Common use of Your Grievance and Appeals Rights Clause in Contracts

Your Grievance and Appeals Rights. There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievance or appeal. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide complete information to submit a claim, appeal or a grievance for any reason to your plan. For more information about your rights, this notice, or assistance, contact: Paramount Insurance Co., Member Service Department at: (000) 000-0000, Toll Free: 1-800-462-3589, or the Department of Labor’s Employee Benefits Security Administration at 1-866-444-EBSA (3272) or xxx.xxx.xxx/xxxx/xxxxxxxxxxxx Does this plan provide Minimum Essential Coverage? Yes If you don’t have Minimum Essential Coverage for a month, you’ll have to make a payment when you file your tax return unless you qualify for an exemption from the requirement that you have health coverage for that month. Does this plan meet the Minimum Value Standard? Yes If your plan doesn’t meet the Minimum Value Standards, you may be eligible for a premium tax credit to help you pay for a plan through the Marketplace. Notice of Nondiscrimination and Accessibility: Discrimination is Against the Law Paramount Insurance Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Paramount Insurance Company does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Paramount Insurance Company provides: • Free aids and services to people with disabilities to communicate effectively with us, such as: ○ Qualified sign language interpreters ○ Written information in other formats (large print, audio, accessible electronic formats, other formats) • Free language services to people whose primary language is not English, such as: ○ Qualified interpreters ○ Information written in other languages If you need these services, contact Member Services at 1-800-462-3589. If you believe that Paramount Insurance Company has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance. You can file a grievance in person or by mail, fax, or email. Member Services 0000 Xxxxxx Xxxx Xxxxxx, Xxxxxx XX 00000 Phone: 000-000-0000 Toll Free: 1-800-462-3589 TTY: 0-000-000-0000 Fax: 000-000-0000 Email: Xxxxxxxxx.XxxxxxXxxxxxxx@XxxXxxxxx.xxx If you need help filing a grievance, Member Services is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Room 509F, HHH Building Washington, D.C. 20201 0-000-000-0000, 000-000-0000 (TDD) Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html. *For more information about limitations and exceptions, see the plan or policy document at xxx.xxxxxxxxxxxxxxxxxxxxxxxxx.xxx. NEGOTIATED AGREEMENT BETWEEN THE OTTAWA HILLS EDUCATION ASSOCIATION AND THE OTTAWA HILLS BOARD OF EDUCATION JANUARY 1, 2021 – DECEMBER 31, 2023 INDEX Advancing to a Higher Salary Class 8 Annuity Deduction 12 Appendix A: Salary Schedule Index 35 Appendix B: Supplemental Salary Index 42 Appendix C: Summary of Healthcare Benefits 45 Article I: Recognition 1 Article II: Grievance Procedure 5 Article III: Compensation 8 Article IV: Negotiated Fringe Benefits 13 Article V: Working Conditions 17 Article VI: Rights of Individuals and Professional Conduct 28 Article VII: Leaves 28 Article VIII: Severance Pay 31 Article IX: No Strike 32 Article X: Rights of OHEA 32 Article XI: Severability 33 Article XII: Duration 34 Assault Leave 30 Assignment 18 Assignment and Transfer 18 Bereavement Leave 29 Board Policy Books 5 Bonus (1%) 8 Bonus (Appendix A) 39 Calculating Part-Time Pay 9 Complaint Procedure 26 Continuing Contracts 22 Credit Union Deduction 9 Curriculum Hourly Work 11 Deductions 12 Dental Insurance 15 Disabilities, Placement of Students with 26 Duration 34 Educational Advancement on Salary Schedule 8 Employment Under Supplemental Contracts 23 Evaluation 25 Extra-Curricular Passes 27 Fair Share Fee 2 Family and Medical Leave Act (FMLA) 31 Filling Vacancies 20 General (Grievance Procedure) 5 Governing Procedures (related to layoff and recall) 20 Health and Safety 27 Health Care Benefits, Summary (Appendix C) 45 Health Insurance Committee 15 Index 63 Insurance 13 Involuntary Reassignment or Involuntary Transfer 19 Job Descriptions 12 Jury Duty and Court Subpoena Leave 29 Layoff and Recall – Reduction in Force 20 Level of Fringe Benefits for Half-Time/Full-Time Teachers 13 Life Insurance 15 Limited and Continuing Contracts (Tenure) and Supplemental Contracts 22 Limited Contracts 22 Longevity 10 Management Rights 1 Master Teacher Designation 16 Maternity/Paternity/Adoption Leave 30 Medical Insurance 14 Mentors for Experienced Teachers 25 Mentors for Ohio Resident Educators 25 Negotiations 4 No Strike 32 Online Course Supervision 28 Opt-out for Medical Insurance 15 Order of Reduction in Force (Layoff) 20 Order of Recall 21 Part-Time Pay, Calculating 9 Passes, Extra-Curricular 27 Pay Period 9 Pay Schedule, Supplemental 10 Personal Leaves and Absences 29 Personnel Files 24 Placement of Students with Disabilities 26 Posting Position Openings 19 Procedure (Grievance) 6 Professional Education Associations 12 Professional Review Committee 4 Purpose (Grievance Procedure) 5 Qualifications (related to transfer) 18 Reasons for Reductions in Force (Layoff) 20 Reassignment 18 Reassignment or Transfer 19 Recognition 1 Reduction in Force (Layoff) and Recall 20 Reimbursement for College Coursework 16 Retirement Deduction 12 Retirement Notice Bonus 32 Rights as Individuals 28 Rights of OHEA 32 Rights of Teachers on Recall 22 Salary Schedule Index (Appendix A) 35 Section 125 Plan Deduction 13 Seniority (related to Transfer) 18 Severance Pay 31 Sick Leave 28 Solicitations 24 Special Education and Intervention Services 26 Study Hall and Online Course Supervision 27 Study Hall Supervision 28 Substitute Coverage 10 Summary of Health Care Benefits (Appendix C) 45 Supplemental Contracts, Employment Under 23 Supplemental Salary Work 10 Supplemental Salary Committee 11 Supplemental Salary Index (Appendix B) 42 Teacher/Parent Communication 25 Teachers Salary Schedule 8 Tenure 22 Transfer 18 Unpaid Leave 30 Vacancy 18 Vision Care 15 Voluntary (related to Reassignment and Transfer) 18 Voluntary Reassignment or Voluntary Transfer 19 Work Days in Teachers Contract 17

