Common use of Opt-Out Provision Clause in Contracts

Opt-Out Provision. If the State Health Benefits system reinstates the provision to Opt-Out, the district will offer this provision. 1. Within the regulations of the carrier, the Board agrees to establish a Section 125 (I.R.S. Code) Plan for the purpose of making available a cash option. If an employee selects the cash option, it shall be included in the employee’s gross income as compensation. If an employee selects the insurance coverage, the value of such coverage is excludable in the employee’s gross income as compensation. (a) An employee otherwise entitled to health, dental, prescription insurance coverage shall have the option to voluntarily not participate in any or all such plans and withdraw from any such coverage. It is understood that the decision to exercise this option rests solely with the employee. In the event an employee makes such election, the Board shall compensate such employee 35% of the yearly premium cost for the plan(s) under which the employee would have been covered. Such cash payment shall be in the form of a stipend and shall be paid in two (2) equal installments, the first on December 1st and the second on June 30th of the school year in which the non- participation occurs. (b) In order for an employee to be eligible to elect this cash option for the health insurance plan, as per Section (a) above, an employee must provide documentation to the Board that they are covered under an alternative health insurance plan. It is not necessary for an employee to have alternative dental or prescription coverage to opt out of those two plans. Employees whose spouse has coverage with a Board of Education in the same Health Insurance Fund (HIF), including this Board, will not be eligible for the opt-out incentive. (c) All withdrawals shall be for a full year (July 1 through June 30). Written notification of an employee’s intent to elect this withdrawal option must be filed with the Board during the normal re-opener period. Employees may either re-elect the option of withdrawal during each re-opener period or elect to re-enroll in the insurance plan(s) offered by the District. Prior to each re-opener period, the Board’s insurance carrier and/or representative shall hold a meeting with employees considering to elect to withdraw from the district’s insurance plan and shall apprise them of any and all benefits and/or risks involved should the employee elect such waiver. 2. Notwithstanding the above, the employee who has a change in status (e.g. termination of employment, death, separation, divorce, etc.) which causes the employee to lose his alternate health, dental or prescription insurance coverage shall be entitled to re-enroll in the health, dental, and/or prescription plans during the year provided the employee provides the Board with notice of the change of status within sixty (60) days of the event causing such change. The Board’s obligation for the cash option shall be prorated for the employee subject to a change in status. If the district’s health, dental and/or prescription plan(s) does not accept the employee, the District will find a comparable plan(s) and pay the premium up to the current amount paid for employees in the district’s plan(s). Additional costs above the current cost incurred will be the responsibility of the employee. The employee will be re-enrolled in the district’s plan(s) at the first permissible date. 3. Return to the insurance plan(s) for reason other than a change in status is subject to the terms of the carrier.

Opt-Out Provision. If the State Health Benefits system reinstates the provision to Opt-Out, the district will offer this provision. 1. Within the regulations of the carrier, the The Board agrees to establish a Section 125 (I.R.S. Code) Plan for the purpose of making available a cash option. If an employee selects the cash option, it shall be included in the employee’s gross income as compensation. If an employee selects the insurance coverage, the value of such coverage is excludable in the employee’s gross income as compensation. (a) a. An employee otherwise entitled to health, dental, prescription health insurance coverage shall have the option to voluntarily not participate in any or all such plans the health insurance plan and withdraw from any such coverage. It is understood that the decision to exercise this option rests solely with the employee. In the event an employee makes such election, the Board shall compensate such employee 35% $2,000.00 (family coverage) or $1500.00 (single coverage) in lieu of the yearly premium cost for the plan(s) under which the employee would have been covered. Such cash payment shall be in the form of a stipend and shall be paid in two (2) equal installments, the first on December 1st and the second on the last workday for teachers in June 30th of the school year in which the non- non-participation occurs. (b) b. In order for an employee to be eligible to elect this cash option option, for the health insurance plan, as per Section (a) above, an employee must provide documentation to the Board that they are covered under an alternative health insurance plan. It is not necessary for an employee to have alternative dental or prescription coverage to opt out of those two plans. Employees whose spouse has coverage with a Board of Education in the same Health Insurance Fund (HIF), including this Board, will not be eligible for the opt-out incentive. (c) c. All withdrawals shall be for a full year (July 1 through June 30). Written notification of an employee’s intent to elect this withdrawal option must be filed with the Board during the normal re-opener period. Employees may either re-re- elect the option of withdrawal during each re-opener period or elect to re-enroll in the insurance plan(s) offered by the District. Prior to each re-opener period, the Board’s insurance carrier and/or representative shall hold a meeting with employees considering to elect to withdraw from the districtDistrict’s insurance plan and shall apprise them of any and all benefits and/or risks involved should the employee elect such waiver. 