Spousal Insurance. 49.5.1 Only spouses of active employees are eligible.
Spousal Insurance. If an employee’s spouse is eligible to participate, as a current employee or retiree in group health insurance and/or prescription drug insurance sponsored by his/her employer or any public retirement plan, the spouse must enroll in such employer or public retirement plan sponsored group insurance coverage(s). This requirement does not apply to any spouse who works less than thirty (30) hours per week AND is required to pay more than fifty percent (50%) of the single premium to participate in his/her employer’s 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. Upon the spouse’s enrollment in any such 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. If an employee’s spouse enrolls in his/her employer’s health insurance, the employee shall not be required to enroll in single coverage offered by the Board of Education, provided the employee is eligible for family coverage. Any spouse who fails to enroll in any group insurance coverage sponsored by his/her 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 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 you submit false information or fail to timely advise the Plan of a change in your spouse’s eligibility for employer or public retirement plan sponsored group health insurance and/or prescription drug insurance, and such false information or such failure by you results in the Plan providing benefit...
Spousal Insurance. 1. If a teacher’s spouse is eligible to participate (as a current employee or retiree) in group health insurance and/or prescription drug insurance sponsored by his/her employer, the spouse must enroll in such employer-sponsored group insurance coverage(s) (“spouse available insurance”). The spouse may enroll in single employer-sponsored group insurance coverage(s); the spouse is not required to enroll in family coverage.
2. Upon the spouse’s enrollment in any such “spouse available insurance” insurance coverage, that coverage will become the primary payer of the spouse’s benefits and the coverage sponsored by the Board will become the secondary payer of the spouse’s benefits.
3. Any spouse who fails to enroll in any “spouse available insurance” as required by this Section shall be ineligible for benefits under the group insurance coverage sponsored by the Board.
4. 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 declaration verifying whether his/her spouse is eligible to participate in “spouse available insurance” sponsored by the spouse’s employer.
5. If a teacher submits false information or fails to timely advise the Board of a change in his/her spouse’s eligibility for “spouse available insurance” within thirty (30) days of the qualifying event, and such false information or such failure by the teacher results in the Board providing benefits and/or payment of administrative fees to which the spouse is not entitled, the teacher will be personally liable to the Board for reimbursement of benefits and expenses, including attorneys’ fees and costs, incurred by the Board.
a. Any amount to be reimbursed by the teacher may be deducted from the benefits, including salary, to which the teacher would otherwise be entitled.
b. In addition, the teacher’s spouse will be terminated immediately from the Board’s group health insurance and/or prescription drug insurance coverage.
6. If a teacher submits false information about his/her “spouse available insurance” coverage(s), the teacher may be subject to disciplinary action by the Board, up to and including termination of employment.
7. Effective January 1, 2017, the Board shall not reimburse the spouse of the Employee who is required, under this program, to obtain his/her own medical insurance for the expense incurred by the spouse in obtaining such coverage. The spouse ...
Spousal Insurance. Effective January 1, 2020, if an employee’s spouse has insurance available to them at their place of employment and the employer pays 85% or more, the spouse’s primary insurance must be through his/her employer. Spouse may also elect to obtain single coverage through a local insurance agency. Spouse will have secondary insurance coverage through Union-Scioto family plan.
Spousal Insurance. If a spouse of an employee covered by the Board's Hospitalization/Major Medical Insurance is employed and has access to single Hospitalization/Major Medical coverage through his/her employer, the spouse shall subscribe to the coverage provided:
1. The spouse's employer does not charge the spouse a premium; or
2. The Revere Board elects to reimburse the employee on a monthly basis for the cost the spouse incurs. Coverage provided by the spouse's employer shall be the primary coverage for the spouse and Board coverage shall be secondary. No employee or spouse shall suffer a loss of coverage or incur any cost as a result of this provision. If the coverage provided by the spouse's employer terminates for any reason outside the control of the employer or spouse, Board coverage shall immediately become primary coverage for the spouse with no loss of benefits. If the Board has reason to believe there is noncompliance with this provision, the employee may be required to provide verification of the spouse's place of employment. There shall be communication with the employee prior to any contact with the spouse's employer and the employee shall be informed of the reason.
