Statement of Grievance The grievance shall contain a statement of:
Overtime Description Overtime Wage paid at time and one half the regular rate For "A" rated Apprentices (work in excess of 7 hours per day) For "M" rated Apprentices (work in excess of 8 hours per day) (Local #3) ELEVATOR CONSTRUCTOR (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 2) Elevator (Constructor) - First Year Effective Period: 7/1/2015 - 3/16/2016 Wage Rate Per Hour: 50% of Journeyperson's rate Supplemental Rate Per Hour: $26.94 Effective Period: 3/17/2016 - 6/30/2016 Wage Rate Per Hour: 50% of Journeyperson's rate Supplemental Rate Per Hour: $28.41 Elevator (Constructor) - Second Year Effective Period: 7/1/2015 - 3/16/2016 Wage Rate Per Hour: 55% of Journeyperson's rate Supplemental Rate Per Hour: $27.35 Effective Period: 3/17/2016 - 6/30/2016 Wage Rate Per Hour: 55% of Journeyperson's rate Supplemental Rate Per Hour: $28.84 Elevator (Constructor) - Third Year Effective Period: 7/1/2015 - 3/16/2016 Wage Rate Per Hour: 65% of Journeyperson's rate Supplemental Rate Per Hour: $28.17 Effective Period: 3/17/2016 - 6/30/2016 Wage Rate Per Hour: 65% of Journeyperson's rate Supplemental Rate Per Hour: $29.69 Elevator (Constructor) - Fourth Year Effective Period: 7/1/2015 - 3/16/2016 Wage Rate Per Hour: 75% of Journeyperson's rate Supplemental Rate Per Hour: $29.00 Effective Period: 3/17/2016 - 6/30/2016 Wage Rate Per Hour: 75% of Journeyperson's rate Supplemental Rate Per Hour: $30.54 (Local #1) ELEVATOR REPAIR & MAINTENANCE (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 2) Elevator Service/Modernization Mechanic (First Year) Effective Period: 7/1/2015 - 3/16/2016 Wage Rate Per Hour: 50% of Journeyperson's rate Supplemental Benefit Per Hour: $26.87 Effective Period: 3/17/2016 - 6/30/2016 Wage Rate Per Hour: 50% of Journeyperson's rate Supplemental Benefit Per Hour: $28.34 Elevator Service/Modernization Mechanic (Second Year) Effective Period: 7/1/2015 - 3/16/2016 Wage Rate Per Hour: 55% of Journeyperson's rate Supplemental Benefit Per Hour: $27.27 Effective Period: 3/17/2016 - 6/30/2016 Wage Rate Per Hour: 55% of Journeyperson's rate Supplemental Benefit Per Hour: $28.76 Elevator Service/Modernization Mechanic (Third Year) Effective Period: 7/1/2015 - 3/16/2016 Wage Rate Per Hour: 65% of Journeyperson's rate Supplemental Benefit Per Hour: $28.08 Effective Period: 3/17/2016 - 6/30/2016 Wage Rate Per Hour: 65% of Journeyperson's rate Supplemental Benefit Per Hour: $29.60 Elevator Service/Modernization Mechanic (Fourth Year) Effective Period: 7/1/2015 - 3/16/2016 Wage Rate Per Hour: 75% of Journeyperson's rate Supplemental Benefit Per Hour: $28.89 Effective Period: 3/17/2016 - 6/30/2016 Wage Rate Per Hour: 75% of Journeyperson's rate Supplemental Benefit Per Hour: $30.43 (Local #1) ENGINEER (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 5) Engineer - First Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $23.68 Supplemental Benefit Rate per Hour: $22.55 Engineer - Second Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $29.60 Supplemental Benefit Rate per Hour: $22.55 Engineer - Third Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $32.56 Supplemental Benefit Rate per Hour: $22.55 Engineer - Fourth Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $35.52 Supplemental Benefit Rate per Hour: $22.55 (Local #15) ENGINEER - OPERATING (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 5) Operating Engineer - First Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour 40% of Journeyperson's Rate Supplemental Benefit Per Hour: $20.15 Operating Engineer - Second Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 50% of Journeyperson's Rate Supplemental Benefit Per Hour: $20.15 Operating Engineer - Third Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 60% of Journeyperson's Rate Supplemental Benefit Per Hour: $20.15 (Local #14) FLOOR COVERER (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 4) Floor Coverer (First Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 40% of Journeyperson's rate Supplemental Rate Per Hour: $31.14 Floor Coverer (Second Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 50% of Journeyperson's rate Supplemental Rate Per Hour: $31.14 Floor Coverer (Third Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 65% of Journeyperson's rate Supplemental Rate Per Hour: $31.14 Floor Coverer (Fourth Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 80% of Journeyperson's rate