Common use of Medical Insurance Coverage Clause in Contracts

Medical Insurance Coverage. Section 23.1. The Employer shall provide to all bargaining unit employees who elect coverage, health care through a qualified High Deductible Health Plan (“HDHP”) in conjunction with a Health Savings Account (“HSA”) or a Health Reimbursement Account (“HRA”). Dental and vision insurance coverage shall be the same coverage provided to other groups of Xxxxx Heights City Employees. Section 23.2. Through December 31, 2022, the Employer will pay 100% of the premium cost and will contribute 80% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HRA. The participating employees shall be responsible for the remaining 0% of the premium cost and 20% of the deductible. Through December 31, 2022, the Employer will contribute 60% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HSA. The participating Union member shall be responsible for the remaining 40% of the deductible. Section 23.3. The Employer shall tender payments of its share of the deductibles to the Health Savings Accounts (“HSA”) and the Health Reimbursement Accounts (“HRA) of Union members who chose to participate in the HDHP, then in effect, on or before the first banking day following January 1, April 1, July 1 and October 1 for each year of the Agreement. Section 23.4. In the event that a Union member or a member of his or her family who is enrolled in and covered by the HDHP suffers an illness or injury for which the cost of medical attention exceeds the Employee contribution and the annual Employer contribution paid to date, the Employer shall accelerate payments of the remaining deductible contributions for that calendar year to assist the Union member in paying health care related expenses. Section 23.5. The HSA accounts shall be set up with a bank selected by the Employee with Employer’s approval. The Union members are solely responsible for any and all charges or fees assessed by the bank for the administration of and/or transactions involving each Union member’s HSA. The Employer shall be responsible for any fess or costs associated with its decision to change insurance carriers. Section 23.6. The Employer agrees to deduct from each participating Union member’s biweekly paycheck the amount designated by that individual Union member through an authorization form to be provided by the Employer. These amounts shall be paid into the participating Union member’s HSA. Section 23.7. The Union member is solely responsible for the management of his or her HSA. The Employer makes no representations or promises regarding the operation of the HSA, the tax implications of the HSA or the maximum a Union member may contribute to the HSA.

Medical Insurance Coverage. Section 23.134.1. The Employer shall provide to all bargaining unit employees who elect coverage, health care through a qualified High Deductible Health Plan (“HDHP”) in conjunction with a Health Savings Account (“HSA”) or a Health Reimbursement Account (“HRA”). Dental and vision insurance coverage shall be the same coverage provided to other groups of Xxxxx Heights City Employees. Section 23.234.2. For the term of this Agreement, the Employer shall make available to bargaining unit employees, to the extent possible, a level of health care benefits substantially equivalent to current year plan. Substantially equivalent coverage shall mean that the coverage shall be similar to the extent that the carriers will be asked to quote on their standard products which most closely match current plan design; however, custom plan design need not be requested and exact match of plan design need not be sought or acquired. Section 34.3. For the term of this Agreement, the employer will pay the premium cost. Through December 31, 20222019, the Employer will pay 100% of the premium cost and will contribute 80% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HRA. The participating employees shall be responsible for the remaining 0% of the premium cost and 20% of the deductible. Through December 31, 2022, the Employer will contribute 60% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HSA. The participating Union member shall be responsible for the remaining 4020% of the deductible. Section 23.334.4. The Employer shall tender payments of its share of the deductibles to the Health Savings Accounts (“HSA”) and the Health Reimbursement Accounts (“HRA) HRA of Union members who chose to participate in the HDHP, then in effect, on or before the first banking day following January 1, April 1, July 1 1, and October 1 for each year of the Agreement. Section 23.434.5. In the event that a Union member or a member of his or her family who is enrolled in and covered by the HDHP suffers an illness or injury for which the cost of medical attention exceeds the Employee contribution and the annual Employer contribution paid to date, the Employer shall accelerate payments of the remaining deductible contributions for that calendar year to assist the Union member in paying health care related expenses. The Union member must submit to the Employer an Advance Request Form for acceleration and provide deductible documentation showing the costs of the illness or injury. Acceleration of the Employer’s payment of its portion of the deductible shall not be available for elective procedures, including surgery and/or outpatient treatments. Section 23.534.6. The HSA accounts shall be set up with a bank selected by the Employee with Employer’s approval. The Union members are solely responsible for any and all charges or fees assessed by the bank for the administration of and/or transactions involving each Union member’s HSA. The Employer shall be responsible for any fess or costs associated with its decision to change insurance carriers. Section 23.634.7. The Employer agrees to deduct from each participating Union member’s biweekly paycheck the amount designated by that individual Union member through an authorization form to be provided by the Employer. These amounts shall be paid into the participating Union member’s members HSA. Section 23.734.8. The Union member is solely responsible for the management of his or her HSA. The Employer makes no representations or promises regarding the operation of the HSA, the tax implications of the HSA or the maximum a Union member may contribute to the HSA. Section 34.9. Except for paragraphs 34.5 and 34.7, all matters relating to the rights and obligations of the Employer and Union member as set forth herein shall be subject to the grievance procedures set forth in Article 10 of this Agreement. Matters regarding occurrences which follows the Employer’s deposit of its portion of the deductible and deposit of the Union member’s authorized pay deductions, if any, are beyond the control of the Employer, and therefore are not amenable to the grievance procedure.

