Common use of Waiver of Coverage Clause in Contracts

Waiver of Coverage. 15.4.1 Any eligible employee who certifies that: (i) the employee is enrolled in other employer-provided medical coverage through the employee's own employer or through a parent, spouse or domestic partner; or (ii) that the employee is enrolled in government-provided medical coverage (such as MediCal, MediCare, CHAMPUS or Tricare) may elect to waive the employee's right to medical coverage paid by the District. Government-provided coverage does not include health insurance purchased on the health insurance marketplace pursuant to the Affordable Care Act. 15.4.2 Any eligible employee who certifies that: (i) the employee's spouse/registered domestic partner is enrolled in employer-provided medical coverage through his or her employment; or (ii) that the spouse or registered domestic partner is enrolled in government-provided medical coverage may elect to waive the spouse or registered domestic partner's right to medical coverage paid by the District. Government- provided coverage does not include health insurance purchased on the health insurance marketplace pursuant to the Affordable Care Act. 15.4.3 The election to waive medical coverage for the employee, spouse or registered domestic partner shall be made once a year during the open enrollment period, and cannot be changed until the next open enrollment period unless otherwise permitted as a life event or special enrollment under the Plan and applicable law and regulations. 15.4.4 Effective January 1, 2016, an employee who elects to waive his/her own medical coverage and/or his/her spouse or registered domestic partner's medical coverage shall be paid $2,000 for the plan year (January 1st through December 31stt), in which the employee or employee plus spouse/registered domestic partner elects to waive coverage. If the employee elects to receive the payment, the amount is taxable. The aforementioned option will be processed with the last paycheck of the school year and the last check of December of each year – with the employee receiving a $1,000 per payment if receiving the waiver for the full plan year. 15.4.5 To waive coverage, the employee must, on an annual basis, complete and sign under penalty of perjury a voluntary waiver form identifying the other employer or government-provided coverage, the employer or government entity providing the coverage, and the name, address and telephone number of a contact person for such employer or government entity for purposes of verifying such coverage. In addition, the employee must submit a letter of verification from the medical provider indicating the employee is covered under their medical plan and the term of coverage (beginning and expiration date). 15.4.6 In the event that the parties agree to the District moving from CalPERS to a different medical benefits provider that does not allow the District to maintain the waiver of benefits language set forth in Article 15.4.1, Article 15.4.5 will be rendered null and void and the District will no longer be responsible for providing the payments referenced in this Section. The District will provide written notice to CEA in the event it moves to a medical benefits provider that does not allow its participants/members/contracted entities to provide a waiver of benefits to its employees.

Waiver of Coverage. 15.4.1 a. Notwithstanding the above, employees may voluntarily elect to waive, in writing, all medical insurance coverage outlined above and, in lieu thereof, shall receive an annual payment in cash of: single ($350.00), two (2) person ($500.00), family ($750.00). If an employee reduces coverage from two (2) person to single, he/she shall receive an annual payment in case of $150.00; if an employee reduces coverage from family to two (2) person, he/she shall receive an annual payment in cash of $250.00; if an employee reduces coverage from family to single, he/she shall receive an annual payment in cash of $400.00. Payment in lieu of coverage will only be made if the coverage cancellation or reduction is voluntary on the part of the Employee. Payment to those employees waiving or reducing coverage shall be made in equal payments in February and June. Proof of change in insurance status may be required from the City. Any payments under this Section shall not be regarded as compensation for wage, overtime, or pension calculation purposes. The waiver provision is not available to employees or eligible employee dependents who certifies that: (i) are able to transfer to another member’s coverage that is provided by the City of Norwich, Norwich Department of Public Utilities and/or Norwich Board of Education. b. Where a change in an employee’s status prompts the employee is enrolled in other employer-to resume City- provided medical insurance coverage, the written waiver shall, upon written notice to the City, be revoked. Upon receipt of the revocation of the waiver, insurance coverage through shall be reinstated as soon as possible; subject