Common use of Provisions Applicable to All Plans Clause in Contracts

Provisions Applicable to All Plans. (1) The City will not pay for any services or supplies that are unnecessary according to acceptable medical procedures. (2) The City shall have the right to require employees to execute a medical authorization to the applicable Group to examine employee medical and/or dental records for auditing purposes. (3) The City shall have the right to establish methods, measures and procedures it deems necessary to restrict abuses and/or excessive costs in application of the benefits provided under subsections 1.a. through 1.e., above. (4) The City, in conjunction with its insurance carrier, shall have the right to develop and implement any other cost containment measures it deems necessary. (5) An employee's health care/dental coverage provided by this Article shall terminate on the last day of the calendar month in which the employee is removed from the Police Department payroll; provided however, that when an employee is suspended from duty without pay, such benefits shall not terminate on the last day of the calendar month in which the suspension begins if the suspension ends prior to the last day of the next following calendar month. The Police Department Administration will provide written advance notice to an employee indicating the date on which his/her health care/dental coverage will be terminated. Notwithstanding the foregoing, an employee's health care coverage shall not terminate so long as he/she and/or his/her dependent(s) are eligible for and receiving health care coverage under the specific provisions of this Agreement that are applicable to individuals not on the Department payroll. Except for suspensions (as provided above) this exception does not extend the termination date of an employee's dental coverage beyond the last day of the calendar month in which the employee is removed from the Department payroll. (6) A Health Risk Assessment (HRA), which shall include basic biometrics, a written health risk assessment questionnaire and a blood draw, shall be administered on an annual basis. (7) Both a Wellness and Prevention Program and Committee shall be implemented. A description of both the program and the committee is appended hereto as Appendix G.

Provisions Applicable to All Plans. (1) The City will not pay for any services or supplies that are unnecessary according to acceptable medical procedures. (2) The City shall have the right to require employees to execute a medical authorization to the applicable Group to examine employee medical and/or dental records for auditing purposes. (3) The City shall have the right to establish methods, measures and procedures it deems necessary to restrict abuses and/or excessive costs in application of the benefits provided under subsections 1.a. through 1.e1.b., inclusive, of this Article, above. (4) The City, in conjunction with its insurance carrier, shall have the right to develop and implement any other cost containment measures it deems necessary. (5) An employee's dental insurance benefits and health care/dental coverage provided by this Article shall terminate on the last day of the calendar month in which the employee is removed from the Police Fire Department payroll; provided however, that when an employee is suspended from duty without pay, such benefits shall not terminate on the last day of the calendar month in which the suspension begins if the suspension ends prior to the last day of the next following calendar month. The Police Fire Department Administration will provide written advance notice to an employee indicating the date on which his/her health carehealth/dental coverage will be terminated. Notwithstanding the foregoing, an employee's health care coverage shall not terminate so long as he/she and/or his/her dependent(s) are eligible for and receiving health care coverage under the specific provisions of this Agreement that are applicable to individuals not on the Department payroll. Except for suspensions (as provided above) this This exception does not extend the termination date of an employee's dental insurance coverage beyond the last day of the calendar month in which the employee is removed from the Department payroll. (6) A Health Risk Assessment (HRA), which shall include basic biometrics, a written health risk assessment questionnaire and a blood draw, shall be administered on an annual basis. (7) Both a Wellness and Prevention Program and Committee shall be implemented. A description of both the program and the committee is appended hereto as Appendix G.A. (8) Data obtained through the Health Risk Assessment (HRA) shall not be shared with the City of Milwaukee Worker’s Compensation Section.

Provisions Applicable to All Plans. 27 (1) The City will not pay for any services or supplies that are unnecessary 1 according to acceptable medical procedures. 2 (2) The City shall have the right to require employees to execute a medical 3 authorization to the applicable Group to examine employee medical and/or 4 dental records for auditing purposes. 5 (3) The City shall have the right to establish methods, measures and procedures 6 it deems necessary to restrict abuses and/or excessive costs in application of 7 the benefits provided under subsections 1.a. through 1.e1.c., above. 8 (4) The City, in conjunction with its insurance carrier, shall have the right to 9 develop and implement any other cost containment measures it deems 10 necessary. 11 (5) An employee's health care/dental coverage provided by this Article shall 12 terminate on the last day of the calendar month in which the employee is 13 removed from the Police Department payroll; provided however, that when 14 an employee is suspended from duty without pay, such benefits coverage shall not 15 terminate on the last day of the calendar month in which the suspension 16 begins if the suspension ends prior to the last day of the next following 17 calendar month. The Police Department Administration will provide 18 written advance notice to an employee indicating the date on which his/her 19 health care/dental coverage will be terminated. Notwithstanding the 20 foregoing, an employee's health care coverage shall not terminate so long as 21 he/she and/or his/her dependent(s) are eligible for and receiving health care 22 coverage under the specific provisions of this Agreement that are applicable 23 to individuals not on the Department payroll. Except for suspensions (as 24 provided above) this exception does not extend the termination date of an 25 employee's dental coverage beyond the last day of the calendar month in 26 which the employee is removed from the Department payroll. 27 (6) A An annual Health Risk Assessment (HRA), which shall include basic 28 biometrics, a written health risk assessment questionnaire and a blood draw, 1 shall be administered on an annual basis. 2 (7) Both a Wellness and Prevention Program and Committee shall be 3 implemented. A description of both the program and the committee is 4 appended hereto as Appendix G.I.

