted to participate in the City Flexible Benefit Plan for purposes of establishing medical spending accounts to allow out- of- of-pocket medical expenses to be reimbursed paid on a pre-tax basis. Eligibility for membership in a health care plan shall be in effect immediately upon being sworn in as a member of the Cincinnati Police Department. Subject to the requirements of the insurer, the level of insurance benefits and co- co-payments as set forth in Appendix C, shall be guaranteed for the entire term of this agreement. In accordance with the Patient Protection and Affordable Care Act (ACA), an An employee who is in a non-pay status shall have medical insurance paid by the City for less than 1,560 hours during a maximum of three (3) months while in such status. The Finance Department will, at the City’s ACA Measurement Period of Pay Period 22 through the end request of the following Pay Period 21employee, who is also enrolled in continue the employee as a health plan, shall have their coverage terminated as of 11:59pm on December 31st following the end member of the Measurement Period. During that time City group if the employee was receiving health benefits while in a non- pay status, pays the employee’s contributions will accumulate and the amount due will go into arrears to be paid back upon their return to full time status. As soon as the employee returns to full time status the employee may re-enroll in the health plan. This does not happen automatically. The employee must complete enrollment within 31 calendar days of their return to work indicating any dependents they want covered and including any supporting documentation required. Upon an employee’s return to full time status and reinstatement of health insurance, the employee will be monitored on a month to month basis, pursuant proper fee to the ACA, to ensure the employee is continuing to work on a full-time basisFinance Department. If the employee drops the coverage during such a period, said employee may renew membership with full coverage as of the first day back in City service, provided that a new application form is not paid for an average of at least 30 hours per week in any month, the health insurance will again be terminated until full time status is maintained. Any healthcare terms outlined in the Agreement are subject to a re-opened based upon mandated changes to the Patient Protection and Affordable Care Actcompleted. Disputes concerning eligibility for benefits under any of the medical plans shall be adjudicated according to the appeals process established by each respective group contract between the City and the medical plan provider. Health benefit disputes shall not be subject to the grievance procedure contained in this agreement. Dental/Vision Plan Effective January 1, 2009, the FOP shall select and administer dental and vision insurance plan on behalf of all members of the bargaining unit and the City shall pay the FOP, on a monthly basis, a sum equal to Seventy-seven Dollars and Twenty-Nine Cents ($77.29) per member per month for the term of the contract. The City acknowledges that if the FOP creates any savings in obtaining dental and vision insurance, it may be used to provide additional health or life insurance benefits for its members as it sees fit in accordance with the Ohio Revised Code and the parties’ collective bargaining agreement. However, this in no way guarantees that the City will provide additional health and life insurance benefits if savings are not realized by the FOP. Prior to making such payment to the FOP, the FOP will provide the City with the name of the insurance carrier, the extent of the coverage provided, the rates per member per month and the length of the contract.

Medical Insurance Benefits. ‌ Effective January 1, 2020, 2009 the City shall provide members of the FOP bargaining unit with coverage under its Anthem Blue Access 80/20 plan as set forth in Appendix C. The premium share shall be 10.0% of premium costs and are capped at $85.00 single and $200.00 family. Premiums will be deducted from paychecks on a pre-taxbasis. New employees shall be eligible for health care coverage on the first day of service and shall have the option to enroll in the City’s 80/20 health care plan. Terms of coverage, premium shares, co-pays, deductibles, and co-insurance shall be as listed in Appendix C-1. The member’s premium share for new employees shall be 10% of the premium costs capped at $85.00 single plan and $200.00 family plan. The City shall notify the Union of any proposed changes in insurance carriers and/or plans and will meet with the Union, if requested, prior to changing insurance carriers or plans. The City may change insurance carriers or plans, as long as a substantially similar plan is offered, with the same level of insurance benefits and co-co- payments, together with a comparable network of providers. The premium share shall be 5% of premium costs and are capped at $35 single and $75 family. Premiums will be deducted from paychecks on a pre-tax basis. In addition, members of the Police Department will be permitted to participate in the City Flexible Benefit Plan for purposes of establishing medical spending accounts to allow out- of- of-pocket medical expenses to be reimbursed paid on a pre-tax basis. Eligibility for membership in a health care plan shall be in effect immediately upon being sworn in as a member of the Cincinnati Police Department. Subject to the requirements of the insurer, the level of insurance benefits and co- co-payments as set forth in Appendix C, shall be guaranteed for the entire term of this agreement. In accordance with the Patient Protection and Affordable Care Act (ACA), an An employee who is in a non-pay status shall have medical insurance paid by the City for less than 1,560 hours during a maximum of three (3) months while in such status. The Finance Department will, at the City’s ACA Measurement Period of Pay Period 22 through the end request of the following Pay Period 21employee, who is also enrolled in continue the employee as a health plan, shall have their coverage terminated as of 11:59pm on December 31st following the end member of the Measurement Period. During that time City group if the employee was receiving health benefits while in a non- pay status, pays the employee’s contributions will accumulate and the amount due will go into arrears to be paid back upon their return to full time status. As soon as the employee returns to full time status the employee may re-enroll in the health plan. This does not happen automatically. The employee must complete enrollment within 31 calendar days of their return to work indicating any dependents they want covered and including any supporting documentation required. Upon an employee’s return to full time status and reinstatement of health insurance, the employee will be monitored on a month to month basis, pursuant proper fee to the ACA, to ensure the employee is continuing to work on a