Your Grievance and Appeals Rights. There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievance or appeal. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide complete information to submit a claim, appeal appeal, or a grievance for any reason to your plan. For more information about your rights, this notice, or assistance, contact: Paramount Insurance Co., Member Service Department at: the plan at 0-000-000-0000 or (000) 000-0000, Toll Free: 1-800-462-3589, 0000 or TDD 711. You may also contact the Department of Labor’s Employee Benefits Security Administration at 10-866000-444-000 EBSA (3272) or xxx.xxx.xxx/xxxx/xxxxxxxxxxxx xxx.xxx.xxx/xxxx/xxxxxxxxxxxx. Additionally, a consumer assistance program can help you file your appeal. Contact your state insurance department at (000) 000-0000 or by email at XxxxxxXxxXxxxxxx@xxxx.xx.xxx. Does this plan provide Minimum Essential Coverage? Yes Yes. If you don’t have Minimum Essential Coverage for a month, you’ll have to make a payment when you file your tax return unless you qualify for an exemption from the requirement that you have health coverage for that month. Does this plan meet the Minimum Value StandardStandards? Yes Yes. If your plan doesn’t meet the Minimum Value Standards, you may be eligible for a premium tax credit to help you pay for a plan through the Marketplace. Notice This is a summary of Nondiscrimination and Accessibility: Discrimination is Against the Law Paramount Insurance Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sexyour benefits. Paramount Insurance Company does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Paramount Insurance Company provides: • Free aids and services to people with disabilities to communicate effectively with us, such as: ○ Qualified sign language interpreters ○ Written information in other formats (large print, audio, accessible electronic formats, other formats) • Free language services to people whose primary language It is not Englisha contract. For details about your coverage, such asincluding any limitations or exclusions not noted here, please refer to your subscriber agreement. Appendix H AUTHORIZATION FORM‌ Name: ○ Qualified interpreters ○ Information written in other languages If you need these services, contact Member Services at 1-800-462-3589. If you believe that Paramount Insurance Company has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance. You can file a grievance in person or by mail, fax, or email. Member Services 0000 Xxxxxx Xxxx Xxxxxx, Xxxxxx XX 00000 Date: Home Address: Personal Email: Cell Phone: 000( ) - Signature: Appendix I MEMBERSHIP DROP FORM‌ Membership Drop Form I hereby withdraw my membership from the Cranston Teachers’ Alliance, Local 1704, the Rhode Island Federation of Teachers and Health Professionals, the American Federation of Teachers, and our AFL-000-0000 Toll FreeCIO affiliates and direct my employer to refrain from withholding the constitutionally assessed dues of the local, state and national unions from my salary. Name: 1-800-462-3589 TTYDate: 0-000-000-0000 FaxHome Address: 000-000-0000 Personal Email: Xxxxxxxxx.XxxxxxXxxxxxxx@XxxXxxxxx.xxx If you need help filing a grievanceCell Phone: ( ) - Signature: Membership in the union is subject to the governance documents, Member Services is available to help youpolicies and procedures of the local, the RIFTHP, and the AFT. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Room 509F, HHH Building Washington, D.C. 20201 0-000-000-0000, 000-000-0000 (TDD) Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html. *For more information about limitations and exceptions, see the plan or policy document at xxx.xxxxxxxxxxxxxxxxxxxxxxxxx.xxx. NEGOTIATED AGREEMENT BETWEEN THE OTTAWA HILLS EDUCATION ASSOCIATION AND THE OTTAWA HILLS BOARD OF EDUCATION Appendix J VISION COVERAGE‌ JANUARY 1, 2021 – DECEMBER 31, 2023 INDEX Advancing to a Higher Salary Class 8 Annuity Deduction 12 Appendix A: Salary Schedule Index 35 Appendix B: Supplemental Salary Index 42 Appendix C: Summary of Healthcare Benefits 45 Article I: Recognition 1 Article II: Grievance Procedure 5 Article III: Compensation 8 Article IV: Negotiated Fringe Benefits 13 Article V: Working Conditions 17 Article VI: Rights of Individuals and Professional Conduct 28 Article VII: Leaves 28 Article VIII: Severance Pay 31 Article IX: No Strike 32 Article X: Rights of OHEA 32 Article XI: Severability 33 Article XII: Duration 34 Assault Leave 30 Assignment 18 Assignment and Transfer 18 Bereavement Leave 29 Board Policy Books 5 Bonus (1%) 8 Bonus (Appendix A) 39 Calculating Part-Time Pay 9 Complaint Procedure 26 Continuing Contracts 22 Credit Union Deduction 9 Curriculum Hourly Work 11 Deductions 12 Dental Insurance 15 Disabilities, Placement of Students with 26 Duration 34 Educational Advancement on Salary Schedule 8 Employment Under Supplemental Contracts 23 Evaluation 25 Extra-Curricular Passes 27 Fair Share Fee 2 Family and Medical Leave Act (FMLA) 31 Filling Vacancies 20 General (Grievance Procedure) 5 Governing Procedures (related to layoff and recall) 20 Health and Safety 27 Health Care Benefits, Summary (Appendix C) 45 Health Insurance Committee 15 Index 63 Insurance 13 Involuntary Reassignment or Involuntary Transfer 19 Job Descriptions 12 Jury Duty and Court Subpoena Leave 29 Layoff and Recall – Reduction in Force 20 Level of Fringe Benefits for Half-Time/Full-Time Teachers 13 Life Insurance 15 Limited and Continuing Contracts (Tenure) and Supplemental Contracts 22 Limited Contracts 22 Longevity 10 Management Rights 1 Master Teacher Designation 16 Maternity/Paternity/Adoption Leave 30 Medical Insurance 14 Mentors for Experienced Teachers 25 Mentors for Ohio Resident Educators 25 Negotiations 4 No Strike 32 Online Course Supervision 28 Opt-out for Medical Insurance 15 Order of Reduction in Force (Layoff) 20 Order of Recall 21 Part-Time Pay, Calculating 9 Passes, Extra-Curricular 27 Pay Period 9 Pay Schedule, Supplemental 10 Personal Leaves and Absences 29 Personnel Files 24 Placement of Students with Disabilities 26 Posting Position Openings 19 Procedure (Grievance) 6 Professional Education Associations 12 Professional Review Committee 4 Purpose (Grievance Procedure) 5 Qualifications (related to transfer) 18 Reasons for Reductions in Force (Layoff) 20 Reassignment 18 Reassignment or Transfer 19 Recognition 1 Reduction in Force (Layoff) and Recall 20 Reimbursement for College Coursework 16 Retirement Deduction 12 Retirement Notice Bonus 32 Rights as Individuals 28 Rights of OHEA 32 Rights of Teachers on Recall 22 Salary Schedule Index (Appendix A) 35 Section 125 Plan Deduction 13 Seniority (related to Transfer) 18 Severance Pay 31 Sick Leave 28 Solicitations 24 Special Education and Intervention Services 26 Study Hall and Online Course Supervision 27 Study Hall Supervision 28 Substitute Coverage 10 Summary of Health Care Benefits (Appendix C) 45 Supplemental Contracts, Employment Under 23 Supplemental Salary Work 10 Supplemental Salary Committee 11 Supplemental Salary Index (Appendix B) 42 Teacher/Parent Communication 25 Teachers Salary Schedule 8 Tenure 22 Transfer 18 Unpaid Leave 30 Vacancy 18 2020 Vision Care 15 Voluntary Services In-Network Member Cost Out-of-Network Member Cost Frames, Lense, and Lens Options Package (related to Reassignment Any frame, lens, and Transferlens options available at provider location) 18 Voluntary Reassignment $100 allowance for frame, lens, and lens options; 20% off balance over $100 Balance over $50 Contact Lens (Contact lense allowance includes materials only.) Conventional $0 copay, $100 allowance; 15% off balance over $100 Balance over $80 Disposable $0 copay, $100 allowance; 15% off balance over $100 Balance over $80 Laser Vision Correction LASIK or Voluntary Transfer 19 Work Days PRK from U.S. Laser Network 15% off retail price or 5% off promotional price N/A Additional Discounts 40% discount off complete pair of prescription eyeglass purchases 15% discount off conventional contact lenses once funded benefit has been used 20% off non-prescription sunglasses N/A Frequency Frame and Lenses or Contact Lenses Once every 12 months Once every 12 months Please note: Your benefits cannot be combined with any other discounts, coupons, or promotional offers unless otherwise noted in Teachers Contract 17an offer.

