Common use of Working Spouse Coverage Clause in Contracts

Working Spouse Coverage. 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 30 hours per week AND is required to pay more than 50% of the single premium to participate in his/her employer’s group health insurance coverage and/or prescription drug insurance coverage. Upon the spouse’s enrollment in any such employer (or public retirement plan) sponsored 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. Any employee’s spouse who fails to enroll in any group insurance coverage sponsored by his/her employer (or public retirement plan) as required by this section shall be ineligible for benefits under such group insurance coverage sponsored by the Board. 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 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 coverage sponsored by the Board. Additional documentation may be required. If an employee submits false information or fails to timely advise the Board of a change in the employee’s 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 an employee results in the Board providing benefits to which the employee’s spouse is not entitled, the employee will be personally liable to the Board for reimbursement of benefits and expenses, including attorneys’ fees and costs incurred by the Board. Any amount to be reimbursed by the employee may be deducted from the benefits to which the employee would otherwise be entitled. In addition, the employee’s spouse will be terminated immediately from group health insurance and/or prescription drug insurance coverage under this plan. If an employee submits false information, he/she may be subject to disciplinary action by the Board, up to and including termination of employment.

Working Spouse Coverage. If an employee’s spouse is eligible to participate 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 30 hours per week AND is required to pay more than 50% of the single premium to participate in his/her employer’s group health insurance coverage and/or prescription drug insurance coverage. Upon the spouse’s enrollment in any such employer (or public retirement plan) sponsored group insurance coverage coverage, that coverage will become the primary payer payor of benefits and the coverage sponsored by the Board of Education will become the secondary payer payor of benefits. Any employee’s 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 Section, shall be ineligible for benefits under such group insurance coverage sponsored by the BoardBoard of Education. Every employee whose spouse participates in the BoardBoard of Education’s group health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the BoardBoard 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 coverage coverages sponsored by the BoardBoard of Education. Additional documentation may be required. If an the employee submits false information or fails to timely advise the Board Plan of a change in the employee’s her/his spouse’s eligibility for employer (or public retirement plan) sponsored group health insurance and/or prescription drug insurance insurance, and such false information or such failure by an the employee results in the Board Plan providing benefits to which the employee’s her/his spouse is not entitled, the employee will be personally liable to the Board Plan for reimbursement of benefits and expenses, including attorneys’ fees and costs costs, incurred by the BoardPlan. Any amount to be reimbursed by the employee may be deducted from the benefits to which the employee would otherwise be entitled. In addition, the employee’s her/his spouse will be terminated immediately from group health insurance and/or prescription drug insurance coverage under this planthe Plan. If an the employee submits false information, he/she the employee may be subject to disciplinary action by the BoardDistrict, up to and including termination of employment.

Working Spouse Coverage. If an employee’s spouse is eligible to participate 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 30 hours per week AND is required to pay more than 50% $300.00 per month for single coverage through their employer’s plan, who may remain in primary coverage upon verification of same and for as long as such coverage exceeds that amount. This exception does not apply to spouses covered by a public retirement plan who will be excluded from primary coverage under the single premium Board’s plan if eligible to participate in his/her employer’s group health insurance coverage and/or prescription drug insurance coverageprovided by such public retirement plan. Upon the spouse’s required next open enrollment (but in no case later than September 1, 2015), in any such employer (or public retirement plan) sponsored group insurance coverage as set forth above, that coverage will become the primary payer payor of benefits and the coverage sponsored by the Board will become the secondary payer payor of benefits. Any employee’s 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 Section, shall be ineligible for benefits under such group insurance coverage sponsored by the Board. Every employee whose spouse participates in the BoardBoard of Education’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)plan and/or exceeds the $300.00 per month limitation set forth above, if applicable. 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 coverage coverages sponsored by the Board. Additional documentation may be required. If an employee submits false information or fails to timely advise the Board Plan of a change in the employee’s his/her spouse’s eligibility for employer (or public retirement plan) sponsored group health insurance and/or prescription drug insurance in conformance with the conditions set forth above, and such false information or such failure by an employee results in the Board Plan providing benefits to which the employee’s spouse is not entitled, the employee will be personally liable to the Board Plan for reimbursement of benefits and expenses, including attorneys’ fees and costs costs, incurred by the BoardPlan. Any amount to be reimbursed by the employee may be deducted from the benefits to which the employee would otherwise be entitled. In addition, the employee’s spouse will be terminated immediately from group health insurance and/or prescription drug insurance coverage under this planthe Plan. If an employee submits false information, he/she may be subject to appropriate disciplinary action by the Board, up to and including termination of employment.

