Common use of Optional Benefits Plan (Cafeteria Plan) Clause in Contracts

Optional Benefits Plan (Cafeteria Plan). In addition to the City's contribution toward medical insurance, the City shall provide an Optional Benefits Plan (Cafeteria Plan) for full-time employees to allocate funds as permitted under the cafeteria plan. Effective January 1, 2024, the City’s monthly contribution to the optional benefits plan shall be as follows: Coverage Contribution Employee $639 Employee + 1 dependent $1,404 Family $1,832 Medical Opt-Out $550 Effective January 1, 2026, the City shall increase the City benefit plan contribution by a not to exceed percentage increase of 3.5% or the CalPERS basic HMOs rates for the average percent increase, whichever is less. Effective January 1, 2027, the City shall increase the City benefit plan contribution by a not to exceed percentage increase of 3.5% or the CalPERS basic HMOs rates for the average percent increase, whichever is less. All full-time employees must enroll in one of the PERS health program plans, unless they submit to the City both: (1) proof of other health coverage; and (2) a signed insurance waiver affidavit that complies with the Affordable Care Act’s Eligible Opt Out Arrangement. Full time employees who waive health insurance coverage shall receive the Medical Opt-Out allocation toward their optional benefits plan but shall not receive the City medical insurance contribution. All full-time employees must enroll in a dental plan and a vision plan. Employees who select insurance plans with a lower cost than the employer contributions received under Paragraph A and Paragraph B will receive the balance in a pro-rated amount per pay period. Employees who select insurance plans with a higher premium than the contributions received under Paragraph A and Paragraph B shall contribute the difference between those amounts and the selected plans via payroll deduction. CalPERS requires that all agencies choosing to participate in its health program provide coverage for retirees. The City shall provide retiree coverage pursuant to the CalPERS requirements. CalPERS also requires that all agencies choosing to participate in its health program provide coverage for PERS-eligible part-time employees. During the term of this MOU, the City shall make the City medical insurance contribution, but part-time employees shall not receive the contribution to the Optional Benefits Plan (Cafeteria Plan). PERS-eligible part-time employees who choose to enroll in a health insurance program shall pay the difference between the City's minimum contribution and the cost of the selected plan. The City contribution for eligible part-time employees shall only be available to employees for health insurance. Part- time employees who choose not to enroll in one of the PERS health insurance plans shall not receive the Medical Opt-Out allocation and shall obtain no benefit or cash equivalent under this Article. In accordance with the Affordable Care Act (ACA), the City will provide a medical insurance benefit to those employees who qualify under the ACA. The amount of the stipend will be a minimum of the amount established by CalPERS, up to an amount required to make the premium "affordable" as delineated in the ACA. Qualification and premium contribution for coverage under the ACA is determined annually. The City shall provide part-time, ACA eligible CalPERS positions with the same annual CalPERS Minimum Employer contribution as full-time employees, to be applied toward monthly medical benefit premium.

