Common use of Reminder Clause in Contracts

Reminder. The MLT Side letter reads as follows: The Permanente Medical Group, Inc. and ESC/I.F>P.T.E., Local 20 (The Parties) agree that in the event the classification of medical laboratory technician (MLT), as defined by the State of California regulations, is created, it shall be a covered employee under Article I – definitions, section 1.01. Upon request of either party, negotiations shall commence utilizing the interest based bargaining (IBB ) process to establish the wages, hours and other terms and conditions of the employment of medical laboratory technicians. These negotiations shall be conducted under the auspices and oversight of the region-wide laboratory oversight committee. Unions 7-3-08 Proposal: APPENDIX I SIDE LETTER OF AGREEMENT - MLT Job Postings: CLS’ are eligible to bid on posted MLT positions. A CLS who successfully obtains a posted MLT positions will move to the MLT wage structure and work within the scope of the MLT licensure. Parties agree to continue discussion or implementation of MLT role utilizing LSLMC. *During the term of this agreement, at the request of either party, the parties agree to meet and discuss shift differentials and/or longevity steps at such time that the MLT classification meets the hard to recruit criteria outlined by the Workforce Planning and Development Subgroup. /S/ Xxxxx Xxxxx TPMG Date /S/ 6/2/2010 Xxxxxxx Xxxxx IFPTE Local 20, Date /S/ Xxxxx Xxxxxxx Labor Relations Date /S/ 6/2/2010 Xxxxxx Xxxxx IFPTE Local 20 Date /S/ Xxxxxxxxx Xxxxxxx Date /S/ Xxxxxx Xxx TPMG Date TPMG APPENDIX J LETTER OF AGREEMENT – IMMEDIATE PAST SERVICE CREDIT “Immediate” Past Service Credit for Local 20 Clinical Laboratory Scientists For Clinical Lab Scientists on the payroll as of March 1, 2003 and who were previously covered by Employer contributions to the 401k plan, Past Service Credit for years prior to 2006 will be granted under the following provisions. For purposes of determining Credited Service for the “look back” period, a total of 1,800 compensated hours will be considered as a full year; partial years of Credited Service will be granted based on 1800 compensated hours. A maximum of three (3) Credited Service years will be granted under this “look back” provision. This provision does not impact Clinical Lab Scientist who chose to remain in XXXX after December 31, 1975. In determining the number of years to be included in the “look back” period, the employee’s scheduled hours in effect as of 1/1/2005 will be used. For 2006, Clinical Lab Scientists who were scheduled to work at least 32, 36 or 40 hours as of 1/1/2005 and who were scheduled to work at least 32, 36 or 40 hours for the entire year of 2005, up to 1 year will be granted under the Plan for 2005 based on compensated hours. For 2006, Clinical Lab Scientists who were scheduled to work at least 36 or 40 hours as of 1/1/2005 and who were scheduled to work at least 36 or 40 hours for the entire year of 2004, up to 1 year will be granted under the Plan for 2004 based on compensated hours. For 2006, Clinical Lab Scientists who were scheduled to work 40 hours as of 1/1/2005 and who were scheduled to work 40 hours for the entire year of 2004, up to 1 year will be granted under the Plan for 2003 based on compensated hours. /s/ Xxx Xxxxxxx 2/14/06 /s/ Xxxxx Xxxx 2/21/06 IFPTE Local 20 Date The Permanente Medical Group Date APPENDIX K ADVANCED HIRING CRITERIA (in addition to current contract language) CLS ADVANCED DEGREES/CERTIFICATIONS

Reminder. The MLT Side letter reads as follows: The Permanente Medical Group, Inc. and ESC/I.F>P.T.E., Local 20 (The Parties) agree that in the event the classification of medical laboratory technician (MLT), as defined by the State of California regulations, is created, it shall be a covered employee under Article I – definitions, section 1.01. Upon request of either party, negotiations shall commence utilizing the interest based bargaining (IBB ) process to establish the wages, hours and other terms and conditions of the employment of medical laboratory technicians. These negotiations shall be conducted under the auspices and oversight of the region-wide laboratory oversight committee. Unions 7-3-08 Proposal: APPENDIX I SIDE LETTER OF AGREEMENT - MLT Job Postings: CLS’ are eligible to bid on posted MLT positions. A CLS who