Normal Service Retiree Benefits. Retired on or after July 1, 2019: 1. For the employee with a minimum of 25 years of continuous, full-time service to the City (or employees with a minimum of 30 years of cumulative, full-time service to the City, of which a minimum of 10 years are continuous and contiguous to the date of retirement), and having attained the City-established minimum retirement age of 50, the City will contribute/reimburse up to $551 per month toward premiums paid by the retiree for any health insurance premium and subject to additional terms as outlined in this Section. 2. For the employee attaining the age of 50, with a minimum of 48 consecutive months of City employment in a management position contiguous with the employee’s date of retirement, who otherwise qualifies for and receives a normal service retirement pursuant to the provisions of this Agreement and any guiding procedures, rules, and regulations established by CalPERS, the City makes available the opportunity to continue comprehensive health benefits under the City’s group plans and group rates upon retirement. Failure by the retiree and/or qualified dependent (spouse/domestic partner) to maintain his/her portion of premium payments/contributions for City-provided medical, dental, and/or optical insurance plans, or failure to maintain active enrollment in City-provided health insurance plans, shall disqualify the retired employee and/or his/her qualified dependent from eligibility to participate in, or receive this benefit. The City does not contribute to dental and/or optical insurance plans for retirees. 3. The retiree and/or his/her qualified dependent may enroll in the City-provided healthcare plans; however, only the retiree may continue enrollment in the City- provided dental and/or optical plans. 4. For the employee who was promoted in-house to a management position, but did not serve in the required 48 consecutive months of City employment in a management position contiguous to the employee’s date of retirement, his/her retiree-medical benefit, if any, shall be based on the retiree-medical benefit available to the bargaining group that last represented the employee, provided the employee meets the criteria necessary to qualify for the retiree-medical benefit available to members of that bargaining group. 5. Any portion of the medical premium that exceeds the City’s contribution is the retired employee’s responsibility to pay. The retiree and/or dependent is/are responsible for paying any co-payments required by the healthcare provider and/or any additional premium payments above the City’s maximum monthly contribution. The retiree portion of the monthly contribution shall be paid during the first week of each month, with a grace period not to exceed 30 days. Late payments for healthcare coverage that exceed the 30-day grace period shall be cause for automatic disenrollment in the City’s group health plans and the retiree shall be disqualified from participating in any of the retiree benefits as outlined in this Section. Conditions for healthcare coverage, enrollment, and processing procedures are established in accordance with legal requirements and conditions set by applicable health insurance carriers. 6. If the employee retires on or after the age of 50 (the minimum age of retirement from the City by this Agreement), but before reaching the age of the retiring employee’s CalPERS retirement formula (e.g., age 60 under the 3% @ 60 retirement formula), then the monthly value of the contribution/reimbursement shall be up to $451 per month, effective upon retirement until the retiree reaches the normal age of the applicable CalPERS retirement formula the employee retired under (e.g., when the employee reaches the age of 60 under the 3% @ 60 retirement formula), at which time and upon written request by the retiree to the City, up to $551 per month toward the City-provided retiree medical contribution/reimbursement amount shall be restored from the date of the request forward. 7. Upon the retiree reaching the age of 65 (or at any time the retiree enrolls in Medicare prior to the age of 65), the retiree and/or his/her dependent is/are no longer eligible to remain on City-provided healthcare, dental, or optical plans and must shop for his/her/their own individual plan; however, at age 65, the retiree must integrate with Medicare Parts A, B, D, or Part C Medicare Advantage Plan. The City will reimburse the Medicare retiree up to $551/month for any healthcare only premiums. 8. In the event the retiree moves outside of the coverage area of all City-provided Health Maintenance Organization (HMO) healthcare plans, the retiree may opt- out of participation of all City-provided healthcare, dental, and optical plans and shop for his/her own plans. The City will reimburse the retiree up to $551/month (or pursuant to the limitations of Section 7.03.C.3.) for any healthcare-only premiums and, once the retiree has opted-out, he/she will not be permitted to re-enroll in any City-provided healthcare, dental, and/or optical plan. If the retiree elects to opt-out, the retiree’s dependent will be automatically unenrolled from any City-provided healthcare plan. 9. If the retiree is entitled to receive a monthly reimbursement, as described in Section 7.03.C.7. or C.8. above, a reimbursement is only authorized for health insurance premiums, Medicare Part A, Part B, Part D, or Part C Medicare Advantage, up to the limits as outlined in Sections 7.03.C.7. and C.8. above. The reimbursement shall not include copays, emergency medical care, ambulance services, cosmetic services, or other cost components that are outside of a monthly premium for medical insurance. To receive this reimbursement benefit, the retiree must submit the following documentation: (1) a completed Request for Reimbursement; (2) a copy of the health insurance payment slip (and other documentation) verifying that the retiree is covered under that particular health insurance plan; and (3) proof of payment. The Request for Reimbursement, payment slip, and proof of payment must be submitted to the City within 30-days of making such payment. Failure by the retiree to timely submit a request for reimbursement within 90-days, inclusive of the original 30-days, for which reimbursement should have been applied, shall disqualify the retired employee from eligibility to receive all retiree-medical benefits; however, under extraordinary circumstances, the City Manager may consider agreeing to a 180-day reimbursement grace period, inclusive of the original 30-days for which reimbursement should have been applied. “Extraordinary circumstances” shall be approved by the City Manager, and shall mean to exclusively include an extended hospital stay where the retiree was incapacitated and could not communicate an invoice for reimbursement to the City. An application for “extraordinary circumstances” shall not extend beyond 180 days. 10. Reimbursements will be made to retirees via Automated Clearing House (ACH)/direct deposit only, and any pending reimbursement held by the City and not received by the retiree as a result of the retiree’s failure to set up ACH/direct deposit with the City shall be forfeited after 60 days. 11. The retiree and/or his/her dependents no longer authorized to remain on City- provided healthcare, dental or optical plans may be entitled to COBRA coverage, as provided by law, at the retiree’s and/or dependent’s sole expense.
Appears in 6 contracts
Samples: Employment Agreement, Employment Agreement, Employment Agreement
Normal Service Retiree Benefits. Retired on or after July 1, 2019:
1. For the employee with a minimum of 25 years of continuous, full-time service to the City (or employees with a minimum of 30 years of cumulative, full-time service to the City, of which a minimum of 10 years are continuous and contiguous to the date of retirement), and having attained the City-established minimum retirement age of 50, the City will contribute/reimburse up to $551 per month toward premiums paid by the retiree for any health insurance premium and subject to additional terms as outlined in this Section.
2. For the employee attaining the age of 50, with a minimum of 48 consecutive months of City employment in a management position contiguous with the employee’s date of retirement, who otherwise qualifies for and receives a normal service retirement pursuant to the provisions of this Agreement and any guiding procedures, rules, and regulations established by CalPERS, the City makes available the opportunity to continue comprehensive health benefits under the City’s group plans and group rates upon retirement. Failure by the retiree and/or qualified dependent (spouse/domestic partner) to maintain his/her portion of premium payments/contributions for City-provided medical, dental, and/or optical insurance plans, or failure to maintain active enrollment in City-provided health insurance plans, shall disqualify the retired employee and/or his/her qualified dependent from eligibility to participate in, or receive this benefit. The City does not contribute to dental and/or optical insurance plans for retirees.
3. The retiree and/or his/her qualified dependent may enroll in the City-provided healthcare plans; however, only the retiree may continue enrollment in the City- provided dental and/or optical plans.
4. For the employee who was promoted in-house to a management position, but did not serve in the required 48 consecutive months of City employment in a management position contiguous to the employee’s date of retirement, his/her retiree-medical benefit, if any, shall be based on the retiree-medical benefit available to the bargaining group that last represented the employee, provided the employee meets the criteria necessary to qualify for the retiree-medical benefit available to members of that bargaining group.
5. Any portion of the medical premium that exceeds the City’s contribution is the retired employee’s responsibility to pay. The retiree and/or dependent is/are responsible for paying any co-payments required by the healthcare provider and/or any additional premium payments above the City’s maximum monthly contribution. The retiree portion of the monthly contribution shall be paid during the first week of each month, with a grace period not to exceed 30 days. Late payments for healthcare coverage that exceed the 30-day grace period shall be cause for automatic disenrollment in the City’s group health plans and the retiree shall be disqualified from participating in any of the retiree benefits as outlined in this Section. Conditions for healthcare coverage, enrollment, and processing procedures are established in accordance with legal requirements and conditions set by applicable health insurance carriers.
6. If the employee retires on or after the age of 50 (the minimum age of retirement from the City by this Agreement), but before reaching the age of the retiring employee’s CalPERS retirement formula (e.g., age 60 under the 3% @ 60 retirement formula), then the monthly value of the contribution/reimbursement shall be up to $451 per month, effective upon retirement until the retiree reaches the normal age of the applicable CalPERS retirement formula the employee retired under (e.g., when the employee reaches the age of 60 under the 3% @ 60 retirement formula), at which time and upon written request by the retiree to the City, up to $551 per month toward the City-provided retiree medical contribution/reimbursement amount shall be restored from the date of the request forward.
