Common use of REPORTING OF RESULTS Clause in Contracts

REPORTING OF RESULTS. All test results will be reported to the MRO prior to the results being issued to Oberlin College. The MRO will receive a detailed report of the findings of the analysis from the testing laboratory. Each substance tested for will be listed along with the results of the testing. Oberlin College will receive a summary report, and this report will indicate that the employee passed or failed the test. All of these procedures are intended to be consistent with the most current guidelines for Medical Review Officers, published by the federal Department of Health and Human Services. STORAGE OF TEST RESULTS AND RIGHT TO REVIEW TEST RESULTS All records of drug/alcohol testing will be stored in The Department of Human Resources. These documents, along with medical records, are not kept as a part of an employee's general personnel file. Access is limited to designated Human Resources managers and the Union Chairperson or his/her designee. The information contained in these files shall be utilized only to properly administer this Policy and to provide to certifying agencies for review as required by law. Those individuals who have access to these records are charged with the responsibility of maintaining the confidentiality of these records. Any breach of confidentially with regard to these records may be an offense resulting in termination of employment. Any employees tested under this policy have the right to review or receive a copy of their own test results. An employee may request results from the Drug-Free Coordinator in writing, presenting a duly notarized Employee Request for Release of Drug Tests Results form, requesting that a copy of the test be provided. Oberlin College will use its best efforts to comply promptly with this request and will issue to the employee a copy of the results personally or by U.S. Certified Mail, Return Receipt Requested.

REPORTING OF RESULTS. All test results will be reported to the MRO prior to the results being issued to Oberlin College. The MRO will receive a detailed report of the findings of the analysis from the testing laboratory. Each substance tested for will be listed along with the results of the testing. Oberlin College will receive a summary report, and this report will indicate that the employee passed or failed the test. All of these procedures are intended to be consistent with the most current guidelines for Medical Review Officers, published by the federal Department of Health and Human Services. STORAGE OF TEST RESULTS AND RIGHT TO REVIEW TEST RESULTS All records of drug/alcohol testing will be stored in The Department of Human Resources. These documents, along with medical records, are not kept as a part of an employee's ’s general personnel file. Access is limited to designated Human Resources managers and the Union Chairperson or his/her designee. designee The information contained in these files shall be utilized only to properly administer this Policy and to provide to certifying agencies for review as required by law. Those individuals who have access to these records are charged with the responsibility of maintaining the confidentiality of these records. Any breach of confidentially confidentiality with regard to these records may be an offense resulting in termination of employment. Any employees tested under this policy Policy have the right to review or receive a copy of their own test results. An employee may request results from the Drug-Free Coordinator in writing, presenting a duly notarized Employee Request for Release of Drug Tests Results form, requesting that a copy of the test be provided. Oberlin College will use its best efforts to comply promptly with this request and will issue to the employee a copy of the results personally or by U.S. Certified Mail, Return Receipt Requested.. Annual deductibles and maximums In-network Out-of-network Lifetime maximum Unlimited per individual Pre-Existing Condition Limitation (PCL) Does not apply Coinsurance You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the deductible is met Maximum reimbursable charge Determined based on the lesser of:  the health care professional’s normal charge for a similar service; or  a percentile of the amount charged by health care professionals in the geographic area where the service is received. Out-of-network services are subject to a calendar year deductible and maximum reimbursable charge limitations. N/A 80th percentile Calendar year deductible 01/01/2017 01/01/2017 The amount you pay for out-of-network services counts Employee Employee towards both your in-network and out-of-network $210 $420 deductibles. Employee and family Employee and family After each family member meets his or her individual $420 $840 deductible, the plan will pay his or her claims, less any coinsurance amount. After the family deductible has 01/01/2018 01/01/2018 been met, each individual’s claims will be paid by the Employee Employee plan, less any coinsurance amount. $250 Employee and family $500 Employee and family $500 $1,000 01/01/2019 01/01/2019 Employee Employee $287 $575 Employee and family Employee and family $575 $1,150 Calendar year out-of-pocket maximum 01/01/2017 01/01/2017 The amount you pay for out-of-network services counts Employee Employee towards both your in-network and out-of-network $1,040 $2,080 out-of-pocket maximums. Employee and family Employee and family Deductibles count towards your out-of-pocket maximum. $2,080 $4,160 Copays count towards your out-of-pocket maximum. Mental health and substance abuse services count towards 01/01/2018 01/01/2018 your out-of-pocket maximum. Employee Employee January 1, 2017 ASO 54