successfully obtains a posted MLT positions will move to the MLT wage structure and work within the scope of the MLT licensure. Parties agree to continue discussion or implementation of MLT role utilizing LSLMC. *During the term of this agreement, at the request of either party, the parties agree to meet and discuss shift differentials and/or longevity steps at such time that the MLT classification meets the hard to recruit criteria outlined by the Workforce Planning and Development Subgroup. /S/ Xxxxx Xxxxx TPMG Date /S/ 6/2/2010 Xxxxxxx Xxxxx IFPTE Local 20, Date /S/ Xxxxx Xxxxxxx Labor Relations Date /S/ 6/2/2010 Xxxxxx Xxxxx IFPTE Local 20 Date /S/ Xxxxxxxxx Xxxxxxx Date /S/ Xxxxxx Xxx TPMG Date TPMG APPENDIX J LETTER OF AGREEMENT – IMMEDIATE PAST SERVICE CREDIT “Immediate” Past Service Credit for Local 20 Clinical Laboratory Scientists For Clinical Lab Scientists on the payroll as of March 1, 2003 and who were previously covered by Employer contributions to the 401k plan, Past Service Credit for years prior to 2006 will be granted under the following provisions. For purposes of determining Credited Service for the “look back” period, a total of 1,800 compensated hours will be considered as a full year; partial years of Credited Service will be granted based on 1800 compensated hours. A maximum of three (3) Credited Service years will be granted under this “look back” provision. This provision does not impact Clinical Lab Scientist who chose to remain in XXXX after December 31, 1975. In determining the number of years to be included in the “look back” period, the employee’s scheduled hours in effect as of 1/1/2005 will be used. For 2006, Clinical Lab Scientists who were scheduled to work at least 32, 36 or 40 hours as of 1/1/2005 and who were scheduled to work at least 32, 36 or 40 hours for the entire year of 2005, up to 1 year will be granted under the Plan for 2005 based on compensated hours. For 2006, Clinical Lab Scientists who were scheduled to work at least 36 or 40 hours as of 1/1/2005 and who were scheduled to work at least 36 or 40 hours for the entire year of 2004, up to 1 year will be granted under the Plan for 2004 based on compensated hours. For 2006, Clinical Lab Scientists who were scheduled to work 40 hours as of 1/1/2005 and who were scheduled to work 40 hours for the entire year of 2004, up to 1 year will be granted under the Plan for 2003 based on compensated hours. /s/ Xxx Xxxxxxx 2/14/06 /s/ Xxxxx Xxxx 2/21/06 IFPTE Local 20 Date The Permanente Medical Group Date APPENDIX K ADVANCED HIRING CRITERIA (in addition to current contract language) CLS ADVANCED DEGREES/CERTIFICATIONS

Reminder. The MLT Side letter reads as follows: The Permanente Medical Group, Inc. and ESC/I.F>P.T.E., Local 20 (The Parties) agree that in the event the classification of medical laboratory technician (MLT), as defined by the State of California regulations, is created, it shall be a covered employee under Article I – definitions, section 1.01. Upon request of either party, negotiations shall commence utilizing the interest based bargaining (IBB ) process to establish the wages, hours and other terms and conditions of the employment of medical laboratory technicians. These negotiations shall be conducted under the auspices and oversight of the region-wide laboratory oversight committee. Unions 7-3-08 Proposal: APPENDIX I SIDE LETTER OF AGREEMENT - MLT Job Postings: CLS’ are eligible to bid on posted MLT positions. A CLS who successfully obtains a posted MLT positions will move to the MLT wage structure and work within the scope of the MLT licensure. Parties agree to continue discussion or implementation of MLT role utilizing LSLMC. *During the term of this agreement, at the request of either party, the parties agree to meet and discuss shift differentials and/or longevity steps at such time that the MLT classification meets the hard to recruit criteria outlined by the Workforce Planning and Development Subgroup. /S/ Xxxxx Xxxxx TPMG Date /S/ 6/2/2010 Xxxxxxx Xxxxx IFPTE Local 20, Date /S/ Xxxxx Xxxxxxx Labor Relations Date /S/ 6/2/2010 Xxxxxx Xxxxx IFPTE Local 20 Date /S/ Xxxxxxxxx Xxxxxxx Date /S/ Xxxxxx Xxx TPMG Date TPMG APPENDIX J LETTER OF AGREEMENT – IMMEDIATE PAST SERVICE CREDIT “Immediate” Past Service Credit for Local 20 Clinical Laboratory Scientists For Clinical Lab Scientists on the