Medical Insurance Coverage. Section 23.118.1. The Employer shall provide to all bargaining unit employees who elect coverage, coverage health care through a qualified High Deductible Health Plan (“HDHP”) in conjunction with a Health Savings Account (“HSA”) or a Health Reimbursement Account (“HRA”). Dental and vision insurance coverage shall be the same coverage provided to other groups of Xxxxx Heights City Municipal Employees. Section 23.218.2. Through December 31, 20222019, the Employer will pay 100% of the premium cost and will contribute 80% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HRA. The participating employees Union member shall be responsible for the remaining 0% of the premium cost and 20% of the deductible. Through December 31, 20222019, the Employer will contribute 60% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HSA. The participating Union member shall be responsible for the remaining 40% of the deductible. Effective January 1, 2017, the Employer will pay 100% of the premium cost and will contribute 80% of the deductible for in-network providers within the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HRA. The participating employees shall be responsible for the remaining 0% of the premium cost and 20% of the deductible for in-network providers. Effective January 1, 2017, the Employer will contribute 60% of the deductible for in- network providers within the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HSA. The participating Union member shall be responsible for the remaining 40% of the deductible for in-network providers. Effective January 1, 2017, participating employees shall be responsible for 100% of the deductible for costs incurred for services provided by out-of-network providers and the Employer shall not be required to contribute toward such deductibles. Effective January 1, 2017, participating employees shall be responsible for all “Co-Pays” under the HDHP for in-network and out-of-network services. (For information purposes, the Co-Pays shall apply after the $2,500 Single or $5,000 Family Deductible is met for In-Network Services. Employees shall be obligated to pay the following Co-Pays up to a maximum of $1,000 Single or $1,850Family for In-Network Services:  Office Visit - $30.00  Specialist - $60.00  Urgent Care - $100.00  Emergency Room - $250.00  Prescription Drugs - $10 - $35 - $60 depending upon Tier. For employees who either began working with the employer under the Collective Bargaining Agreement after the beginning of the calendar year, or add a dependent for coverage during the calendar year, the employer will pay 100 % of the premium cost and will contribute a pro rata percentage of deductible expenses for in-network expenses to the HDHP only in the event that the employee has to pay out of pocket for the deductible due to a medical claim, submitted to Anthem by the employee and/or any dependent. Section 23.318.3. The Employer shall tender payments of its share of the deductibles to the Health Savings Accounts (“HSA”) and the Health Reimbursement Accounts (“HRA”) of Union members who chose choose to participate in the HDHP, then in effect, on or before the first banking day following January 1, April 1, July 1 1, and October 1 for each year of the this Agreement. Section 23.418.4. In the event that a Union member or a member of his or her family who is enrolled in and covered by the HDHP suffers an illness or injury for which the cost of medical attention exceeds the Employee contribution and the annual Employer contribution Contribution paid to date, the Employer shall accelerate payments of the remaining deductible contributions for that calendar year to assist the Union member in paying for health care related expenses. The Union member must submit to the Employer an Advance Request Form for acceleration and provide deductible documentation showing the costs of the illness or injury. Acceleration of the Employer’s payment of its portion of the deductible shall not be available for elective procedures, including surgery and/or outpatient treatments. Section 23.518.5. The HSA accounts shall be set up with a bank selected by the Employee with Employer’s approval. The Union members are solely responsible for any and all charges or fees assessed by the bank for the administration of and/or transactions involving each Union member’s HSA. The Employer shall be responsible for any fess or costs associated with its decision to change insurance carriers. Section 23.618.6. The Employer agrees to deduct from each participating Union member’s biweekly paycheck the amount designated by that individual Union member through an authorization form to be provided by the Employer. These amounts shall be paid into the participating Union member’s HSA. Section 23.718.7. The Union member is solely responsible for the management of his or her HSA. The Employer makes no representations representatives or promises regarding the operation operations of the HSA, the tax implications of the HSA or the maximum a Union member may contribute to the HSA.