Supplemental Rate Per Hour: $31.14 (Carpenters District Council) XXXXXXX (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 3) Xxxxxxx (First Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 40% of Journeyperson's rate Supplemental Rate Per Hour: $13.64 Effective 11/1/2015 - Supplemental Rate Per Hour: $13.79 Xxxxxxx (Second Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 50% of Journeyperson's rate Supplemental Rate Per Hour: $22.97 Effective 11/1/2015 - Supplemental Rate Per Hour: $23.13 Xxxxxxx (Third Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 60% of Journeyperson's rate Supplemental Rate Per Hour: $25.87 Effective 11/1/2015 - Supplemental Rate Per Hour: $26.03 Xxxxxxx (Fourth Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 80% of Journeyperson's rate Supplemental Rate Per Hour: $31.04 Effective 11/1/2015 - Supplemental Rate Per Hour: $31.29 (Local #1281) HEAT & FROST INSULATOR (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 4) Heat & Frost Insulator (First Year) Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 40% of Journeyperson's rate Heat & Frost Insulator (Second Year) Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 60% of Journeyperson's rate Heat & Frost Insulator (Third Year) Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 70% of Journeyperson's rate Heat & Frost Insulator (Fourth Year) Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 80% of Journeyperson's rate (Local #12) HOUSE WRECKER (TOTAL DEMOLITION) (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 3) House Wrecker - First Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $21.17 Supplemental Benefit Rate per Hour: $17.33 House Wrecker - Second Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $22.32 Supplemental Benefit Rate per Hour: $17.33 House Wrecker - Third Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $23.97 Supplemental Benefit Rate per Hour: $17.33 House Wrecker - Fourth Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $26.53 Supplemental Benefit Rate per Hour: $17.33 (Xxxxx Tenders District Council) IRON WORKER - ORNAMENTAL (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 4) Iron Worker (Ornamental) - 1st Ten Months Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 50% of Journeyperson's rate Supplemental Rate Per Hour: $36.50 Iron Worker (Ornamental) - 11 -16 Months Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 55% of Journeyperson's rate Supplemental Rate Per Hour: $37.62 Iron Worker (Ornamental) - 17 - 22 Months Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 60% of Journeyperson's rate Supplemental Rate Per Hour: $38.73 Iron Worker (Ornamental) - 23 - 28 Months Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 70% of Journeyperson's rate Supplemental Rate Per Hour: $40.97 Iron Worker (Ornamental) - 29 - 36 Months Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 80% of Journeyperson's rate Supplemental Rate Per Hour: $43.20 (Local #580) IRON WORKER - STRUCTURAL (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 6) Iron Worker (Structural) - 1st Six Months Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $25.48 Supplemental Benefit Rate per Hour: $46.83 Iron Worker (Structural) - 7- 18 Months Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $26.08 Supplemental Benefit Rate per Hour: $46.83 Iron Worker (Structural) - 19 - 36 months Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $26.68 Supplemental Benefit Rate per Hour: $46.83 (Local #40 and #361) LABORER (FOUNDATION, CONCRETE, EXCAVATING, STREET PIPE LAYER & COMMON) (Ratio Apprentice to Journeyperson: 1 to 1, 1 to 3) Laborer (Foundation, Concrete, Excavating, Street Pipe Layer & Common) - First 1000 hours Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 50% of Journeyperson's rate Supplemental Rate Per Hour: $36.53 Laborer (Foundation, Concrete, Excavating, Street Pipe Layer & Common) - Second 1000 hours Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 60% of Journeyperson's rate Supplemental Rate Per Hour: $36.53 Laborer (Foundation, Concrete, Excavating, Street Pipe Layer & Common) - Third 1000 hours Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 75% of Journeyperson's rate Supplemental Rate Per Hour: $36.53 Laborer (Foundation, Concrete, Excavating, Street Pipe Layer & Common) - Fourth 1000 hours Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 90% of Journeyperson's rate Supplemental Rate Per Hour: $36.53 (Local #731) MARBLE MECHANICS (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 4) Cutters & Setters - First 750 Hours Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 50% of Journeyperson's rate NO BENEFITS PAID DURING THE FIRST TWO MONTHS (PROBATIONARY PERIOD) Cutters & Setters - Second 750 Hours Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 55% of Journeyperson's rate Cutters & Setters - Third 750 Hours Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 65% of Journeyperson's rate Cutters & Setters - Fourth 750 Hours Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 75% of Journeyperson's rate Cutters & Setters - Fifth 750 Hours Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 85% of Journeyperson's rate Cutters & Setters - Sixth 750 Hours Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 95% of Journeyperson's rate Polishers & Finishers - First 750 Hours Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 50% of Journeyperson's rate NO BENEFITS PAID DURING THE FIRST TWO MONTHS (PROBATIONARY PERIOD) Polishers & Finishers - Second 750 Hours Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 60% of Journeyperson's rate Polishers & Finishers - Third 750 Hours Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 75% of Journeyperson's rate Polishers & Finishers - Fourth 750 Hours Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 90% of Journeyperson's rate (Local #7) XXXXX TENDER (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 3) Xxxxx Xxxxxx - First Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $21.39 Supplemental Benefit Rate per Hour: $18.44 Xxxxx Xxxxxx - Second Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $22.54 Supplemental Benefit Rate per Hour: $18.44 Xxxxx Xxxxxx - Third Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $24.29 Supplemental Benefit Rate per Hour: $18.49 Xxxxx Xxxxxx - Fourth Year Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $26.95 Supplemental Benefit Rate per Hour: $18.49 (Local #79) METALLIC LATHER (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 3) Metallic Lather (First Year -Called Prior to 6/29/11) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $29.41 Supplemental Benefit Rate per Hour: $22.89 Metallic Lather (Second Year - Called Prior to 6/29/11) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $34.01 Supplemental Benefit Rate per Hour: $24.54 Metallic Lather (Third Year - Called Prior to 6/29/11) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $39.07 Supplemental Benefit Rate per Hour: $25.69 Metallic Lather (First Year -Called On Or After 6/29/11) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $23.01 Supplemental Benefit Rate per Hour: $17.95 Metallic Lather (Second Year - Called On Or After 6/29/11) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $28.11 Supplemental Benefit Rate per Hour: $17.95 Metallic Lather (Third Year - Called On Or After 6/29/11) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $33.21 Supplemental Benefit Rate per Hour: $17.95 (Local #46) MILLWRIGHT (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 4) Xxxxxxxxxx (First Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $27.23 Supplemental Benefit Rate per Hour: $34.06 Xxxxxxxxxx (Second Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $32.18 Supplemental Benefit Rate per Hour: $37.62 Xxxxxxxxxx (Third Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $37.13 Supplemental Benefit Rate per Hour: $41.83 Xxxxxxxxxx (Fourth Year) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $47.03 Supplemental Benefit Rate per Hour: $48.31 (Local #740) PAVER AND ROADBUILDER (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 3) Paver and Roadbuilder - First Year (Minimum 1000 hours) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $27.05 Supplemental Benefit Rate per Hour: $17.12 Paver and Roadbuilder - Second Year (Minimum 1000 hours) Effective Period: 7/1/2015 - 6/30/2016 Wage Rate per Hour: $28.69 Supplemental Benefit Rate per Hour: $17.12 (Local #1010) PAINTER (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 3) Painter - Brush & Roller - First Year Effective Period: 7/1/2015 - 10/31/2015 Wage Rate per Hour: $15.80 Supplemental Benefit Rate per Hour: $11.88 Effective Period: 11/1/2015 - 6/30/2016 Wage Rate per Hour: $16.40 Supplemental Benefit Rate per Hour: $12.13 Painter - Brush & Roller - Second Year Effective Period: 7/1/2015 - 10/31/2015 Wage Rate per Hour: $19.75 Supplemental Benefit Rate per Hour: $15.73 Effective Period: 11/1/2015 - 6/30/2016 Wage Rate per Hour: $20.50 Supplemental Benefit Rate per Hour: $15.98 Painter - Brush & Roller - Third Year Effective Period: 7/1/2015 - 10/31/2015 Wage Rate per Hour: $23.70 Supplemental Benefit Rate per Hour: $18.64 Effective Period: 11/1/2015 - 6/30/2016 Wage Rate per Hour: $24.60 Supplemental Benefit Rate per Hour: $18.89 Painter - Brush & Roller - Fourth Year Effective Period: 7/1/2015 - 10/31/2015 Wage Rate per Hour: $31.60 Supplemental Benefit Rate per Hour: $24.02 Effective Period: 11/1/2015 - 6/30/2016 Wage Rate per Hour: $32.80 Supplemental Benefit Rate per Hour: $24.27 (District Council of Painters) PAINTER - STRUCTURAL STEEL (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 3) Painters - Structural Steel (First Year) Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 40% of Journeyperson's rate Painters - Structural Steel (Second Year) Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 60% of Journeyperson's rate Painters - Structural Steel (Third Year) Effective Period: 7/1/2015 - 6/30/2016 Wage and Supplemental Rate Per Hour: 80% of Journeyperson's rate (Local #806) PLASTERER (Ratio of Apprentice to Journeyperson: 1 to 1, 1 to 3) Plasterer - First Year: 1st Six Months Effective Period: 7/1/2015 - 6/30/2016 Wage Rate Per Hour: 40% of Journeyperson's rate Supplemental Rate Per Hour: $15.76
Denial of Grievance Failure by the School Board or its representative to issue a decision within the time periods provided herein shall constitute a denial of the grievance and the employee may appeal it to the next level.
Completion of Evaluation Cycle 1. The summative evaluation rating shall be based upon a preponderance of the evidence, assessed in a holistic manner, that is aligned to the Ohio Educator Standards. Only evidence gathered during the walkthroughs and formal observations that are conducted for the current school year may be used.
Denial/Restoral OSS Charge In the event <<customer_name>> provides a list of customers to be denied and restored, rather than an LSR, each location on the list will require a separate PON and, therefore will be billed as one LSR per location. Cancellation OSS Charge <<customer_name>> will incur an OSS charge for an accepted LSR that is later canceled by <<customer_name>>. Note: Supplements or clarifications to a previously billed LSR will not incur another OSS charge. Threshold Billing Plan <<customer_name>> will incur the mechanized rate for all LSRs, both mechanized and manual, if the percentage of mechanized LSRs to total LSRs meets or exceeds the threshold percentages shown below: Year Ratio: Mechanized/Total LSRs 2000 80% 2001 90% The threshold plan will be discontinued in 2002. BellSouth will track the total LSR volume for each CLEC for each quarter. At the end of that time period, a Percent Electronic LSR calculation will be made for that quarter based on the LSR data tracked in the LCSC. If this percentage exceeds the threshold volume, all of that CLEC’s future manual LSRs for the following quarter will be billed at the mechanized LSR rate. To allow time for obtaining and analyzing the data and updating the billing system, this billing change will take place on the first day of the second month following the end of the quarter (e.g. May 1 for 1Q, Aug 1 for 2Q, etc.). There will be no adjustments to the amount billed for previously billed LSRs. Exclusions and Limitations On Services Available for Resale Attachment 1 Type of Service AL FL GA KY LA MS NC SC TN Resale Discount Resale Discount Resale Discount Resale Discount Resale Discount Resale Discount Resale Discount Resale Discount Resale Discount 1 Grandfathered Services (Note 1) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 8 Mobile Services Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No 9 Federal Subscriber Line Charges Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No 11 End User Line Chg- Number Portability Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No 12 Public Telephone Access Svc(PTAS) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes 13 Inside Wire Maint Service Plan Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Applicable Notes:
Adjustment of Grievance The School District and the teacher shall attempt to adjust all grievances which may arise during the course of employment of any teacher within the School District in the following manner:
Types of Grievance (a) An individual grievance is a grievance which involves a single individual.
