Medical Premiums. 510 For the school years 2016-2017 through 2018-2019, medical benefits will be 511 provided by participation in the CalPERS Health Benefits Program, the Public 512 Employees’ Medical and Hospital Care Act (PEMHCA). Unit members may 513 choose any one of the plans offered by CalPERS, and must comply with all 514 applicable rules and regulations of the CalPERS Health Benefits Program and 515 PEMHCA. The District shall make contributions toward CalPERS medical 516 premiums for unit members as described below:
Medical Premiums. For the 2013-2014 year, medical benefits will be provided by participation in the CalPERS Health Benefits Program in accordance with the Public Employees’ Medical And Hospital Care Act (PEMHCA). Unit members may choose any one of the plans offered by CalPERS, and must comply with all applicable rules and regulations of the CalPERS Health Benefits Program and PEMHCA. The District shall make contributions toward CalPERS medical premiums for unit members as described below:
Medical Premiums i. The employee will pay a prorated amount of the County’s contribution toward medical premiums based on Vacation Buy hours used.
ii. If the employee uses more than 37.5/40 Vacation Buy hours in a pay period, the employee will be responsible for the entire medical premium.
Medical Premiums. The Company will maintain associate medical premium costs at present level for the duration of this agreement only.
Medical Premiums. The Hospital will freeze employee premium costs at the 2018 levels through December 31, 2019.
Medical Premiums. 2 The following are the premium contribution for the clinicians for each pay period for a 3 total of twenty-six (26) pay periods for the year. Level of Benefit Health Reimbursement Medical Plan Health Savings Medical Plan EPO* where offered Employee Only $15.15 $0.00 $42.05 Employee and child(ren) $29.77 $14.40 $72.37 Employee and Spouse/ABR $40.43 $24.09 $93.55 Employee and Family $55.66 $38.58 $124.66 Employee Only $31.52 $15.00 $57.60 Employee and child(ren) $56.26 $38.58 $97.71 Employee and Spouse/Partner $72.78 $54.52 $124.38 Employee and Family $97.43 $77.91 $164.58
Medical Premiums. For the life of this Agreement, the City will pay the following percentages for Health Care Premiums with the Employee paying the balance: Effective January 1, 2024, through December 31, 2026, the city will pay the following percentages: employee 100%; Spouse 75%; Dependent child(ren) 75%. See Appendix C for City’s 2024 Monetary Contributions. Any cost increases over the amounts stated above will be paid by the Employer at the following percentages with the Employee paying the balance. For eligible employees who separate, retire or are on an approved leave of absence, the City will pay the employer’s portion of coverage the month following separation, provided the employee is on paid status for the first ten (10) days of the month. The employer premium contribution for Part-time Regular Employees shall be pro- rated based upon the number of hours budgeted for such position. For Vision, Life, and Dental Insurance, Regular Part-time Employees must decide whether to enroll or not as a majority group on the effective date of this agreement. Subsequent Part- time Employees hired shall enroll if a group exists. Medical, dental, vision, and life insurance enrollment shall be allowed as per City insurance carrier requirements.
Medical Premiums. 2 The following are the premium contribution for the nurses for each pay period for a 3 total of twenty-four (24) pay periods for the year. Health Reimbursement Health Savings Medical EPO* Level of Benefit where Medical Plan Planoffered Employee Only $12.60 $13.45 $0.00 $0.00 $36.45 $39.00 Employee and Child(Ren) $24.70 $26.40 $12.00 $12.80 $62.75 $67.10 Employee and Spouse/ABR $33.50 $35.80 $20.00 $21.40 $81.05 $86.70 Employee and Family $46.10 $49.30 $32.00 $34.20 $107.95 $115.50 Employee Only $26.15 $27.95 $12.50 $13.35 $49.95 $53.40 Employee and Child(Ren) $46.60 $49.85 $32.00 $34.20 $84.65 $90.55 Employee and Spouse/Partner $60.20 $64.50 $45.00 $48.15 $107.75 $115.25 Employee and Family $80.60 $86.20 $64.45 $68.95 $142.45 $152.40 4 5 D.4 Prescription Drug Design In-Network. Tier I Network Retail Pharmacies (30-Day Supply) Preventive: No charge Generic: $10 copay Preventive: No charge Generic: 10% after deductible Plan Feature Health Reimbursement (HRA) Medical Plan Health Savings Medical (HSA) Plan Formulary brand: 20% of cost after deductible (maximum $150 per Rx). Formulary brand: 20% of cost after deductible (maximum $150 per Rx) Non-Formulary brand: 40% of cost after deductible (maximum $150 per Rx) Non-formulary brand: 40% of cost after deductible (maximum $150 per Rx) after deductible Tier II Network Retail Pharmacies: (30-Day Supply) Preventive: No charge Generic: $10 copay Preventive: No charge Generic: 10% after deductible Formulary brand: 30% of cost after deductible (maximum $150 per Rx). Formulary brand: 30% of cost after deductible (maximum $150 per Rx) Non-Formulary brand: 50% of cost after deductible (maximum $150 per Rx) Non-Formulary brand: 50% of cost (maximum $150 per Rx) Mail Order (90-Day Supply) 3x retail copay 3x retail copay Specialty (30-Day 20% after deductible 20% after deductible Supply) from Plan (maximum $150 per Rx) (maximum $150 per Rx) Designated Pharmacy Network Providers Covered pharmacies Tier I and Tier II network retail pharmacies covered at same level Annual medical/Rx deductible Deductible does not apply to prescription drugs Preventive drugs No charge Generic drugs, 30-day supply $10 copay Formulary brand name drugs, 30-day supply 20% coinsurance maximum of $75 per prescription Non-formulary brand name drugs, 30- day supply 40% coinsurance maximum of $125 per prescription Specialty drugs, 30-day supply, only at plan-designated specialty pharmacy 20% coinsurance maximum of $200 per prescription 90-day supply/mai...
Medical Premiums. Retirees are currently responsible for paying a small portion of the premi- um for their non-Medicare retiree medical and prescription coverage. For hazardous duty retir- ees and retirees with 25 or more years of service the premium deduction rates currently range from 0% - 1.5% of the total cost of medical and prescription coverage. For non-hazardous duty retirees and those with fewer than 25 years of service, the premium deductions rates currently range from 1.5% - 3% of the total cost of medical and prescription coverage. For members who retire on or after August 1, 2022, these premium deduction rates will increase to: 3% for haz- ardous duty retirees and to 5% for all other retirees.
Medical Premiums. The Employer shall pay one hundred percent (100%) of the Officer’s premium and eighty-five percent (85%) of the spouse and dependent premium. The Officer shall pay the remaining fifteen percent (15%) of said spouse and dependent premium.