3. If spouses are employed by the Revere School District, the following options will apply:
a. Either spouses, but not both, may choose to be covered as an employee and include his or her spouse as a dependent along with any eligible dependent children.
b. Both spouses may choose to be covered as employees and, therefore, will not be eligible as dependents. Either spouse, but not both, may choose to cover their eligible dependent children.
c. No one can be covered under this Plan as both an employee and dependent.
Spousal Insurance. (This Section only applies to teachers newly hired in the Bedford City Schools beginning with the 2007-2008 school year.)
1. If a teacher’s spouse is eligible to participate (as a current employee or retiree) in group health insurance sponsored by his/her employer, the spouse must enroll in such employer sponsored group insurance coverage(s) (“spouse available insurance”). The spouse may enroll in single employer sponsored group insurance coverage(s); the spouse is not required to enroll in family coverage.
2. Upon the spouse’s enrollment in any such “spouse available insurance” insurance coverage, that coverage will become the primary payer of the spouse’s benefits and the coverage sponsored by the Board will become the secondary payer of the spouse’s benefits.
3. Any spouse who fails to enroll in any “spouse available insurance” as required by this Section, shall be ineligible for benefits under the group insurance coverage sponsored by the Board.
4. Every employee whose spouse participates in the Board’s group health insurance coverage shall complete and submit to the Board, upon request, a written declaration (Addendum F-1) verifying whether his/her spouse is eligible to participate in “spouse available insurance” sponsored by the spouse’s employer.
5. If a teacher submits false information or fails to timely advise the Board of a change in his/her spouse’s eligibility for “spouse available insurance” within thirty (30) days of the qualifying event, and such false information or such failure by the teacher results in the Board providing benefits and/or payment of administrative fees to which the spouse is not entitled, the teacher will be personally liable to the Board for reimbursement of benefits and expenses, including attorneys’ fees and costs, incurred by the Board.
Spousal Insurance. (This Section only applies to employees first hired in the Bedford City Schools beginning January 1, 2008 and is effective the first day of the month following contract ratification)
1. If an employee's spouse is eligible to participate (as a current employee or retiree) in group health insurance and/or prescription drug insurance sponsored by his/her employer, the spouse must enroll in such employer sponsored group insurance coverage(s) ("spouse available insurance"). The spouse may enroll in single employer sponsored group insurance coverage(s); the spouse is not required to enroll in family coverage.
2. Upon the spouse's enrollment in any such "spouse available insurance" insurance coverage, that coverage will become the primary payer of the spouse's benefits and the coverage sponsored by the Board will become the secondary payer of the spouse's benefits.
3. Any spouse who fails to enroll in any "spouse available insurance" as required by this Section, shall be ineligible for benefits under the group insurance coverage sponsored by the Board.
4. Every employee whose spouse participates in the Board's group health insurance coverage shall complete and submit to the Board, upon request, a written declaration (Appendix D) verifying whether his/her spouse is eligible to participate in "spouse available insurance" sponsored by the spouse's employer.
5. If an employee submits false information or fails to timely advise the Board of a change in his/her spouse's eligibility for "spouse available insurance" within thirty
Spousal Insurance. 1. If an employee’s spouse is eligible to participate (as a current employee or retiree) in group health insurance and/or prescription drug insurance sponsored by his/her employer, the spouse must enroll in such employer- sponsored group insurance coverage(s). The spouse may enroll in single employer-sponsored group insurance coverage(s); the spouse is not required to enroll in family coverage.
2. Upon the spouse’s enrollment in any such employer-sponsored group insurance coverage, that coverage will become the primary payer of the spouse’s benefits and the coverage sponsored by the Board will become the secondary payer of the spouse’s benefits.