Your Grievance and Appeals Rights. There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievance or appeal. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide complete information to submit a claim, appeal or a grievance for any reason to your plan. For more information about your rights, this notice, or assistance, contact: Paramount Insurance Co., Member Service Department at: (000) 000-0000, Toll Free: 10-800000-462000-35890000, or the Department of Labor’s Employee Benefits Security Administration at 1-866-444-EBSA (3272) or xxx.xxx.xxx/xxxx/xxxxxxxxxxxx Does this plan provide Minimum Essential Coverage? Yes If you don’t have Minimum Essential Coverage for a month, you’ll have to make a payment when you file your tax return unless you qualify for an exemption from the requirement that you have health coverage for that month. Does this plan meet the Minimum Value Standard? Yes If your plan doesn’t meet the Minimum Value Standards, you may be eligible for a premium tax credit to help you pay for a plan through the Marketplace. Notice of Nondiscrimination and Accessibility: Discrimination is Against the Law Paramount Insurance Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Paramount Insurance Company does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Paramount Insurance Company provides: • Free aids and services to people with disabilities to communicate effectively with us, such as: ○ Qualified sign language interpreters ○ Written information in other formats (large print, audio, accessible electronic formats, other formats) • Free language services to people whose primary language is not English, such as: ○ Qualified interpreters ○ Information written in other languages If you need these services, contact Member Services at 10-800000-462000-35890000. If you believe that Paramount Insurance Company has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance. You can file a grievance in person or by mail, fax, or email. Member Services 62 0000 Xxxxxx Xxxx Xxxxxx, Xxxxxx XX 00000 Phone: 000-000-0000 Toll Free: 10-800000-462000-3589 0000 TTY: 0-000-000-0000 Fax: 000-000-0000 Email: Xxxxxxxxx.XxxxxxXxxxxxxx@XxxXxxxxx.xxx If you need help filing a grievance, Member Services is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Room 509FXxxx 000X, HHH Building WashingtonXXX Xxxxxxxx Xxxxxxxxxx, D.C. 20201 X.X. 00000 0-000-000-0000, 000-000-0000 (TDD) Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html. *For more information about limitations and exceptions, see the plan or policy document at xxx.xxxxxxxxxxxxxxxxxxxxxxxxx.xxx. NEGOTIATED AGREEMENT BETWEEN THE OTTAWA HILLS EDUCATION ASSOCIATION AND THE OTTAWA HILLS BOARD OF EDUCATION JANUARY 1, 2021 2018 – DECEMBER 31, 2023 2020 INDEX Advancing to a Higher Salary Class 8 9 Annuity Deduction 12 13 Appendix A: Salary Schedule Index 35 37 Appendix B: Supplemental Salary Index 42 45 Appendix C: Summary of Healthcare Benefits 45 49 Article I: Recognition 1 Article II: Grievance Procedure 5 Article III: Compensation 8 Article IV: Negotiated Fringe Benefits 13 Article V: Working Conditions 17 Article VI: Rights of Individuals and Professional Conduct 28 29 Article VII: Leaves 28 29 Article VIII: Severance Pay 31 33 Article IX: No Strike 32 33 Article X: Rights of OHEA 32 34 Article XI: Severability 33 35 Article XII: Duration 34 35 Assault Leave 30 31 Assignment 18 Assignment and Transfer 18 Bereavement Leave 29 Board Policy Books 5 Bonus (1.50%) 8 Bonus (Appendix A) 39 41 Calculating Part-Time Pay 9 Complaint Procedure 26 Continuing Contracts 22 Credit Union Deduction 9 Curriculum Hourly Work 11 Deductions 12 Dental Insurance 15 Disabilities, Placement of Students with 26 Duration 34 35 Educational Advancement on Salary Schedule 8 Employment Under Supplemental Contracts 23 Evaluation 25 Extra-Curricular Passes 27 Fair Share Fee 2 Family and Medical Leave Act (FMLA) 31 32 Filling Vacancies 20 19 General (Grievance Procedure) 5 Governing Procedures (related to layoff and recall) 20 Health and Safety 27 28 Health Care Benefits, Summary (Appendix C) 45 49 Health Insurance Committee 15 Index 63 Insurance 13 Involuntary Reassignment or Involuntary Transfer 19 18 Job Descriptions 12 Jury Duty and Court Subpoena Leave 29 30 Layoff and Recall – Reduction in Force 20 Level of Fringe Benefits for Half-Time/Full-Time Teachers 13 Life Insurance 15 Limited and Continuing Contracts (Tenure) and Supplemental Contracts 22 Limited Contracts 22 Longevity 10 Management Rights 1 Master Teacher Designation 16 Maternity/Paternity/Adoption Leave 30 31 Medical Insurance 14 Mentors for Experienced Teachers 25 26 Mentors for Ohio Resident Educators 25 Negotiations 4 No Strike 32 33 Online Course Supervision 28 Opt-out for Medical Insurance 15 Order of Reduction in Force (Layoff) 20 Order of Recall 21 Part-Time Pay, Calculating 9 Passes, Extra-Curricular 27 Pay Period 9 Pay Schedule, Supplemental 10 Personal Leaves and Absences 29 Personnel Files 24 Placement of Students with Disabilities 26 Posting Position Openings 19 Procedure (Grievance) 6 Professional Education Associations 12 Professional Review Committee 4 Purpose (Grievance Procedure) 5 Qualifications (related to transfer) 18 Reasons for Reductions in Force (Layoff) 20 Reassignment 18 Reassignment or Transfer 19 18 Recognition 1 Reduction in Force (Layoff) and Recall 20 Reimbursement for College Coursework 16 Retirement Deduction 12 Retirement Notice Bonus 32 33 Rights as Individuals 28 29 Rights of OHEA 32 34 Rights of Teachers on Recall 22 21 Salary Schedule Index (Appendix A) 35 37 Section 125 Plan Deduction 13 Seniority (related to Transfer) 18 Severance Pay 31 33 Sick Leave 28 29 Solicitations 24 23 Special Education and Intervention Services 26 27 Study Hall and Online Course Supervision 27 28 Study Hall Supervision 28 Substitute Coverage 10 Summary of Health Care Benefits (Appendix C) 45 49 Supplemental Contracts, Employment Under 23 Supplemental Salary Work 10 Supplemental Salary Committee 11 Supplemental Salary Index (Appendix B) 42 45 Teacher/Parent Communication 25 24 Teachers Salary Schedule 8 Tenure 22 Transfer 18 Unpaid Leave 30 32 Vacancy 18 Vision Care 15 Voluntary (related to Reassignment and Transfer) 18 Voluntary Reassignment or Voluntary Transfer 19 Work Days in Teachers Contract 1719