however to any regulations or restrictions, including waiting periods, which may then be prescribed by the employee's own employer or through a parentappropriate insurance carriers. Depending upon the effective date of such reinstated coverage, spouse or domestic partner; or (ii) appropriate financial adjustments shall be made between the employee and the City to ensure that the employee is enrolled has been compensated, but not overcompensated, for any waiver elected in government-provided medical coverage (such as MediCal, MediCare, CHAMPUS or Tricare) may elect this Section. c. Notice of intention to waive the employee's right to medical insurance coverage paid by the District. Government-provided coverage does not include health insurance purchased on the health insurance marketplace pursuant must be sent to the Affordable Care Act. 15.4.2 Any eligible employee who certifies that: (i) the employee's spouse/registered domestic partner is enrolled in employer-provided medical coverage through his or her employment; or (ii) that the spouse or registered domestic partner is enrolled in government-provided medical coverage may elect Human Resources Director not later than October 1st, to waive the spouse or registered domestic partner's right to medical coverage paid by the Districtbe effective on January 1st of each contract year. Government- provided coverage does not include health insurance purchased on the health insurance marketplace pursuant to the Affordable Care Act. 15.4.3 The election to waive medical coverage for shall only be approved after the employee, spouse or registered domestic partner shall be made once a year during employee has provided the open enrollment period, and cannot be changed until the next open enrollment period unless otherwise permitted as a life event or special enrollment under the Plan and applicable law and regulationsCity with proof of alternative insurance coverage. 15.4.4 Effective January 1, 2016, an employee who elects to waive his/her own medical coverage and/or his/her spouse or registered domestic partner's medical coverage shall be paid $2,000 for the plan year (January 1st through December 31stt), in which the employee or employee plus spouse/registered domestic partner elects to waive coverage. If the employee elects to receive the payment, the amount is taxable. The aforementioned option will be processed with the last paycheck of the school year and the last check of December of each year – with the employee receiving a $1,000 per payment if receiving the waiver for the full plan year. 15.4.5 To waive coverage, the employee must, on an annual basis, complete and sign under penalty of perjury a voluntary waiver form identifying the other employer or government-provided coverage, the employer or government entity providing the coverage, and the name, address and telephone number of a contact person for such employer or government entity for purposes of verifying such coverage. In addition, the employee must submit a letter of verification from the medical provider indicating the employee is covered under their medical plan and the term d. Waiver of coverage (beginning and expiration date). 15.4.6 In the event that the parties agree procedures must be acceptable to the District moving from CalPERS to a different medical benefits provider that does not allow the District to maintain the waiver of benefits language set forth in Article 15.4.1, Article 15.4.5 will be rendered null and void and the District will no longer be responsible for providing the payments referenced in this Section. The District will provide written notice to CEA in the event it moves to a medical benefits provider that does not allow its participants/members/contracted entities to provide a waiver of benefits to its employeesapplicable insurance carrier.

Waiver of Coverage. 15.4.1 Any eligible [Secretaries only] 17.6.1 Subject to the limitations of this section and the requirement of the approved carriers, active employees who have maintained district-sponsored health and/or prescription insurance coverage for a least one calendar year, active employees who prior to the date of ratification of this agreement have informally waived such coverage, and new employees shall have the option to waive either health or prescription coverage or both. Employees electing such waiver must provide proof of having comparable coverage elsewhere. 17.6.2 In the case of active employees who have maintained coverage for a least one calendar year, for each month during the term of this contract that the waiver is in effect, the district shall pay an amount equal to 25% of the monthly premium costs of the waived coverage. In the case of active employees who have maintained district-sponsored health and/or prescription insurance coverage for less than one calendar year, active employees who prior to the date of ratification of this agreement have informally waived such coverage, and new employees, the monthly payment shall be at the rate of 25% of the monthly premium cost for single coverage under the plan(s) waived. The Aetna Flex Plan shall be deemed the plan waived by any employee who certifies that: has never participated in health coverage. 