Common use of Working Spouse Insurance Coverage Clause in Contracts

Working Spouse Insurance Coverage. a. Except as provided insub-section 1. g. below, if a bargaining unit member enrolls his/her spouse in the District's health insurance program and that spouse is eligible to participate (either as a current employee or retiree) in group health insurance sponsored by his/her employer or retirement plan, bargaining unit member’s whose annual compensation is $27,000 or less shall pay a contribution of $75.00 per month in addition to the employee monthly contribution for family coverage set forth in 2 Medical Insurance below; bargaining unit members whose annual compensation is more than $27,000 shall pay a contribution of $125 per month in addition to the employee monthly contribution for family coverage set forth in Medical Insurance below. b. Upon the spouse's enrollment in his/her employer's healthcare plan or retirement plan, that plan will provide primary coverage for the spouse and the District's plan will provide secondary coverage so long as the bargaining unit member is enrolled in the District's family coverage, and the amount set forth in sub-section 1.a. above shall not apply. c. During the open enrollment period, every bargaining unit member who has family coverage which includes a spouse who participates in the District's group's health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the District a written declaration verifying whether his/her spouse is eligible to participate and the status of participation in group health insurance coverage and/or prescription drug insurance coverage sponsored by the spouse's employer or retirement plan provider. d. Any bargaining unit member whose spouse becomes eligible for any employer/ retirement plan sponsored group health insurance coverage after the open enrollment period shall notify the District within thirty (30) days of the initial eligibility date. e. If a member submits false information about his/her spouse or fails to timely notify the District of a change in the spouse's eligibility for employer or retirement plan sponsored group health and/or prescription drug insurance coverage, the member may be subject to disciplinary action up to and including termination. In addition, the bargaining unit member shall be personally liable to the District for reimbursement of the costs of benefits and expenses. The bargaining unit member's spouse shall also be immediately terminated from the District's group health insurance and prescription drug insurance coverage. Any action taken pursuant to this section shall be subject to the grievance procedure, Article 27. f. Any spouse who fails to enroll in any group health insurance coverage sponsored by his/her employer or retirement plan provider (unless the bargaining unit member enrolls the spouse in the District's plan and pays the required monthly contribution as set forth above), as otherwise required by this section, shall be ineligible for benefits under the group health care/prescription drug insurance coverage sponsored by the District. g. Any bargaining unit member whose spouse is a retired CMSD employee with at least 10 years of full-time service with CMSD and whose spouse is eligible for STRS or SERS health care and/or prescription benefits may elect to cover the spouse as primary. The retired spouse does not have to enroll in the STRS or the SERS health care and/or prescription plan. However, if the retired spouse should become employed, and such employer offers group healthcare insurance, then that spouse and District employee are required to comply with sub-sections a through f above.

Working Spouse Insurance Coverage. a. Except 1) Effective July 1, 2013, and except as provided insub-section 1. g. below, if a bargaining unit member enrolls his/her spouse in the any of District's health insurance program plans and that spouse is eligible to participate (either as a current employee or retiree) in group health insurance sponsored by his/her employer or retirement plan, the bargaining unit member’s whose annual compensation is $27,000 or less member shall pay a contribution of $75.00 100.00 per month in addition to the employee monthly contribution for family coverage set forth in Section 2 Medical Insurance below; bargaining unit members whose annual compensation is more than $27,000 shall pay below for a contribution total of $125 per month in addition to the employee monthly contribution for family coverage set forth in Medical Insurance below320.00. b. 2) Upon the spouse's enrollment in his/her employer's healthcare plan or retirement plan, that plan will provide primary coverage for the spouse and the District's plan will provide secondary coverage so long as the bargaining unit member is enrolled in the District's District family coverage, and the amount set forth in sub-section 1.a. above shall subsection 1 will not apply. c. 3) During the open enrollment period, every bargaining unit member who has family coverage which includes a spouse who participates in the District's group's group health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the District a written declaration verifying whether his/her spouse is eligible to and shall participate and the status of participation in group health insurance coverage and/or prescription drug insurance coverage sponsored by the spouse's employer or retirement plan provider, effective not later than January 1, 2014. d. 4) Any bargaining unit member whose spouse becomes eligible for any employer/ employer/retirement plan sponsored group health insurance coverage after any time outside of the annual open enrollment period shall notify the District within thirty (30) days of the initial eligibility date. e. 5) If a member submits false information about his/her spouse or fails to timely notify the District of a change in the spouse's eligibility for employer or retirement plan sponsored group health and/or prescription drug insurance coverage, the member may be subject to disciplinary action up to and including termination. In addition, the bargaining unit member shall be personally liable to the District for reimbursement of the costs of benefits and expenses. The bargaining unit member's spouse shall also be immediately terminated from the District's group health insurance and and/or prescription drug insurance coverage. Any action taken pursuant to this section shall be subject to the discipline and grievance procedure, Article 27. f. 6) Any spouse who fails to enroll in any group health insurance coverage sponsored by his/her employer or retirement plan provider provider, (unless the bargaining unit member enrolls the spouse in the District's plan and pays the required $100.00 monthly contribution as set forth above), as otherwise required by this section, shall be ineligible for benefits under the any group health carehealthcare/prescription drug insurance coverage plan sponsored by the District. g. 7) Any bargaining unit member whose spouse is a retired CMSD District employee with at least ten 10 years of full-time service with CMSD District and whose spouse is eligible for STRS or SERS health care and/or prescription benefits may elect to cover the spouse as primary. The retired spouse does not have to enroll in the STRS or the SERS health care and/or prescription plan. However, if the retired spouse should become employed, employed and such employer offers group healthcare insurance, then that spouse and District employee are required to comply with subSubsections 1-sections a through f 6 above.

