PLAN THREE. (Flex Plan - Current Retirees Only) This health insurance plan shall incorporate an overall policy deductible of $200.00/single, $600.00/family with an 80%/20% split on the next $5,000, (80% County/20% Employee) and a drug plan of $0/$6. This plan requires precertification for in-patient elective surgery, out-patient elective surgery, non-emergency use of emergency room, and emergency hospital confinement with a penalty of $100.00 for failing to obtain precertification. NOTE: Retirees are not eligible for flexible spending accounts.
PLAN THREE. (Flex Plan) This health insurance plan shall incorporate an overall policy deductible of $200.00/single, $600.00/family with an 80%/20% split on the next $5,000, (80% County/20% Employee). Additional provisions of the plan are listed on Appendix "H" to this Agreement which is attached hereto and incorporated by reference herein. This plan requires precertification for in-patient elective surgery, out-patient elective surgery, non-emergency use of emergency room, and emergency hospital confinement with a penalty of $100.00 for failing to obtain precertification. For the 12 month period following implementation of precertification requirements, the County will reimburse an employee the full cost of the first penalty and 50% of the second penalty. Disputes may be subject to the grievance procedure. NOTE: Retirees are not eligible for flexible spending accounts.
PLAN THREE. (Flex Plan) This health insurance plan shall incorporate an overall policy deductible of $200.00/single, $600.00/family with an 80%/20% split on the next $5,000, (80% County/20% Employee). Additional provisions of the plan are listed on Appendix "E" to this Agreement which is attached hereto and incorporated by reference herein. This plan requires pre- certification of all hospital confinements and out- patient surgery (non-emergency pre-certification shall be made prior to hospital confinement and/or out-patient surgical procedure and emergency pre-certification shall be made within 48 hours after hospital confinement and/or outpatient surgical procedures) as well as non- emergency use of an emergency room with a penalty of $50.00 for failing to obtain precertification. For the 12 month period following implementation of precertification requirements, the County will reimburse an employee the full cost of the first penalty and 50% of the second penalty. Disputes may be subject to the grievance procedure. NOTE: Retirees are not eligible for flexible spending accounts. (i) PLAN FOUR (Kenosha Healthcare Partners Plan) This health insurance plan provides a $10 per visit charge for health visits with a maximum of five, ($50) for one individual and a family maximum of $150. The plan provides a $10 per visit charge for dental visits with a maximum of two co-payments per one course of treatment. Routine dental visits are free of charge. The plan provides for free prescriptions, and a flexible spending account of $300 single/$600 family, (one-half of the flex dollar amounts will be given to employees hired after July 1). The plan provides for a $75 penalty to use the emergency room if not authorized by the Health Care Center prior to, or no later than 24 hours of its use.
PLAN THREE. (Flex Plan) This health insurance plan shall incorporate an overall policy deductible of $200.00/single, $600.00/family with an 80%/20% split on the next $5,000, (80% County/20% Employee). Additional provisions of the plan are listed on Appendix "Z" to this Agreement which is attached hereto and incorporated by reference herein. This plan requires precertification for in-patient elective surgery, out- patient elective surgery, non-emergency use of emergency room, and emergency hospital confinement with a penalty of $50.00 for failing to obtain precertification. Disputes may be subject to the grievance procedure. NOTE: Retirees are not eligible for flexible spending accounts. (i) PLAN FOUR (Kenosha Healthcare Partners Plan) This health insurance plan provides a $10 per visit charge for health visits with a maximum of five, ($50) for one individual and a family maximum of $150. The plan provides a $10 per visit charge for dental visits with a maximum of two co-payments per one course of treatment. Routine dental visits are free of charge. The plan provides for free prescriptions, and a flexible spending account of $300 single/$600 family, (one-half of the flex dollar amounts will be given to employees hired after July 1). The plan provides for a $50 penalty to use the emergency room if not authorized by the Health Care Center prior to, or no later than 24 hours of its use.
PLAN THREE. (Flex Plan) This health insurance plan shall incorporate an overall policy deductible of $200.00/single, $600.00/family with an 80%/20% split on the next $5,000, (80% County/20% Employee). This plan requires pre-certification of all hospital confinements and out-patient surgery (non- emergency pre-certification shall be made prior to hospital confinement and/or out-patient surgical procedure and emergency pre-certification shall be made within 48 hours after hospital confinement and/or outpatient surgical procedures) as well as non-emergency use of an emergency room with a penalty of $50.00 for failing to obtain precertification. For the 12 month period following implementation of precertification requirements, the County will reimburse an employee the full cost of the first penalty and 50% of the second penalty. Disputes may be subject to the grievance procedure. NOTE: Retirees are not eligible for flexible spending accounts.