Working Spouse Coverage. If For bargaining unit members employed on or after August 1, 2014, if an employee’s spouse is eligible to participate 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). During the interview process, the Board will provide this section of the contract to any potential employee. The Board will keep a copy of the signed and dated insurance disclosure. This requirement does not apply to any his/her spouse who works less than 30 hours per week AND is required to pay more than 50% of the $325.00 per month for single premium to participate in coverage through his/her employer’s group health plan, who may remain in primary coverage upon verification of same and for as long as such coverage exceeds that amount. This exception does not apply to spouses covered by a public retirement plan who will be excluded from primary coverage under the Board’s plan if eligible to participate in insurance coverage and/or prescription drug insurance coverageprovided by such public retirement plan. Upon the spouse’s required next open enrollment in any such employer (or public retirement plan) sponsored group insurance coverage as set forth above, that coverage will become the primary payer of benefits and the coverage sponsored by the Board will become the secondary payer of benefits. Any employee’s His/her 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 Section, shall be ineligible for benefits under such group insurance coverage sponsored by the Board. Every employee whose spouse participates in the BoardBoard of Education’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 planplan and/or exceeds the $325.00 per month limitation set forth above, if applicable (see Appendix “I”). 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 coverage coverages sponsored by the Board. Additional documentation may be required. If an any employee submits false information or fails to timely advise the Board District of a change in the employee’s his/her spouse’s eligibility for employer (or public retirement plan) sponsored group health insurance and/or prescription drug insurance in conformance with the conditions set forth above, and such false information or such failure by an employee results in the Board Plan providing benefits to which the employee’s spouse is not entitled, the employee will be personally liable to the Board Plan for reimbursement of benefits and expenses, including attorneys’ fees and costs incurred by the Board. Any amount to be reimbursed by the employee may be deducted from the benefits to which the employee would otherwise be entitled. In addition, the employee’s spouse will be terminated immediately from group health insurance and/or prescription drug insurance coverage under this planthe Plan. If an employee submits false information, he/she may be subject to appropriate disciplinary action by the Board, up to and including termination of employment.

Working Spouse Coverage. If an employee’s spouse is eligible to participate 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 30 hours per week AND is required to pay more than 50% of the single premium to participate in his/her employer’s group health insurance coverage and/or prescription drug insurance coverage. Upon the spouse’s enrollment in any such employer (or public retirement plan) sponsored group insurance coverage coverage, that coverage will become the primary payer payor of benefits and the coverage sponsored by the Board will become the secondary payer payor of benefits. Any employee’s 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 Section, shall be ineligible for benefits under such group insurance coverage sponsored by the Board. 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 removed immediately from all health and prescription drug insurance coverage coverages sponsored by the Board. Additional documentation may be required. If an employee submits you submit false information or fails fail to timely advise the Board Plan of a change in the employee’s your spouse’s eligibility for employer (or public retirement plan) sponsored group health insurance and/or prescription drug insurance insurance, and such false information or such failure by an employee you results in the Board Plan providing benefits to which the employee’s your spouse is not entitled, the employee you will be personally liable to the Board Plan for reimbursement of benefits and expenses, including attorneys’ fees and costs costs, incurred by the BoardPlan. Any amount to be reimbursed by the employee you may be deducted from the benefits to which the employee you would otherwise be entitled. In addition, the employee’s your spouse will be terminated immediately from group health insurance and/or prescription drug insurance coverage under this planthe Plan. If an employee submits you submit false information, he/she you may be subject to disciplinary action by the Boardaction, up to and including termination of employment.