17.6.3 Payment shall be made monthly by (ia) the employee is enrolled in other employer-provided medical coverage through paying said amount into the employee's own employer or through a parent125 flexible spending plan, spouse or domestic partner; or (iib) that the employee is enrolled in government-provided medical coverage contributing said amount to an existing tax- sheltered annuity account, or (such as MediCal, MediCare, CHAMPUS or Tricarec) may elect paying same to waive the employee's right . Employees will be responsible for any federal or state taxes due as a result of the payment option selected. 17.6.4 The foregoing waiver option shall be available to medical coverage paid a limit of ten (10) employees of the bargaining unit at any time, in the order that fully completed application papers are received by the District. Government-provided coverage does not include health insurance purchased on the health insurance marketplace pursuant Benefits Administrator but subject to the Affordable Care Act. 15.4.2 Any eligible employee who certifies that: (i) the employee's spouse/registered domestic partner is enrolled in employer-provided medical coverage through his or her employment; or (ii) that the spouse or registered domestic partner is enrolled in government-provided medical coverage may elect to waive the spouse or registered domestic partner's right to medical coverage paid by the Districtfollowing priorities. Government- provided coverage does not include health insurance purchased on the health insurance marketplace pursuant to the Affordable Care Act. 15.4.3 The election to waive medical coverage for the employee, spouse or registered domestic partner shall be made once a year during the open enrollment period, and cannot be changed until the next open enrollment period unless otherwise permitted as a life event or special enrollment under the Plan and applicable law and regulations. 15.4.4 Effective January 1, 2016, an employee who elects to waive his/her own medical coverage and/or his/her spouse or registered domestic partner's medical coverage shall be paid $2,000 for the plan year (January 1st through December 31stt), in which the employee or employee plus spouse/registered domestic partner elects to waive coverage. If the employee elects to receive the payment, the amount is taxable. The aforementioned option will be processed with the last paycheck of the school year and the last check of December of each year – with the employee receiving a $1,000 per payment if receiving the waiver for the full plan year. 15.4.5 To waive coverage, the employee must, on an annual basis, complete and sign under penalty of perjury a voluntary waiver form identifying the other employer or government-provided coverage, the employer or government entity providing the coverage, and the name, address and telephone number of a contact person for such employer or government entity for purposes of verifying such coverage. In addition, the employee must submit a letter of verification from the medical provider indicating the employee is covered under their medical plan and the term of coverage (beginning and expiration date). 15.4.6 In the event that applications in excess of the parties agree ten (10) person limit are received, then eligibility will be established in the following order: first, those employees hired before May 1, 2007 who prior to that date declined district provided coverage; second, those employees hired before May 1, 2007 who have as of the District moving from CalPERS date of application been in enrolled in a plan to a different medical benefits provider be waived for at least six months in the order of longest enrollment duration; and third, all other employees, in order of seniority of employment in the bargaining unit. In the event that does not allow the District to maintain more employees apply for the waiver benefit than the limit of benefits language set forth in Article 15.4.1ten (10), Article 15.4.5 will those employees shall be rendered null placed on a waiting list and void and offered the District will no longer be responsible for providing the payments referenced in this Section. The District will provide written notice to CEA benefit in the order described above when and if the number of active waivers falls below the applicable limit. 17.6.5 The award of each individual's benefit shall last as long as his or her waiver is in effect, he or she remains an employee of the district and this contract or its successor containing this plan is in effect. In the event it moves an employee wishes to a medical benefits provider that does not allow its participantsreenroll to obtain insurance coverage by foregoing the waiver benefit, he/members/contracted entities to provide a waiver of benefits to its employeesshe may do so at any time.