2. Notwithstanding the above, the an employee who has a change in status (e.g. e.g., termination of employment, death, separation, divorce, etc.) which causes the employee to lose his alternate health, dental or prescription health insurance coverage shall be entitled to re-enroll in the health, dental, and/or prescription plans health plan during the year provided the employee provides provided the Board with notice of the change of status within sixty (60) days of the event causing such change. The Board’s obligation for the cash option shall be prorated for the employee subject to a change in status. If the districtDistrict’s health, dental and/or prescription plan(s) health plan does not accept the employee, the District will find a comparable plan(s) plan and pay the premium up to the current amount paid for employees in the districtDistrict’s plan(s)plan. Additional costs above the current cost incurred will be the responsibility of the employee. The employee will be re-enrolled in the districtDistrict’s plan(s) plan at the first permissible date. 3. Return to the insurance plan(s) for reason reasons other than a change in status is subject to the terms of the carrier.

Opt-Out Provision. If the State Health Benefits system reinstates the provision to Opt-Out, the district will offer this provision. 1. Within the regulations of the carrier, the The Board agrees to establish a Section 125 (I.R.S. Code) Plan for the purpose of making available a cash option. If an employee selects the cash option, it shall be included in the employee’s gross income as compensation. If an employee selects the insurance coverage, the value of such coverage is excludable in the employee’s gross income as compensation. (a) a. An employee otherwise entitled to health, dental, prescription health insurance coverage shall have the option to voluntarily not participate in any or all such plans the health insurance plan and withdraw from any such coverage. It is understood that the decision to exercise this option rests solely with the employee. In the event an employee makes such election, the Board shall compensate such employee 35% of according to the yearly premium cost for the plan(s) under which the employee would have been coveredchart below. Such cash payment shall be in the form of a stipend and shall be paid in two (2) equal installments, the first on December 1st and the second on the last workday for teachers in June 30th of the school year in which the non- non-participation occurs.. *Dual – Husband & Wife or Parent & Child (b) b. In order for an employee to be eligible to elect this cash option option, for the health insurance plan, as per Section (a) above, an employee must provide documentation to the Board that they are covered under an alternative health insurance plan. It is not necessary for an employee to have alternative dental or prescription coverage to opt out of those two plans. Employees whose spouse has coverage with a Board of Education in the same Health Insurance Fund (HIF), including this Board, will not be eligible for the opt-out incentive. (c) c. All withdrawals shall be for a full year (July 1 through June 30). Written notification of an employee’s intent to elect this withdrawal option must be filed with the Board during the normal re-opener period. Employees may either re-elect the option of withdrawal during each re-opener period or elect to re-enroll in the insurance plan(s) offered by the District. Prior to each re-opener period, the Board’s insurance carrier and/or representative shall hold a meeting with employees considering to elect to withdraw from the districtDistrict’s insurance plan and shall apprise them of any and all benefits and/or risks involved should the employee elect such waiver. 2. Notwithstanding the above, the an employee who has a change in status (e.g. e.g., termination of employment, death, separation, divorce, etc.) which causes the employee to lose his alternate health, dental or prescription health insurance coverage shall be entitled to re-enroll in the health, dental, and/or prescription plans health plan during the year provided the employee provides provided the Board with notice of the change of status within sixty (60) days of the event causing such change. The Board’s obligation for the cash option shall be prorated for the employee subject to a change in status. If the districtDistrict’s health, dental and/or prescription plan(s) health plan does not accept the employee, the District will find a comparable plan(s) plan and pay the premium up to the current amount paid for employees in the districtDistrict’s plan(s)plan. Additional costs above the current cost incurred will be the responsibility of the employee. The employee will be re-enrolled in the districtDistrict’s plan(s) plan at the first permissible date. 3. Return to the insurance plan(s) for reason reasons other than a change in status is subject to the terms of the carrier.

