Common use of Payment in Lieu of Insurance Coverage Clause in Contracts

Payment in Lieu of Insurance Coverage. An Employee, who was receiving Board covered medical and prescription insurances under Section 1 or an employee who was eligible for partial or full medical insurance coverage and who was receiving payment in lieu of insurance coverage under Section 3, as of June 30, 2006 and any subsequent current employee who uses the healthcare insurance as of June 30, 2006 or new employee may elect not to receive the Health Insurance coverage provided in Section 1 and instead elect to receive additional compensation, less applicable payroll deductions, according to the following table: 7+ hour employees $5000 (Family), $1,500 (Single) 5 - 6.9 hour employees $2,500 (Family), $1,000 (Single) 4 - 4.9 hour employees $1,000 (Family), $350 (Single) In order to elect this option and receive this additional compensation, the employee must, by April 30th (June 15th in the first year of the contract), prior to the year for which they want to be paid, complete, sign and file with the Treasurer of the Board a letter indicating his/her election. Payment will be made one year later in the following July (i.e. Notice June, 2019, payment July, 2020). Once this election is made, it shall remain in effect and the Employee shall not be entitled to receive the coverage provided above for the duration of the one-year period. In the event of a change in the Employee’s circumstances (e.g., divorce, death of spouse, spouse loses insurance coverage) after this election has been made, the Employee may elect to receive the insurance coverage. The employee must notify the Treasurer’s Office in writing of the change in circumstance. The employee must provide documentation of the change of circumstances at the time of notice. Coverage will commence within seven (7) days of the receipt of the notice in the Treasurer’s Office. There shall be no pre-existing condition exclusion for any Employee who re-enters the insurance program provided above after originally electing not to participate in said program. Newly hired employees who are eligible for healthcare benefits may, at the time of hire, elect not to take health coverage by submitting a letter and filing it with the Treasurer’s Office. The newly hired employee would be eligible for a prorated amount of the above table based on their service (i.e. a new employee hired October 1st would work 9 out of 12 months, 75% and, if they declined health insurance, they would receive 75% of the qualifying amount in July).

Payment in Lieu of Insurance Coverage. a. An Employee, who was receiving Board covered medical and prescription insurances under Section 1 or an employee who was eligible for partial or full medical insurance coverage and who was receiving payment in lieu of insurance coverage under Section 3working forty (40) hours per week, as of June 30, 2006 and any subsequent current employee who uses the healthcare insurance as of June 30, 2006 or new employee may elect not to receive the Health Insurance coverage board insurance coverages provided in Section 1 above and instead elect to receive additional compensationcompensation of $5,000 (family plan) or $1,500 (single plan) per year, less applicable payroll deductions. b. An Employee, according working less than forty (40) hours per week, may elect not to receive the following table: 7+ hour employees board insurance coverages provided above and instead elect to receive additional compensation of $5000 (Family), $1,500 (Single) 5 - 6.9 hour employees $2,500 (Family), $1,000 (Single) 4 - 4.9 hour employees $1,000 (Family), $350 (Single) 1,000. c. In order to elect this option and receive this additional compensation, the employee Employee must, by April 30th 30 (June 15th in prior to the start of the first year of the contract), ) prior to the year for which they want he/she elects not to be paidreceive medical and prescription coverage, complete, sign and file with the Treasurer treasurer of the Board board a letter form indicating his/her election. Payment will be made one year later in election for the following July (i.e. Notice June, 2019, payment July, 2020)upcoming school year. Once this election is made, it shall remain in effect and the Employee shall not be entitled to receive the coverage provided above for the duration of the one-year period. In the event of a change in the Employee’s circumstances (“qualifying event”, e.g., divorce, death of spouse, spouse loses insurance coverage) after this election has been made, the Employee may elect to receive the insurance coverage. The employee must notify coverage after immediately notifying the Treasurer’s Office in writing of the change in circumstance. The employee must provide documentation of the change of his/her circumstances at the time of notice. Coverage will commence within seven (7) days of the receipt of the notice in the Treasurer’s Officeand is not eligible for any waiver payment for that year. There shall be no pre-existing condition exclusion for any Employee who re-enters the insurance program program, provided above above, after originally electing not to participate in said program. Payment for this election to waive medical and prescription benefits will be made in July following the year in which benefits were waived. Employees who are married and both eligible for medical coverage under this plan are not entitled to this waiver and may have only one family plan. d. Newly hired employees Employees who are eligible for healthcare health care benefits may, at the time of hire, elect not to take health coverage by submitting a letter and filing it with the Treasurer’s Office. The newly hired employee Employee would be eligible for a prorated amount of the above table their applicable waiver amount based on their service (i.e. a new employee Employee hired October 1st would work 9 out of 12 months, 75% and, if they declined health insurance, they would receive 75% of the qualifying amount in July).

Payment in Lieu of Insurance Coverage. An Employee, who was receiving Board covered medical and prescription insurances under Section 1 or an employee who was eligible for partial or full medical insurance coverage and who was receiving payment in lieu of insurance coverage under Section 3, as of June 30, 2006 and any subsequent current employee who uses the healthcare insurance as of June 30, 2006 or new employee may elect not to receive the Health Insurance coverage provided in Section 1 and instead elect to receive additional compensation, less applicable payroll deductions, according to the following table: 7+ hour employees $5000 (Family), $1,500 (Single) 5 - 6.9 hour employees $2,500 (Family), $1,000 (Single) 4 - 4.9 hour employees $1,000 (Family), $350 (Single) In order to elect this option and receive this additional compensation, the employee must, by April 30th (June 15th in the first year of the contract), prior to the year for which they want to be paid, complete, sign and file with the Treasurer of the Board a letter indicating his/her election. Payment will be made one year later in the following July (i.e. Notice June, 20192014, payment July, 20202015). Once this election is made, it shall remain in effect and the Employee shall not be entitled to receive the coverage provided above for the duration of the one-year period. In the event of a change in the Employee’s circumstances (e.g., divorce, death of spouse, spouse loses insurance coverage) after this election has been made, the Employee may elect to receive the insurance coverage. The employee must notify the Treasurer’s Office in writing of the change in circumstance. The employee must provide documentation of the change of circumstances at the time of notice. Coverage will commence within seven (7) 7 days of the receipt of the notice in the Treasurer’s Office. There shall be no pre-existing condition exclusion for any Employee who re-enters the insurance program provided above after originally electing not to participate in said program. Newly hired employees who are eligible for healthcare benefits may, at the time of hire, elect not to take health coverage by submitting a letter and filing it with the Treasurer’s Office. The newly hired employee would be eligible for a prorated amount of the above table based on their service (i.e. a new employee hired October 1st would work 9 out of 12 months, 75% and, if they declined health insurance, they would receive 75% of the qualifying amount in July).