REPORTING OF RESULTS. All test results will be reported to the MRO prior to the results being issued to Oberlin College. The MRO will receive a detailed report of the findings of the analysis from the testing laboratory. Each substance tested for will be listed along with the results of the testing. Oberlin College will receive a summary report, and this report will indicate that the employee passed or failed the test. All of these procedures are intended to be consistent with the most current guidelines for Medical Review Officers, published by the federal Department of Health and Human Services. STORAGE OF TEST RESULTS AND RIGHT TO REVIEW TEST RESULTS All records of drug/alcohol testing will be stored in The Department of Human Resources. These documents, along with medical records, are not kept as a part of an employee's ’s general personnel file. Access is limited to designated Human Resources managers and the Union Chairperson or his/her designee. designee The information contained in these files shall be utilized only to properly administer this Policy and to provide to certifying agencies for review as required by law. Those individuals who have access to these records are charged with the responsibility of maintaining the confidentiality of these records. Any breach of confidentially confidentiality with regard to these records may be an offense resulting in termination of employment. Any employees tested under this policy Policy have the right to review or receive a copy of their own test results. An employee may request results from the Drug-Free Coordinator in writing, presenting a duly notarized Employee Request for Release of Drug Tests Results form, requesting that a copy of the test be provided. Oberlin College will use its best efforts to comply promptly with this request and will issue to the employee a copy of the results personally or by U.S. Certified Mail, Return Receipt Requested. Notwithstanding the language of Article VII, for reporting purposes only, the College will consider 40 hours a week and 2080 hours a year as 1.0 FTE. Such reporting shall have no effect on any term or condition of employment set forth in the collective bargaining agreement. Annual deductibles and maximums In-network Out-of-network Lifetime maximum Unlimited per individual Pre-Existing Condition Limitation (PCL) Does not apply Coinsurance You pay 10%Plan pays 90%after the deductible is met You pay 35%Plan pays 65%after the deductible is met Maximum reimbursable charge Determined based on the lesser of: • the health care professional’s normal charge for a similar service; or • a percentile of the amount charged by health care professionals in the geographic area where the service is received. Out-of-network services are subject to a calendar year deductible and maximum reimbursable charge limitations. N/A 80th percentile Calendar year deductible 1/1/2019 1/1/2019 The amount you pay for out-of-network services counts Employee Employee towards both your in-network and out-of-network $287 $575 deductibles. Employee and family Employee and family After each family member meets his or her individual $575 $1,150 deductible, the plan will pay his or her claims, less any coinsurance amount. After the family deductible has 1/1/2020 1/1/2020 been met, each individual’s claims will be paid by the Employee Employee plan, less any coinsurance amount. $300 $600 Employee and family Employee and family $600 $1,200 Calendar year out-of-pocket maximum 1/1/2019 1/1/2019 The amount you pay for out-of-network services counts Employee Employee towards both your in-network and out-of-network $1,437 $2,875 out-of-pocket maximums. Employee and family Employee and family Deductibles count towards your out-of-pocket maximum. $2,875 $5,750 Copays count towards your out-of-pocket maximum. Mental health and substance abuse services count 1/1/2020 1/1/2020 your out-of-pocket maximum. Employee Employee After each family member meets his or her individual out- $1,500 $3,000 of-pocket maximum, the plan will pay 100% of their Employee and family Employee and family covered expenses. After the family out-of-pocket $3,000 $6,000 maximum has been met, the plan will pay 100% of Oberlin College Annual deductibles and maximums In-network Out-of-network each individual’s covered expenses. Benefits In-network Out-of-network Physician services Effective January 1, 2018 Office Co-pays will be as follows: Primary Care Physician - $25 Specialist Physician - $35 Effective January 1, 2020 Office Co-pays will be as follows: Primary Care Physician - $30 Specialist Physician - $40 Office visit OBGYN is considered a PCP copayment Primary care physician You pay co-pay per visit SpecialistYou pay co-pay per visit You pay 35%Plan pays 65%after the deductible is met Physician services (hospital)In hospital visits and consultations Inpatient Outpatient Inpatient and outpatient services You pay 10% Plan pays 90%after the deductible is met You pay 35%Plan pays 65%after the deductible is met Surgery (in a physician’s office) Primary care physician You pay co-pay per visit SpecialistYou pay co-pay per visit You pay 35%Plan pays 65%per visit after the deductible is met Preventive care Children (through age 2)Immunizations are covered at no charge.Out-of-network immunizations are not covered. No Charge Not covered Adults and children (age 3 and older) etwork immunizations are covered at no charge. Out-of-network immunizations are not covered. unizations count toward the calendarmaximum. No Charge Not covered Benefits In-network Out-of-network Mammogram, PSA, Pap Smear, Colonoscopies No Charge You pay 35% Plan pays 65% after the deductible is met Inpatient hospital facility services Semi-private room and board and other non- physician services tient room and board, pharmacy, x-ray, lab, operating room, surgery, etc. You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the calendar deductible is met Inpatient Professional ServicesFor services performed by surgeons, radiologists, pathologists and anesthesiologists You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the deductible is met Multiple surgical reductionMultiple surgeries performed during one operating session result in payment reduction of 50% to the surgery of lesser charge. The most expensive procedure is paid as any other surgery. Included Included Outpatient services Outpatient surgery (facility charges) You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the deductible is met Outpatient Professional ServicesFor services performed by surgeons, radiologists, pathologists and anesthesiologists You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the deductible is met Benefits In-network Out-of-network Physical, occupational, cognitive and speech therapy mited days per calendar year for all