Your Grievance and Appeals Rights. There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievance or appeal. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide complete information to submit a claim, appeal or a grievance for any reason to your plan. For more information about your rights, this notice, or assistance, contact: Paramount Insurance Co., Member Service Department at: (000) 000-0000, Toll Free: 1-800-462-3589, or the Department of Labor’s Employee Benefits Security Administration at 1-866-444-EBSA (3272) or xxx.xxx.xxx/xxxx/xxxxxxxxxxxx Does this plan provide Minimum Essential Coverage? Yes If you don’t have Minimum Essential Coverage for a month, you’ll have to make a payment when you file your tax return unless you qualify for an exemption from the requirement that you have health coverage for that month. Does this plan meet the Minimum Value Standard? Yes If your plan doesn’t meet the Minimum Value Standards, you may be eligible for a premium tax credit to help you pay for a plan through the Marketplace. Notice of Nondiscrimination and Accessibility: Discrimination is Against the Law Paramount Insurance Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Paramount Insurance Company does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Paramount Insurance Company provides: • Free aids and services to people with disabilities to communicate effectively with us, such as: ○ Qualified sign language interpreters ○ Written information in other formats (large print, audio, accessible electronic formats, other formats) • Free language services to people whose primary language is not English, such as: ○ Qualified interpreters ○ Information written in other languages If you need these services, contact Member Services at 1-800-462-3589. If you believe that Paramount Insurance Company has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance. You can file a grievance in person or by mail, fax, or email. Member Services 0000 Xxxxxx Xxxx Xxxxxx, Xxxxxx XX 00000 Phone: 000-000-0000 Toll Free: 1-800-462-3589 TTY: 0-000-000-0000 Fax: 000-000-0000 Email: Xxxxxxxxx.XxxxxxXxxxxxxx@XxxXxxxxx.xxx If you need help filing a grievance, Member Services is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Room 509F, HHH Building Washington, D.C. 20201 0-000-000-0000, 000-000-0000 (TDD) Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html. *For more information about limitations and exceptions, see the plan or policy document at xxx.xxxxxxxxxxxxxxxxxxxxxxxxx.xxx. NEGOTIATED AGREEMENT BETWEEN THE OTTAWA HILLS EDUCATION ASSOCIATION AND THE OTTAWA HILLS BOARD OF EDUCATION JANUARY This page intentionally left blank. APPENDIX C Negotiated Agreement Between Ottawa Hills School Support Association and The Board of Education of Ottawa Hills Local Schools July 1, 2021 – DECEMBER 31through June 30, 2023 2024 INDEX Advancing to a Higher Salary Class 8 Annuity Deduction 12 Appendix A: Salary Schedule Index 35 Appendix B: Supplemental Salary Index 42 Appendix C: Summary Activity Assignments 11 Administration of Healthcare Benefits 45 Article I: Recognition 1 Article II: Medication/Medical Procedures 10 Arbitration, Grievance Procedure Procedure, Step Five 5 Article III: Compensation 8 Article IV: Negotiated Fringe Benefits 13 Article V: Working Conditions 17 Article VI: Rights of Individuals and Professional Conduct 28 Article VII: Arbitrations, Leaves 28 Article VIII: Severance Pay 31 Article IX: No Strike 32 Article X: Rights of OHEA 32 Article XI: Severability 33 Article XII: Duration 34 16 Assault Leave 30 Assignment 18 Assignment and Transfer 18 17 Assignments, During-the-Week, Weekend 11 Association Rights 2 Attendance Incentive 22 Bereavement Leave 29 Board Policy Books 5 Bonus (1%) 8 Bonus (Appendix A) 39 Calculating Part-16 Breaks and Lunch Periods 9 Closed, Schools 10 Collaborative Process Committee 6 College Coursework 22 Compensation 21 Compensatory Time Pay 9 Complaint Procedure 26 Continuing Contracts 22 Credit Union Deduction 9 Curriculum Hourly Work 11 Deductions 12 Contract 7 Contribution, Employee, for Insurance 19 Court Subpoenas, Leaves 16 Dental Insurance 15 Disabilities, Placement 20 Direct Deposit 23 Discipline 7 Duration of Students with 26 Duration 34 the Agreement 27 During-the-Week Activity Assignments 11 Educational Advancement on Salary Schedule 8 Employment Under Supplemental Contracts 23 Evaluation 25 Enhancement Reimbursement 22 Evaluations 7 Extra-Curricular Passes 27 23 Fair Share Fee 2 Fees 24 Family and Medical Leave Act (FMLA) 31 18 Filling Vacancies 20 General (Positions 12 Grievance Procedure) Procedure 3 Arbitrator’s Decision and Compensation 5 Governing Procedures (related to layoff Definitions and recall) 20 Health and Safety 27 Health Care Benefits, Summary (Appendix C) 45 Rights 3 Jurisdictional Questions 5 Limitation of Arbitrator’s Authority 5 Purpose 3 Step One 4 Step Two 4 Step Three 4 Step Four – Mediation 4 Step Five – Arbitration 5 Health Insurance Committee 15 21 Ice, Snow, Severe Weather Day 10 Index 63 and Salary Schedules - APPENDIX A 29 Insurance 13 Involuntary Reassignment or Involuntary Transfer 19 Coverage 18 Job Descriptions 12 Jury Duty and Court Subpoena Leave 29 Layoff and Recall – Reduction in Force 20 Level of Fringe Benefits Classification for Half-Time/Full-Time Teachers 13 Life Insurance 15 Limited and Continuing Contracts (Tenure) and Supplemental Contracts 22 Limited Contracts 22 Longevity 10 Management Rights 1 Master Teacher Designation 16 Maternity/Paternity/Adoption Leave 30 Medical Insurance 14 Mentors for Experienced Teachers 25 Mentors for Ohio Resident Educators 25 Negotiations 4 No Strike 32 Online Course Supervision 28 Opt-out for Medical Insurance 15 Order Purposes of Reduction in Force (Layoff) 13 Job Security 6 Jury Duty, Leave 16 Leaves 15 Liability Insurance 20 Order of Recall Life Insurance 20 Longevity Stipends 21 PartManagement Rights 1 Medical Insurance 19 Military Leave 16 Negotiations 3 No Strike Clause 26 Opt-Time Payout, Calculating 9 Passes, Extra-Curricular 27 Pay Period 9 Pay Schedule, Supplemental 10 Personal Leaves and Absences 29 Personnel Files 24 Placement of Students with Disabilities 26 Posting Position Openings 19 Procedure (Grievance) 6 Professional Education Associations 12 Professional Review Committee 4 Purpose (Grievance Procedure) 5 Qualifications (related to transfer) 18 Reasons