Common use of PPO Clause in Contracts

PPO. Employees may enroll in the PPO program (or its successor), subject to the enrollment rules of the carrier but provided there shall be no pre-existing condition limitation. The annual date for rate changes is October 1. Those individual/small group instruction teachers who elect coverage shall be provided the benefit level that is in effect at the time of their election. The benefits shall be as follows in accordance with the Summary Chart in Appendix (TBD): Office co-pay: $20.00 – network $20.00–70% out of network Emergency room co-pay: $ 50.00 Deductible – Network: $150.00 – Single $300.00 – Family Non Network: $150.00 – Single $300.00 – Family Co-insurance – Network: $500.00 Single $1,000.00 Family Non-network: $2,000.00–Single $4,000.00 – Family

PPO. Employees may enroll in the PPO program (or its successor), subject to the enrollment rules of the carrier but provided there shall be no pre-existing condition limitation. The annual date for rate changes is October 11st. Those individual/small group instruction teachers who elect coverage shall be provided the benefit level that is in effect at the time of their election. The benefits shall be as follows in accordance with the Summary Chart in Appendix (TBD): follows: Office co-pay: $20.00 15.00 – network $20.00–7015.00–70% out of network Emergency room co-pay: $ 50.00 Deductible – Network: $150.00 – Single $300.00 – Family Non Network: $150.00 – Single $300.00 – Family Co-insurance – Network: $500.00 150.00 Single $1,000.00 300.00 Family Non-network: $2,000.00–Single $4,000.00 – Family

PPO. Employees may enroll in the PPO program (or its successor), subject to the enrollment rules of the carrier but provided there shall be no pre-existing condition limitation. The annual date for rate changes is October 1. Those individual/small group instruction teachers who elect coverage shall be provided the benefit level that is in effect at the time of their election. The benefits shall be as follows in accordance with the Summary Chart in Appendix (TBD): follows: Office co-pay: $20.00 15.00 – network $20.00–7015.00–70% out of network Emergency room co-pay: $ 50.00 Deductible – Network: $150.00 – Single $300.00 – Family Non Network: $150.00 – Single $300.00 – Family Co-insurance – Network: $500.00 150.00 Single $1,000.00 300.00 Family Non-network: $2,000.00–Single $4,000.00 – Family

PPO. Employees may enroll in the PPO program (or its successor), subject to the enrollment rules of the carrier but provided there shall be no pre-existing condition limitation. The annual date for rate changes is October 1. Those individual/small group instruction teachers who elect coverage shall be provided the benefit level that is in effect at the time of their election. The benefits shall be as follows in accordance with the Summary Chart in Appendix (TBD): Office co-pay: $20.00 – network $20.00–70% out of network Emergency room co-pay: $ 50.00 Deductible – Network: $150.00 – Single $300.00 – Family Non Network: $150.00 – Single $300.00 – Family Co-insurance – Network: $500.00 Single $1,000.00 Family Non-network: $2,000.00–1,850.00 – Single $4,000.00 3,700.00 – Family