Plan Design. The flexible benefits plan is a cafeteria-style benefits program wherein the County makes a contribution toward the Flexible Benefits Plan for each eligible employee to be allocated during the employee's active employment. The County contribution is distributed by the employee among the menu of benefit options listed below, the specific details and administration of which are set forth in the plan brochures: • Health insurance • County basic life and AD&D insurance • Dental insurance • Vision insurance • Supplemental life insurance • Supplemental accidental death and dismemberment insurance (AD&D) • Flexible spending accounts for pre-tax reimbursement of qualified medical and/or dependent day care expenses. Account credits must be used during the plan year in which they are earned for expenses incurred during the same plan year. • The plan may be modified upon written notice by the County. This plan includes for eligible employees pre-tax contributions for all monies paid toward health, dental, vision and/or voluntary AD&D plans.
Plan Design. The Board agrees to provide medical plan design coverage essentially equal to the coverage currently in effect for the Union, with the exception of Article 8.E. below, and as follows, effective January 1, 2020:
a. Maximum out-of-pocket (deductible, plus coinsurance, plus medical and prescription co-pays): $6,850/$13,700, network; unlimited, non-network
b. Outpatient Services
a. Non-Emergency use of an Emergency Room and Emergency Room Physician: $100 copay, then 100%, network; $100 copay, then 100%, non-network
c. Telemedicine benefit
d. SaveonSP Program: Members whose specialty medication is eligible for this Program shall enroll and participate; once properly enrolled, the member’s responsibility shall be $0 in copay. (If the SaveonSP Program is no longer available for a specialty medication, Article 8.E. copays shall apply.)
Plan Design. Effective March 1, 2021, or February 1, 2021; whichever date in sooner based on when Medical Mutual can convert to Appendix D; the Board agrees to provide the medical plan design as included in Appendix D.
Plan Design. The flexible benefits plan is a cafeteria-style benefits program wherein the County makes a contribution towards the Flexible Benefits Plan for each eligible employee to be allocated during the employee's active employment. The County contribution is distributed by the employee among the menu of benefit options listed below, the specific details and administration of which are set forth in the plan brochures:
a. Core" Benefits: • Health insurance • County basic life and AD&D insurance
Plan Design. The flexible benefits plan is a cafeteria-style benefits program wherein the County makes a contribution towards the Flexible Benefits Plan for each eligible employee to be allocated during the employee's active employment. The County contribution is distributed by the employee among the menu of benefit options listed below, the specific details and administration of which are set forth in the plan brochures:
a. Core" Benefits: • Health insurance • County basic life and AD&D insurance
b. Optional Benefits: • dental insurance • vision insurance • supplemental life insurance • supplemental accidental death and dismemberment insurance (AD&D) • Flexible spending accounts for pre-tax reimbursement of qualified medical and/or dependent day care expenses. Account credits must be used during the plan year in which they are earned for expenses incurred during the same plan year. • The plan may be modified upon written notice by the County. This plan includes, for eligible employees, pre-tax contributions for all monies paid towards health, dental, vision and/or voluntary AD&D plans.
Plan Design. MHHSI will provide plan design services, including forms, notices, booklets, summary plan descriptions and other documents designed specifically for the Plan.
Plan Design. The parties agree that in the event a committee is formed to discuss plan design changes during the term of this Agreement the bargaining unit shall have a representative on such committee.
Plan Design. The parties agree that either party may request to discuss plan design changes during the term of the Agreement in an effort to reduce health care premiums. The parties agree that in the event a committee is formed to discuss plan design changes during the term of this Agreement the bargaining unit shall have a representative on such committee.
Plan Design. The Board agrees to provide medical plan design coverage essentially equal to the coverage currently in effect for the Council, with the exception of Article 4.05.1. below, and as follows, effective January 1, 2020:
a. Maximum out-of-pocket (deductible, plus coinsurance, plus medical and prescription co-pays): $6,850/$13,700, network; unlimited, non-network
b. Outpatient Services
a. Non-Emergency use of an Emergency Room and Emergency Room Physician: $100 copay, then 100%, network; $100 copay, then 100%, non- network
c. Telemedicine benefit
Plan Design. (a) Effective September 1, 2014, services and benefits as provided in Blue Cross Xx. 0 Xxxxx Xxxx xxx Xxxxx Xx. 0, based on the 2013 Ontario Dental Association Schedule of Fees.
(b) Effective September 1, 2014, services and benefits as provided in Blue Cross Rider No.2 (50%), based on the 2013 Ontario Dental Association Schedule of Fees.
(c) On September 1st of following years, amend the Plan to provide for the application of the Ontario Dental Association Schedule of Fees from the preceding year, consistent with the method used in (a) and (b) above.
(d) Plan to provide coverage for fissure seal treatment.
(e) Maximum $1,500.00 per calendar year per person. Effective January 1, 2015 increase maximum annual amount payable to $1,750.00 per person. It is understood and agreed that the Plan will provide for the continuation of coverage for the period an employee is off work due to layoff or Leave of Absence, but in no case beyond the end of the month following the month in which such absence commenced.
