Common use of Spousal Coverage Clause in Contracts

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.

Appears in 13 contracts

Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement

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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. For those employees whose spouse’s employer, enterprise or retirement plan only includes a Kaiser option, the spouse is not required to enroll in his/her employer, enterprise or retirement plan but may pay to the Shaker Schools an amount equal to the required % or dollar amount for single coverage in the employer, enterprise or retirement plan, in addition to any contractual amounts the employee is required to pay.

Appears in 6 contracts

Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement

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. For those employees who are currently enrolled in the Kaiser plan and their spouse’s employer, enterprise or retirement plan does not include a Kaiser option, the spouse is not required to enroll in his/her employer, enterprise or retirement plan but may pay to the Shaker Schools an amount equal to the required % or dollar amount for single coverage in the employer, enterprise or retirement plan, in addition to any contractual amounts the employee is required to pay. For those employees who are not currently enrolled in the Kaiser plan, but their spouse’s employer, enterprise or retirement plan only includes a Kaiser option, the spouse is not required to enroll in his/her employer, enterprise or retirement plan but may pay to the Shaker Schools an amount equal to the required % or dollar amount for single coverage in the employer, enterprise or retirement plan, in addition to any contractual amounts the employee is required to pay.

Appears in 3 contracts

Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement

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 lawbenefits. 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. For those employees who are currently enrolled in the Kaiser plan and their spouse’s employer, enterprise or retirement plan does not include a Kaiser option, the spouse is not required to enroll in his/her employer, enterprise or retirement plan but may pay to the Shaker Schools an amount equal to the required % or dollar amount for single coverage in the employer, enterprise or retirement plan, in addition to any contractual amounts the employee is required to pay. For those employees who are not currently enrolled in the Kaiser plan, but their spouse’s employer, enterprise or retirement plan only includes a Kaiser option, the spouse is not required to enroll in his/her employer, enterprise or retirement plan but may pay to the Shaker Schools an amount equal to the required % or dollar amount for single coverage in the employer, enterprise or retirement plan, in addition to any contractual amounts the employee is required to pay. 25.01 Wage Schedules 25.01 Wage Schedules

Appears in 2 contracts

Samples: Collective Bargaining Agreement, Collective Bargaining Agreement

Spousal Coverage. 1. If an employee’s '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 enterprise, or any public or private retirement plan, the spouse must 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. 2. The requirement does not apply to any spouse who works less than 30 hours per week and AND is required to pay more than 50% of the single premium to participate in the his/her employer’s 's group health insurance coverage and/or prescription drug insurance insurance. This requirement does not apply to any spouse who is a retiree under a public retirement plan and enrolled in Medicare coverage. 3. Upon the spouse’s 's enrollment in any such employer (or public retirement plan) sponsored group insurance coverage, that coverage will become the primary payor payer of benefits and the coverage sponsored by the Board will become the secondary payor payer of benefits except when contrary to lawbenefits. In other words, as secondary payer, the North Royalton medical/prescription plan will cover eligible expenses not covered by the primary coverage of the spouse. 4. Any spouse who fails to enroll in any group insurance coverage sponsored by the spouse’s his/her employer, enterprise or any public or private retirement plan, as required by this AgreementSection, shall be ineligible for benefits under the such group insurance coverage sponsored by the Board. Note: If a spouse's only option is a "high deductible health care plan" ("HDHP") that is qualified to be used in conjunction with a Health Savings Account (HSA), then the spouse will be granted a waiver to stay on the North Royalton plan without taking the HDHP coverage. But the waiver is available only if the HDHP is the ONLY plan offered to the spouse. 5. 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 any 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 group health and insurance and/or prescription drug insurance coverage sponsored by the Board. Additional documentation may be required. 6. An employee who submits false information or fails to timely advise the Board Plan of a change in the his/her spouse’s 's eligibility for employer, enterprise or retirement plan sponsored group health insurance and prescription drug insurance insurance, and such false information, or such failure by 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 expenses, including attorneys' fees and costs, incurred by the Board. Any amount to be reimbursed by the offending employee may be by direct payment deducted from the benefits to which the employee would otherwise be entitled. In addition, the employee’s spouse will be terminated immediately from group health insurance and/or prescription drug insurance coverage under the plan. If an employee submits false information, he/she may be subject to disciplinary action up to and including termination of employment. An employee is also responsible, (within thirty (30) days of a change), to provide notification to the benefits coordinator and submit updated spousal forms if their spouse has a change in providers or if the spouse’s premium contribution changes. 7. The Board will reimburse the Employee whose spouse is required, under the program, to obtain her/his own medical insurance up to $125 per month for the expense incurred by the employee orspouse in obtaining such coverage. The spouse shall provide appropriate evidence, if notthrough pay stubs or other documentation, shall be deducted through payroll deductionof her/his payment of monies to secure single coverage from her/his employer, retirement provider, or another source.

