Common use of Payment of Insurance Premiums Clause in Contracts

Payment of Insurance Premiums. Members shall be entitled to participate in the City's health insurance program as recommended by the Health Care Committee and described in the documents on file in the Finance Department. 1. The City agrees to maintain a City Health Care Committee for the purpose of regularly reviewing employee health care needs, and implementing a health care program for its employees. The Committee shall act in accordance with the Final Report of the Health Care Task Force Report dated July 10, 2006, and further amendments by the Committee. If the Committee is not maintained by the City, the City will provide the health care benefits in place at the time of the dissolution of the Committee for the remainder of the Agreement. 2. The Union agrees to participate in the City Health Care Committee and to adhere to the recommendations of the Committee regarding all aspects of health issues, including, but not limited to, the selection of carrier, determination of coverage and determination of co-payments, deductibles, and employee contributions, subject to the limitations herein. The City agrees to adhere to recommendations of the Committee as such recommendations apply to the members. The Union shall have one (1) designee that serves on the Committee and may exercise voting rights on behalf of the Union. Any member appointed as the Union’s designee shall be paid for attending the Committee meetings. Any overtime incurred by a member while attending meetings of the committee shall be paid at one and one-half times their regular rate of pay. 3. All coverage shall be subject to the insurance company’s requirements and eligibility. 4. Employees shall have the option to participate in a basic health insurance plan as recommended by the Health Insurance Committee, subject to the following not to exceed amounts for monthly employee contributions (to be deducted in equal installments not less than one time per month), co-pays, deductibles, and co-insurance or those recommended by the Committee, whichever is less: Employee Contribution (Bi-Monthly) 1/1/2021 - 10/31/2024 Single Employee & Spouse Employee & Children Family $168.60 $354.04 $320.32 $459.40 Single $2,000 $4,000 Family $4,000 $8,000 Coinsurance* 80% 60% Single $5,000 $10,000 Family $10,000 $20,000 Office Visit (PCP/Specialist) $35/$65 60%* Urgent Care Copay $90 60%* ER Copay $250 Inpatient Deductible $750 Outpatient Services 80%* 60%* Prescription Drug Retail Mail Order (31 days) (90 days) Tier 1 $25 $50 Tier 2 $70 $140 Tier 3 $150 $300 Tier 4 (Specialty) $400 copay Limits placed on employee contributions, co-pays and out-of-pocket maximums in this Agreement do not prevent the City from offering employees alternate health care plans which might have higher or lower contribution levels, co-pays and out-of-pocket maximums. 5. Members who retire under the Police and Firemen's Disability and Pension Fund because of the City's compulsory retirement ordinance, because of inability to work due to disability, or having reached the respective pension funds' retirement age and/or years of service requirements, shall receive Hospital Care and Surgical Care Insurance coverage if the same is not provided by the respective pension fund. No duplication of coverage is permitted. 6. All members shall receive $50,000 group life insurance coverage paid by the City. Members may purchase additional group life insurance consistent with the carrier’s available options. Double indemnity premiums shall be paid by the City on all coverage provided by the City. 7. Any member retiring on or after January 1, 1972, shall receive $5,000 life insurance coverage paid for by the City. Double Indemnity will not be provided on such coverage. 8. The City will indemnify members and provide a defense to members such as the result of his/her employment, in accordance with the provisions of Ohio Revised Code Chapter 2744 and Middletown Codified Ordinance, Section 250.03.