Insurance 20 Options for Reductions Employees Scheduled for Reduction in Force (Layoff) 20 Reassignment 18 Reassignment or Transfer 19 13 Overtime/Compensatory Time 9 Paid Holidays 15 Pandemic Day 10 Parenting Leave 17 Payroll Deduction and Fair Share Fees 24 Personal Leave 16 Posting 12 Probationary Contract 6 Promotions 12 Recall 14 Recognition 1 Recognition of Excellence 22 Reduction in Force (Layoff) and Recall 20 Reimbursement for College Coursework 16 12 Reasons For Reduction in Force (Layoff) Priorities 12 Related Work Groups 13 Retirement Deduction 12 Retirement Notice Bonus 32 Pick-up, SERS 23 Rights as Individuals 28 Rights of OHEA 32 Rights of Teachers on Recall 22 Salary Schedule Index While Reduction in Force (Appendix ALayoff) 35 13 Schools Closed Due to an Ice, Snow, Actual Severe Weather, or Pandemic Day 10 Section 125 Plan Deduction 13 21 Seniority (related to Transfer) 18 8 SERB Hearings, Leave 16 SERS Retirement Pick-up 23 Severability 26 Severance Pay 31 24 Sick Leave 28 Solicitations 24 Special Education and Intervention Services 26 Study Hall and Online Course Supervision 27 Study Hall Supervision 28 Substitute Coverage 10 15 Staff Development Funds 22 Subcontracting 14 Summary of Health Care Benefits (Appendix C) 45 Supplemental ContractsCoverage - APPENDIX B 33 Transfers 12 Two-Year Contract 6 Unpaid Leaves of Absence 17 Vacancies, Employment Under 23 Supplemental Salary Work 10 Supplemental Salary Committee 11 Supplemental Salary Index (Appendix B) 42 Teacher/Parent Communication 25 Teachers Salary Schedule 8 Tenure 22 Transfer 18 Unpaid Leave 30 Vacancy 18 Transfers, and Promotions 12 Vacations 14 Vision Care 15 Voluntary (related to Reassignment 20 Weekend Assignments 11 Work Year and Transfer) 18 Voluntary Reassignment or Voluntary Transfer 19 Work Days in Teachers Contract 178 This page intentionally left blank.

Your Grievance and Appeals Rights. There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievance or appeal. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide complete information to submit a claim, appeal or a grievance for any reason to your plan. For more information about your rights, this notice, or assistance, contact: Paramount Insurance Co., Member Service Department at: (000) 000-0000, Toll Free: 1-800-462-3589, or the Department of Labor’s Employee Benefits Security Administration at 1-866-444-EBSA (3272) or xxx.xxx.xxx/xxxx/xxxxxxxxxxxx Does this plan provide Minimum Essential Coverage? Yes If you don’t have Minimum Essential Coverage for a month, you’ll have to make a payment when you file your tax return unless you qualify for an exemption from the requirement that you have health coverage for that month. Does this plan meet the Minimum Value Standard? Yes If your plan doesn’t meet the Minimum Value Standards, you may be eligible for a premium tax credit to help you pay for a plan through the Marketplace. Notice of Nondiscrimination and Accessibility: Discrimination is Against the Law Paramount Insurance Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Paramount Insurance Company does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Paramount Insurance Company provides: • Free aids and services to people with disabilities to communicate effectively with us, such as: ○ Qualified sign language interpreters ○ Written information in other formats (large print, audio, accessible electronic formats, other formats) • Free language services to people whose primary language is not English, such as: ○ Qualified interpreters ○ Information written in other languages If you need these services, contact Member Services at 1-800-462-3589. If you believe that Paramount Insurance Company has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance. You can file a grievance in person or by mail, fax, or email. Member Services 62 0000 Xxxxxx Xxxx Xxxxxx, Xxxxxx XX 00000 Phone: 000-000-0000 Toll Free: 1-800-462-3589 TTY: 0-000-000-0000 Fax: 000-000-0000 Email: Xxxxxxxxx.XxxxxxXxxxxxxx@XxxXxxxxx.xxx If you need help filing a grievance, Member Services is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Room 509F, HHH Building Washington, D.C. 20201 0-000-000-0000, 000-000-0000 (TDD) Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html. *For more information about limitations and exceptions, see the plan or policy document at xxx.xxxxxxxxxxxxxxxxxxxxxxxxx.xxx. NEGOTIATED AGREEMENT BETWEEN THE OTTAWA HILLS EDUCATION ASSOCIATION AND THE OTTAWA HILLS BOARD OF EDUCATION JANUARY 1, 2021 2018 – DECEMBER 31, 2023 2020 INDEX Advancing to a Higher Salary Class 8 9 Annuity Deduction 12 13 Appendix A: Salary Schedule Index 35 37 Appendix B: Supplemental Salary Index 42 45 Appendix C: Summary of Healthcare Benefits 45 49 Article I: Recognition 1 Article II: Grievance Procedure 5 Article III: Compensation 8 Article IV: Negotiated Fringe Benefits 13 Article V: Working Conditions 17 Article VI: Rights of Individuals and Professional Conduct 28 29 Article VII: Leaves 28 29 Article VIII: Severance Pay 31 33 Article IX: No Strike 32 33 Article X: Rights of OHEA 32 34 Article XI: Severability 33 35 Article XII: Duration 34 35 Assault Leave 30 31 Assignment 18 Assignment and Transfer 18 Bereavement Leave 29 Board Policy Books 5 Bonus (1.50%) 8 Bonus (Appendix A) 39 41 Calculating Part-Time Pay 9 Complaint Procedure 26 Continuing Contracts 22 Credit Union Deduction 9 Curriculum Hourly Work 11 Deductions 12 Dental Insurance 15 Disabilities, Placement of Students with 26 Duration 34 35 Educational Advancement on Salary Schedule 8 Employment Under Supplemental Contracts 23 Evaluation 25 Extra-Curricular Passes 27 Fair Share Fee 2 Family and Medical Leave Act (FMLA) 31 32 Filling Vacancies 20 19 General (Grievance Procedure) 5 Governing Procedures (related to layoff and recall) 20 Health and Safety 27 28 Health Care Benefits, Summary (Appendix C) 45 49 Health Insurance Committee 15 Index 63 Insurance 13 Involuntary Reassignment or Involuntary Transfer 19 18 Job Descriptions 12 Jury Duty and Court Subpoena Leave 29 30 Layoff and Recall – Reduction in Force 20 Level of Fringe Benefits for Half-Time/Full-Time Teachers 13 Life Insurance 15 Limited and Continuing Contracts (Tenure) and Supplemental Contracts 22 Limited Contracts 22 Longevity 10 Management Rights 1 Master Teacher Designation 16 Maternity/Paternity/Adoption