Common use of Medical Insurance Plan Clause in Contracts

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. Healthcare) may remain in the HMO as long as the University maintains such plan, but the University is under no obligation to maintain such plans. c. Faculty members who teach at the Rome Campus and who require medical care in Rome during the course of their assignment will be reimbursed by the University so that their medical costs are no greater than those they would have incurred had they received their care in the Oxford Network.

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 1. Individual medical coverage will be offered on a non-contributory basis. 1.02 2. 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. Healthcare) may remain in the HMO as long as the University maintains such plan, but the University is under no obligation to maintain such plans. c. Faculty members who teach at the Rome Campus and who require medical care in Rome during the course of their assignment will be reimbursed by the University so that their medical costs are no greater than those they would have incurred had they received their care in the Oxford Network.

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. • During calendar year 2022 only, the University will allocate Three Hundred Thousand Dollars ($300,000) to reduce the medical insurance premiums paid by faculty during that year. The funds will be applied on a pro rata basis to reduce the medical insurance premium amounts paid by each faculty member for the duration of such coverage. These funds will be applied to reduce the medical insurance premium rates are established for calendar year 2022. (iii) A full-time faculty member must notify the Administration when family coverage is no longer needed. (iv) Full-time faculty members who were enrolled in, and had fully paid for, family coverage prior to January 1, 2002 (such that the cost of coverage to the faculty member was converted to zero dollars (0$)), 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. Healthcare) may remain in the HMO as long as the University maintains such plan, but the University is under no obligation to maintain such plans. c. Faculty members who teach at the Rome Campus and who require medical care in Rome during the course of their assignment will be reimbursed by the University so that their medical costs are no greater than those they would have incurred had they received their care in the Oxford Network.

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 1. Individual medical coverage will be offered on a non-contributory basis. 1.02 2. 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. Healthcare) may remain in the HMO as long as the University maintains such plan, but the University is under no obligation to maintain such plans. c. Faculty members enrolled in the Benesight Plan (the “Transferring Faculty”) were required to transfer to the Oxford Freedom Select Plan, effective January 1, 2003. The University provides “transition assistance” to the Transferring Faculty. This “transition assistance” maintains the annual deductibles and out-of-pocket maximums applicable as of the execution date of the 2001- 2004 Agreement in the Benesight Plan for a period of two years beginning on January 1, 2003 and ending on December 31, 2004. Specifically, the deductibles for the Transferring Faculty will be $200 for individuals and $400 for family, for eligible covered medical expenses. Out-of-pocket maximums for the Transferring Faculty will be $600 for individuals and $1,200 for family for eligible covered medical expenses. On January 1, 2005, the deductibles and out of pocket maximums for Transferring Faculty will revert to the standard deductibles and out of pocket maximum applicable to the Medical Insurance Plan then in place. d. Faculty members who teach at the Rome Campus and who require medical care in Rome during the course of their assignment will be reimbursed by the University so that their medical costs are no greater than those they would have incurred had they received their care in the Oxford Network.

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. • Upon execution of this Agreement, the University will establish a permanent health insurance premium fund to reduce the medical insurance premiums paid by faculty (the “Health Insurance Premium Fund”). • Initially, the University will allocate Four Hundred Thousand Dollars ($400,000) to the Health Insurance Premium Fund for the 2023 calendar year. The funds will be applied on a pro rata basis to reduce the health insurance premium amounts paid by each faculty member for the duration of such coverage during calendar year 2023. • For calendar year 2024, the University will increase the Health Insurance Premium Fund by 7.5% to Four Hundred and Thirty Thousand Dollars ($430,000); provided, however, if health insurance premiums for calendar year 2024 are increased by 9% or greater, the Health Insurance Premium Fund increase for calendar year 2024 will be equal to the percentage increase in premiums, and if the health insurance premiums for the calendar year 2024 are increased by 5% or less, the Health Insurance Premium Fund increase for calendar year 2024 will be equal to the percentage increase in premiums. The funds will be applied on a pro rata basis to reduce the health insurance premium amounts paid by each faculty member for the duration of such coverage during calendar year 2024. • For calendar year 2025, the University will increase the Health Insurance Premium Fund by 7.5%; provided, however, if health insurance premiums for calendar year 2025 are increased by 9% or greater, the Health Insurance Premium Fund increase for calendar year 2025 will be equal to the percentage increase in premiums, and if the health insurance premiums for the calendar year 2025 are increased by 5% or less, the Health Insurance Premium Fund increase for calendar year 2025 will be equal to the percentage increase in premiums. The funds will be applied on a pro rata basis to reduce the health insurance premium amounts paid by each faculty member for the duration of such coverage during calendar year 2025. • For calendar year 2026 and beyond, future increases to the amount of the Health Insurance Premium Fund will be subject to negotiation. For purposes of clarity, for calendar year 2026, the Health Insurance Premium Fund will be set at the amount it was for calendar year 2025 (less the amount allocated from the Faculty Recognition Program budget as set forth below) with the amount of increases being the subject of negotiation, which will include increases in health insurance premiums for calendar years 2024 and 2025. The parties agree that in negotiations concerning future Health Insurance Fund escalations recent increases in health insurance premiums will be factored into such negotiations. • The parties have agreed to suspend the Faculty Recognition Program (Section 14.03) for the duration of this Agreement. The Faculty Recognition Program budget for Fiscal Year 2024 and Fiscal Year 2025 will be allocated to the Health Insurance Premium Fund on a one-time basis. These amounts will not be subject to the annual percentage increase in the Health Insurance Premium Fund set forth above, and will not be included as part of the permanent Health Insurance Premium Fund beyond calendar year 2025. For calendar year 2023, the University will allocate on a one-time basis an additional One Hundred Eighty Seven Thousand Dollars ($187,000) to the Health Insurance Premium Fund, for a total of Five Hundred Eighty Seven Thousand Dollars ($587,000). The University will allocate on a one-time basis an additional Three Hundred and Twenty Thousand Dollars ($320,000) to the Health Insurance Premium Fund for calendar year 2024, and One Hundred and Thirty Three Thousand Dollars ($133,000) for calendar year 2025. (iii) A full-time faculty member must notify the Administration when family coverage is no longer needed. (iv) Full-time faculty members who were enrolled in, and had fully paid for, family coverage prior to January 1, 2002 (such that the cost of coverage to the faculty member was converted to zero dollars (0$)), 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. Healthcare) may remain in the HMO as long as the University maintains such plan, but the University is under no obligation to maintain such plans. c. Faculty members who teach at the Rome Campus and who require medical care in Rome during the course of their assignment will be reimbursed by the University so that their medical costs are no greater than those they would have incurred had they received their care in the Oxford Network.