Your Grievance and Appeals Rights If you have a complaint or are dissatisfied with a denial of coverage for claims under your plan, you may be able to appeal or file a grievance. For questions about your rights, this notice, or assistance, you can contact your state insurance department at (000) 000-0000 or by email at XxxxxxXxxXxxxxxx@xxxx.xx.xxx, the U.S. Department of Labor, Employee Benefits Security Administration at 0-000-000-0000 or xxx.xxx.xxx/xxxx, or the U.S. Department of Health and Human Services at 0-000-000-0000 x00000 or xxx.xxxxx.xxx.xxx. Does this Coverage Provide Minimum Essential Coverage? The Affordable Care Act requires most people to have health care coverage that qualifies as “minimum essential coverage.” This plan or policy does provide minimum essential coverage. Does this Coverage Meet the Minimum Value Standard? The Affordable Care Act establishes a minimum value standard of benefits of a health plan. The minimum value standard is 60% (actuarial value). This health coverage does meet the minimum value standard for the benefits it provides. Language Access Services: Para obtener asistencia en Español, llame al 0-000-000-0000. Kung kailangan ninyo ang tulong sa Tagalog tumawag sa 0-000-000-0000. 如果需要中文的帮助,请拨打这个号码 0-000-000-0000. Dinek'ehgo shika at'ohwol ninisingo, kwiijigo holne' 0-000-000-0000. ––––––––––––––––––––––To see examples of how this plan might cover costs for a sample medical situation, see the next page.–––––––––––––––––––––– About these Coverage Examples: These examples show how this plan might cover medical care in given situations. Use these examples to see, in general, how much financial protection a sample patient might get if they are covered under different plans. This is not a cost estimator. Don’t use these examples to estimate your actual costs under this plan. The actual care you receive will be different from these examples, and the cost of that care will also be different. See the next page for important information about these examples. Having a baby (normal delivery) ◼ Amount owed to providers: $7,540 ◼ Plan pays $7,490 ◼ Patient pays $50 Sample care costs: Hospital charges (mother) $2,700 Routine obstetric care $2,100 Hospital charges (baby) $900 Anesthesia $900 Laboratory tests $500 Prescriptions $200 Radiology $200 Vaccines, other preventive $40 Total $7,540 Patient pays: Deductibles $0 Copays $20 Coinsurance $0 Limits or exclusions $30 Total $50 Managing type 2 diabetes (routine maintenance of a well-controlled condition) ◼ Amount owed to providers: $5,400 ◼ Plan pays $4,760 ◼ Patient pays $640 Sample care costs: Prescriptions $2,900 Medical Equipment and Supplies $1,300 Office Visits and Procedures $700 Education $300 Laboratory tests $100 Vaccines, other preventive $100 Total $5,400 Patient pays: Deductibles $0 Copays $300 Coinsurance $300 Limits or exclusions $40 Total $640 These examples are based on coverage for an individual plan. Questions and answers about the Coverage Examples: What are some of the assumptions behind the Coverage Examples? • Costs don’t include premiums. • Sample care costs are based on national averages supplied by the U.S. Department of Health and Human Services, and aren’t specific to a particular geographic area or health plan. • The patient’s condition was not an excluded or preexisting condition. • All services and treatments started and ended in the same coverage period. • There are no other medical expenses for any member covered under this plan. • Out-of-pocket expenses are based only on treating the condition in the example. • The patient received all care from in- network providers. If the patient had received care from out-of-network providers, costs would have been higher. What does a Coverage Example show? For each treatment situation, the Coverage Example helps you see how deductibles, copayments, and coinsurance can add up. It also helps you see what expenses might be left up to you to pay because the service or treatment isn’t covered or payment is limited. Does the Coverage Example predict my own care needs?
Year-End Grievance In the event a grievance is filed at such time that it cannot be processed through all steps in this grievance procedure by the end of the school year and, if left unresolved until the beginning of the following school year, could result in irreparable harm to a party in interest, the time limits set forth herein shall be reduced so that the grievance procedure may be exhausted prior to the end of the school year or within a maximum of 30 days thereafter. Reduction of the time limit shall be with mutual consent.