Opt-Out Provision. If the State Health Benefits system reinstates the provision to Opt-Out, the district will offer this provision. 1. Within the regulations of the carrier, the Board agrees to establish a Section 125 (I.R.S. Code) Plan for the purpose of making available a cash option. If an employee selects the cash option, it shall be included in the employee’s 's gross income as compensation. If an employee selects the insurance coverage, the value of such coverage is excludable in the employee’s 's gross income as compensation. (a) a. An employee otherwise entitled to health, dental, prescription health insurance coverage shall have the option to voluntarily not participate in any or all such plans plans, including Prescription and Dental and withdraw from any such coverage. It is understood that the decision to exercise this option rests solely with the employee. In the event an employee makes such election, the Board shall compensate such employee thirty-five percent (35% %) of the yearly premium cost for the plan(s) under which the employee would have been covered. Such cash payment shall be in the form of a stipend and shall be paid in two (2) equal installments, the first on December 1st and the second on June 30th of the school year in which the non- non-participation occurs. (b) b. In order for an employee to be eligible to elect this cash option option, for the health insurance plan, plan as per Section (a) A above, an employee must provide documentation to the Board that they are covered under an alternative health insurance plan. It is not necessary for an employee to have alternative dental or prescription coverage to opt out of those two plans. Employees whose spouse has coverage with a Board of Education in the same Health Insurance Fund Plan (HIF), ) including this Board, will not be eligible for the optOpt-out incentiveOut Incentive. (c) c. All withdrawals shall be for a full year (July 1 through June 30). Written notification of an employee’s 's intent to elect this withdrawal option must be filed with the Board during the normal re-opener reopener period. Employees may either re-elect the option of withdrawal during each re-re- opener period or elect to re-enroll in the insurance plan(s) offered by the District. Prior to each re-opener period, the Board’s 's insurance carrier and/or representative shall hold a meeting with employees considering to elect to withdraw from the district’s District's insurance plan and shall apprise them of any and all benefits and/or risks involved should the employee elect such waiver. 2. Notwithstanding the above, the an employee who has a change in status (e.g. termination of employment, death, separation, divorce, etc.) which causes the employee to lose his alternate health, dental or prescription health insurance coverage shall be entitled to re-re- enroll in the health, dental, and/or prescription plans health plan during the year provided the employee provides the Board with notice of the change of status within sixty (60) days of the event causing such change. The Board’s 's obligation for the cash option shall be prorated for the employee subject to a change in status. If the district’s health, dental and/or prescription plan(s) District's health plan does not accept the employee, the District will find a comparable plan(s) plan and pay the premium up to the current amount paid for employees in the district’s plan(s)District's plan. Additional costs above the current cost incurred will be the responsibility of the employee. The employee will be re-enrolled in the district’s plan(s) District's plan at the first permissible date. 3. Return to the insurance plan(s) for reason reasons other than a change in status is subject to the terms of the carrier.

Opt-Out Provision. If the State Health Benefits system reinstates the provision to Opt-Out, the district will offer this provision. 1. Within the regulations of the carrier, the Board agrees to establish a Section 125 (I.R.S. Code) Plan for the purpose of making available a cash option. If an employee selects the cash option, it shall be included in the employee’s gross income as compensation. If an employee selects the insurance coverage, the value of such coverage is excludable in the employee’s gross income as compensation. (a) An employee otherwise entitled to health, dental, prescription health insurance coverage shall have the option to voluntarily not participate in any or all such plans plans, including Prescription and Dental and withdraw from any such coverage. It is understood that the decision to exercise this option rests solely with the employee. In the event an employee makes such election, the Board shall compensate such employee 35% fifty percent (50 %) of the yearly premium cost for the plan(s) under which the employee would have been covered. Such cash payment shall be in the form of a stipend and shall be paid in two (2) equal installments, the first on December 1st and the second on June 30th of the school year in which the non- non-participation occurs. (b) 1. In order for an employee to be eligible to elect this cash option option, for the health insurance plan, plan as per Section (a) A above, an employee must provide documentation to the Board that they are he/she is covered under an alternative health insurance plan. It is not necessary for an employee to have alternative dental or prescription coverage to opt out of those two plans. Employees whose spouse has coverage with a Board of Education in the same Health Insurance Fund (HIF), including this Board, will not be eligible for the opt-out incentive. (c) 2. All withdrawals shall be for a full year (July 1 through June 30). Written notification of an employee’s intent to elect this withdrawal option must be filed with the Board during the normal re-opener period. Employees may either re-elect the option of withdrawal during each re-opener period or elect to re-enroll in the insurance plan(s) offered by the District. Prior to each re-opener period, the Board’s insurance carrier and/or representative shall hold a meeting with employees considering to elect to withdraw from the districtDistrict’s insurance plan and shall apprise them of any and all benefits and/or risks involved should the employee elect such waiver. 