Appears in 1 contract

Samples: www.cityoflagunaniguel.org

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Optional Benefits Plan (Cafeteria Plan). In addition to the City's contribution toward medical insurance, the City shall provide an Optional Benefits Plan (Cafeteria Plan) for full-time employees to allocate funds as permitted under the cafeteria plan. Effective January 1, 20242020, upon adoption of this MOU, the City’s monthly contribution to the optional benefits plan shall be as follows: Coverage Contribution Employee $639 612 Employee + 1 dependent $1,404 1,344 Family $1,832 1,754 Medical Opt-Out $550 478 Effective January 1, 20262021, the City City’s monthly contribution shall increase be increased by an amount equal to the City benefit plan contribution by a average of the CalPERS HMO rates, not to exceed percentage an increase of 3.5% or the CalPERS basic HMOs rates for the average percent increase, whichever is less. Effective January 1, 2027, the City shall increase the City benefit plan contribution by a not to exceed percentage increase of 3.5% or the CalPERS basic HMOs rates for the average percent increase, whichever is less9.5%. All full-time employees must enroll in one of the PERS health program plans, unless they submit to the City both: (1) proof of other health coverage; and (2) a signed insurance waiver affidavit that complies with the Affordable Care Act’s Eligible Opt Out Arrangement. Full time employees who waive health insurance coverage shall receive the Medical Opt-Out allocation toward their optional benefits plan but shall not receive the City medical insurance contribution. All full-time employees must enroll in a dental plan and a vision plan. Employees who select insurance plans with a lower cost than the employer contributions received under Paragraph A and Paragraph B will receive the balance in a pro-rated amount per pay period. Employees who select insurance plans with a higher premium than the contributions received under Paragraph A and Paragraph B shall contribute the difference between those amounts and the selected plans via payroll deduction. CalPERS requires that all agencies choosing to participate in its health program provide coverage for retirees. The City shall provide retiree coverage pursuant to the CalPERS requirements. CalPERS also requires that all agencies choosing to participate in its health program provide coverage for PERS-eligible part-time employees. During the term of this MOU, the City shall make the City medical insurance contribution, but part-time employees shall not receive the contribution to the Optional Benefits Plan (Cafeteria Plan). PERS-eligible part-time employees who choose to enroll in a health insurance program shall pay the difference between the City's minimum contribution and the cost of the selected plan. The City contribution for eligible part-time employees shall only be available to employees for health insurance. Part- time employees who choose not to enroll in one of the PERS health insurance plans shall not receive the Medical Opt-Out allocation and shall obtain no benefit or cash equivalent under this Article. In accordance with the Affordable Care Act (ACA), the City will provide a medical insurance benefit to those employees who qualify under the ACA. The amount of the stipend will be a minimum of the amount established by CalPERSXxxXXXX, up to an amount required to make the premium "affordable" as delineated in the ACA. Qualification and premium contribution for coverage under the ACA is determined annually. The OCEA and City shall provide acknowledge that City's willingness to participate in the CalPERS health program has been based, in part, on the: (1) availability of the Unequal Contribution Method for retirees; and (2) the minimum employer contribution for PERS-eligible part-time, ACA eligible CalPERS positions with time employees. In the same annual CalPERS Minimum Employer event of a change in State law that increases the minimum employer contribution as fullfor retirees or part-time employees, or a change in CalPERS rules, regulations or policies that alters or eliminates the Unequal Contribution Method for retirees, OCEA and City representatives shall promptly meet and consult on the impact of such changes on the City's short-term and long-term cost of health insurance. After such consultation, if City determines that such changes will have a significant impact on short-term or long-term employer costs, the City reserves the right to be applied toward monthly medical benefit premiumwithdraw from the CalPERS Health Program, and provide alternate health insurance coverage to City employees.

