Common use of Vision Premiums Clause in Contracts

Vision Premiums. 8 The following are the premium contribution for the nurses for each pay period for a total 9 of twenty four (24) pay periods for the year. Level of Benefit Full Time 2018 2019 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and $6.22 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 Plan Year 2019 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:

Vision Premiums. 8 5 The following are the premium contribution for the nurses for each pay period for a total 9 6 of twenty four (24) pay periods for the year. Level of Benefit Full Time Plan Year 2018 Plan Year 2019 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 6.72 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 Plan Year 2019 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 6 The following are the premium contribution for the nurses for each pay period for a total 9 of 7 twenty four (24) pay periods for the year. Level of Benefit Full Time 2017 Plan Year 2018 2019 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time 2017 Plan Year 2018 Plan Year 2019 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 10 The following are the premium contribution for the nurses for each pay period for a total 9 11 of twenty four (24) pay periods for the year. Level of Benefit Full Time 2018 2019 Plan Year 2014 Plan Year 2015 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 6.72 50% of premium Spouse/Partner Page 7 of 11 Date Accepted / / Accepted by XXX Accepted by Employer Employee and Family $9.33 50% of premium Part Time Plan Year 2018 2014 Plan Year 2019 2015 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 The following are the premium contribution for the nurses for each pay period for a total 9 of twenty four (24) pay periods for the year. Level of Benefit Full Time 2018 2019 Plan Year 2015 Plan Year 2016 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 2015 Plan Year 2019 2016 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 The following are the premium contribution for the nurses for each pay period for a total 9 of twenty four (24) pay periods for the year. Level of Benefit Full Time 2018 2019 Plan Year 2016 Plan Year 2017 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 2016 Plan Year 2019 2017 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 6 The following are the premium contribution for the nurses for each pay period for a total 9 of 7 twenty four (24) pay periods for the year. Level of Benefit Full Time 2018 2019 Plan Year 2016 Plan Year 2017 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 6.72 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 2016 Plan Year 2019 2017 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 Surcharge: The nurses will participate in the working spouse surcharge on 2 the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:: 3

Vision Premiums. 8 9 The following are the premium contribution for the nurses for each pay period for a total 9 10 of twenty four (24) pay periods for the year. Level of Benefit Full Time Plan Year 2018 6 Plan Year 2019 7 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 6.72 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 6 Plan Year 2019 7 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 2 The following are the premium contribution for the nurses for each pay period for a total 9 of twenty 3 twenty-four (24) pay periods for the year. Level of Benefit Full Time 2018 2019 P2017 P2018 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 Plan Year 2019 P 2017 P2018 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 6 The following are the premium contribution for the nurses for each pay period for a total 9 of 7 twenty four (24) pay periods for the year. Level of Benefit Full Time P2017 Plan Year 2018 2019 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time P2017 Plan Year 2018 Plan Year 2019 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 The following are the premium contribution for the nurses for each pay period for a total 9 of twenty four (24) pay periods for the year. Level of Benefit Full Time Plan Year 20152017 Plan Year 2016 2018 2019 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 20152017 Plan Year 2019 2016 2018 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 The following are the premium contribution for the nurses for each pay period for a total 9 of twenty four (24) pay periods for the year. Level of Benefit Full Time 2018 2019 Plan Year 20152017 Plan Year 20162018 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 20152017 Plan Year 2019 20162018 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 6 The following are the premium contribution for the nurses for each pay period for a total 9 7 of twenty four (24) pay periods for the year. Level of Benefit Full Time 2018 2019 Plan Year 2014 Plan Year 2015 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 6.72 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 2014 Plan Year 2019 2015 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium

Vision Premiums. 8 5 The following are the premium contribution for the nurses for each pay period for a total 9 6 of twenty four (24) pay periods for the year. Level of Benefit Full Time 2018 2019 Plan Year 2015 Plan Year 2016 Employee Only $3.11 50% of premium Employee and child(ren) $5.60 50% of premium Employee and Spouse/Partner $6.22 50% of premium Spouse/Partner Employee and Family $9.33 50% of premium Part Time Plan Year 2018 2015 Plan Year 2019 2016 Employee Only $4.98 80% of premium Employee and child(ren) $8.96 80% of premium Employee and Spouse/Partner $9.96 80% of premium Employee and Family $14.93 80% of premium 1 Working Spouse Surcharge 3 The nurses will participate in the working spouse surcharge on the same basis as the 4 majority of the Medical Center’s non-represented employees as follows:premium