Leave 30 31 Medical Insurance 14 Mentors for Experienced Teachers 25 26 Mentors for Ohio Resident Educators 25 Negotiations 4 No Strike 32 33 Online Course Supervision 28 Opt-out for Medical Insurance 15 Order of Reduction in Force (Layoff) 20 Order of Recall 21 Part-Time Pay, Calculating 9 Passes, Extra-Curricular 27 Pay Period 9 Pay Schedule, Supplemental 10 Personal Leaves and Absences 29 Personnel Files 24 Placement of Students with Disabilities 26 Posting Position Openings 19 Procedure (Grievance) 6 Professional Education Associations 12 Professional Review Committee 4 Purpose (Grievance Procedure) 5 Qualifications (related to transfer) 18 Reasons for Reductions in Force (Layoff) 20 Reassignment 18 Reassignment or Transfer 19 18 Recognition 1 Reduction in Force (Layoff) and Recall 20 Reimbursement for College Coursework 16 Retirement Deduction 12 Retirement Notice Bonus 32 33 Rights as Individuals 28 29 Rights of OHEA 32 34 Rights of Teachers on Recall 22 21 Salary Schedule Index (Appendix A) 35 37 Section 125 Plan Deduction 13 Seniority (related to Transfer) 18 Severance Pay 31 33 Sick Leave 28 29 Solicitations 24 23 Special Education and Intervention Services 26 27 Study Hall and Online Course Supervision 27 28 Study Hall Supervision 28 Substitute Coverage 10 Summary of Health Care Benefits (Appendix C) 45 49 Supplemental Contracts, Employment Under 23 Supplemental Salary Work 10 Supplemental Salary Committee 11 Supplemental Salary Index (Appendix B) 42 45 Teacher/Parent Communication 25 24 Teachers Salary Schedule 8 Tenure 22 Transfer 18 Unpaid Leave 30 32 Vacancy 18 Vision Care 15 Voluntary (related to Reassignment and Transfer) 18 Voluntary Reassignment or Voluntary Transfer 19 Work Days in Teachers Contract 1719

Your Grievance and Appeals Rights. There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievance or appeal. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide complete information to submit a claim, appeal appeal, or a grievance for any reason to your plan. For more information about your rights, this notice, or assistance, contact: Paramount Insurance Co., Member Service Department at: (000) 0-000-0000, Toll Free: 1000-800-462-3589, 0000 or xxx.xxxxxx.xxx. You may also contact the Department of Labor’s 's Employee Benefits Security Administration at 1-866-444-EBSA (3272) or xxx.xxx.xxx/xxxx/xxxxxxxxxxxx xxx.xxx.xxx/xxxx/xxxxxxxxxxxx. Does this plan provide Minimum Essential Coverage? Yes If you don’t have Minimum Essential Coverage for a month, you’ll have to make a payment when you file your tax return unless you qualify for an exemption from the requirement that you have health coverage for that month. Does this plan meet the Minimum Value StandardStandards? Yes If your plan doesn’t meet the Minimum Value Standards, you may be eligible for a premium tax credit to help you pay for a plan through the Marketplace. Nondiscrimination Notice and Notice of Nondiscrimination Availability of Auxiliary Aids and Accessibility: Discrimination is Against the Law Paramount Insurance Company Services Independence Administrators complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Paramount Insurance Company Independence Administrators does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Paramount Insurance Company providesIndependence Administrators: • Free Provides free aids and services to people with disabilities to communicate effectively with us, such as: ○ Qualified sign language interpreters ○ Written us and written information in other formats (large print, audio, accessible electronic formats, other formats) such as large print • Free Provides free language services to people whose primary language is not English, such as: ○ Qualified interpreters ○ Information English and information written in other languages If you need these services, contact Member Services at 1-800-462-3589our Civil Rights Coordinator. If you believe that Paramount Insurance Company Independence Administrators has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievancegrievance with our Civil Rights Coordinator. You can There are four ways to file a grievance in person or directly with Independence Administrators: • by mail: Independence Administrators, faxATTN: Civil Rights Coordinator, or email. Member Services 0000 Xxxxxx Xxxx Xxxxxx, Xxxxxx Xxxxxxxxxxxx, XX 00000 Phone00000; • by phone: 000-000-0000 Toll Free: 1-800-462-3589 TTY: 0-000-000-0000 Fax(TTY 711); • by fax: 000-000-0000 Email0000; or • by email: Xxxxxxxxx.XxxxxxXxxxxxxx@XxxXxxxxx.xxx XXXxxxxXxxxxxXxxxxxxxxxx@xxxxxx.xxx. If you need help filing a grievance, Member Services our Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, Rights electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/portal/lobby.jsf, xxxxx://xxxxxxxxx.xxx.xxx/ocr/portal/lobby.jsf or by mail or phone at: U.S. Department of Health and Human Services Services, 000 Xxxxxxxxxxxx XxxxxxXxxxxx XX, Xxxx 000X, XXX Xxxxxxxx, Xxxxxxxxxx, XX Room 509F00000, HHH Building Washington, D.C. 20201 0-000-000-0000, 000-000-0000 (TDD) ). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html. *For more information about limitations and exceptions––––––––––––––––––––––To see examples of how this plan might cover costs for a sample medical situation, see the next section.–––––––––––––––––––––– This is not a cost estimator. Treatments shown are just examples of how this plan or policy document at xxx.xxxxxxxxxxxxxxxxxxxxxxxxx.xxxmight cover medical care. NEGOTIATED AGREEMENT BETWEEN THE OTTAWA HILLS EDUCATION ASSOCIATION AND THE OTTAWA HILLS BOARD OF EDUCATION JANUARY 1Your actual costs will be different depending on the actual care you receive, 2021 – DECEMBER 31the prices your providers charge, 2023 INDEX Advancing to a Higher Salary Class 8 Annuity Deduction 12 Appendix A: Salary Schedule Index 35 Appendix B: Supplemental Salary Index 42 Appendix C: Summary of Healthcare Benefits 45 Article I: Recognition 1 Article II: Grievance Procedure 5 Article III: Compensation 8 Article IV: Negotiated Fringe Benefits 13 Article V: Working Conditions 17 Article VI: Rights of Individuals and Professional Conduct 28 Article VII: Leaves 28 Article VIII: Severance Pay 31 Article IX: No Strike 32 Article X: Rights of OHEA 32 Article XI: Severability 33 Article XII: Duration 34 Assault Leave 30 Assignment 18 Assignment many