Appears in 2 contracts

Samples: Collective Bargaining Agreement, Collective Bargaining Agreement

Spousal Coverage. 1. If an employee’s '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 enterprise, or any public or private retirement plan, the spouse must 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. 2. The requirement does not apply to any spouse who works less than 30 hours per week and AND is required to pay more than 50% of the single premium to participate in the his/her employer’s 's group health insurance coverage and/or prescription drug insurance insurance. This requirement does not apply to any spouse who is a retiree under a public retirement plan and enrolled in Medicare coverage. 3. Upon the spouse’s 's enrollment in any such employer (or public retirement plan) sponsored group insurance coverage, that coverage will become the primary payor payer of benefits and the coverage sponsored by the Board will become the secondary payor payer of benefits except when contrary to lawbenefits. In other words, as secondary payer, the North Royalton medical/prescription plan will cover eligible expenses not covered by the primary coverage of the spouse. 4. Any spouse who fails to enroll in any group insurance coverage sponsored by the spouse’s his/her employer, enterprise or any public or private retirement plan, as required by this AgreementSection, shall be ineligible for benefits under the such group insurance coverage sponsored by the Board. Note: If a spouse's only option is a "high deductible health care plan" ("HDHP") that is qualified to be used in conjunction with a Health Savings Account (HSA), then the spouse will be granted a waiver to stay on the North Royalton plan without taking the HDHP coverage. But the waiver is available only if the HDHP is the ONLY plan offered to the spouse. 5. 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 any 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 group health and insurance and/or prescription drug insurance coverage sponsored by the Board. Additional documentation may be required. 6. An employee who submits false information or fails to timely advise the Board Plan of a change in the his/her spouse’s 's eligibility for employer, enterprise or retirement plan sponsored group health insurance and prescription drug insurance insurance, and such false information, or such failure by 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 expenses, including attorneys' fees and costs, incurred by the Board. Any amount to be reimbursed by the offending employee may be by direct payment deducted from the benefits to which the employee would otherwise be entitled. In addition, the employee’s spouse will be terminated immediately from group health insurance and/or prescription drug insurance coverage under the plan. If an employee submits false information, he/she may be subject to disciplinary action up to and including termination of employment. Employees are also responsible, (within thirty (30) days of change), to provide notification to the benefits coordinator and submit updated spousal forms if their spouse has a change in providers or if the spouse’s premium contribution changes. 7. The Board will reimburse the employee whose spouse is required, under the program, to obtain her/his own medical insurance up to $125 per month for the expense incurred by the employee orspouse in obtaining such coverage. The spouse shall provide appropriate evidence, if notthrough pay stubs or other documentation, shall be deducted through payroll deductionof her/his payment of monies to secure single coverage from her/his employer, retirement provider, or another source.

Appears in 2 contracts

Samples: Collective Bargaining Agreement, Collective Bargaining Agreement

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 lawbenefits. 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.. 25.01 Wage Schedules 25.01 Wage Schedules 25.01 Wage Schedules 25.01 Wage Schedules 25.01 Wage Schedules