Working Spouse Insurance Coverage. a. Except 1. Effective January 1, 20011 and except as provided insub-section 1. g. in Section 7 and 8 below, if a employee bargaining unit member enrolls his/her spouse in the District's ’s health insurance program and that spouse is eligible to participate (either as a current employee or retiree) in group health insurance sponsored by his/her employer or retirement planplan provider, the bargaining unit member’s whose annual compensation is $27,000 or less member shall pay a contribution of $75.00 50.00 per month in addition to the employee monthly contribution for family coverage set forth in 2 Medical Insurance below; bargaining unit members whose annual compensation is more than $27,000 shall pay Section 2, below for a contribution total of $125 per month in addition to the employee monthly contribution for family coverage set forth in Medical Insurance below160.00. b. 2. Upon the spouse's ’s enrollment in his/her employer's ’s healthcare plan or retirement plan, that plan will provide primary coverage for the spouse and the District's ’s plan will provide secondary coverage so long as the bargaining unit member is enrolled in the District's ’s family coverage, and the amount set forth in sub-section 1.a. section 13.0.1.1 above shall not apply. c. 3. During the open enrollment period, every bargaining unit member who has family coverage which includes a spouse who participates in the District's group's ’s group health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the District a written declaration verifying whether his/her spouse is eligible to participate and the status of participation in group health insurance coverage and/or prescription drug insurance coverage sponsored by the spouse's ’s employer or retirement plan provider, effective not later than January 1, 20012. d. 4. Any bargaining unit member whose spouse becomes eligible for any employer/ employer/retirement plan sponsored group health insurance coverage after the open enrollment period shall notify the District within thirty (30) days of the initial eligibility datedays. e. 5. If a member an employee submits false information about his/her spouse or fails to timely notify the District of a change in the spouse's ’s eligibility for employer or retirement plan sponsored group health and/or prescription drug insurance coveragehealth, the member employee may be subject to disciplinary action up to and including termination. In addition, the bargaining unit member shall be personally liable to the District for reimbursement of the costs of benefits and expenses. The bargaining unit member's ’s spouse shall also be immediately terminated from the District's ’s group health insurance and prescription drug insurance coverageinsurance. Any action taken pursuant to this section shall be subject to the grievance procedure, Article 27Articles 16 and 17. f. 6. Any spouse who fails to enroll in any group health insurance coverage sponsored by his/her employer or retirement plan provider (unless the bargaining unit member enrolls the spouse in the District's ’s plan and pays the required $50.00 monthly contribution as set forth above), as otherwise required by this section, shall be ineligible for benefits under the group health carehealthcare/prescription drug insurance coverage sponsored by the District. g. 7. Any bargaining unit member whose spouse is a retired CMSD District employee with at least 10 years of full-time service with CMSD the District and whose spouse is eligible for STRS or SERS health care and/or prescription benefits may elect to cover the spouse as primary. The retired spouse does not have to enroll in the STRS or the SERS health care and/or prescription plan. However, if the retired spouse should become employed, and such employer offers group healthcare insurance, then that spouse and District employee are required to comply with subSub-sections a 1 through f 6 above.