full-time basisFinance Department. If the employee drops the coverage during such a period, said employee may renew membership with full coverage as of the first day back in City service, provided that a new application form is not paid for an average of at least 30 hours per week in any month, the health insurance will again be terminated until full time status is maintained. Any healthcare terms outlined in the Agreement are subject to a re-opened based upon mandated changes to the Patient Protection and Affordable Care Actcompleted. Disputes concerning eligibility for benefits under any of the medical plans shall be adjudicated according to the appeals process established by each respective group contract between the City and the medical plan provider. Health benefit disputes shall not be subject to the grievance procedure contained in this agreement. Dental/Vision Plan Effective January 1, 2009, the FOP shall select and administer dental and vision insurance plan on behalf of all members of the bargaining unit and the City shall pay the FOP, on a monthly basis, a sum equal to Seventy-seven Dollars and Twenty-Nine Cents ($77.29) per member per month for the term of the contract. The City acknowledges that if the FOP creates any savings in obtaining dental and vision insurance, it may be used to provide additional health or life insurance benefits for its members as it sees fit in accordance with the Ohio Revised Code and the parties’ collective bargaining agreement. However, this in no way guarantees that the City will provide additional health and life insurance benefits if savings are not realized by the FOP. Prior to making such payment to the FOP, the FOP will provide the City with the name of the insurance carrier, the extent of the coverage provided, the rates per member per month and the length of the contract.

Medical Insurance Benefits. ‌ Effective January July 1, 2020, the City shall provide 2005 sworn members of the FOP bargaining unit with coverage under its Anthem Blue Access 80/20 plan as set forth in Appendix C. The premium share shall be 10.0% of premium costs and are capped at $85.00 single and $200.00 family. Premiums will be deducted from paychecks on a pre-taxbasis. New employees shall be eligible for health care coverage on the first day of service and Cincinnati Police Department shall have the option available to enroll in join the health insurance plan as offered by the City’s 80/20 health care plan. Terms of coverage, premium shares, co-pays, deductibles, and co-insurance shall be as listed in Appendix C-1. The member’s following employee premium share for new employees shall be 10% of the monthly premium costs capped at $85.00 single plan and $200.00 family plan. The City shall notify the Union of any proposed changes in insurance carriers and/or plans and will meet with the Union, if requested, prior to changing insurance carriers or plans. The City may change insurance carriers or plans, as long as a substantially similar plan is offered, with the same level of insurance benefits and co-payments, together with a comparable network of providers. apply: Single Family Premium Share 5% 5% In addition, members of the Police Department will be permitted to participate in the City Flexible Benefit Plan for purposes of establishing medical spending accounts to allow out- of- out-of-pocket medical expenses to be reimbursed paid on a pre-tax basis. Eligibility for membership in a health care plan shall be in effect immediately upon being sworn in as a member of the Cincinnati Police Department. Subject to the requirements of the insurer, the level of insurance benefits and co- co-payments as set forth in Appendix C, shall be guaranteed for the entire term of this agreementuntil December 2, 2006. In accordance with the Patient Protection and Affordable Care Act (ACA), an An employee who is in a non-pay status shall have medical insurance paid by the City for less than 1,560 hours during a maximum of three (3) months while in such status. The Finance Department will, at the City’s ACA Measurement Period of Pay Period 22 through the end request of the following Pay Period 21employee, who is also enrolled in continue the employee as a health plan, shall have their coverage terminated as of 11:59pm on December 31st following the end member of the Measurement Period. During that time City group if the employee was receiving health benefits while in a non- pay status, pays the employee’s contributions will accumulate and the amount due will go into arrears to be paid back upon their return to full time status. As soon as the employee returns to full time status the employee may re-enroll in the health plan. This does not happen automatically. The employee must complete enrollment within 31 calendar days of their return to work indicating any dependents they want covered and including any supporting documentation required. Upon an employee’s return to full time status and reinstatement of health insurance, the employee will be monitored on a month to month basis, pursuant proper fee to the ACA, to ensure the employee is continuing to work on a full-time basisFinance Department. If the employee drops the coverage during such a period, said employee may renew membership with full coverage as of the first day back in City service, provided that a new application form is not paid for an average of at least 30 hours per week in any month, the health insurance will again be terminated until full time status is maintained. Any healthcare terms outlined in the Agreement are subject to a re-opened based upon mandated changes to the Patient Protection and Affordable Care Actcompleted. Disputes concerning eligibility for benefits under any of the medical plans shall be adjudicated according to the appeals process established by each respective group contract between the City and the medical plan provider. Health benefit disputes shall not be subject to the grievance procedure contained in this agreement. Dental/Vision Plan Effective January 1, 20092001, the FOP shall select and administer dental and vision insurance plan on behalf of all members of the bargaining unit and the City shall pay the FOP, on a monthly basis, a sum equal to SeventyFifty-seven Four Dollars and Twenty-Nine Cents ($77.2954.00) per member per month for the term of the contract. The City acknowledges that if the FOP creates any savings in obtaining dental and vision insurance, it may be used to provide additional health or life insurance benefits for its members as it sees fit in accordance with the Ohio Revised Code and the parties’ collective bargaining agreement. However, this in no way guarantees that the City will provide additional health and life insurance benefits if savings are not realized by the FOP. Prior to making such payment to the FOP, the FOP will provide the City with the name of the insurance carrier, the extent of the coverage provided, the rates per member per month and the length of the contract.