Provisions Applicable to All Plans. 1 (1) The City will not pay for any services or supplies that are unnecessary according to acceptable medical procedures.unnecessary 3 (2) The City shall have the right to require employees to execute a medical 4 authorization to the applicable Group to examine employee medical and/or 5 dental records for auditing purposes. 6 (3) The City shall have the right to establish methods, measures and procedures 7 it deems necessary to restrict abuses and/or excessive costs in application of 8 the benefits provided under subsections 1.a. through 1.e1.c., above. 9 (4) The City, in conjunction with its insurance carrier, shall have the right to 10 develop and implement any other cost containment measures it deems 11 necessary. 12 (5) An employee's health care/dental coverage provided by this Article shall 13 terminate on the last day of the calendar month in which the employee is 14 removed from the Police Department payroll; provided however, that when 15 an employee is suspended from duty without pay, such benefits coverage shall not 16 terminate on the last day of the calendar month in which the suspension 17 begins if the suspension ends prior to the last day of the next following 18 calendar month. The Police Department Administration will provide written 19 advance notice to an employee indicating the date on which his/her health 20 care/dental coverage will be terminated. Notwithstanding the foregoing, an 21 employee's health care coverage shall not terminate so long as he/she and/or 22 his/her dependent(s) are eligible for and receiving health care coverage under 23 the specific provisions of this Agreement that are applicable to individuals 24 not on the Department payroll. Except for suspensions (as provided above) 25 this exception does not extend the termination date of an employee's dental 26 coverage beyond the last day of the calendar month in which the employee 27 is removed from the Department payroll. 28 (6) A An annual Health Risk Assessment (HRA), which shall include basic 1 biometrics, a written health risk assessment questionnaire and a blood draw, 2 shall be administered on an annual basis. 3 (7) Both a Wellness and Prevention Program and Committee shall be 4 implemented. A description of both the program and the committee is 5 appended hereto as Appendix G.I.

Provisions Applicable to All Plans. 13 (1) The City will not pay for any services or supplies that are unnecessary 14 according to acceptable medical procedures. 15 (2) The City shall have the right to require employees to execute a medical 16 authorization to the applicable Group to examine employee medical and/or 17 dental records for auditing purposes. 18 (3) The City shall have the right to establish methods, measures and procedures 19 it deems necessary to restrict abuses and/or excessive costs in application of 20 the benefits provided under subsections 1.a. through 1.e1.d., inclusive, of this 21 Article, above. 22 (4) The City, in conjunction with its insurance carrier, shall have the right to 23 develop and implement any other cost containment measures it deems 24 necessary. 25 (5) An employee's health carehealth/dental coverage insurance benefits provided by this Article 26 shall terminate on the last day of the calendar month in which the employee 27 is removed from the Police Department payroll; provided however, that 1 when an employee is suspended from duty without pay, such benefits shall 2 not terminate on the last day of the calendar month in which the suspension 3 begins if the suspension ends prior to the last day of the next following 4 calendar month. The Police Department Administration will provide 5 written advance notice to an employee indicating the date on which his/her health care6 health/dental insurance coverage will be terminated. Notwithstanding the 7 foregoing, an employee's health care insurance coverage shall not terminate so 8 long as he/she and/or his/her dependent(s) are eligible for and receiving health care coverage under the specific provisions of this Agreement 10 that are applicable to individuals not on the Department payroll. Except for 11 suspensions (as provided above) this exception does not extend the 12 termination date of an employee's dental insurance coverage beyond the last 13 day of the calendar month in which the employee is removed from the 14 Department payroll. 15 (6) A An annual Health Risk Assessment (HRA), which shall include basic 16 biometrics, a written health risk assessment questionnaire and a blood draw, 17 shall be administered on an annual basisimplemented as soon as practicable following execution of the 18 Agreement. 19 (7) Both a Wellness and Prevention Program and Committee shall be 20 implemented. A description of both the program and the committee is 21 appended hereto as Appendix G.I.

