Medical Insurance Plan a. The University provides a Medical Insurance Plan in accordance with plan documents to all full-time faculty members who elect coverage. If a faculty member’s first day of employment occurs on the first day of the month, the faculty member is eligible for coverage immediately. Otherwise, a faculty member is eligible for coverage on the first day of the month following employment.
(i) For full-time faculty members initially employed as such before August 1, 2003:
1.01 Individual medical coverage will be offered on a non-contributory basis.
1.02 For family coverage, faculty members will have the option of paying twenty percent (20%) of the medical insurance premium for the duration of such coverage or of paying the full cost of family coverage for the first two years and having such family coverage provided at no cost thereafter. For faculty members who have already paid the full cost of family medical coverage for two years, or who were employed at the University before the requirement was imposed and are currently receiving family medical coverage, family medical coverage will continue to be provided by the University at no cost to the faculty member.
(ii) For full-time faculty members initially employed after August 1, 2003, such faculty members shall be required to pay twenty percent (20%) of the medical insurance premium for individual and/or family medical coverage for the duration of such coverage.
(iii) A full-time faculty member must notify the Administration when family coverage is no longer needed.
(iv) Full-time faculty members who were enrolled in, and had fully paid for, family coverage prior to January 1, 2002 (such that the cost of coverage to the faculty member was converted to zero dollars (0$)), shall be permitted to resume such no-cost family coverage in accordance with plan documents if they discontinued that coverage for any reason.
b. All full-time faculty members will be offered the Oxford Freedom Select Plan or a comparable plan designated by the University. If the Administration chooses to offer a comparable plan in place of the Oxford Freedom Select Plan, it will consult with the AAUP-FA prior to making a final determination. Faculty members covered under the Oxford Freedom Select Plan as of August 31, 2002 will continue to receive medical benefits as defined in the Oxford Freedom Select Plan, with applicable deductibles and out-of-pocket maximums. Faculty members covered under an HMO (HIP, Blue Cross/Blue Shield, Aetna U. S. Hea...
Medical Insurance Plan. 1. The Board will make available the Berea City School District Base Medical Insurance Plan as outlined in the Appendix of this contract.
2. Each full-time employee who chooses single coverage will pay 10% of the monthly cost per month without participating in the Healthy Living wellness plan, and 8% of the monthly cost per month if participating in the Healthy Living wellness plan. An employee whose spouse is eligible for and entitled to benefits elsewhere and he/she elects to participate in the Berea Base Medical Insurance Plan the employee will pay18% for a family plan without participating the wellness plan or 14% for a family plan if participating in the wellness plan. This requirement does not apply to any employee’s spouse who works less than thirty (30) hours per week AND is required to pay more than fifty percent (50%) of the single premium to participate in his/her employer’s group health insurance coverage and/or prescription drug insurance coverage.
Medical Insurance Plan. A. Effective October 1, 2013, the District will provide group health insurance pursuant to the provisions established below. It is understood that the District's only obligation is to pay such amounts as provided by the plan documents and agreed to herein and no claim will be made against the District as a result of a denial of insurance benefits pursuant to the provisions of the plan.
B. Pursuant to the plan documents, the District will provide a high deductible health insurance plan for single and family plans. Plan coverage summaries will be provided to all participating principals.
Medical Insurance Plan. Effective January 1, 2011, the parties agree that LTD will implement a PPO medical insurance plan through PacificSource, with deductible amounts of $1,500/$3,000. Effective January 1, 2013, LTD will continue the plan implemented in 20121.Effective January 1, 2015, LTD will continue the plan implemented in 2012, unless the premium increases by more than 10% over the 2014 premium. In the event the premium increases by more than 10%, the issue will be referred to the Joint Insurance Committee to determine an appropriate plan and/or premium share to ensure that LTD’s cost is not more than a 10% increase over 2014.
1 The parties agree that, notwithstanding the foregoing, starting January 1, 2013, coordination of benefits will be handled in accordance with the insurance carrier’s typical COB policy. Effective January 1, 2016, LTD will continue the plan implemented in 2012, unless the premium increases by more than 10% over the 2015 premium. In the event the premium increases by more than 10%, the issue will be referred to the Joint Insurance Committee to determine an appropriate plan and/or premium share to ensure that LTD’s cost is not more than a 10% increase over 2015. Effective January 1, 2017, LTD will continue the plan implemented in 2012, unless the premium increases by more than 10% over the 2016 premium. In the event the premium increases by more than 10%, the issue will be referred to the Joint Insurance Committee to determine an appropriate plan and/or premium share to ensure that LTD’s cost is not more than a 10% increase over 2016. It is mutually understood and agreed that the negotiated fee or commission of the Agent of Record for the Plan(s) is included in the monthly District contribution per eligible employee and will be remitted to the Agent by the Plan carrier(s) on a basis to be worked out by the Agent and Carrier(s).