Payment of Insurance Premiums. Members shall be entitled to participate in the City's ’s health insurance program as recommended by the Health Care Committee and described in the documents on file in the Finance Department. 1. The City agrees to maintain a City Health Care Committee for the purpose of regularly reviewing employee health care needs, and implementing a health care program for its employees. The Committee shall act in accordance with the Final Report of the Health Care Task Force Report dated July 10, 2006, and further amendments by the Committee. If the Committee is not maintained by the City, the City will provide the health care benefits in place at the time of the dissolution of the Committee for the remainder of the Agreement. 2. The Union agrees to participate in the City Health Care Committee and to adhere to the recommendations of the Committee regarding all aspects of health issues, including, but not limited to, the selection of carrier, determination of coverage and determination of co-payments, deductibles, and employee contributions, subject to the limitations herein. The City agrees to adhere to recommendations of the Committee as such recommendations apply to the members. The Union shall have one (1) designee that serves on the Committee and may exercise voting rights on behalf of the Union. Any member appointed as the Union’s designee shall be paid for attending the Committee meetings. Any overtime incurred by a member while attending meetings of the committee shall be paid at one and one-half times their regular rate of pay. 3. All coverage shall be subject to the insurance company’s requirements and eligibility. 4. Employees shall have the option to participate in a basic health insurance plan as recommended by the Health Insurance Committee, subject to the following not to exceed amounts for monthly employee contributions (to be deducted in equal installments not less than one time per month), co-pays, deductibles, deductibles and co-insurance or those recommended by the Committee, whichever is less: Employee Contribution (Bi-Monthly) 1/1/2021 - 10/31/2024 Single Employee & Spouse Employee & Children Family $168.60 $354.04 $320.32 $459.40 Single $2,000 $4,000 Family $4,000 $8,000 Coinsurance* 80% 60% Single $5,000 $10,000 Family $10,000 $20,000 Office Visit (PCP/Specialist) $35/$65 60%* Urgent Care Copay $90 60%* ER Copay $250 Inpatient Deductible $750 Outpatient Services 80%* 60%* Prescription Drug Retail Mail Order (31 days) (90 days) Tier 1 $25 $50 Tier 2 $70 $140 Tier 3 $150 $300 Tier 4 (Specialty) $400 copay Limits placed on employee contributions, co-pays and out-of-pocket maximums in this Agreement do not prevent the City from offering employees alternate health care plans which might have higher or lower contribution levels, co-pays and out-of-pocket maximums. 5. Members who retire under the Police and Firemen's ’s Disability and Pension Fund because of the City's ’s compulsory retirement ordinance, because of inability to work due to disability, or having reached the respective pension funds' ’ retirement age and/or years of service requirements, shall receive Hospital Care and Surgical Care Insurance coverage if the same is not provided by the respective pension fund. No duplication of coverage is permitted. 6. All members shall receive $50,000 group life insurance coverage paid by the City. Members may purchase additional group life insurance consistent with the carrier’s available options. Double indemnity premiums shall be paid by the City on all coverage provided by the City. 7. Any member retiring on or after January 1, 1972, shall receive $5,000 life insurance coverage paid for by the City. Double Indemnity will not be provided on such coverage. 8. The City will indemnify members and provide a defense to members such as the result of his/her employment, in accordance with the provisions of Ohio Revised Code Chapter 2744 and Middletown Codified Ordinance, Section 250.03.

Payment of Insurance Premiums. Members shall be entitled to participate in the City's ’s health insurance program as recommended by the Health Care Committee and described in the documents on file in the Finance Department. 1. The City agrees to maintain a City Health Care Committee for the purpose of regularly reviewing employee health care needs, and implementing a health care program for its employees. The Committee shall act in accordance with the Final Report of the Health Care Task Force Report dated July 10, 2006, and further amendments by the Committee. If the Committee is not maintained by the City, the City will provide the health care benefits in place at the time of the dissolution of the Committee for the remainder of the Agreement. 2. The Union agrees to participate in the City Health Care Committee and to adhere to the recommendations of the Committee regarding all aspects of health issues, including, but not limited to, the selection of carrier, determination of coverage and determination of co-payments, deductibles, and employee contributions, subject to the limitations herein. The City agrees to adhere to recommendations of the Committee as such recommendations apply to the members. The Union shall have one (1) designee that serves on the Committee and may exercise voting rights on behalf of the Union. Any member appointed as the Union’s designee shall be paid for attending the Committee meetings. Any overtime incurred by a member while attending meetings of the committee shall be paid at one and one-half times their regular rate of pay. 3. All coverage shall be subject to the insurance company’s requirements and eligibility. 