Spousal Coverage. Any new Participants to the COG, after June 30, 2015, with working spouses who have the ability to be covered under an insurance plan through his/her place of employment, will be required to take his/her plan as their primary plan. This provision does not apply to a participant who had insurance with one COG employer and immediately thereafter, moved to another COG employer. If the spouse is required to pay forty (40%) percent or more of the premium with his/her employer, the requirements of this section shall not apply.
Spousal Coverage. If an employee’s spouse is eligible to participate, as a current employee or in their current enterprise or retiree, in group health insurance and/or prescription drug insurance sponsored by his/her employer, enterprise or any public or private retirement plan, the spouse must enroll in such group insurance coverage. The requirement does not apply to any spouse who works less than 30 hours per week and is required to pay more than 50% of the single premium to participate in the employer’s group health insurance coverage and/or prescription drug insurance coverage. Upon the spouse’s enrollment in such group insurance coverage, that coverage will become the primary payor of benefits and the coverage sponsored by the Board will become the secondary payor of benefits except when contrary to law. Any spouse who fails to enroll in any group insurance coverage sponsored by the spouse’s employer, enterprise or any public or private retirement plan, as required by this Agreement, shall be ineligible for benefits under the group insurance coverage sponsored by the Board. Every employee whose spouse participates in the Board’s group health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the Board, upon request, a written certification verifying whether his/her spouse is eligible to participate in group health insurance coverage and/or prescription drug insurance coverage sponsored by the spouse’s employer, enterprise or public or private retirement plan. If any employee fails to complete and submit the certification form by the required date, such employee’s spouse will be removed immediately from all health and prescription drug insurance coverage sponsored by the Board. Additional documentation may be required. An employee who submits false information or fails to timely advise the Board of a change in the spouse’s eligibility for employer, enterprise or retirement plan sponsored group health insurance and prescription drug insurance and such false information, or such failure results in the Board providing benefits to which the spouse is not entitled, the employee will be personally liable to the Board for reimbursement of benefits and expenses incurred by the Board. Any amount to be reimbursed by the employee may be by direct payment by the employee or, if not, shall be deducted through payroll deduction.
Spousal Coverage. For Employees who now qualify for Benefits under the provisions of Article 23:06, the Employer agrees to provide continuance of coverage to the spouse and dependents until the spouse attains the age of sixty-five (65) or upon remarriage, whichever comes first, but in no case shall extend beyond ten (10) years after the death of the Pensioner. (Dependents defined as per existing Plans.)
Spousal Coverage. Any new Participants to the COG, after June 30, 2015, with working spouses who have the ability to be covered under an insurance plan through his/her place of employment, will be required to take his/her plan as their primary plan. This provision does not apply to a participant who had insurance with one COG employer and immediately thereafter, moved to another COG employer. If the spouse is required to pay forty (40%) percent or more of the premium with his/her employer, the requirements of this section shall not apply. SAME SEX MARRIAGE If state law recognizes same-sex marriage, the COG plan specifications will be modified to include those individuals.
Spousal Coverage. (1) Notwithstanding Section 7.03 (a) and (b) If an employee’s spouse is eligible to participate as a current employee or retire in group health, prescription drug, dental and/or vision insurance or coverage (other than Medicare) sponsored by his/her employer or retirement system (collectively referred to as “employer-sponsored group insurance coverage”), the spouse must enroll in such employer-sponsored group insurance coverage, or must pay $325 per month toward their family coverage in addition to any other payments otherwise due. Upon the spouse’s enrollment in any such employer- sponsored group insurance coverage, that coverage will become the primary payor of benefits and the coverage sponsored by the Xxxxxx City Schools (WCS) will become the secondary payor of benefits for the spouse. This Spousal Coverage Section does not apply to spouses who are eligible for Medicare.
Spousal Coverage. The Employer will allow employees to enroll spouses in their medical insurance plans during the next open enrollment period. If, as a result of this Article, employee spouses who have coverage through the Affordable Care Act are made ineligible for such program or credits, or experience significant cost increases, the Union shall have the ability to modify the Employer’s obligation to provide health coverage at the next available open enrollment opportunity in a manner that will restore such eligibility for all eligible spouses, provided the modification does not result in an increase in the cost to the Employer.
Spousal Coverage. If the spouse of a City employee is employed and is eligible for employer sponsored health coverage with said employer, he/she must enroll in that particular health plan. City employees married to one another shall be covered under City double or family coverage. If the spouse cannot obtain coverage through his or her employer until a certain date or open enrollment period, the spouse will be covered under the City’s plan until he or she can obtain coverage through his or her employer. The spouse must provide documentation to the City that he or she is eligible for coverage. The employee shall notify the Human Resources Department immediately (as soon as possible) and complete the required documentation when there is a change with his or hers spouses health care coverage. Failure to make such notification and complete the required paperwork will result in all monies owed to the City for the difference in premium to be deducted from the Employees paycheck until the balance is paid in full unless other arrangements have been made. Employees whose spouses have health insurance coverage through an employer, which coverage does not provide the same level of benefits as the City plan, are entitled to $1077 in a flexible spending account or reduced premium, at the City’s discretion. Spouses can also remain on the City’s plan under secondary coverage.
Spousal Coverage. In the event of Employee’s death while receiving Health Insurance Coverage, Employee’s spouse, if any, shall be eligible for Health Insurance Coverage until her death so long as she pays for the Health Insurance Coverage in an amount equal to the cost of coverage under the Company’s group health plan(s) for an employee with identical coverage.
Spousal Coverage. 1. If an employee's spouse is eligible to participate, as a current employee or in their current enterprise or retiree, in group health insurance and/or prescription drug insurance sponsored by his/her employer, enterprise, or any public or private retirement plan, the spouse is not eligible to enroll for coverage under the North Royalton medical/prescription drug plan unless he/she enrolls in such other group insurance coverage.
Spousal Coverage. Spousal coverage will be available only upon proof that the spouse does not have other medical insurance coverage available to him/her through the spouse’s employer. If such coverage is available, the employee’s spouse must enroll in at least single coverage from his/her employer and will not be eligible for coverage under the City plan. The employee must notify the Plan Administrator immediately in writing of the commencement of such group health insurance coverage for the spouse. The Employer reserves the right to verify this information at any time. It shall be the employee’s responsibility to notify the Employer of any change in spousal coverage or any qualifying event in regard to coverage.