23. Notwithstanding the above, the an employee who has a change in status (e.g. e.g., termination of employment, death, separation, divorce, etc.) which causes the employee to lose his alternate health, dental or prescription health insurance coverage shall be entitled to re-enroll in the health, dental, and/or prescription plans health plan during the year provided the employee provides the Board with notice of the change of status within with sixty (60) days of the event causing such change. The Board’s obligation for the cash option shall be prorated for the employee subject to a change in status. If the districtDistrict’s health, dental and/or prescription plan(s) health plan does not accept the employee, the District will find a comparable plan(s) plan and pay the premium up to the current amount paid for employees in the districtDistrict’s plan(s)plan. Additional costs above the current cost incurred will be the responsibility of the employee. The employee will be re-enrolled in the districtDistrict’s plan(s) plan at the first permissible date. 34. Return to the insurance plan(splans(s) for reason reasons other than that a change in status is subject to the terms of the carrier.

Opt-Out Provision. If the State Health Benefits system reinstates the provision to Opt-Out, the district will offer this provision. 1. Within the regulations of the carrier, the Board agrees to establish a Section 125 (I.R.S. Code) Plan for the purpose of making available a cash option. If an employee selects the cash option, it shall be included in the employee’s 's gross income as compensation. If an employee selects the insurance coverage, the value of such coverage is excludable in the employee’s 's gross income as compensation. (a) a. An employee otherwise entitled to health, dental, prescription health insurance coverage shall have the option to voluntarily not participate in any or all such plans plans, including Prescription and Dental and withdraw from any such coverage. It is understood that the decision to exercise this option rests solely with the employee. In the event an employee makes such election, the Board shall compensate such employee thirty-five percent (35% %) of the yearly premium cost for the plan(s) under which the employee would have been covered. Such cash payment shall be in the form foul" of a stipend and shall be paid in two (2) equal installments, the first on December 1st and the second on June 30th of the school year in which the non- non-participation occurs. (b) b. In order for an employee to be eligible to elect this cash option option, for the health insurance plan, plan as per Section (a) A above, an employee must provide documentation to the Board that they are covered under an alternative health insurance plan. It is not necessary for an employee to have alternative dental or prescription coverage to opt out of those two plans. Employees whose spouse has coverage with a Board of Education in the same Health Insurance Fund Plan (HIF), ) including this Board, will not be eligible for the optOpt-out incentiveOut Incentive. (c) c. All withdrawals shall be for a full year (July 1 through June 30). Written notification of an employee’s 's intent to elect this withdrawal option must be filed with the Board during the normal re-opener reopener period. Employees may either re-elect the option of withdrawal during each re-opener period or elect to re-enroll in the insurance plan(s) offered by the District. Prior to each re-opener period, the Board’s 's insurance carrier and/or representative shall hold a meeting with employees considering to elect to withdraw from the district’s District's insurance plan and shall apprise them of any and all benefits and/or risks involved should the employee elect such waiver. 2. Notwithstanding the above, the an employee who has a change in status (e.g. termination of employment, death, separation, divorce, etc.) which causes the employee to lose his alternate health, dental or prescription health insurance coverage shall be entitled to re-enroll in the health, dental, and/or prescription plans health plan during the year provided the employee provides the Board with notice of the change of status within sixty (60) days of the event causing such change. The Board’s 's obligation for the cash option shall be prorated for the employee subject to a change in status. If the district’s health, dental and/or prescription plan(s) District's health plan does not accept the employee, the District will find a comparable plan(s) plan and pay the premium up to the current amount paid for employees in the district’s plan(s)District's plan. Additional costs above the current cost incurred will be the responsibility of the employee. The employee will be re-enrolled in the district’s plan(s) District's plan at the first permissible date. 3. Return to the insurance plan(s) for reason reasons other than a change in status is subject to the terms of the carrier.