4. Employees shall have the option to participate in a basic health insurance plan as recommended by the Health Insurance Committee, subject to the following not to exceed amounts for monthly employee contributions (to be deducted in equal installments not less than one time per month), co-pays, deductibles, deductibles and co-co- insurance or those recommended by the Committee, whichever is less: Employee Contribution (Bi-Monthly) CURRENT $122.18 $256.54 $232.12 $332.90 1/1/2020 $146.62 $307.86 $278.54 $399.48 1/1/2021 - 10/31/2024 Single Employee & Spouse Employee & Children Family $168.60 $354.04 $320.32 $459.40 2020 2021 Single $1,500 $3,000 $2,000 $4,000 Family $3,000 $6,000 $4,000 $8,000 Coinsurance* 80% 60% 80% 60% Single $4,500 $9,000 $5,000 $10,000 Family $9,000 $18,000 $10,000 $20,000 Office Visit (PCP/Specialist) $35/$60 60%* $35/$65 60%* Urgent Care Copay $80 60%* $90 60%* ER Copay $200 $250 Inpatient Deductible $500 $750 Outpatient Services 80%* 60%* Prescription Drug Retail Mail Order (31 days) (90 days) 80%* 60%* Tier 1 $25 $50 $25 $50 Tier 2 $60 $120 $70 $140 Tier 3 $125 $250 $150 $300 Tier 4 (Specialty) $300 copay $400 copay Limits placed on employee contributions, co-pays and out-of-pocket maximums in this Agreement do not prevent the City from offering employees alternate health care plans which might have higher or lower contribution levels, co-pays and out-of-of- pocket maximums. 5. Members who retire under the Police and Firemen's ’s Disability and Pension Fund because of the City's ’s compulsory retirement ordinance, because of inability to work due to disability, or having reached the respective pension funds' ’ retirement age and/or years of service requirements, shall receive Hospital Care and Surgical Care Insurance coverage if the same is not provided by the respective pension fund. No duplication of coverage is permitted. 6. All members shall receive $50,000 22,500 group life insurance coverage paid by the City. Members may purchase additional group life insurance consistent with the carrier’s available options. Double indemnity premiums shall be paid by the City on all coverage provided by the City. 7. Any member retiring on or after January 1, 1972, shall receive $5,000 life insurance coverage paid for by the City. Double Indemnity will not be provided on such coverage. 8. The City will indemnify members and provide a defense to members such as the result of his/her employment, in accordance with the provisions of Ohio Revised Code Chapter 2744 and Middletown Codified Ordinance, Section 250.03.

Payment of Insurance Premiums. Members shall be entitled to participate in the City's health insurance program as recommended by the Health Care Committee and described in the documents on file in the Finance Department. 1. The City agrees to maintain a City Health Care Committee for the purpose of regularly reviewing employee health care needs, and implementing a health care program for its employees. The Committee shall act in accordance with the Final Report of the Health Care Task Force Report dated July 10, 2006, and further amendments by the Committee. If the Committee is not maintained by the City, the City will provide the health care benefits in place at the time of the dissolution of the Committee for the remainder of the Agreement. 2. The Union agrees to participate in the City Health Care Committee and to adhere to the recommendations of the Committee regarding all aspects of health issues, including, but not limited to, the selection of carrier, determination of coverage and determination of co-payments, deductibles, and employee contributions, subject to the limitations herein. The City agrees to adhere to recommendations of the Committee as such recommendations apply to the members. The Union shall have one (1) designee that serves on the Committee and may exercise voting rights on behalf of the Union. Any member appointed as the Union’s designee shall be paid for attending the Committee meetings. Any overtime incurred by a member while attending meetings of the committee shall be paid at one and one-half times their regular rate of pay. 3. All coverage shall be subject to the insurance company’s requirements and eligibility. 4. Employees shall have the option to participate in a basic health insurance plan as recommended by the Health Insurance Committee, subject to the following not to exceed amounts for monthly employee contributions (to be deducted in equal installments not less than one time per month), co-pays, deductibles, and co-co- insurance or those recommended by the Committee, whichever is less: Employee Contribution (Bi-Monthly) 1/1/2021 - 10/31/2024 CURRENT $43.25 $90.82 $82.17 $117.85 1/1/2016 $51.90 $108.98 $98.60 $141.42 1/1/2017 $57.09 $119.88 $108.46 $155.56 1/1/2018 $61.09 $128.27 $116.06 $166.45 2016 & 2017 2018 Single Employee & Spouse Employee & Children $750 $1,500 $1,000 $2,000 Family $168.60 1,500 $354.04 $320.32 $459.40 Single 3,000 $2,000 $4,000 Family Coinsurance* 90% 70% 90% 70% Single $3,000 $6,000 $4,000 $8,000 Coinsurance* 80% 60% Single $5,000 $10,000 Family $10,000 6,000 $20,000 12,000 $8,000 $16,000 Office Visit (PCP/Specialist) $35/$65 6030/$50 70%* $35/$60 70%* Urgent Care Copay $90 6030 70%* $70 70%* ER Copay $250 150 $150 Inpatient Deductible $750 250 $250 Outpatient Services 8090%* 6070%* Prescription Drug Retail Mail Order (31 days) (90 days) 90%* 70%* Tier 1 $10 $15 $25 $50 Tier 2 $70 40 $140 60 $50 $100 Tier 3 $80 $100 $100 $150 $300 Tier 4 (Specialty) $400 200 copay $200 copay Limits placed on employee contributions, co-pays and out-of-pocket maximums in this Agreement do not prevent the City from offering employees alternate health care plans which might have higher or lower contribution levels, co-pays and out-of-of- pocket maximums. 5. Members who retire under the Police and Firemen's Disability and Pension Fund because of the City's compulsory retirement ordinance, because of inability to work due to disability, or having reached the respective pension funds' retirement age and/or years of service requirements, shall receive Hospital Care and Surgical Care Insurance coverage if the same is not provided by the respective pension fund. No duplication of coverage is permitted. 6. All members shall receive $50,000 22,500 group life insurance coverage paid by the City. Members may purchase additional group life insurance consistent with the carrier’s available options. Double indemnity premiums shall be paid by the City on all coverage provided by the City. 7. Any member retiring on or after January 1, 1972, shall receive $5,000 life insurance coverage paid for by the City. Double Indemnity will not be provided on such coverage. 8. The City will indemnify members and provide a defense to members such as the result of his/her employment, in accordance with the provisions of Ohio Revised Code Chapter 2744 and Middletown Codified Ordinance, Section 250.03.