payroll as of March 1, 2003 and who were previously covered by Employer contributions to the 401k plan, Past Service Credit for years prior to 2006 will be granted under the following provisions. For purposes of determining Credited Service for the “look back” period, a total of 1,800 compensated hours will be considered as a full year; partial years of Credited Service will be granted based on 1800 compensated hours. A maximum of three (3) Credited Service years will be granted under this “look back” provision. This provision does not impact Clinical Lab Scientist who chose to remain in XXXX KEPP after December 31, 1975. In determining the number of years to be included in the “look back” period, the employee’s scheduled hours in effect as of 1/1/2005 will be used. For 2006, Clinical Lab Scientists who were scheduled to work at least 32, 36 or 40 hours as of 1/1/2005 and who were scheduled to work at least 32, 36 or 40 hours for the entire year of 2005, up to 1 year will be granted under the Plan for 2005 based on compensated hours. For 2006, Clinical Lab Scientists who were scheduled to work at least 36 or 40 hours as of 1/1/2005 and who were scheduled to work at least 36 or 40 hours for the entire year of 2004, up to 1 year will be granted under the Plan for 2004 based on compensated hours. For 2006, Clinical Lab Scientists who were scheduled to work 40 hours as of 1/1/2005 and who were scheduled to work 40 hours for the entire year of 2004, up to 1 year will be granted under the Plan for 2003 based on compensated hours. /s/ Xxx Xxxxxxx 2/14/06 /s/ Xxxxx Xxxx 2/21/06 IFPTE Local 20 Date The Permanente Medical Group Date APPENDIX K ADVANCED HIRING CRITERIA (in addition to current contract language) CLS ADVANCED DEGREES/CERTIFICATIONS

Reminder. The MLT Side letter reads as follows: The Permanente Medical Group, Inc. and ESC/I.F>P.T.E., Local 20 (The Parties) agree that in the event the classification of medical laboratory technician (MLT), as defined by the State of California regulations, is created, it shall be a covered employee under Article I – definitions, section 1.01. Upon request of either party, negotiations shall commence utilizing the interest based bargaining (IBB ) process to establish the wages, hours and other terms and conditions of the employment of medical laboratory technicians. These negotiations shall be conducted under the auspices and oversight of the region-wide laboratory oversight committee. Unions 7-3-08 Proposal: APPENDIX I SIDE LETTER OF AGREEMENT - MLT Job Postings: CLS’ are eligible to bid on posted MLT positions. A CLS who successfully obtains a posted MLT positions will move to the MLT wage structure and work within the scope of the MLT licensure. Parties agree to continue discussion or implementation of MLT role utilizing LSLMC. *During the term of this agreement, at the request of either party, the parties agree to meet and discuss shift differentials and/or longevity steps at such time that the MLT classification meets the hard to recruit criteria outlined by the Workforce Planning and Development Subgroup. /S/ Xxxxx Xxxxx TPMG Date /S/ 6/2/2010 Xxxxxxx Xxxxx Aidan IFPTE Local 20, Date /S/ Xxxxx Xxxxxxx Labor Relations Date /S/ 6/2/2010 Xxxxxx Xxxxx IFPTE Local 20 Date /S/ Xxxxxxxxx Xxxxxxx Date /S/ Xxxxxx Xxx TPMG Date TPMG APPENDIX J LETTER OF AGREEMENT – IMMEDIATE PAST SERVICE CREDIT “Immediate” Past Service Credit for Local 20 Clinical Laboratory Scientists For Clinical Lab Scientists on the payroll as of March 1, 2003 and who were previously covered by Employer contributions to the 401k plan, Past Service Credit for years prior to 2006 will be granted under the following provisions. For purposes of determining Credited Service for the “look back” period, a total of 1,800 compensated hours will be considered as a full year; partial years of Credited Service will be granted based on 1800 compensated hours. A maximum of three (3) Credited Service years will be granted under this “look back” provision. This provision does not impact Clinical Lab Scientist who chose to remain in XXXX after December 31, 1975. In determining the number of years to be included in the “look back” period, the employee’s scheduled hours in effect as of 1/1/2005 will be used. For 2006, Clinical Lab Scientists who were scheduled to work at least 32, 36 or 40 hours as of 1/1/2005 and