Appears in 1 contract

Samples: www.cityoflagunaniguel.org

Optional Benefits Plan (Cafeteria Plan). In addition to the City's ’s contribution toward medical insurance, the City shall provide an Optional Benefits Plan (Cafeteria Plan) for full-time employees to allocate funds as permitted under the cafeteria plan. Effective January 1, 20242020, upon adoption of this MOU, the City’s monthly contribution to the optional benefits plan shall be as follows: Coverage Contribution Employee $639 612 Employee + 1 dependent $1,404 1,344 Family $1,832 1,754 Medical Opt-Out $550 478 Effective January 1, 20262021, the City City’s monthly contribution shall increase be increased by an amount equal to the City benefit plan contribution by a average of the CalPERS HMO rates, not to exceed percentage an increase of 3.59.5% or the CalPERS basic HMOs rates for the average percent increase, whichever is less. Effective January 1, 2027, the City shall increase the City benefit plan contribution by a not to exceed percentage increase of 3.5% or the CalPERS basic HMOs rates for the average percent increase, whichever is less. All full-time employees must enroll in one of the PERS health program plans, unless they submit to the City both: (1) proof of other health coverage; and (2) a signed insurance waiver affidavit that complies with the Affordable Care Act’s Eligible Opt Out Arrangement. Full time employees who waive health insurance coverage shall receive the Medical Opt-Out allocation toward their optional benefits plan plan, but shall not receive the City medical insurance contribution. All full-time employees must enroll in a dental plan and a vision plan. Employees who select insurance plans with a lower cost than the employer contributions received under Paragraph A and Paragraph B will receive the balance in a pro-rated amount per pay period. Employees who select insurance plans with a higher premium than the contributions received under Paragraph A and Paragraph B shall contribute the difference between those amounts and the selected plans via payroll deduction. CalPERS requires that all agencies choosing to participate in its health program provide coverage for retirees. The City shall provide retiree coverage pursuant to the CalPERS requirements. CalPERS also requires that all agencies choosing to participate in its health program provide coverage for PERS-eligible part-time employees. During the term of this MOU, the City shall make the City medical insurance contribution, but part-time employees shall not receive the contribution to the Optional Benefits Plan (Cafeteria Plan). PERS-eligible part-time employees who choose to enroll in a health insurance program shall pay the difference between the City's ’s minimum contribution and the cost of the selected plan. The City contribution for eligible part-time employees shall only be available to employees for health insurance. Part- time employees who choose not to enroll in one of the PERS health insurance plans shall not receive the Medical Opt-Out allocation and shall obtain no benefit or cash equivalent under this Article. In accordance with the Affordable Care Act (ACA), the City will provide a medical insurance benefit to those employees who qualify under the ACA. The amount of the stipend will be a minimum of the amount established by CalPERS, up to an amount required to make the premium "affordable" as delineated in the ACA. Qualification and premium contribution for coverage under the ACA is determined annually. The City shall provide part-time, ACA eligible CalPERS positions with the same annual CalPERS Minimum Employer contribution as full-time employees, to be applied toward monthly medical benefit premium.

Appears in 1 contract

Samples: www.cityoflagunaniguel.org

Optional Benefits Plan (Cafeteria Plan). In addition to the City's ’s contribution toward medical insurance, the City shall provide an Optional Benefits Plan (Cafeteria Plan) for full-time employees to allocate funds as permitted under the cafeteria plan. Effective January 1, 20242021, the City’s monthly contribution to the optional benefits plan shall be as follows: Coverage Contribution Employee $639 Employee + 1 dependent $1,404 Family $1,832 Medical Opt-Out $550 478 Effective the first pay period including the date of January 1, 20262022, the City shall increase will contribute the City benefit plan contribution by a not to exceed percentage increase of 3.5% or the premium rate difference for CalPERS basic HMOs HMOS rates for the average percent increase, whichever is lessincrease between 5.5% - 9.5%. Effective the first pay period including the date of January 1, 20272023, the City shall increase will contribute the City benefit plan contribution by a not to exceed percentage increase of 3.5% or the premium rate difference for CalPERS basic HMOs HMOS rates for the average percent increase, whichever is lessincrease between 5.5% - 9.5%. All full-time employees must enroll in one of the PERS health program plans, unless they submit to the City both: (1) proof of other health coverage; and (2) a signed insurance waiver affidavit that complies with the Affordable Care Act’s Eligible Opt Out Arrangement. Full time employees who waive health insurance coverage shall receive the Medical Opt-Out allocation toward their optional benefits plan plan, but shall not receive the City medical insurance contribution. All full-time employees must enroll in a dental plan and a vision plan. Effective the first pay period including the date of January 1, 2023, the Medical Opt-Out amount will increase to $550 per month. Employees who select insurance plans with a lower cost than the employer contributions received under Paragraph A and Paragraph B will receive the balance in a pro-rated amount per pay period. Employees who select insurance plans with a higher premium than the contributions received under Paragraph A and Paragraph B shall contribute the difference between those amounts and the selected plans via payroll deduction. CalPERS requires that all agencies choosing to participate in its health program provide coverage for retirees. The City shall provide retiree coverage pursuant to the CalPERS requirements. CalPERS also requires that all agencies choosing to participate in its health program provide coverage for PERS-eligible part-time employees. During the term of this MOU, the City shall make the City medical insurance contribution, but part-time employees shall not receive the contribution to the Optional Benefits Plan (Cafeteria Plan). PERS-eligible part-time employees who choose to enroll in a health insurance program shall pay the difference between the City's ’s minimum contribution and the cost of the selected plan. The City contribution for eligible part-time employees shall only be available to employees for health insurance. Part- time employees who choose not to enroll in one of the PERS health insurance plans shall not receive the Medical Opt-Out allocation and shall obtain no benefit or cash equivalent under this Article. In accordance with the Affordable Care Act (ACA), the City will provide a medical insurance benefit to those employees who qualify under the ACA. The amount of the stipend will be a minimum of the amount established by CalPERS, up to an amount required to make the premium "affordable" as delineated in the ACA. Qualification and premium contribution for coverage under the ACA is determined annually. The City shall provide part-time, ACA eligible CalPERS positions with the same annual CalPERS Minimum Employer contribution as full-time employees, to be applied toward monthly medical benefit premium.