therapies combined udes physical therapy, speech therapy, occupational therapy, pulmonary rehabilitation and cognitive therapyudes chiropractic therapy (Includes chiropractors) Includes cardiac rehabilitation Primary care physician You pay co-pay per visit Specialist You pay co-pay per visit You pay 35% Plan pays 65% after the deductible is met Lab and X-ray Lab and X-ray Physician’s Office Outpatient Hospital Facility ergency Room/Urgent Care Facility (billed by the facility as part of the ER/UC visit) Independent X-ray and/or Lab Facility ependent X-ray and/or Lab Facility in conjunction with an ER visit You pay a co-pay You pay 10% of charges after plan deductible No Charge You pay 10% of charges after plan deductible No Charge You pay 35% Plan pays 65% after deductible is met Advanced radiological imagingMRI, MRA, CAT Scan, PET Scan, etc. Outpatient hospital facility Emergency room and/or Urgent Care facility Physician’s office You pay 10% of charges after plan deductible No Charge No Charge You pay 35% Plan pays 65% after the deductible is met Benefits In-network Out-of-network Emergency and urgent care services Hospital emergency roomIncludes radiology, pathology and physician charges Copay waived if admitted -of-network services are covered at the in- network rate. Effective 1/1/20, you pay a $105 copay, then no charge after the deductible is met Ambulance-of-network services are covered at the in- network rate when it is a true emergency. No Charge Urgent care services-of-network services are covered at the in- network rate. Copay waived if admitted Effective 1/1/20, you pay a $30 copay, then no charge after the deductible is met Other health care facilities Skilled nursing facility, rehabilitation hospital and other facilities You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the deductible is met Home health care80 days per calendar year You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the deductible is met Hospice Inpatient services Outpatient services You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the deductible is met Other health care services Durable medical equipment You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the deductible is met External prosthetic appliances (EPA) You pay 10% Plan pays 90% after deductible is met You pay 35% Plan pays 65% after deductible is met TMJ, surgical and non-surgical Cost and reimbursement vary based on the facility in which it is performed Cost and reimbursement vary based on the facility in which it is performed. InfertilityOffice visit for testing, treatment Inpatient hospital facility Outpatient hospital facility Physician services ical treatment limited to procedures to correct infertility, excluding In-vitro, GIFT, ZIFT, etc. Cost and reimbursement vary based on the facility in which it is performed Not covered Family planning Office visits Inpatient hospital facility Outpatient facility Physician services ical services such as tubal ligation or vasectomy are covered (excluding reversals).Includes contraceptive devices Cost and reimbursement vary based on the facility in which it is performed You pay 35% Plan pays 65% after deductible is met Mental health and substance abuse services Please note the following regarding Mental Health (MH) and Substance Abuse (SA) benefit administration: Substance Abuse includes Alcohol and Drug Abuse services. Inpatient mental health servicestal health services are paid at 100% after you reach your out-of-pocket maximum. You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the deductible is met Outpatient mental health physician’s office services Mental health and substance abuse services are paid at 100% after you reach your out-of-pocket maximum. includes group therapy mental health and intensive outpatient mental health Primary care physician You pay co-pay per visit Specialist You pay co-pay per visit You pay 35% Plan pays 65% after the deductible is met Outpatient mental health outpatient facility services Mental health and substance abuse services are paid at 100% after you reach your out-of-pocket maximum. includes group therapy mental health and intensive outpatient mental health Primary care physician You pay co-pay per visit You pay 50% Plan pays 50% after the deductible is met Inpatient substance abuse servicesstance abuse services are paid at 100% after you reach your out-of-pocket maximum. You pay 10% Plan pays 90% after the deductible is met You pay 35% Plan pays 65% after the deductible is met Outpatient substance abuse physician’s office services Mental health and substance abuse services are paid at 100% after you reach your out-of-pocket maximum. This includes intensive outpatient substance abuse Primary care physician You pay co-pay per visit Specialist You pay co-pay per visit You pay 35% Plan pays 65% after the deductible is met Outpatient substance abuse outpatient facility services Mental health and substance abuse services are paid at 100% after you reach your out-of-pocket maximum. This includes intensive outpatient substance abuse Primary care physician You pay co-pay per visit You pay 50% Plan pays 50% after the deductible is met Prescription drugs Pharmacy three-tier copay plan 01/01/2017$0 copayment for generic preventive drug medications Generic push administered injectable and optional injectable drugs – excludes infertility drugs Includes Oral ContraceptivesLifestyle drugs – limited to sexual dysfunction Retail (30 day supply) You pay: Generic $10 Preferred Brand $50 Non-Preferred Brand $75 Home Delivery (90 day supply) You pay: Generic $20 Preferred Brand $100 Non- Preferred Brand $150 Not Covered Specialty Pharmacy Clinical Programs Prior authorization required on specialty medications and quantity limits may apply. Specialty Pharmacy Medication Access Option Retail and/or Home Delivery Vision care Not covered These are only the highlights This summary outlines the highlights of your plan. For a complete list of both covered and not-covered services, including benefits required by your state, see your employer's insurance certificate or summary plan description -- the official plan documents. If there are any differences between this summary and the plan documents, the information in the plan documents takes precedence.