who were scheduled to work at least 32, 36 or 40 hours for the entire year of 2005, up to 1 year will be granted under the Plan for 2005 based on compensated hours. For 2006, Clinical Lab Scientists who were scheduled to work at least 36 or 40 hours as of 1/1/2005 and who were scheduled to work at least 36 or 40 hours for the entire year of 2004, up to 1 year will be granted under the Plan for 2004 based on compensated hours. For 2006, Clinical Lab Scientists who were scheduled to work 40 hours as of 1/1/2005 and who were scheduled to work 40 hours for the entire year of 2004, up to 1 year will be granted under the Plan for 2003 based on compensated hours. /s/ Xxx Xxxxxxx 2/14/06 /s/ Xxxxx Xxxx 2/21/06 IFPTE Local 20 Date The Permanente Medical Group Date APPENDIX K ADVANCED HIRING CRITERIA (in addition to current contract language) CLS ADVANCED DEGREES/CERTIFICATIONS

Reminder. The MLT Side letter reads as follows: The Permanente Medical Group, Inc. and ESC/I.F>P.T.E., Local 20 (The Parties) agree that in the event the classification of medical laboratory technician (MLT), as defined by the State of California regulations, is created, it shall be a covered employee under Article I – definitions, section 1.01. Upon request of either party, negotiations shall commence utilizing the interest based bargaining (IBB ) process to establish the wages, hours and other terms and conditions of the employment of medical laboratory technicians. These negotiations shall be conducted under the auspices and oversight of the region-wide laboratory oversight committee. Unions 7-3-08 Proposal: APPENDIX I SIDE LETTER OF AGREEMENT - MLT Job Postings: CLS’ are eligible to bid on posted MLT positions. A CLS who successfully obtains a posted MLT positions will move to the MLT wage structure and work within the scope of the MLT licensure. Parties agree to continue discussion or implementation of MLT role utilizing LSLMC. *During the term of this agreement, at the request of either party, the parties agree to meet and discuss shift differentials and/or longevity steps at such time that the MLT classification meets the hard to recruit criteria outlined by the Workforce Planning and Development Subgroup. /S/ Xxxxx Xxxxx TPMG Date /S/ 6/2/2010 Xxxxxxx Xxxxx Aidan IFPTE Local 20, Date /S/ Xxxxx Xxxxxxx Labor Relations Date /S/ 6/2/2010 Xxxxxx Xxxxx IFPTE Local 20 Date /S/ Xxxxxxxxx Xxxxxxx Date /S/ Xxxxxx Xxx TPMG Date TPMG APPENDIX J LETTER OF AGREEMENT – IMMEDIATE PAST SERVICE CREDIT “Immediate” Past Service Credit for Local 20 Clinical Laboratory Scientists For Clinical Lab Scientists on the payroll as of March 1, 2003 and who were previously covered by Employer contributions to the 401k plan, Past Service Credit for years prior to 2006 will be granted under the following provisions. For purposes of determining Credited Service for the “look back” period, a total of 1,800 compensated hours will be considered as a full year; partial years of Credited Service will be granted based on 1800 compensated hours. A maximum of three (3) Credited Service years will be granted under this “look back” provision. This provision does not impact Clinical Lab Scientist who chose to remain in XXXX after December 31, 1975. In determining the number of years to be included in the “look back” period, the employee’s scheduled hours in effect as of 1/1/2005 will be used. For 2006, Clinical Lab Scientists who were scheduled to work at least 32, 36 or 40 hours as of 1/1/2005 and who were scheduled to work at least 32, 36 or 40 hours for the entire year of 2005, up to 1 year will be granted under the Plan for 2005 based on compensated hours. For 2006, Clinical Lab Scientists who were scheduled to work at least 36 or 40 hours as of 1/1/2005 and who were scheduled to work at least 36 or 40 hours for the entire year of 2004, up to 1 year will be granted under the Plan for 2004 based on compensated hours. For 2006, Clinical Lab Scientists who were scheduled to work 40 hours as of 1/1/2005 and who were scheduled to work 40 hours for the entire year of 2004, up to 1 year will be granted under the Plan for 2003 based on compensated hours. /s/ Xxx Xxxxxxx 2/14/06 /s/ Xxxxx Xxxx 2/21/06 IFPTE Local 20 Date The Permanente Medical Group Date APPENDIX K ADVANCED HIRING CRITERIA (in addition to current contract language) CLS ADVANCED DEGREES/CERTIFICATIONS