7. Upon the retiree reaching the age of 65 (or at any time the retiree enrolls in Medicare prior to the age of 65), the retiree and/or his/her dependent is/are no longer eligible to remain on City-provided healthcare, dental, or optical plans and must shop for his/her/their own individual plan; however, at age 65, the retiree must integrate with Medicare Parts A, B, D, or Part C Medicare Advantage Plan. The City will reimburse the Medicare retiree up to $551/month for any healthcare only premiums.
8. In the event the retiree moves outside of the coverage area of all City-provided Health Maintenance Organization (HMO) healthcare plans, the retiree may opt- out of participation of all City-provided healthcare, dental, and optical plans and shop for his/her own plans. The City will reimburse the retiree up to $551/month (or pursuant to the limitations of Section 7.03.C.3.) for any healthcare-only premiums and, once the retiree has opted-out, he/she will not be permitted to re-enroll in any City-provided healthcare, dental, and/or optical plan. If the retiree elects to opt-out, the retiree’s dependent will be automatically unenrolled from any City-provided healthcare plan.
9. If the retiree is entitled to receive a monthly reimbursement, as described in Section 7.03.C.7. or C.8. above, a reimbursement is only authorized for health insurance premiums, Medicare Part A, Part B, Part D, or Part C Medicare Advantage, up to the limits as outlined in Sections 7.03.C.7. and C.8. above. The reimbursement shall not include copays, emergency medical care, ambulance services, cosmetic services, or other cost components that are outside of a monthly premium for medical insurance. To receive this reimbursement benefit, the retiree must submit the following documentation:
(1) a completed Request for Reimbursement; (2) a copy of the health insurance payment slip (and other documentation) verifying that the retiree is covered under that particular health insurance plan; and (3) proof of payment. The Request for Reimbursement, payment slip, and proof of payment must be submitted to the City within 30-days of making such payment. Failure by the retiree to timely submit a request for reimbursement within 90-days, inclusive of the original 30-days, for which reimbursement should have been applied, shall disqualify the retired employee from eligibility to receive all retiree-medical benefits; however, under extraordinary circumstances, the City Manager may consider agreeing to a 180-day reimbursement grace period, inclusive of the original 30-days for which reimbursement should have been applied. “Extraordinary circumstances” shall be approved by the City Manager, and shall mean to exclusively include an extended hospital stay where the retiree was incapacitated and could not communicate an invoice for reimbursement to the City. An application for “extraordinary circumstances” shall not extend beyond 180 days.
10. Reimbursements will be made to retirees via Automated Clearing House (ACH)/direct deposit only, and any pending reimbursement held by the City and not received by the retiree as a result of the retiree’s failure to set up ACH/direct deposit with the City shall be forfeited after 60 days.
11. The retiree and/or his/her dependents no longer authorized to remain on City- provided healthcare, dental or optical plans may be entitled to COBRA coverage, as provided by law, at the retiree’s and/or dependent’s sole expense.
Appears in 1 contract
Samples: Employment Agreement
Normal Service Retiree Benefits. Retired on or after July 1, 2019:
1. For the employee with a minimum of 25 years of continuous, full-time service to the City (or employees with a minimum of 30 years of cumulative, full-time service to the City, of which a minimum of 10 years are continuous and contiguous to the date of retirement), and having attained the City-established minimum retirement age of 50, the City will contribute/reimburse up to $551 per month toward premiums paid by the retiree for any health insurance premium and subject to additional terms as outlined in this Section.
2. For the employee attaining the age of 50, with a minimum of 48 consecutive months of City employment in a management position contiguous with the employee’s date of retirement, who otherwise qualifies for and receives a normal service retirement pursuant to the provisions of this Agreement and any guiding procedures, rules, and regulations established by CalPERS, the City makes available the opportunity to continue comprehensive health benefits under the City’s group plans and group rates upon retirement. Failure by the retiree and/or qualified dependent (spouse/domestic partner) to maintain his/her portion of premium payments/contributions for City-provided medical, dental, and/or optical insurance plans, or failure to maintain active enrollment in City-provided health insurance plans, shall disqualify the retired employee and/or his/her qualified dependent from eligibility to participate in, or receive this benefit. The City does not contribute to dental and/or optical insurance plans for retirees.
3. The retiree and/or his/her qualified dependent may enroll in the City-provided healthcare plans; however, only the retiree may continue enrollment in the City- provided dental and/or optical plans.
