Spousal Surcharge. All MBUs who seek coverage for a spouse must complete the Insurance Eligibility Affidavit found in Appendix H annually during open enrollment.
A. 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) or be subject to a one hundred dollar ($100) per month surcharge.
B. Upon the spouse’s enrollment in any such employer (or public retirement plan) sponsored by group insurance coverage, that coverage will become the primary payer of benefits, and the coverage sponsored by the Board will become the secondary payer of benefits.
C. 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 charged a one hundred dollar ($100) per month surcharge to stay on the plan offered by the Fairview Park Board of Education.
D. 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 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 charged a one hundred dollar ($100) per month surcharge to stay on their spouse’s health care coverage with the Fairview Park City School District.
Spousal Surcharge. Effective January 1, 2017 spouses of Employees who are employed full time (i.e., an average of 30 hours per week, or an average of at least 130 hours per month, as defined in the Affordable Care Act and further clarified in regulations) and through such employment are eligible for employer-provided medical benefits compliant with the Affordable Care Act (ACA), may be covered by the School District’s medical benefits, but only at an increased rate of contribution by the employee in addition to the premium share/Employee cost. The additional amount of contribution shall be $100.00 per month for 2017, $150.00 per month for 2018, $200.00 per month for 2019, and $250.00 per month for 2020. These amounts shall be payable by payroll deduction (or direct payments in a timely manner where payroll deduction is not available), as follows: Calendar Year Surcharge Pays Deduction 2017 $1,200.00 25 $48.00 2018 $1,800.00 26 $69.23 2019 $2,400.00 26 $92.31 2020 $3,000.00 26 $115.38 Spouses who are not employed or who are employed but not eligible for qualifying health benefits through that employment shall, along with the employee, complete and sign an Affidavit confirming that the spouse is: (a) not employed; or (b) employed but not eligible for qualifying health benefits provided by that employment. The Affidavit shall include authorization for the School District to verify any information provided in the Affidavit. The form of the Affidavit is attached hereto as Appendix “F”.
Spousal Surcharge. There shall be a $150 per month surcharge for coverage of spouses of faculty members who are eligible for health insurance coverage through an employer other than Central State University but who choose to enroll in the Central State University health insurance plan. This surcharge shall be applicable only when the spouse is eligible through his or her employer for the health insurance coverage offered to the employer's full time employees and only when:
1. The employer of the spouse pays at least 50% of the insurance premium, and
2. The plan has better than catastrophic coverage. The spousal surcharge is not part of the premium payment specified in Articles 40.2 and 40.3.
Spousal Surcharge. Pursuant to the Total Health Memorandum of Understanding (MOU), employees who cover spouses/domestic partners who have available, but decline to accept, other medical coverage available through the spouse/domestic partner’s own employer coverage, shall be charged one hundred ($100) per month premium-share in addition to the premiums defined above. Exceptions to this surcharge are in the attached Total Health MOU.
Spousal Surcharge. 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 or any public retirement plan, the spouse may enroll in such employer (or public retirement plan) sponsored group insurance coverage(s) or be subject to a one hundred twenty five dollar ($125) per month surcharge.
2. Upon the spouse’s enrollment in any such employer (or public retirement plan) sponsored by group insurance coverage, that coverage will become the primary payer of benefits, and the coverage sponsored by the Board will become the secondary payer of benefits.
3. 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 charged a one hundred twenty-five dollar ($125) per month surcharge.
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 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 charged a one hundred twenty-five dollar ($125) per month surcharge to stay on their spouse’s health care coverage with the Avon Local School District.
5. If the employee submits false information or fails to timely advise the plan of a change in his/her 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 the employee results in the Plan providing benefits to which the employee’s spouse is not entitled, the employee will be personally liable to the Plan for reimbursement of the one hundred twenty-five dollar ($125) per month surcharge.
Spousal Surcharge. Policyholders for both healthcare plans who carry their spouses on their insurance shall pay an annual Spousal Surcharge in the following amounts for each year of this Agreement:
a. Year 1: $1012.50
b. Year 2: $1012.50 c. Year 3: $1012.50 d. Year 4: $1012.50
Spousal Surcharge. 1. All employees electing family insurance coverage are subject to the Spousal Surcharge of Six Hundred Dollars and Zero Cents ($600.00) annually.
2. The Spousal Surcharge will be assessed to cover all spouses that are employed full- time (i.e., six (6) hours or more per day) and are eligible for medical/prescription coverage through their employer. The surcharge is specific to medical/prescription coverage; dental & vision coverages are excluded.
3. The Spousal Surcharge is not applicable if both spouses work full-time (i.e., six (6) hours or more per day) for the Chippewa Local Schools.
4. To claim exemption from the Spousal Surcharge due to a spouse not being employed full-time or not eligible for medical/prescription coverage through their employer, a letter must be submitted to the Finance Office by June 30 of each year. The letter must come from the employer, be printed on their company letterhead, be signed and dated by an HR administrator or other administrator that can confirm benefits and include a phone number that we can use to confirm the accuracy of the information.
Spousal Surcharge. Spouses of Employees who are employed full time (i.e., an average of 30 hours per week, or an average of at least 130 hours per month, as defined in the Affordable Care Act and further clarified in regulations) and through such employment are eligible for employer-provided medical benefits compliant with the Affordable Care Act (ACA), may be covered by the School District’s medical benefits, but only at an increased rate of contribution by the employee in addition to the premium share/Employee cost. These amounts shall be payable by payroll deduction (or direct payments in a timely manner where payroll deduction is not available), as follows: Calendar Year Surcharge Pays Deduction Effective January 1, 2025, spouses of Employees who are employed full time (i.e., an average of 30 hours per week, or an average of at least 130 hours per month, as defined in the Affordable Care Act and further clarified in regulations) and through such employment are eligible for employer-provided medical benefits compliant with the Affordable Care Act (ACA), shall be ineligible to participate in the School District’s medical benefits. Spouses who are not employed or who are employed but not eligible for qualifying health benefits through that employment shall, along with the employee, complete and sign an Affidavit confirming that the spouse is: (a) not employed; or (b) employed but not eligible for qualifying health benefits provided by that employment. The Affidavit shall include authorization for the School District to verify any information provided in the Affidavit. The form of the Affidavit is attached hereto as Appendix “H”.