Appears in 1 contract

Samples: www.cityoflagunaniguel.org

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Optional Benefits Plan (Cafeteria Plan). In addition to the City's contribution toward medical insurance, the City shall provide an Optional Benefits Plan (Cafeteria Plan) for full-time employees to allocate funds as permitted under the cafeteria plan. Effective January 1, 20242022, the City’s monthly contribution to the optional benefits plan shall be as follows: Coverage Contribution Employee $639 Employee + 1 dependent $1,404 Family $1,832 Medical Opt-Out $550 478 Effective the first pay period including the date of January 1, 20262022, the City shall increase will contribute the City benefit plan contribution by a not to exceed percentage increase of 3.5% or the premium rate difference for CalPERS basic HMOs HMOS rates for the average percent increase, whichever is lessincrease between 5.5% - 9.5%. Effective the first pay period including the date of January 1, 20272023, the City shall increase will contribute the City benefit plan contribution by a not to exceed percentage increase of 3.5% or the premium rate difference for CalPERS basic HMOs HMOS rates for the average percent increase, whichever is lessincrease between 5.5% - 9.5%. All full-time employees must enroll in one of the PERS health program plans, unless they submit to the City both: (1) proof of other health coverage; and (2) a signed insurance waiver affidavit that complies with the Affordable Care Act’s Eligible Opt Out Arrangement. Full time employees who waive health insurance coverage shall receive the Medical Opt-Out allocation toward their optional benefits plan but shall not receive the City medical insurance contribution. Effective the first pay period including the date of January 1, 2023, the Medical Opt-Out will increase to $550 per month. All full-time employees must enroll in a dental plan and a vision plan. Employees who select insurance plans with a lower cost than the employer contributions received under Paragraph A and Paragraph B will receive the balance in a pro-rated amount per pay period. Employees who select insurance plans with a higher premium than the contributions received under Paragraph A and Paragraph B shall contribute the difference between those amounts and the selected plans via payroll deduction. CalPERS requires that all agencies choosing to participate in its health program provide coverage for retirees. The City shall provide retiree coverage pursuant to the CalPERS requirements. CalPERS also requires that all agencies choosing to participate in its health program provide coverage for PERS-eligible part-time employeesemployees . During the term of this MOU, the City shall make the City medical insurance contribution, but part-time employees shall not receive the contribution to the Optional Benefits Plan (Cafeteria Plan). PERS-eligible part-time employees who choose to enroll in a health insurance program shall pay the difference between the City's minimum contribution and the cost of the selected plan. The City contribution for eligible part-time employees shall only be available to employees for health insurance. Part- time employees who choose not to enroll in one of the PERS health insurance plans shall not receive the Medical Opt-Out allocation and shall obtain no benefit or cash equivalent under this Article. In accordance with the Affordable Care Act (ACA), the City will provide a medical insurance benefit to those employees who qualify under the ACA. The amount of the stipend will be a minimum of the amount established by CalPERS, up to an amount required to make the premium "affordable" as delineated in the ACA. Qualification and premium contribution for coverage under the ACA is determined annually. The OCEA and City shall provide acknowledge that City's willingness to participate in the CalPERS health program has been based, in part, on the: (1) availability of the Unequal Contribution Method for retirees; and (2) the minimum employer contribution for PERS-eligible part-time, ACA eligible CalPERS positions with time employees. In the same annual CalPERS Minimum Employer event of a change in State law that increases the minimum employer contribution as fullfor retirees or part-time employees, or a change in CalPERS rules, regulations or policies that alters or eliminates the Unequal Contribution Method for retirees, OCEA and City representatives shall promptly meet and consult on the impact of such changes on the City's short-term and long-term cost of health insurance. After such consultation, if City determines that such changes will have a significant impact on short-term or long-term employer costs, the City reserves the right to be applied toward monthly medical benefit premiumwithdraw from the CalPERS Health Program, and provide alternate health insurance coverage to City employees.