4. For the employee who was promoted in-house to a management position, but did not serve in the required 48 consecutive months of City employment in a management position contiguous to the employee’s date of retirement, his/her retiree-medical benefit, if any, shall be based on the retiree-medical benefit available to the bargaining group that last represented the employee, provided the employee meets the criteria necessary to qualify for the retiree-medical benefit available to members of that bargaining group.
5. Any portion of the medical premium that exceeds the City’s contribution is the retired employee’s responsibility to pay. The retiree and/or dependent is/are responsible for paying any co-payments required by the healthcare provider and/or any additional premium payments above the City’s maximum monthly contribution. The retiree portion of the monthly contribution shall be paid during the first week of each month, with a grace period not to exceed 30 days. Late payments for healthcare coverage that exceed the 30-day grace period shall be cause for automatic disenrollment in the City’s group health plans and the retiree shall be disqualified from participating in any of the retiree benefits as outlined in this Section. Conditions for healthcare coverage, enrollment, and processing procedures are established in accordance with legal requirements and conditions set by applicable health insurance carriers.
6. If the employee retires on or after the age of 50 (the minimum age of retirement from the City by this Agreement), but before reaching the age of the retiring employee’s CalPERS retirement formula (e.g., age 60 under the 3% @ 60 retirement formula), then the monthly value of the contribution/reimbursement shall be up to $451 per month, effective upon retirement until the retiree reaches the normal age of the applicable CalPERS retirement formula the employee retired under (e.g., when the employee reaches the age of 60 under the 3% @ 60 retirement formula), at which time and upon written request by the retiree to the City, up to $551 per month toward the City-provided retiree medical contribution/reimbursement amount shall be restored from the date of the request forward.
7. Upon the retiree reaching the age of 65 (or at any time the retiree enrolls in Medicare prior to the age of 65), the retiree and/or his/her dependent is/are no longer eligible to remain on City-provided healthcare, dental, or optical plans and must shop for his/her/their own individual plan; however, at age 65, the retiree must integrate with Medicare Parts A, B, D, or Part C Medicare Advantage Plan. The City will reimburse the Medicare retiree up to $551/month for any healthcare only premiums.
8. In the event the retiree moves outside of the coverage area of all City-provided Health Maintenance Organization (HMO) healthcare plans, the retiree may opt- out of participation of all City-provided healthcare, dental, and optical plans and shop for his/her own plans. The City will reimburse the retiree up to $551/month (or pursuant to the limitations of Section 7.03.C.3.) for any healthcare-only premiums and, once the retiree has opted-out, he/she will not be permitted to re-enroll in any City-provided healthcare, dental, and/or optical plan. If the retiree elects to opt-out, the retiree’s dependent will be automatically unenrolled from any City-provided healthcare plan.
9. If the retiree is entitled to receive a monthly reimbursement, as described in Section 7.03.C.7. or C.8. above, a reimbursement is only authorized for health insurance premiums, Medicare Part A, Part B, Part D, or Part C Medicare Advantage, up to the limits as outlined in Sections 7.03.C.7. and C.8. above. The reimbursement shall not include copays, emergency medical care, ambulance services, cosmetic services, or other cost components that are outside of a monthly premium for medical insurance. To receive this reimbursement benefit, the retiree must submit the following documentation:
(1) a completed Request for Reimbursement; (2) a copy of the health insurance payment slip (and other documentation) verifying that the retiree is covered under that particular health insurance plan; and (3) proof of payment. The Request for Reimbursement, payment slip, and proof of payment must be submitted to the City within 30-days of making such payment. Failure by the retiree to timely submit a request for reimbursement within 90-days, inclusive of the original 30-days, for which reimbursement should have been applied, shall disqualify the retired employee from eligibility to receive all retiree-medical benefits; however, under extraordinary circumstances, the City Manager may consider agreeing to a 180-day reimbursement grace period, inclusive of the original 30-days for which reimbursement should have been applied. “Extraordinary circumstances” shall be approved by the City Manager, and shall mean to exclusively include an extended hospital stay where the retiree was incapacitated and could not communicate an invoice for reimbursement to the City. An application for “extraordinary circumstances” shall not extend beyond 180 days.
10. Reimbursements will be made to retirees via Automated Clearing House (ACH)/direct deposit only, and any pending reimbursement held by the City and not received by the retiree as a result of the retiree’s failure to set up ACH/direct deposit with the City shall be forfeited after 60 days.
11. The retiree and/or his/her dependents no longer authorized to remain on City- provided healthcare, dental or optical plans may be entitled to COBRA coverage, as provided by law, at the retiree’s and/or dependent’s sole expense.
Appears in 1 contract
Samples: Executive Management Agreement