Working Spouse Insurance Coverage. a. Except Effective January 1, 2014 and except as provided insubin sub-section 11.g. g. below, if a bargaining unit member enrolls his/her spouse in the District's ’s health insurance program and that spouse is eligible to participate (either as a current employee or retiree) in group health insurance sponsored by his/her employer or retirement plan, the bargaining unit member’s whose annual compensation is $27,000 or less member shall pay a contribution of $75.00 per month in addition to the employee monthly contribution for family coverage set forth in 2 Medical Insurance below; bargaining unit members whose annual compensation is more than $27,000 shall pay a contribution of $125 per month in addition to the employee monthly contribution for family coverage set forth in Medical Insurance below. b. Upon the spouse's ’s enrollment in his/her employer's ’s healthcare plan or retirement plan, that plan will provide primary coverage for the spouse and the District's ’s plan will provide secondary coverage so long as the bargaining unit member is enrolled in the District's ’s family coverage, and the amount set forth in sub-section 1.a. above shall not apply. c. During the open enrollment period, every bargaining unit member who has family coverage which includes a spouse who participates in the District's ’s group's ’s health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the District a written declaration verifying whether his/her spouse is eligible to participate and the status of participation in group health insurance coverage and/or prescription drug insurance coverage sponsored by the spouse's ’s employer or retirement plan provider, effective not later than January 1, 2014. d. Any bargaining unit member whose spouse becomes eligible for any employer/ retirement plan sponsored group health insurance coverage after the open enrollment period shall notify the District within thirty (30) days of the initial eligibility datedays. e. If a member submits false information about his/her spouse or fails to timely notify the District of a change in the spouse's ’s eligibility for employer or retirement plan sponsored group health and/or prescription drug insurance coverage, the member may be subject to disciplinary action up to and including termination. In addition, the bargaining unit member shall be personally liable to the District for reimbursement of the costs of benefits and expenses. The bargaining unit member's ’s spouse shall also be immediately terminated from the District's ’s group health insurance and prescription drug insurance coverage. Any action taken pursuant to this section shall be subject to the grievance procedure, Article 27XXVI. f. Any spouse who fails to enroll in any group health insurance coverage sponsored by his/her employer or retirement plan provider (unless the bargaining unit member enrolls the spouse in the District's ’s plan and pays the required $75.00 monthly contribution as set forth above), as otherwise required by this section, shall be ineligible for benefits under the group health care/prescription drug insurance coverage sponsored by the District. g. Any bargaining unit member whose spouse is a retired CMSD employee with at least 10 years of full-time service with CMSD and whose spouse is eligible for STRS or SERS health care and/or prescription benefits may elect to cover the spouse as primary. The retired spouse does not have to enroll in the STRS or the SERS health care and/or prescription plan. However, if the retired spouse should become employed, and such employer offers group healthcare insurance, then that spouse and District employee are required to comply with sub-sections a through f above.

Working Spouse Insurance Coverage. a. Except 1) Effective July 1, 2013, and except as provided insub-section 1. g. below, if a bargaining unit member enrolls his/her spouse in the any of District's health insurance program plans and that spouse is eligible to participate (either as a current employee or retiree his/her spouse in any of District’s health insurance plans and that spouse is eligible to participate (either as a current employee or retiree) in group health insurance sponsored by his/her employer or retirement plan, the bargaining unit member’s whose annual compensation is $27,000 or less member shall pay a contribution of $75.00 150.00 per month in addition to the employee monthly contribution for family coverage set forth in Section 2 Medical Insurance below; bargaining unit members whose annual compensation is more than $27,000 shall pay a contribution of $125 per month in addition to the employee monthly contribution for family coverage set forth in Medical Insurance below. b. 2) Upon the spouse's enrollment in his/her employer's healthcare plan or retirement plan, that plan will provide primary coverage for the spouse and the District's plan will provide secondary coverage so long as the bargaining unit member is enrolled in the District's District family coverage, and the amount set forth in sub-section 1.a. above shall subsection 1 will not apply. c. 3) During the open enrollment period, every bargaining unit member who has family coverage which includes a spouse who participates in the District's group's group health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the District a written declaration verifying whether his/her spouse is eligible to and shall participate and the status of participation in group health insurance coverage and/or prescription drug insurance coverage sponsored by the spouse's employer or retirement plan provider, effective not later than January 1, 2014. d. 4) Any bargaining unit member whose spouse becomes eligible for any employer/ employer/retirement plan sponsored group health insurance coverage after any time outside of the annual open enrollment period shall notify the District within thirty (30) days of the initial eligibility date. e. 5) If a member submits false information about his/her spouse or fails to timely notify the District of a change in the spouse's eligibility for employer or retirement plan sponsored group health and/or prescription drug insurance coverage, the member may be subject to disciplinary action up to and including termination. In addition, the bargaining unit member shall be personally liable to the District for reimbursement of the costs of benefits and expenses. The bargaining unit member's spouse shall also be immediately terminated from the District's group health insurance and and/or prescription drug insurance coverage. Any action taken pursuant to this section shall be subject to the discipline and grievance procedure, Article 27. f. 6) Any spouse who fails to enroll in any group health insurance coverage sponsored by his/her employer or retirement plan provider provider, (unless the bargaining unit member enrolls the spouse in the District's plan and pays the required $150.00 monthly contribution as set forth above), as otherwise required by this section, shall be ineligible for benefits under the any group health carehealthcare/prescription drug insurance coverage plan sponsored by the District. g. 7) Any bargaining unit member whose spouse is a retired CMSD District employee with at least ten 10 years of full-time service with CMSD District and whose spouse is eligible for STRS or SERS health care and/or prescription benefits may elect to cover the spouse as primary. The retired spouse does not have to enroll in the STRS or the SERS health care and/or prescription plan. However, if the retired spouse should become employed, employed and such employer offers group healthcare insurance, then that spouse and District employee are required to comply with subSubsections 1-sections a through f 6 above.