Medical Insurance Benefits. ‌ Effective January 1, 2020, the City shall provide members of the FOP bargaining unit with coverage under its Anthem Blue Access 80/20 plan as set forth in Appendix C. The premium share shall be 10.0% of premium costs and are capped at $85.00 single and $200.00 family. Premiums will be deducted from paychecks on a pre-taxbasistax basis. New employees shall be eligible for health care coverage on the first day of service and shall have the option to enroll in the City’s 80/20 health care plan. Terms of coverage, premium shares, co-pays, deductibles, and co-insurance shall be as listed in Appendix C-1. The member’s premium share for new employees shall be 10% of the premium costs capped at $85.00 single plan and $200.00 family plan. The City shall notify the Union of any proposed changes in insurance carriers and/or plans and will meet with the Union, if requested, prior to changing insurance carriers or plans. The City may change insurance carriers or plans, as long as a substantially similar plan is offered, with the same level of insurance benefits and co-payments, together with a comparable network of providers. In addition, members of the Police Department will be permitted to participate in the City Flexible Benefit Plan for purposes of establishing medical spending accounts to allow out- out-of- pocket medical expenses to be reimbursed on a pre-tax basis. Eligibility for membership in a health care plan shall be in effect immediately upon being sworn in as a member of the Cincinnati Police Department. Subject to the requirements of the insurer, the level of insurance benefits and co- payments as set forth in Appendix C, shall be guaranteed for the entire term of this agreement. In accordance with the Patient Protection and Affordable Care Act (ACA), an employee who is in a pay status for less than 1,560 hours during the City’s ACA Measurement Period of Pay Period 22 through the end of the following Pay Period 21, who is also enrolled in a health plan, shall have their coverage terminated as of 11:59pm on December 31st following the end of the Measurement Period. During that time the employee was receiving health benefits while in a non- pay status, the employee’s contributions will accumulate and the amount due will go into arrears to be paid back upon their return to full time status. As soon as the employee returns to full time status the employee may re-enroll in the health plan. This does not happen automatically. The employee must complete enrollment within 31 calendar days of their return to work indicating any dependents they want covered and including any supporting documentation required. Upon an employee’s return to full time status and reinstatement of health insurance, the employee will be monitored on a month to month basis, pursuant to the ACA, to ensure the employee is continuing to work on a full-time basis. If the employee is not paid for an average of at least 30 hours per week in any month, the health insurance will again be terminated until full time status is maintained. Any healthcare terms outlined in the Agreement are subject to a re-opened based upon mandated changes to the Patient Protection and Affordable Care Act. Disputes concerning eligibility for benefits under any of the medical plans shall be adjudicated according to the appeals process established by each respective group contract between the City and the medical plan provider. Health benefit disputes shall not be subject to the grievance procedure contained in this agreement. Dental/Vision Plan Effective January 1, 2009, the FOP shall select and administer dental and vision insurance visioninsurance plan on behalf of all members of the bargaining unit and the City shall pay the FOP, on a monthly basis, a sum equal to Seventy-seven Dollars and Twenty-Nine Cents ($77.29) per member per month for the term of the contract. The City acknowledges that if the FOP creates any savings in obtaining dental and vision insurance, it may be used to provide additional health or life insurance benefits for its members as it sees fit in accordance with the Ohio Revised Code and the parties’ collective bargaining agreement. However, this in no way guarantees that the City will provide additional health and life insurance benefits if savings are not realized by the FOP. Prior to making such payment to the FOP, the FOP will provide the City with the name of the insurance carrier, the extent of the coverage provided, the rates per member per month and the length of the contract.