Common use of SPOUSAL/DOMESTIC PARTNER COVERAGE Clause in Contracts

SPOUSAL/DOMESTIC PARTNER COVERAGE. (a) The spouse/domestic partner of an employee may receive primary coverage under The Xxxxxxx Xxx's health insurance plan under the following circumstances: 1. The employee of the spouse/domestic partner must be eligible for and must elect spousal/domestic partner coverage, and 2. The spouse/domestic partner must be non-working or not be eligible for health insurance coverage through the spouse/domestic partner's employer, or the health insurance coverage provided by the spouse/domestic partner's employer requires the spouse/domestic partner to pay 100% of the coverage cost. (b) An eligible employee's working spouse/domestic partner with HMO coverage from the working spouse/domestic partner's employer is not eligible for coverage under The Modesto Bee's health insurance plan. (c) Under the following circumstances, the working spouse/domestic partner of an employee shall be eligible only for secondary coverage under The Xxxxxxx Xxx's health insurance plan: 1. The employee has selected coverage including spousal/domestic partner coverage under The Modesto Bee's Aetna Choice Plan, and 2. The working spouse/domestic partner is eligible for and elects coverage under his or her employer provided non-HMO plan. For the purposes of this Section 22.4(c), an employer provided non-HMO plan does not include a plan in which the working spouse/domestic partner must pay 100% of the plan's cost. (d) Eligibility for spousal coverage will be determined as of January 1 of each plan year in accordance with company policy. Eligibility for domestic partner coverage will be determined as of January 1 of each plan year in accordance with the attached Modesto Bee domestic partner policy. (e) If any working spouse/domestic partner loses coverage under his/her employer provided plan, that spouse/domestic partner will, if required within 30 days of his or her employer's coverage end date, be eligible for primary coverage under The Modesto Bee's health insurance provided the conditions of section 22.4(a) are met.

Appears in 2 contracts

Samples: Collective Bargaining Agreement, Collective Bargaining Agreement

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SPOUSAL/DOMESTIC PARTNER COVERAGE. (a) The spouse/domestic partner of an employee may receive primary coverage under The Xxxxxxx XxxModesto Bee's health insurance plan under the following circumstances: 1. The employee of the spouse/domestic partner must be eligible for and must elect spousal/domestic partner coverage, and 2. The spouse/domestic partner must be non-working or not be eligible for health insurance coverage through the spouse/domestic partner's employer, or the health insurance coverage provided by the spouse/domestic partner's employer requires the spouse/domestic partner to pay 100% of the coverage cost. (b) An eligible employee's working spouse/domestic partner with HMO coverage from the working spouse/domestic partner's employer is not eligible for coverage under The Modesto Bee's health insurance plan. (c) Under the following circumstances, the working spouse/domestic partner of an employee shall be eligible only for secondary coverage under The Xxxxxxx XxxModesto Bee's health insurance plan: 1. The employee has selected coverage including spousal/domestic partner coverage under The Modesto Bee's Aetna Choice Plan, and 2. The working spouse/domestic partner is eligible for and elects coverage under his or her employer provided non-HMO plan. For the purposes of this Section 22.4(c), an employer provided non-HMO plan does not include a plan in which the working spouse/domestic partner must pay 100% of the plan's cost. (d) Eligibility for spousal coverage will be determined as of January 1 of each plan year in accordance with company policy. Eligibility for domestic partner coverage will be determined as of January 1 of each plan year in accordance with the attached Modesto Bee domestic partner policy. (e) If any working spouse/domestic partner loses coverage under his/her employer provided plan, that spouse/domestic partner will, if required within 30 days of his or her employer's coverage end date, be eligible for primary coverage under The Modesto Bee's health insurance provided the conditions of section 22.4(a) are met.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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SPOUSAL/DOMESTIC PARTNER COVERAGE. (a) The spouse/domestic partner of an employee may receive primary coverage under The Xxxxxxx Xxx's health insurance plan under the following circumstances: 1. The employee of the spouse/domestic partner must be eligible for and must elect spousal/domestic partner coverage, and 2. The spouse/domestic partner must be non-working or not be eligible for health insurance coverage through the spouse/domestic partner's employer, or the health insurance coverage provided by the spouse/domestic partner's employer requires the spouse/domestic partner to pay 100% of the coverage cost. (b) An eligible employee's working spouse/domestic partner with HMO coverage from the working spouse/domestic partner's employer is not eligible for coverage under The Modesto Bee's health insurance plan. (c) Under the following circumstances, the working spouse/domestic partner of an employee shall be eligible only for secondary coverage under The Xxxxxxx Xxx's health insurance plan:an 1. The employee has selected coverage including spousal/domestic partner coverage under The Modesto Bee's Aetna Choice Plan, and 2. The working spouse/domestic partner is eligible for and elects coverage under his or her employer provided non-HMO plan. For the purposes of this Section 22.4(c), an employer provided non-HMO plan does not include a plan in which the working spouse/domestic partner must pay 100% of the plan's cost. (d) Eligibility for spousal coverage will be determined as of January 1 of each plan year in accordance with company policy. Eligibility for domestic partner coverage will be determined as of January 1 of each plan year in accordance with the attached Modesto Bee domestic partner policy. (e) If any working spouse/domestic partner loses coverage under his/her employer provided plan, that spouse/domestic partner will, if required within 30 days of his or her employer's coverage end date, be eligible for primary coverage under The Modesto Bee's health insurance provided the conditions of section 22.4(a) are met.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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