Appears in 1 contract

Samples: Collective Bargaining Agreement

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Spousal Coverage. If an employee’s Spouses must utilize their employer/retirement benefit plans if coverage is available to them. A 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 must elect coverage through his/her employer, enterprise or any public or private employment/retirement plan, as follows: If the spouse of a bargaining unit member is eligible through an employer or retirement system that provides employee benefits (Medical/RX) for either single or family coverage said spouse must enroll in apply for and accept such group insurance coverage. The requirement does not spouse must apply to any spouse who works less than 30 hours per week and is required to pay more than 50% for the appropriate level of coverage, single or family, if the single premium to participate in the employer’s group health insurance coverage and/or prescription drug insurance coveragefamily has dependent children. Upon Processing rules for dependent children shall follow normal COB provisions. The bargaining unit member must provide proof from the spouse’s enrollment in such group insurance coverageemployer that they are enrolled. The spouse and dependent children, 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 if covered under the spouse’s employer, enterprise or any public or private retirement plan, as required by this Agreementwill be removed from the employee’s insurance and the employee will be charged for the appropriate level of coverage (i.e., shall be ineligible single or employee/children). • If a spouse’s plan has a monthly contribution in excess of $300.00 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 Boardsingle coverage, 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 verification from the spouse’s employeremployer or retirement system, enterprise the bargaining unit member may enroll in family coverage or public employee/spouse coverage as appropriate. • If coverage is not available, the bargaining unit member must provide a statement from the spouse’s employer stating that coverage is not available. It is the responsibility of the employee to notify the Treasurer’s office of any change in eligibility of a spouse or private retirement plandependent children within 30 days of any change. Failure to provide timely notification may jeopardize coverage. If any an 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 Plan of a change in the employee spouse’s eligibility for employer, enterprise employer (or retirement plan plan) sponsored group health insurance and and/or prescription drug insurance insurance, and such false information, information or such failure by an employee results in the Board Plan providing benefits to which the employee’s spouse is not entitled, the employee will may be personally liable to the Board Plan for reimbursement of benefits and expenses incurred by the BoardPlan. Any amount to be reimbursed by the employee may be by direct payment deducted from the salary or benefits to which the employee would otherwise be entitled. If an employee submits false information, he/she may be subject to disciplinary action by the employee orBoard, if not, shall be deducted through payroll deductionup to and including termination of employment.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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 lawbenefits. 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.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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 lawbenefits. 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.. 25.01 Wage Schedules 25.01 Wage Schedules 25.01 Wage Schedules

Appears in 1 contract

Samples: Collective Bargaining Agreement

Spousal Coverage. If an employee’s Spouses must utilize their employer/retirement benefit plans if coverage is available to them. A 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 must elect coverage through his/her employer, enterprise or any public or private employment/retirement plan, as follows: If the spouse of a bargaining unit member is eligible through an employer or retirement system that provides employee benefits (Medical/RX) for either single or family coverage said spouse must enroll in apply for and accept such group insurance coverage. The requirement does not spouse must apply to any spouse who works less than 30 hours per week and is required to pay more than 50% for the appropriate level of coverage, single or family, if the single premium to participate in the employer’s group health insurance coverage and/or prescription drug insurance coveragefamily has dependent children. Upon Processing rules for dependent children shall follow normal COB provisions. The bargaining unit member must provide proof from the spouse’s enrollment in such group insurance coverageemployer that they are enrolled. The spouse and dependent children, 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 if covered under the spouse’s employer, enterprise or any public or private retirement plan, as required by this Agreementwill be removed from the employee’s insurance and the employee will be charged for the appropriate level of coverage (i.e., shall be ineligible single or employee/children).  If a spouse’s plan has a monthly contribution in excess of $300.00 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 Boardsingle coverage, 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 verification from the spouse’s employeremployer or retirement system, enterprise the bargaining unit member may enroll in family coverage or public employee/spouse coverage as appropriate.  If coverage is not available, the bargaining unit member must provide a statement from the spouse’s employer stating that coverage is not available. It is the responsibility of the employee to notify the Treasurer’s office of any change in eligibility of a spouse or private retirement plandependent children within 30 days of any change. Failure to provide timely notification may jeopardize coverage. If any an 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 Plan of a change in the employee spouse’s eligibility for employer, enterprise employer (or retirement plan plan) sponsored group health insurance and and/or prescription drug insurance insurance, and such false information, information or such failure by an employee results in the Board Plan providing benefits to which the employee’s spouse is not entitled, the employee will may be personally liable to the Board Plan for reimbursement of benefits and expenses incurred by the BoardPlan. Any amount to be reimbursed by the employee may be by direct payment deducted from the salary or benefits to which the employee would otherwise be entitled. If an employee submits false information, he/she may be subject to disciplinary action by the employee orBoard, if not, shall be deducted through payroll deductionup to and including termination of employment.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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