Medical Insurance Coverage. Section 23.1. The Employer shall provide to all bargaining unit employees who elect coverage, health care through a qualified High Deductible Health Plan (“HDHP”) in conjunction with a Health Savings Account (“HSA”) or a Health Reimbursement Account (“HRA”). Dental and vision insurance coverage shall be the same coverage provided to other groups of Xxxxx Heights City Employees. Section 23.2. Through December 31, 2022, the Employer will pay 100% of the premium cost and will contribute 80% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HRA. The participating employees shall be responsible for the remaining 0% of the premium cost and 20% of the deductible. Through December 31, 2022, the Employer will contribute 60% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HSA. The participating Union member shall be responsible for the remaining 40% of the deductible. Section 23.3. The Employer shall tender payments of its share of the deductibles to the Health Savings Accounts (“HSA”) and the Health Reimbursement Accounts (“HRA”) of Union members who chose to participate in the HDHP, then in effect, on or before the first banking day following January 1, April 1, July 1 and October 1 for each year of the Agreement. Section 23.4. In the event that a Union member or a member of his or her family who is enrolled in and covered by the HDHP suffers an illness or injury for which the cost of medical attention exceeds the Employee contribution and the annual Employer contribution paid to date, the Employer shall accelerate payments of the remaining deductible contributions for that calendar year to assist the Union member in paying health care related expenses. Section 23.5. The HSA accounts shall be set up with a bank selected by the Employee with Employer’s approval. The Union members are solely responsible for any and all charges or fees assessed by the bank for the administration of and/or transactions involving each Union member’s HSA. The Employer shall be responsible for any fess or costs associated with its decision to change insurance carriers. Section 23.6. The Employer agrees to deduct from each participating Union member’s biweekly paycheck the amount designated by that individual Union member through an authorization form to be provided by the Employer. These amounts shall be paid into the participating Union member’s HSA. Section 23.7. The Union member is solely responsible for the management of his or her the members own HSA. The Employer makes no representations or promises regarding the operation of the HSA, the tax implications of the HSA or the maximum a Union member may contribute to the HSA.

Medical Insurance Coverage. Section 23.1. The Employer shall provide to all bargaining unit employees who elect coverage, health care through a qualified High Deductible Health Plan (“HDHP”) in conjunction with a Health Savings Account (“HSA”) or a Health Reimbursement Account (“HRA”). Dental and vision insurance coverage shall be the same coverage provided to other groups of Xxxxx Heights City Employees. Section 23.2. Through December 31, 2022, the Employer will pay 100% of the premium cost and will contribute 80% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HRA. The participating employees shall be responsible for the remaining 0% of the premium cost and 20% of the deductible. Through December 31, 2022, the Employer will contribute 60% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HSA. The participating Union member shall be responsible for the remaining 40% of the deductible. Section 23.3. The Employer shall tender payments of its share of the deductibles to the Health Savings Accounts (“HSA”) and the Health Reimbursement Accounts (“HRA”) of Union members who chose to participate in the HDHP, then in effect, on or before the first banking day following January 1, April 1, July 1 and October 1 for each year of the Agreement. Section 23.4. In the event that a Union member or a member of his or her family who is enrolled in and covered by the HDHP suffers an illness or injury for which the cost of medical attention exceeds the Employee contribution and the annual Employer contribution paid to date, the Employer shall accelerate payments of the remaining deductible contributions for that calendar year to assist the Union member in paying health care related expenses. Section 23.5. The HSA accounts shall be set up with a bank selected by the Employee with Employer’s approval. The Union members are solely responsible for any and all charges or fees assessed by the bank for the administration of and/or transactions involving each Union member’s HSA. The Employer shall be responsible for any fess or costs associated with its decision to change insurance carriers.with Section 23.6. The Employer agrees to deduct from each participating Union member’s biweekly paycheck the amount designated by that individual Union member through an authorization form to be provided by the Employer. These amounts shall be paid into the participating Union member’s HSA. Section 23.7. The Union member is solely responsible for the management of his or her the members own HSA. The Employer makes no representations or promises regarding the operation of the HSA, the tax implications of the HSA or the maximum a Union member may contribute to the HSA.

