PAK A Sample Clauses

PAK A. Employees shall elect MESSA Choices II with a $1000/$2000 deductible, $20 office visit and the Saver Rx prescription card OR MESSA ABC Plan 1. The Board will contribute to the total annual cost associated with the District’s medical benefit plans an amount consistent with its elected method of compliance with Public Act 152 of 2011, being the Publicly Funded Health Insurance Contribution Act. The District will pay the maximum amount permitted by JPS’ elected method of complying with Public Act 152 of 2011, being the Publicly Funded Health Insurance Contribution Act (i.e. if the District chooses to comply with Section 3 of the Publicly Funded Health Insurance Contribution Act. If the district chooses to comply with Section 4 of the Publicly Funded Health Insurance Contribution Act, it shall contribute the maximum percentage permitted by Section 4 of the Publicly Funded Health Insurance Contribution Act). The District will contribute (for those electing MESSA ABC 1) one-half (1/2) of the deductible to employees’ Health Savings Account on September 15 and one-half on or before March 15.

PAK A. MESSA Choices II with a Rx Saver drug card; MESSA Plan 2 Long Term Disability Insurance (66 2/3%) coverage, 90 calendar day modified fill, $5,000 monthly maximum, Social Security freeze, no 2 year limitation on any disability, cost of living allowance; Delta Dental Plan E with “007" Orthodontic Rider, including internal and external coordination of benefits; $30,000 Negotiated Life with AD&D; MESSA VSP-3 Vision Plan OR MESSA ABC Plan Option 1: Beginning January, ▇▇▇▇ ▇▇▇ members will be offered another health care option: MESSA ABC Plan Option 1 with a $1250/$2500 deductible with the availability of a health savings account. Employees will continue to pay 20% of the PAK A Choices II premium. The Board will contribute the difference in the premium (savings) between Choices II and the ABC Plan to the employee’s established HSA account, but not to exceed the following amounts per year (12 months): Single = $625 Two person/Family = $1250 This will be equally distributed quarterly beginning with the first pay in January and continuing with the first pays in April, July, and October. Individuals may change their payroll contribution amount into their HSA account up to two (2) times per year.

PAK A. MESSA Choices II with a Rx Saver drug card; MESSA Plan 2 Long Term Disability Insurance (66 2/3%) coverage, 90 calendar day modified fill, $5,000 monthly maximum, Social Security freeze, no 2 year limitation on any disability, cost of living allowance; Delta Dental Plan E with “007" Orthodontic Rider, including internal and external coordination of benefits; $30,000 Negotiated Life with AD&D; MESSA VSP-3 Vision Plan

PAK A. MESSA – ABC Plan 1 ABC RX Delta Dental Plan 80/80/80; $1,300 $15,000 Life Insurance Vision Care, VSP-2 Long Term Disability 66 2/3 of salary with 90 calendar day modified fill wait AI Rider $1250/$2500 in-network deductible ($2500/$5000 out-of network deductible) or the deductible minimum for a health benefits plan to comply with HSA eligibility, as determined by the Internal Revenue Service (IRS). In the event that the IRS increases the minimum deductible amount, the above states deductible shall be adjusted to that amount. However, no increase in the minimum deductible shall result in the District exceeding the spending limitations contained in Publicly Funded Health Insurance Contribution Act (2011 Public Act 152) or any successor enactment. On January 1, 2014 the District shall deposit an amount equal to $200 less than the annual in-network deductible amount for single subscribers and $400 less than the annual in-network deductible amount for two-person and full-family subscribers into a Health Savings Account (HSA) for each bargaining unit member who enrolls in MESSA ABC Plan 1. Provided however, if a bargaining unit member has enrolled in MESSA ABC Plan 1 and is ineligible to receive the HSA contribution specified above due to limitations established by the Internal Revenue Service, the above amount that he/she would otherwise be eligible to receive shall be paid directly to the bargaining unit member as an off-schedule payment. The District’s deductible HSA contribution for new bargaining unit members shall be prorated based on the beginning date of employment. The District’s deductible HSA contribution for bargaining unit members who change enrollment from PAK B to PAK A because of a qualifying event, as defined by the Plan, shall be prorated based on the effective date of the change in coverage.

