Common use of SPOUSAL ENROLLMENT Clause in Contracts

SPOUSAL ENROLLMENT. If an employee’s spouse is eligible to participate, as a current employee or retiree in group health insurance and/or prescription drug insurance available at the spouse’s workplace sponsored by his/her employer or any public retirement plan, the spouse must enroll in such workplace or employer (or public retirement plan) sponsored group insurance coverage(s). For the 2019-2020 school year, this requirement does not apply to any spouse who is required to pay more than twenty-five percent (25%) of the single premium* to participate in his/her employer’s workplace or group health insurance coverage and/or prescription drug insurance coverage. This requirement also does not apply to any spouse who is a retiree under a public retirement plan and enrolled in Medicare coverage. Thereafter, the twenty-five percent (25%) waiver described in this paragraph no longer applies. Upon the spouse’s enrollment in any such workplace or employer (or public retirement plan) sponsored group insurance coverage, that coverage will become the primary payor of benefits, and the coverage sponsored by the Board of Education will become the secondary payor of benefits. Any spouse who fails to enroll in any group insurance coverage sponsored by his/her workplace or employer or any public retirement plan, as required by this Section, shall be ineligible for benefits under such group insurance coverage sponsored by the ‘Board of Education. Every employee whose spouse participates in the Board of Education’s group health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the Board of Education, 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 workplace or employer or any public 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 coverages sponsored by the Board of Education. Additional documentation may be required. If the employee submits false information the employee may be subject to disciplinary action by the Board, up to and including termination of employment. *Premium is defined as Funding Rates

Appears in 2 contracts

Samples: Agreement, Agreement

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SPOUSAL ENROLLMENT. If an employee’s spouse is eligible to participate, as a current employee or retiree in group health insurance and/or prescription drug insurance available at the spouse’s workplace sponsored by his/her employer or any public retirement plan, the spouse must enroll in such workplace or employer (or public retirement plan) sponsored group insurance coverage(s). For the 2019-2020 school year, this requirement does not apply to any spouse who is required to pay more than twenty-five percent (25%) of the single premium* to participate in his/her employer’s workplace or group health insurance coverage and/or prescription drug insurance coverage. This requirement also does not apply to any spouse who is a retiree under a public retirement plan and enrolled in Medicare coverage. Thereafter, the twenty-five percent (25%) waiver described in this paragraph no longer applies. Upon the spouse’s enrollment in any such workplace or employer (or public retirement plan) sponsored group insurance coverage, that coverage will become the primary payor of benefits, and the coverage sponsored by the Board of Education will become the secondary payor of benefits. Any spouse who fails to enroll in any group insurance coverage sponsored by his/her workplace or employer or any public retirement plan, as required by this Section, shall be ineligible for benefits under such group insurance coverage sponsored by the Board of Education. Every employee whose spouse participates in the Board of Education’s group health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the Board of Education, 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 workplace or employer or any public 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 coverages sponsored by the Board of Education. Additional documentation may be required. If the employee submits false information the employee may be subject to disciplinary action by the Board, up to and including termination of employment. *Premium is defined as Funding Rates

Appears in 2 contracts

Samples: Agreement, Agreement

SPOUSAL ENROLLMENT. If an eligible employee’s spouse is eligible to participate, as a current employee or retiree in group health insurance and/or prescription drug insurance available at the spouse’s workplace sponsored by his/her employer or any public retirement plan, the spouse must enroll in such workplace or employer (or public retirement plan) sponsored group insurance coverage(s). For the 2019-2020 school year, this requirement does not apply to any spouse who is required to pay more than twenty-five percent (25%) of the single premium* to participate in his/her employer’s workplace or group health insurance coverage and/or prescription drug insurance coverage. This requirement also does not apply to any spouse who is a retiree under a public retirement plan and enrolled in Medicare coverage. Thereafter, the twenty-five percent (25%) waiver described in this paragraph no longer applies. Upon the spouse’s enrollment in any such workplace or employer (or public retirement plan) sponsored group insurance coverage, that coverage will become the primary payor of benefits, and the coverage sponsored by the Board of Education will become the secondary payor of benefits. Any spouse who fails to enroll in any group insurance coverage sponsored by his/her workplace or employer or any public retirement plan, as required by this Section, shall be ineligible for benefits under such group insurance coverage sponsored by the ‘Board of Education. Every eligible employee whose spouse participates in the Board of Education’s group health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the Board of Education, 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 workplace or employer or any public 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 coverages sponsored by the Board of Education. Additional documentation may be required. If the employee submits false information the employee may be subject to disciplinary action by the Board, up to and including termination of employment. *Premium is defined as Funding Rates

Appears in 1 contract

Samples: Agreement

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SPOUSAL ENROLLMENT. If an employee’s spouse is eligible to participate, as a current employee or retiree in group health insurance and/or prescription drug insurance available at the spouse’s workplace sponsored by his/her employer or any public retirement plan, the spouse must enroll in such workplace or employer (or public retirement plan) sponsored group insurance coverage(s). For the 2019-2020 school year, this This requirement does not apply to any spouse who is required to pay more than twenty-five fifteen percent (2515%) of the single premium* to participate in his/her employer’s workplace or group health insurance coverage and/or prescription drug insurance coverage. This requirement also does not apply to any spouse who is a retiree under a public retirement plan and enrolled in Medicare medicare coverage. Thereafter, the twenty-five percent (25%) waiver described in this paragraph no longer applies*Premium is defined as funding rates. Upon the spouse’s enrollment in any such workplace or employer (or public retirement plan) sponsored group insurance coverage, that coverage will become the primary payor of benefits, and the coverage sponsored by the Board of Education will become the secondary payor of benefits. Any spouse who fails to enroll in any group insurance coverage sponsored by his/her workplace or employer or any public retirement plan, as required by this Sectionsection, shall be ineligible for benefits under such group insurance coverage sponsored by the Board of Education. Every employee whose spouse participates in the Board of Education’s group health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the Board of Education, 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 workplace or employer or any public 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 coverages sponsored by the Board of Education. Additional documentation may be required. If the employee submits false information the employee may be subject to disciplinary action by the Board, up to and including termination of employment. *Premium is defined as Funding Rates.

Appears in 1 contract

Samples: Agreement

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