Payment of Insurance Premiums. Members shall be entitled to participate in the City's health insurance program as recommended by the Health Care Committee and described in the documents on file in the Finance Department. 1. The City agrees to maintain a City Health Care Committee for the purpose of regularly reviewing employee health care needs, and implementing a health care program for its employees. The Committee shall act in accordance with the Final Report of the Health Care Task Force Report dated July 10, 2006, and further amendments by the Committee. If the Committee is not maintained by the City, the City will provide the health care benefits in place at the time of the dissolution of the Committee for the remainder of the Agreement. 2. The Union agrees to participate in the City Health Care Committee and to adhere to the recommendations of the Committee regarding all aspects of health issues, including, but not limited to, the selection of carrier, determination of coverage and determination of co-payments, deductibles, and employee contributions, subject to the limitations herein. The City agrees to adhere to recommendations of the Committee as such recommendations apply to the members. The Union shall have one (1) designee that serves on the Committee and may exercise voting rights on behalf of the Union. Any member appointed as the Union’s designee shall be paid for attending the Committee meetings. Any overtime incurred by a member while attending meetings of the committee shall be paid at one and one-half times their regular rate of pay. 3. All coverage shall be subject to the insurance company’s requirements and eligibility. 4. Employees shall have the option to participate in a basic health insurance plan as recommended by the Health Insurance Committee, subject to the following not to exceed amounts for monthly employee contributions (to be deducted in equal installments not less than one time per month), co-pays, deductibles, and co-co- insurance or those recommended by the Committee, whichever is less: Employee Contribution (Bi-Monthly) CURRENT $122.18 $256.54 $232.12 $332.90 1/1/2020 $146.62 $307.86 $278.54 $399.48 1/1/2021 - 10/31/2024 Single Employee & Spouse Employee & Children Family $168.60 $354.04 $320.32 $459.40 2020 2021 Single $1,500 $3,000 $2,000 $4,000 Family $3,000 $6,000 $4,000 $8,000 Coinsurance* 80% 60% 80% 60% Single $4,500 $9,000 $5,000 $10,000 Family $9,000 $18,000 $10,000 $20,000 Office Visit (PCP/Specialist) $35/$60 60%* $35/$65 60%* Urgent Care Copay $80 60%* $90 60%* ER Copay $200 $250 Inpatient Deductible $500 $750 Outpatient Services 80%* 60%* Prescription Drug Retail Mail Order (31 days) (90 days) 80%* 60%* Tier 1 $25 $50 $25 $50 Tier 2 $60 $120 $70 $140 Tier 3 $125 $250 $150 $300 Tier 4 (Specialty) $300 copay $400 copay Limits placed on employee contributions, co-pays and out-of-pocket maximums in this Agreement do not prevent the City from offering employees alternate health care plans which might have higher or lower contribution levels, co-pays and out-of-of- pocket maximums. 5. Members who retire under the Police and Firemen's Disability and Pension Fund because of the City's compulsory retirement ordinance, because of inability to work due to disability, or having reached the respective pension funds' retirement age and/or years of service requirements, shall receive Hospital Care and Surgical Care Insurance coverage if the same is not provided by the respective pension fund. No duplication of coverage is permitted. 6. All members shall receive $50,000 22,500 group life insurance coverage paid by the City. Members may purchase additional group life insurance consistent with the carrier’s available options. Double indemnity premiums shall be paid by the City on all coverage provided by the City. 7. Any member retiring on or after January 1, 1972, shall receive $5,000 life insurance coverage paid for by the City. Double Indemnity will not be provided on such coverage. 8. The City will indemnify members and provide a defense to members such as the result of his/her employment, in accordance with the provisions of Ohio Revised Code Chapter 2744 and Middletown Codified Ordinance, Section 250.03.