Waiver of Coverage. 15.4.1 Any eligible employee who certifies that: (i) the employee is enrolled in other employer-employer- provided medical coverage through the employee's own employer or through a parent, spouse or domestic partner; or (ii) that the employee is enrolled in government-provided medical coverage (such as MediCal, MediCare, CHAMPUS or Tricare) may elect to waive the employee's right to medical coverage paid by the District. Government-provided coverage does not include health insurance purchased on the health insurance marketplace pursuant to the Affordable Care Act. 15.4.2 Any eligible employee who certifies that: (i) the employee's spouse/registered domestic partner is enrolled in employer-employer- provided medical coverage through his or her employment; or (ii) that the spouse or registered domestic partner is enrolled in government-provided medical coverage may elect to waive the spouse or registered domestic partner's right to medical coverage paid by the District. Government- Government-provided coverage does not include health insurance purchased on the health insurance marketplace pursuant to the Affordable Care Act. 15.4.3 . The election to waive medical coverage for the employee, spouse or registered domestic partner shall be made once a year during the open enrollment period, and cannot be changed until the next open enrollment period unless otherwise permitted as a life event or special enrollment under the Plan and applicable law and regulations. 15.4.4 Effective January 1, 2016, an . An employee who elects to waive his/her own medical coverage and/or his/her spouse or registered domestic partner's medical coverage shall be paid $2,000 80% of the 2004-2005 District contribution to medical benefits for the plan year coverage tier that is being waived (January 1st through December 31stt)e.g. employee, in which the employee or employee plus spouse/registered domestic partner elects to waive coveragepartner). If the employee elects to receive the payment, the amount This payment is taxable. The aforementioned Employees may not add spousal/registered domestic partner coverage in one year in order to increase the cash option will be processed with by electing a waiver in the last paycheck of the school year and the last check of December of each year – with the employee receiving a $1,000 per payment if receiving the waiver for the full plan following year. 15.4.5 . To waive coverage, the employee must, on an annual basis, must complete and sign under penalty of perjury a voluntary waiver form identifying the other employer or government-provided coverage, the employer or government entity providing the coverage, and the name, address and telephone number of a contact person for such employer or government entity for purposes of verifying such coverage. In addition, the employee must submit a letter of verification from the medical provider indicating the employee is covered under their medical plan and the term of coverage (beginning and expiration date). 15.4.6 In the event that the parties agree to the District moving from CalPERS to a different medical benefits provider that does not allow the District to maintain the waiver of benefits language set forth in Article 15.4.1, Article 15.4.5 will be rendered null and void and the District will no longer be responsible for providing the payments referenced in this Section. The District will provide written notice to CEA in the event it moves to a medical benefits provider that does not allow its participants/members/contracted entities to provide a waiver of benefits to its employees.

Waiver of Coverage. 15.4.1 Any eligible employee who certifies that: (i) the employee is enrolled in other employer-provided medical coverage through the employee's own employer or through a parent, spouse or domestic partner; or (ii) that the employee is enrolled in government-provided medical coverage (such as MediCal, MediCare, CHAMPUS or Tricare) may elect to waive the employee's right to medical coverage paid by the District. Government-provided coverage does not include health insurance purchased on the health insurance marketplace pursuant to the Affordable Care Act. 15.4.2 Any eligible employee who certifies that: (i) the employee's spouse/registered domestic partner is enrolled in employer-provided medical coverage through his or her employment; or (ii) that the spouse or registered domestic partner is enrolled in government-provided medical coverage may elect to waive the spouse or registered domestic partner's right to medical coverage paid by the District. Government- provided coverage does not include health insurance purchased on the health insurance marketplace pursuant to the Affordable Care Act. 15.4.3 The election to waive medical coverage for the employee, spouse or registered domestic partner shall be made once a year during the open enrollment period, and cannot be changed until the next open enrollment period unless otherwise permitted as a life event or special enrollment under the Plan and applicable law and regulations. 15.4.4 Effective January 1, 2016, an employee who elects to waive his/her own medical coverage and/or his/her spouse or registered domestic partner's medical coverage shall be paid $2,000 for the plan year (January 1st through December 31stt), in which the employee or employee plus spouse/registered domestic partner elects to waive coverage. If the employee elects to receive the payment, the amount is taxable. The aforementioned option will be processed with the last paycheck of the school year and the last check of December of each year – with the employee receiving a $1,000 per payment if receiving the waiver for the full plan year. 15.4.5 To waive coverage, the employee must, on an annual basis, complete and sign under penalty of perjury a voluntary waiver form identifying the other employer or government-provided coverage, the employer or government entity providing the coverage, and the name, address and telephone number of a contact person for such employer or government entity for purposes of verifying such coverage. In addition, the employee must submit a letter of verification from the medical provider indicating the employee is covered under their medical plan and the term of coverage (beginning and expiration date). 15.4.6 In the event that the parties agree to the District moving from CalPERS to a different medical benefits provider that does not allow the District to maintain the waiver of benefits language set forth in Article 15.4.1, Article 15.4.5 will be rendered null and void and the District will no longer be responsible for providing the payments referenced in this Section. The District will provide written notice to CEA in the event it moves to a medical benefits provider that does not allow its participants/members/contracted entities to provide a waiver of benefits to its employees15.