Common use of Spousal Coverage Clause in Contracts

Spousal Coverage. (1) Notwithstanding Section 7.011(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 Warren 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. (2) If a spouse’s eligibility for coverage with employer-sponsored group insurance coverage is terminated, the spouse may return to Warren City Schools primary coverage without penalty. (3) Every WCS employee whose spouse participates in the Warren City School’s group health, prescription drug, dental and/or vision insurance coverage shall annually and upon request complete and submit to the WCS, a written declaration (Spouse Eligibility Certification form) verifying whether his/her spouse is eligible to participate in employer-sponsored group insurance coverage. If a completed form is not returned and received by the Benefits Insurance office by September 1 of any year, it will be assumed the spouse is eligible for and declined employer sponsored group insurance coverage and the $325 per month will be deducted from the employee’s salary on a nonrefundable basis until the form is provided. If the form is requested at another time of year, it must be returned within thirty (30) days or, again, it will be assumed the spouse is eligible and declined employer sponsored group insurance coverage and the $325 per month will be deducted from the employee’s salary on a nonrefundable basis until the form is provided. Once the form is provided, the monthly fee assessment will be in accordance with 7.011 (i.)(1), above. (4) Employees must timely notify the Warren City Schools Plan of a change in their spouse’s eligibility for employer-sponsored group insurance coverage. Failure to timely notify is considered the equivalent of falsification of the certification form.

Spousal Coverage. (1) Notwithstanding Section 7.011(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- 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- employer-sponsored group insurance coverage, that coverage will become the primary payor of benefits and the coverage sponsored by the Warren 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. (2) If a spouse’s eligibility for coverage with employer-sponsored group insurance coverage is terminated, the spouse may return to Warren City Schools primary coverage without penalty. (3) Every WCS employee whose spouse participates in the Warren City School’s group health, prescription drug, dental and/or vision insurance coverage shall annually and upon request complete and submit to the WCS, a written declaration (Spouse Eligibility Certification form) verifying whether his/her spouse is eligible to participate in employer-sponsored group insurance coverage. If a completed form is not returned and received by the Benefits Insurance office by September 1 of any year, it will be assumed the spouse is eligible for and declined employer sponsored group insurance coverage and the $325 per month will be deducted from the employee’s salary on a nonrefundable basis until the form is provided. If the form is requested at another time of year, it must be returned within thirty (30) days or, again, it will be assumed the spouse is eligible and declined employer sponsored group insurance coverage and the $325 per month will be deducted from the employee’s salary on a nonrefundable basis until the form is provided. Once the form is provided, the monthly fee assessment will be in accordance with 7.011 (i.)(1), above. (4) Employees must timely notify the Warren City Schools Plan of a change in their spouse’s eligibility for employer-sponsored group insurance coverage. Failure to timely notify is considered the equivalent of falsification of the certification form.

Spousal Coverage. (1) Notwithstanding Section 7.011(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 Warren 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. (2) If a spouse’s eligibility for coverage with employer-sponsored group insurance coverage is terminated, the spouse may return to Warren Xxxxxx City Schools primary coverage without penalty. (3) Every WCS employee whose spouse participates in the Warren Xxxxxx City School’s group health, prescription drug, dental and/or vision insurance coverage shall annually and upon request complete and submit to the WCS, a written declaration (Spouse Eligibility Certification form) verifying whether his/her spouse is eligible to participate in employer-sponsored group insurance coverage. If a completed form is not returned and received by the Benefits Insurance office by September 1 of any year, it will be assumed the spouse is eligible for and declined employer sponsored group insurance coverage and the $325 per month will be deducted from the employee’s salary on a nonrefundable basis until the form is provided. If the form is requested at another time of year, it must be returned within thirty (30) days or, again, it will be assumed the spouse is eligible and declined employer sponsored group insurance coverage and the $325 per month will be deducted from the employee’s salary on a nonrefundable basis until the form is provided. Once the form is provided, the monthly fee assessment will be in accordance with 7.011 (i.)(1), above. (4) Employees must timely notify the Warren Xxxxxx City Schools Plan of a change in their spouse’s eligibility for employer-sponsored group insurance coverage. Failure to timely notify is considered the equivalent of falsification of the certification form.

Spousal Coverage. (1) Notwithstanding Section 7.011(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- 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- employer-sponsored group insurance coverage, that coverage will become the primary payor of benefits and the coverage sponsored by the Warren 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. (2) If a spouse’s eligibility for coverage with employer-sponsored group insurance coverage is terminated, the spouse may return to Warren Xxxxxx City Schools primary coverage without penalty. (3) Every WCS employee whose spouse participates in the Warren Xxxxxx City School’s group health, prescription drug, dental and/or vision insurance coverage shall annually and upon request complete and submit to the WCS, a written declaration (Spouse Eligibility Certification form) verifying whether his/her spouse is eligible to participate in employer-sponsored group insurance coverage. If a completed form is not returned and received by the Benefits Insurance office by September 1 of any year, it will be assumed the spouse is eligible for and declined employer sponsored group insurance coverage and the $325 per month will be deducted from the employee’s salary on a nonrefundable basis until the form is provided. If the form is requested at another time of year, it must be returned within thirty (30) days or, again, it will be assumed the spouse is eligible and declined employer sponsored group insurance coverage and the $325 per month will be deducted from the employee’s salary on a nonrefundable basis until the form is provided. Once the form is provided, the monthly fee assessment will be in accordance with 7.011 (i.)(1), above. (4) Employees must timely notify the Warren Xxxxxx City Schools Plan of a change in their spouse’s eligibility for employer-sponsored group insurance coverage. Failure to timely notify is considered the equivalent of falsification of the certification form.