Payment of Insurance Premiums. Members shall be entitled to participate in the City's health insurance program as recommended by the Health Care Committee and described in the documents on file in the Finance Department. 1. The City agrees to maintain a City Health Care Committee for the purpose of regularly reviewing employee health care needs, and implementing a health care program for its employees. The Committee shall act in accordance with the Final Report of the Health Care Task Force Report dated July 10, 2006, and further amendments by the Committee. If the Committee is not maintained by the City, the City will provide the health care benefits in place at the time of the dissolution of the Committee for the remainder of the Agreement. 2. The Union agrees to participate in the City Health Care Committee and to adhere to the recommendations of the Committee regarding all aspects of health issues, including, but not limited to, the selection of carrier, determination of coverage and determination of co-payments, deductibles, and employee contributions, subject to the limitations herein. The City agrees to adhere to recommendations of the Committee as such recommendations apply to the members. The Union shall have one (1) designee that serves on the Committee and may exercise voting rights on behalf of the Union. Any member appointed as the Union’s designee shall be paid for attending the Committee meetings. Any overtime incurred by a member while attending meetings of the committee shall be paid at one and one-half times their regular rate of pay. 3. All coverage shall be subject to the insurance company’s requirements and eligibility. 4. Employees shall have the option to participate in a basic health insurance plan as recommended by the Health Insurance Committee, subject to the following not to exceed amounts for monthly employee contributions (to be deducted in equal installments not less than one time per month), co-pays, deductibles, deductibles and co-co- insurance or those recommended by the Committee, whichever is less: Employee Contribution (Bi-Monthly) 1/1/2021 - 10/31/2024 1/1/2018 $61.09 $128.27 $116.06 $166.45 2016 & 2017 2018 Single Employee & Spouse Employee & Children $750 $1,500 $1,000 $2,000 Family $168.60 1,500 $354.04 $320.32 $459.40 Single 3,000 $2,000 $4,000 Family Coinsurance* 90% 70% 90% 70% Single $3,000 $6,000 $4,000 $8,000 Coinsurance* 80% 60% Single $5,000 $10,000 Family $10,000 6,000 $20,000 12,000 $8,000 $16,000 Office Visit (PCP/Specialist) $35/$65 6030/$50 70%* $35/$60 70%* Urgent Care Copay $90 6030 70%* $70 70%* ER Copay $250 150 $150 Inpatient Deductible $750 250 $250 Outpatient Services 8090%* 6070%* Prescription Drug Retail Mail Order (31 days) (90 days) 90%* 70%* Tier 1 $10 $15 $25 $50 Tier 2 $70 40 $140 60 $50 $100 Tier 3 $80 $100 $100 $150 $300 Tier 4 (Specialty) $400 200 copay $200 copay Limits placed on employee contributions, co-pays and out-of-pocket maximums in this Agreement do not prevent the City from offering employees alternate health care plans which might have higher or lower contribution levels, co-pays and out-of-of- pocket maximums. 5. Members who retire under the Police and Firemen's Disability and Pension Fund because of the City's compulsory retirement ordinance, because of inability to work due to disability, or having reached the respective pension funds' retirement age and/or years of service requirements, shall receive Hospital Care and Surgical Care Insurance coverage if the same is not provided by the respective pension fund. No duplication of coverage is permitted. 6. All members shall receive $50,000 22,500 group life insurance coverage paid by the City. Members may purchase additional group life insurance consistent with the carrier’s available options. Double indemnity premiums shall be paid by the City on all coverage provided by the City. 7. Any member retiring on or after January 1, 1972, shall receive $5,000 life insurance coverage paid for by the City. Double Indemnity will not be provided on such coverage. 8. The City will indemnify members and provide a defense to members such as the result of his/her employment, in accordance with the provisions of Ohio Revised Code Chapter 2744 and Middletown Codified Ordinance, Section 250.03.