Common use of Spousal Coverage Clause in Contracts

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.