Medical Insurance Plan. 1. The City contracts for Health Insurance Services to make available to active unit employees and eligible retirees’ medical benefits plans authorized by the City.
2. Enrollment shall occur as provided in program requirements.
3. All newly hired unit employee(s) are required to pay their first month medical insurance plan premium.
Medical Insurance Plan. 30.1 All employees covered by this Agreement shall, upon completion of their probationary period, participate in a Medical/Insurance Plan with benefits as outlined in the booklet issued by Great-West Life entitled “Schedule of Benefits for Group Policy Number 51344. “
30.2 The Company will endeavour to provide an updated benefit booklet within six (6) months of ratification of the Agreement.
30.3 The Company may substitute another carrier for the foregoing plans provided that the level of benefits conferred thereby is not decreased.
30.4 Effective ratification date, upon presentation of a receipt from a retail outlet, the Company will pay an allowance of $115.00 per employee per year for the purchase of one (1) pair of safety shoes.
30.5 During the term of the agreement, the Company will continue to apply its Prescription Safety Eye Glass Policy to employees requiring safety eye glasses in the performance of their work.
Medical Insurance Plan. 1. The City contracts for Health Insurances Services Program to make available to active unit employees and eligible retirees the medical benefits available under the program.
2. An active full-time unit employee who elects not to obtain coverage for him or herself shall be required to complete necessary written certification that he/she has medical coverage under another medical plan.
3. Enrollment shall occur as provided in program requirements.
4. All newly hired unit employee(s) are required to pay their first month’s medical insurance plan premium.
5. Unit employees and Retirees Hired Before December 14, 2010
a. Unit employees and retirees hired before December 14, 2010, shall be “grandfathered” into the medical plan of their current enrollment, regardless of which plan is chosen, excluding the former 90/60 Plan.
b. Those individuals “grandfathered” in a plan who experience a qualifying event for a change in insurance coverage (i.e. marriage, birth, adoption, etc.) are allowed to retain their current medical plan with no additional out-of-pocket cost.
6. Unit Employees Hired Before December 14, 2010
a. Unit employees hired before December 14, 2010, shall receive a maximum City contribution of the Kaiser HMO Employee plus Family Plan rate Plan, which is non- refundable.
b. All unit employees and retirees, including new employees, may purchase a plan with a total cost higher than the Kaiser HMO Employee Plus Family (except for the Aetna 90/60 plan) during the annual open enrollment period. The unit employee shall pay all the difference between the Kaiser Family Plan, whatever is the current unit employee’s enrollment status (employee only, employee plus one, or employee plus family, two or more dependents) and the higher-costing plan.
c. At no time shall unit employee(s) be able to enroll in the Aetna 90/60 plan after January 1, 2009.
d. Effective January 1, 2017, the Aetna 90/60 Plan will be eliminated totally. This means all active and retired employees who were enrolled in the Aetna 90/60 Plan will no longer be in this Plan after December 31, 2016.
Medical Insurance Plan. Active Employees Hired after August 1, 2007, and before January 7, 2011
1. The City shall pay the premiums for the City sponsored group medical benefit plans up to a maximum of the cost of the most costly monthly premium for any of the family HMO plans offered by the City.
2. Unit employees electing coverage in a group medical insurance benefit plan with a monthly premium cost higher than the limits set forth above shall be responsible for paying the difference through payroll deduction.
Medical Insurance Plan. Medical insurance is available to full-time employees, who have completed the probationary period, if applicable. Coverage includes: (1) Basic Coverage Plan with benefits of: hospitalization, doctors services, laboratory work, annual wellness checkup;
Medical Insurance Plan. In lieu of providing a medical plan the City provides a medical stipend. This stipend does not apply and will not be payable to employees who are California Public Employee Retirement System annuitants already receiving medical benefits through that system. For the term of this agreement the medical stipend is set at the following amounts: • 3% increase or $0.09 to a total of $3.24 effective the first full pay period following ratification by City Council. • 3% increase or $0.10 to a total of $3.34 effective the pay period including July 1, 2018. • 2% increase or $0.07 to a total of $3.41 effective the pay period including July 1, 2019. • 2% increase or $0.07 to a total of $3.48 effective the pay period including July 1, 2020. If the State of California or federal government adopt or mandate a plan that requires the City to pay in whole or in part for medical services or coverage for employees in the bargaining unit, the stipend provided in this paragraph shall be reduced or cease to the extent of required payments toward the state or federal plan, as applicable. Before implementation of a change, the City shall notify the Union of the amount of the offset and provide an opportunity to meet to discuss the calculation of the amount. Such discussion shall occur within fifteen (15) working days after the City gives notice to the Union. The City’s calculation of the amount of the offset shall be based on the aggregate number of hours worked in the bargaining unit during the fiscal year preceding that in which the state or federal plan takes effect. The City and SEIU will continue to investigate the feasibility of providing Employees with access to medical insurance. Such information will be shared during negotiations for a successor Memorandum of Agreement.