Medical Insurance Coverage. Section 23.122.1. The Employer shall provide to all bargaining unit employees who elect coverage, health care through a qualified High Deductible Health Plan (“HDHP”) in conjunction with a Health Savings Account (“HSA”) or a Health Reimbursement Account (“HRA”). Dental and vision insurance coverage shall be the same coverage provided to other groups of Xxxxx Heights City Employees. Section 23.222.2. Through December 31, 20222019, the Employer will pay 100% of the premium cost and will contribute 80% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HRA. The participating employees shall be responsible for the remaining 0% of the premium cost and 20% of the deductible. Through December 31, 20222019, the Employer will contribute 60% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HSA. The participating Union member shall be responsible for the remaining 40% of the deductible. Section 23.322.3. The Employer shall tender payments of its share of the deductibles to the Health Savings Accounts (“HSA”) and the Health Reimbursement Accounts (“HRA”) of Union members who chose to participate in the HDHP, then in effect, on or before the first banking day following January 1, April 1, July 1 and October 1 for each year of the Agreement. Section 23.422.4. In the event that a Union member an employee or a member of his or her the empmloyees’ family who is enrolled in and covered by the HDHP suffers an illness or injury for which the cost of medical attention exceeds the Employee contribution and the annual Employer contribution paid to date, the Employer shall accelerate payments of the remaining deductible contributions for that calendar year to assist the Union member in paying health care related expenses. Section 23.522.5. The HSA accounts shall be set up with a bank selected by the Employee with Employer’s approval. The Union members are solely responsible for any and all charges or fees assessed by the bank for the administration of and/or transactions involving each Union member’s HSA. The Employer shall be responsible for any fess or costs associated with its decision to change insurance carriers.with Section 23.622.6. The Employer agrees to deduct from each participating Union member’s biweekly paycheck the amount designated by that individual Union member through an authorization form to be provided by the Employer. These amounts shall be paid into the participating Union member’s HSA. Section 23.722.7. The Union member is solely responsible for the management of his or her the members own HSA. The Employer makes no representations or promises regarding the operation of the HSA, the tax implications of the HSA or the maximum a Union member may contribute to the HSA.

Medical Insurance Coverage. Section 23.1. The Employer shall provide to all bargaining unit employees who elect coverage, health care through a qualified High Deductible Health Plan (“HDHP”) in conjunction with a Health Savings Account (“HSA”) or a Health Reimbursement Account (“HRA”). Dental and vision insurance coverage shall be the same coverage provided to other groups of Xxxxx Heights City Employees. Section 23.2. Through December 31, 20222019, the Employer will pay 100% of the premium cost and will contribute 80% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HRA. The participating employees shall be responsible for the remaining 0% of the premium cost and 20% of the deductible. Through December 31, 20222019, the Employer will contribute 60% of the deductible for the HDHP for those bargaining unit employees who elect coverage and are enrolled in a HSA. The participating Union member shall be responsible for the remaining 40% of the deductible. Section 23.3. The Employer shall tender payments of its share of the deductibles to the Health Savings Accounts (“HSA”) and the Health Reimbursement Accounts (“HRA”) of Union members who chose to participate in the HDHP, then in effect, on or before the first banking day following January 1, April 1, July 1 and October 1 for each year of the Agreement. Section 23.4. In the event that a Union member or a member of his or her family who is enrolled in and covered by the HDHP suffers an illness or injury for which the cost of medical attention exceeds the Employee contribution and the annual Employer contribution paid to date, the Employer shall accelerate payments of the remaining deductible contributions for that calendar year to assist the Union member in paying health care related expenses. Section 23.5. The HSA accounts shall be set up with a bank selected by the Employee with Employer’s approval. The Union members are solely responsible for any and all charges or fees assessed by the bank for the administration of and/or transactions involving each Union member’s HSA. The Employer shall be responsible for any fess or costs associated with its decision to change insurance carriers.with Section 23.6. The Employer agrees to deduct from each participating Union member’s biweekly paycheck the amount designated by that individual Union member through an authorization form to be provided by the Employer. These amounts shall be paid into the participating Union member’s HSA. Section 23.7. The Union member is solely responsible for the management of his or her the members own HSA. The Employer makes no representations or promises regarding the operation of the HSA, the tax implications of the HSA or the maximum a Union member may contribute to the HSA.