Provisions Applicable to All Plans. 25 (1) The City will not pay for any services or supplies that are unnecessary 26 according to acceptable medical procedures. 27 (2) The City shall have the right to require employees to execute a medical 1 authorization to the applicable Group to examine employee medical and/or 2 dental records for auditing purposes. 3 (3) The City shall have the right to establish methods, measures and procedures 4 it deems necessary to restrict abuses and/or excessive costs in application of 5 the benefits provided under subsections 1.a. through 1.e1.c., above. 6 (4) The City, in conjunction with its insurance carrier, shall have the right to 7 develop and implement any other cost containment measures it deems 8 necessary. 9 (5) An employee's health care/dental coverage provided by this Article shall 10 terminate on the last day of the calendar month in which the employee is 11 removed from the Police Department payroll; provided however, that when 12 an employee is suspended from duty without pay, such benefits coverage shall not 13 terminate on the last day of the calendar month in which the suspension 14 begins if the suspension ends prior to the last day of the next following 15 calendar month. The Police Department Administration will provide 16 written advance notice to an employee indicating the date on which his/her 17 health care/dental coverage will be terminated. Notwithstanding the 18 foregoing, an employee's health care coverage shall not terminate so long as 19 he/she and/or his/her dependent(s) are eligible for and receiving health care 20 coverage under the specific provisions of this Agreement that are applicable 21 to individuals not on the Department payroll. Except for suspensions (as 22 provided above) this exception does not extend the termination date of an 23 employee's dental coverage beyond the last day of the calendar month in 24 which the employee is removed from the Department payroll. 25 (6) A An annual Health Risk Assessment (HRA), which shall include basic 26 biometrics, a written health risk assessment questionnaire and a blood draw, 27 shall be administered on an annual basis. 28 (7) Both a Wellness and Prevention Program and Committee shall be 1 implemented. A description of both the program and the committee is 2 appended hereto as Appendix G.I.

Provisions Applicable to All Plans. (1) The City will not pay for any services or supplies that are unnecessary according to acceptable medical procedures. (2) The City shall have the right to require employees to execute a medical authorization to the applicable Group to examine employee medical and/or dental records for auditing purposes. (3) The City shall have the right to establish methods, measures and procedures it deems necessary to restrict abuses and/or excessive costs in application of the benefits provided under subsections 1.a. through 1.e1.d., inclusive, of this Article, above. (4) The City, in conjunction with its insurance carrier, shall have the right to develop and implement any other cost containment measures it deems necessary. (5) An employee's health carehealth/dental coverage insurance benefits provided by this Article shall terminate on the last day of the calendar month in which the employee is removed from the Police Fire Department payroll; provided however, that when an employee is suspended from duty without pay, such benefits shall not terminate on the last day of the calendar month in which the suspension begins if the suspension ends prior to the last day of the next following calendar month. The Police Fire Department Administration will provide written advance notice to an employee indicating the date on which his/her health carehealth/dental insurance coverage will be terminated. Notwithstanding the foregoing, an employee's health care insurance coverage shall not terminate so long as he/she and/or his/her dependent(s) are eligible for and receiving health care insurance coverage under the specific provisions of this Agreement that are applicable to individuals not on the Department payroll. Except for suspensions (as provided above) this This exception does not extend the termination date of an employee's dental insurance coverage beyond the last day of the calendar month in which the employee is removed from the Department payroll. (6) A An annual Health Risk Assessment (HRA), which shall include basic biometrics, a written health risk assessment questionnaire and a blood draw, shall be administered on an annual basisimplemented as soon as practicable following execution of the Agreement. (7) Both a Wellness and Prevention Program and Committee shall be implemented. A description of both the program and the committee is appended hereto as Appendix G.A.

Provisions Applicable to All Plans. (1) The City will not pay for any services or supplies that are unnecessary according to acceptable medical procedures. (2) The City shall have the right to require employees an employee to execute a medical authorization to the applicable Group to examine employee medical and/or dental records for auditing purposes. (3) The City shall have the right to establish the methods, measures and procedures it deems necessary to restrict abuses and/or excessive costs in the application of the benefits provided under subsections 1.a. through 1.e., above1.d. of this Article. (4) The City, in conjunction with its insurance administrator, carrier, or provider shall have the right to develop and implement any other cost containment measures it deems necessary. (5) An employee's health carehealth/dental coverage insurance benefits provided by this Article shall terminate on the last day of the calendar month in which the employee is removed from the Police Department payroll; provided provided, however, that when an employee is suspended from duty without pay, such benefits shall not terminate on the last day of the calendar month in which the suspension begins if the suspension ends prior to the last day of the next following calendar month. The Police Department Administration will provide written advance notice to an employee indicating the date on which his/her health carehealth/dental insurance coverage will be terminated. Notwithstanding the foregoing, an employee's health care insurance coverage shall not terminate so long as he/she she, and/or his/her dependent(s) are eligible for and receiving health care insurance coverage under the specific provisions of this Agreement that are applicable to individuals not on the Department payroll. Except for suspensions (as provided above) this This exception does not extend the termination date of an employee's dental insurance coverage beyond the last day of the calendar month in which the employee is removed from the Department payroll. (6) A An annual Health Risk Assessment (HRA), which shall include basic biometrics, a written health risk assessment questionnaire and a blood draw, shall be administered on an annual basisimplemented as soon as practicable following execution of the Agreement. (7) Both a Wellness and Prevention Program and Committee shall be implemented. A description of both the program and the committee is appended hereto as Appendix G.A.