Common use of Spousal Coverage Limitations Clause in Contracts

Spousal Coverage Limitations. The spouse of any employee who is eligible to 45 participate or becomes eligible to participate, as a current employee or retiree, in a group health 46 insurance plan sponsored by his/her employer or retirement plan, must enroll with that Employer 1 or retirement plan for sponsored group insurance coverage. The spouse’s plan will be considered 2 as primary coverage for the spouse. The spouse may opt to additionally enroll in Xxxxxx County 3 employee health plan, but the County’s plan will only provide secondary coverage, and spousal 4 enrollment will require the employee to contribute to the monthly cost based upon the full 5 funding rates established on an annual basis by Xxxxxx County. 6 7 This requirement does not apply to any spouse who must pay more than fifty (50%) 8 percent of the single premium amount to participate in his/her employer or retirement group 11 The Employer will distribute a request for written certification verifying the spouse’s 12 eligibility to participate in another group health plan. An employee’s spouse will be removed 13 from the Xxxxxx County health plan if documentation is not provided within fourteen (14) days 14 of distribution. 16 It is the employee’s responsibility to immediately notify Xxxxxx County of any 17 subsequent change in a spouse’s eligibility to participate in his/her employer or retirement health 18 plan. If a spouse accepts a new job where coverage is available, he/she must immediately enroll 19 in that plan and the employee must notify Xxxxxx County within fourteen (14) days of any 20 change in their spouse’s eligibility. 21

Appears in 1 contract

Samples: Collective Bargaining Agreement

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Spousal Coverage Limitations. The spouse of any employee who is eligible to 45 participate or becomes eligible to participate, as a current employee or retiree, in a group health 46 insurance plan sponsored by his/her employer or retirement plan, must enroll with that Employer 1 or retirement plan for sponsored group insurance coverage. The spouse’s plan will be considered 2 as primary coverage for the spouse. The spouse may opt to additionally enroll in Xxxxxx Medina County 3 employee health plan, but the County’s plan will only provide secondary coverage, and spousal 4 enrollment will require the employee to contribute to the monthly cost based upon the full 5 funding rates established on an annual basis by Xxxxxx Medina County. 6 7 This requirement does not apply to any spouse who must pay more than fifty (50%) 8 percent of the single premium amount to participate in his/her employer or retirement group 11 The Employer will distribute a request for written certification verifying the spouse’s 12 eligibility to participate in another group health plan. An employee’s spouse will be removed 13 from the Xxxxxx Medina County health plan if documentation is not provided within fourteen (14) days 14 of distribution. 16 It is the employee’s responsibility to immediately notify Xxxxxx Medina County of any 17 subsequent change in a spouse’s eligibility to participate in his/her employer or retirement health 18 plan. If a spouse accepts a new job where coverage is available, he/she must immediately enroll 19 in that plan and the employee must notify Xxxxxx Medina County within fourteen (14) days of any 20 change in their spouse’s eligibility. 21

Appears in 1 contract

Samples: Collective Bargaining Agreement

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