PAK A. Medical. Eligible LEA members may select one of three MESSA plans: MESSA Choices II 500/1000 deductible, $20 OV, Saver RX, MESSA ABC Plan 1 or MESSA ABC Plan 2. a. Medical insurance premium costs, if any, in excess of the District’s obligation as set forth above, shall be paid by the member through payroll deduction; provided however, the LEA may, at its sole discretion, aggregate or smooth the cost of the medical insurance premium for its members. In the event that the LEA elects to do so, the LEA and the District shall meet and mutually agree upon the timing and necessary adjustments, and shall provide prior notice to affected members. Any LEA member contribution shall be made via payroll deduction in accordance with the District’s Section 125 plan. In the event that the LEA elects to aggregate or smooth the cost of the medical insurance premium for its members, the District and the LEA shall meet and review the census in January and April 2013 in order to make any necessary adjustments. b. The District and the LEA agree that the catch-up medical insurance contribution cost for LEA members for the period July 1, 2012 through August 31/September 30, 2012 is limited to the difference between the maximum amount owed by the District pursuant to Section 3 of PA 152 of 2011 and the 10% medical insurance contribution that has been paid by ▇▇▇ members. This catch-up amount shall be payroll deducted from LEA members and spread over 18 pay periods, beginning October 26. Said catch-up payments shall be separately identified with each payroll. Deductions for medical contributions for September 2012/October 2012 through August 2013/September 2013 shall begin October 26 and shall continue for the next 17 pay periods. (As to the italicized/underlined dates within this subsection, subsequent to ratification, the parties shall agree upon the appropriate month/year. See Letter of Agreement Regarding Article XVI Employee- Earned Benefits).

PAK A a. Health: Blue Cross Blue Shield of Michigan (Pick one of 3 options) Option 1- Simply Blue HSA 1400/0% Qualified High Deductible Plan $1,400/$2,800 Aggregate Deductible: 0% Coinsurance Option 2- Simply Blue HAS 2500/0% Qualified High Deductible Plan $2,500/$5,000 Embedded Deductible: 0% Coinsurance Option 3- Simply Blue HAS 2500/20% Qualified High Deductible Plan $2,500/$5,000 Embedded Deductible: 20% Coinsurance b. Long Term Disability- Principal Financial Group 66 2/3% $4,000 Maximum Monthly Income Benefit $6,000 Maximum Monthly Salary 90 Calendar Days – Modified Fill Maternity Coverage Pre-existing Condition Waiver Full Freeze/Freeze on Offsets Alcoholism/Drug- 2-Year limitation c. Negotiated Life – Principal Financial Group $25,000 life and AD & D d. Vision- Eye Med VSP 3 G e. Dental- ADN 80/80 80/80: $2,000 annual max, $3,000 orthodontic max 2. Pak B a. ADN- Dental Plan 80/80 80/80: $2,000 annual max, $3,000 orthodontic ▇▇▇

PAK A. MESSA CHOICES II shall contain the following benefits: Option 2 – PAK C: MESSA HSA ABC PLAN PAK C shall contain the following benefits: Plan B of the MESSA CHOICES II PAK B shall contain the following benefits:

PAK A. Medical Option 1 (1) Choices II ($200/$400 deductible) (a) Medical = MESSA Choices II, Saver Rx ($10/$40), XVA2 Rider. $20/$25/$50 OV/UC/ER, $200/$400 deductible (b). Dental = Delta Plan 80/80/80: $1,500 80=$1,500 (ortho), note: no adult ortho Coordinated Benefits 50/50/50: $1,500 50 = $1,500 (ortho) note: no adult ortho (c). Vision = VSP3

PAK A. Health: MESSA ABC Plan 1 In-Network: Deductible: $1,400 Single Cov/$2,800 2-Person & Family Cov Copay: $0/$0/$0 Coinsurance: 0% 3 Tier Mail Rx Coverage Health Savings Account with Health Equity Negotiated LTD: 66 2/3% Max Benefit: $6,000 Max Monthly Salary: $9,000 60 Calendar Days Modified Fill Alcohol/Drug: 2 Year Limitation Mental/Nervous: Same as any other illness Pre-Existing Conditions: Waived Freeze of Offsets: Yes Negotiated Life and AD&D: $25,000 Vision Plan: VSP 2 Dental Plan: Class I: 100% Class II: 60% Class III: 60% Class IV: 50% Annual Max (Class I, II, and III): $1,500 Lifetime Max (Class IV): $1,500