Appears in 1 contract

Samples: www.cityoflagunaniguel.org

Optional Benefits Plan (Cafeteria Plan). In addition to the City's ’s contribution toward medical insurance, the City shall provide an Optional Benefits Plan (Cafeteria Plan) for full-time employees to allocate funds as permitted under the cafeteria plan. Effective January 1, 2024, the City’s monthly contribution to the optional benefits plan shall be as follows: Coverage Contribution Employee $639 Employee + 1 dependent $1,404 Family $1,832 Medical Opt-Out $550 Effective January 1, 2026, the City shall increase the City benefit plan contribution by a not to exceed percentage increase of 3.5% or the CalPERS basic HMOs rates for the average percent increase, whichever is less. Effective January 1, 2027, the City shall increase the City benefit plan contribution by a not to exceed percentage increase of 3.5% or the CalPERS basic HMOs rates for the average percent increase, whichever is less. All full-time employees must enroll in one of the PERS health program plans, unless they submit to the City both: (1) proof of other health coverage; and (2) a signed insurance waiver affidavit that complies with the Affordable Care Act’s Eligible Opt Out Arrangement. Full time employees who waive health insurance coverage shall receive the Medical Opt-Out allocation toward their optional benefits plan plan, but shall not receive the City medical insurance contribution. All full-time employees must enroll in a dental plan and a vision plan. Employees who select insurance plans with a lower cost than the employer contributions received under Paragraph A and Paragraph B will receive the balance in a pro-rated amount per pay period. Employees who select insurance plans with a higher premium than the contributions received under Paragraph A and Paragraph B shall contribute the difference between those amounts and the selected plans via payroll deduction. CalPERS requires that all agencies choosing to participate in its health program provide coverage for retirees. The City shall provide retiree coverage pursuant to the CalPERS requirements. CalPERS also requires that all agencies choosing to participate in its health program provide coverage for PERS-eligible part-time employees. During the term of this MOU, the City shall make the City medical insurance contribution, but part-time employees shall not receive the contribution to the Optional Benefits Plan (Cafeteria Plan). PERS-eligible part-time employees who choose to enroll in a health insurance program shall pay the difference between the City's ’s minimum contribution and the cost of the selected plan. The City contribution for eligible part-time employees shall only be available to employees for health insurance. Part- time employees who choose not to enroll in one of the PERS health insurance plans shall not receive the Medical Opt-Out allocation and shall obtain no benefit or cash equivalent under this Article. In accordance with the Affordable Care Act (ACA), the City will provide a medical insurance benefit to those employees who qualify under the ACA. The amount of the stipend will be a minimum of the amount established by CalPERS, up to an amount required to make the premium "affordable" as delineated in the ACA. Qualification and premium contribution for coverage under the ACA is determined annually. The City shall provide part-time, ACA eligible CalPERS positions with the same annual CalPERS Minimum Employer contribution as full-time employees, to be applied toward monthly medical benefit premium.

Appears in 1 contract

Samples: Orange County Employees

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