other factors. Focus on the cost sharing amounts (deductibles, copayments and Transfer 18 Bereavement Leave 29 Board Policy Books 5 Bonus (1%) 8 Bonus (Appendix A) 39 Calculating Part-Time Pay 9 Complaint Procedure 26 Continuing Contracts 22 Credit Union Deduction 9 Curriculum Hourly Work 11 Deductions 12 Dental Insurance 15 Disabilities, Placement of Students with 26 Duration 34 Educational Advancement on Salary Schedule 8 Employment Under Supplemental Contracts 23 Evaluation 25 Extra-Curricular Passes 27 Fair Share Fee 2 Family and Medical Leave Act (FMLA) 31 Filling Vacancies 20 General (Grievance Procedure) 5 Governing Procedures (related to layoff and recall) 20 Health and Safety 27 Health Care Benefits, Summary (Appendix C) 45 Health Insurance Committee 15 Index 63 Insurance 13 Involuntary Reassignment or Involuntary Transfer 19 Job Descriptions 12 Jury Duty and Court Subpoena Leave 29 Layoff and Recall – Reduction in Force 20 Level of Fringe Benefits for Half-Time/Full-Time Teachers 13 Life Insurance 15 Limited and Continuing Contracts (Tenurecoinsurance) and Supplemental Contracts 22 Limited Contracts 22 Longevity 10 Management Rights 1 Master Teacher Designation 16 Maternityexcluded services under the plan. Use this information to compare the portion of costs you might pay under different health plans. Please note these coverage examples are based on self-only coverage. Peg is Having a Baby (9 months of in-network pre-natal care and a hospital delivery) Managing Xxx’s type 2 Diabetes (a year of routine in-network care of a well-controlled condition) Mia’s Simple Fracture (in-network emergency room visit and follow up care) ◼ The plan’s overall deductible $2,000 ◼ Specialist no cost sharing $0 ◼ Hospital (facility) no cost sharing $0 ◼ Other no cost sharing $0 ◼ The plan’s overall deductible $2,000 ◼ Specialist no cost sharing $0 ◼ Hospital (facility) no cost sharing $0 ◼ Other no cost sharing $0 ◼ The plan’s overall deductible $2,000 ◼ Specialist no cost sharing $0 ◼ Hospital (facility) no cost sharing $0 ◼ Other no cost sharing $0 This EXAMPLE event includes services like: Specialist office visits (prenatal care) Childbirth/PaternityDelivery Professional Services Childbirth/Adoption Leave 30 Medical Insurance 14 Mentors Delivery Facility Services Diagnostic tests (ultrasounds and blood work) Specialist visit (anesthesia) Total Example Cost $12,800 In this example, Peg would pay: This EXAMPLE event includes services like: Primary care physician office visits (including disease education) Diagnostic tests (blood work) Prescription drugs Durable medical equipment (glucose meter) Total Example Cost $7,400 In this example, Xxx would pay: This EXAMPLE event includes services like: Emergency room care (including medical supplies) Diagnostic test (x-ray) Durable medical equipment (crutches) Rehabilitation services (physical therapy) Total Example Cost $1,900 In this example, Xxx would pay: Cost Sharing Deductibles $2,000 Copayments $0 Coinsurance $0 What isn’t covered Limits or exclusions $60 The total Peg would pay is $2,060 Cost Sharing Deductibles $2,000 Copayments $0 Coinsurance $0 What isn’t covered Limits or exclusions $60 The total Xxx would pay is $2,060 Cost Sharing Deductibles $1,930 Copayments $0 Coinsurance $0 What isn’t covered Limits or exclusions $0 The total Mia would pay is $1,930 The plan would be responsible for Experienced Teachers 25 Mentors for Ohio Resident Educators 25 Negotiations 4 No Strike 32 Online Course Supervision 28 Opt-out for Medical Insurance 15 Order the other costs of Reduction in Force (Layoff) 20 Order of Recall 21 Part-Time Pay, Calculating 9 Passes, Extra-Curricular 27 Pay Period 9 Pay Schedule, Supplemental 10 Personal Leaves and Absences 29 Personnel Files 24 Placement of Students with Disabilities 26 Posting Position Openings 19 Procedure (Grievance) 6 Professional Education Associations 12 Professional Review Committee 4 Purpose (Grievance Procedure) 5 Qualifications (related to transfer) 18 Reasons for Reductions in Force (Layoff) 20 Reassignment 18 Reassignment or Transfer 19 Recognition 1 Reduction in Force (Layoff) and Recall 20 Reimbursement for College Coursework 16 Retirement Deduction 12 Retirement Notice Bonus 32 Rights as Individuals 28 Rights of OHEA 32 Rights of Teachers on Recall 22 Salary Schedule Index (Appendix A) 35 Section 125 Plan Deduction 13 Seniority (related to Transfer) 18 Severance Pay 31 Sick Leave 28 Solicitations 24 Special Education and Intervention Services 26 Study Hall and Online Course Supervision 27 Study Hall Supervision 28 Substitute Coverage 10 Summary of Health Care Benefits (Appendix these EXAMPLE covered services. Addendum "C) 45 Supplemental Contracts, Employment Under 23 Supplemental Salary Work 10 Supplemental Salary Committee 11 Supplemental Salary Index (Appendix B) 42 Teacher/Parent Communication 25 Teachers Salary Schedule 8 Tenure 22 Transfer 18 Unpaid Leave 30 Vacancy 18 Vision Care 15 Voluntary (related to Reassignment and Transfer) 18 Voluntary Reassignment or Voluntary Transfer 19 Work Days in Teachers Contract 17"

Your Grievance and Appeals Rights. There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievance or appeal. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide complete information to submit a claim, appeal appeal, or a grievance for any reason to your plan. For more information about your rights, this notice, or assistance, contact: Paramount Insurance Co., Member Service Department at: (000) 0-000-0000, Toll Free: 1000-800-462-3589, 0000 or xxx.xxxxxx.xxx. You may also contact the Department of Labor’s 's Employee Benefits Security Administration at 1-866-444-EBSA (3272) or xxx.xxx.xxx/xxxx/xxxxxxxxxxxx xxx.xxx.xxx/xxxx/xxxxxxxxxxxx. Does this plan provide Minimum Essential Coverage? Yes If you don’t have Minimum Essential Coverage for a month, you’ll have to make a payment when you file your tax return unless you qualify for an exemption from the requirement that you have health coverage for that month. Does this plan meet the Minimum Value StandardStandards? Yes If your plan doesn’t meet the Minimum Value Standards, you may be eligible for a premium tax credit to help you pay for a plan through the Marketplace. Nondiscrimination Notice and Notice of Nondiscrimination Availability of Auxiliary Aids and Accessibility: Discrimination is Against the Law Paramount Insurance Company Services Independence Administrators complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Paramount Insurance Company Independence Administrators does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Paramount Insurance Company providesIndependence Administrators: • Free  Provides free aids and services to people with disabilities to communicate effectively with us, such as: ○ Qualified sign language interpreters ○ Written us and written information in other formats (large print, audio, accessible electronic formats, other formats) • Free such as large print  Provides free language services to people whose primary language is not English, such as: ○ Qualified interpreters ○ Information English and information written in other languages If you need these services, contact Member Services at 1-800-462-3589our Civil Rights Coordinator. If you believe that Paramount Insurance Company Independence Administrators has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievancegrievance with our Civil Rights Coordinator. You can There are four ways to file a grievance in person or directly with Independence Administrators:  by mail: Independence Administrators, faxATTN: Civil Rights Coordinator, or email. Member Services 0000 Xxxxxx Xxxx Xxxxxx, Xxxxxx Xxxxxxxxxxxx, XX 00000 Phone00000;  by phone: 000-000-0000 Toll Free: 1-800-462-3589 TTY: 0-000-000-0000 Fax(TTY 711);  by fax: 000-000-0000 Email0000; or  by email: Xxxxxxxxx.XxxxxxXxxxxxxx@XxxXxxxxx.xxx XXXxxxxXxxxxxXxxxxxxxxxx@xxxxxx.xxx. If you need help filing a grievance, Member Services our Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, Rights electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/portal/lobby.jsf, xxxxx://xxxxxxxxx.xxx.xxx/ocr/portal/lobby.jsf or by mail or phone at: U.S. Department of Health and Human Services Services, 000 Xxxxxxxxxxxx XxxxxxXxxxxx XX, Xxxx 000X, XXX Xxxxxxxx, Xxxxxxxxxx, XX Room 509F00000, HHH Building Washington, D.C. 20201 0-000-000-0000, 000-000-0000 (TDD) ). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html. *For more information about limitations and exceptions––––––––––––––––––––––To see examples of how this plan might cover costs for a sample medical situation, see the next section.–––––––––––––––––––––– This is not a cost estimator. Treatments shown are just examples of how this plan or policy document at xxx.xxxxxxxxxxxxxxxxxxxxxxxxx.xxxmight cover medical care. NEGOTIATED AGREEMENT BETWEEN THE OTTAWA HILLS EDUCATION ASSOCIATION AND THE OTTAWA HILLS BOARD OF EDUCATION JANUARY 1Your actual costs will be different depending on the actual care you receive, 2021 – DECEMBER 31the prices your providers charge, 2023 INDEX Advancing to a Higher Salary Class 8 Annuity Deduction 12 Appendix A: Salary Schedule Index 35 Appendix B: Supplemental Salary Index 42 Appendix C: Summary of Healthcare Benefits 45 Article I: Recognition 1 Article II: Grievance Procedure 5 Article III: Compensation 8 Article IV: Negotiated Fringe Benefits 13 Article V: Working Conditions 17 Article VI: Rights of Individuals and Professional Conduct 28 Article VII: Leaves 28 Article VIII: Severance Pay 31 Article IX: No Strike 32 Article X: Rights of OHEA 32 Article XI: Severability 33 Article XII: Duration 34 Assault Leave 30 Assignment 18 Assignment many other factors. Focus on the cost sharing amounts (deductibles, copayments and Transfer 18 Bereavement Leave 29 Board Policy Books 5 Bonus (1%) 8 Bonus (Appendix A) 39 Calculating Part-Time Pay 9 Complaint Procedure 26 Continuing Contracts 22 Credit Union Deduction 9 Curriculum Hourly Work 11 Deductions 12 Dental Insurance 15 Disabilities, Placement of Students with 26 Duration 34 Educational Advancement on Salary Schedule 8 Employment Under Supplemental Contracts 23 Evaluation 25 Extra-Curricular Passes 27 Fair Share Fee 2 Family and Medical Leave Act (FMLA) 31 Filling Vacancies 20 General (Grievance Procedure) 5 Governing Procedures (related to layoff and recall) 20 Health and Safety 27 Health Care Benefits, Summary (Appendix C) 45 Health Insurance Committee 15 Index 63 Insurance 13 Involuntary Reassignment or Involuntary Transfer 19 Job Descriptions 12 Jury Duty and Court Subpoena Leave 29 Layoff and Recall – Reduction in Force 20 Level of Fringe Benefits for Half-Time/Full-Time Teachers 13 Life Insurance 15 Limited and Continuing Contracts (Tenurecoinsurance) and Supplemental Contracts 22 Limited Contracts 22 Longevity 10 Management Rights 1 Master Teacher Designation 16 Maternityexcluded services under the plan. Use this information to compare the portion of costs you might pay under different health plans. Please note these coverage examples are based on self-only coverage. Peg is Having a Baby (9 months of in-network pre-natal care and a hospital delivery) Managing Joe’s type 2 Diabetes (a year of routine in-network care of a well-controlled condition) Mia’s Simple Fracture (in-network emergency room visit and follow up care)  The plan’s overall deductible $2,000  Specialist no cost sharing $0  Hospital (facility) no cost sharing $0  Other no cost sharing $0  The plan’s overall deductible $2,000  Specialist no cost sharing $0  Hospital (facility) no cost sharing $0  Other no cost sharing $0  The plan’s overall deductible $2,000  Specialist no cost sharing $0  Hospital (facility) no cost sharing $0  Other no cost sharing $0 This EXAMPLE event includes services like: Specialist office visits (prenatal care) Childbirth/PaternityDelivery Professional Services Childbirth/Adoption Leave 30 Medical Insurance 14 Mentors Delivery Facility Services Diagnostic tests (ultrasounds and blood work) Specialist visit (anesthesia) Total Example Cost $12,800 In this example, Peg would pay: This EXAMPLE event includes services like: Primary care physician office visits (including disease education) Diagnostic tests (blood work) Prescription drugs Durable medical equipment (glucose meter) Total Example Cost $7,400 In this example, Xxx would pay: This EXAMPLE event includes services like: Emergency room care (including medical supplies) Diagnostic test (x-ray) Durable medical equipment (crutches) Rehabilitation services (physical therapy) Total Example Cost $1,900 In this example, Mia would pay: Cost Sharing Deductibles $2,000 Copayments $0 Coinsurance $0 What isn’t covered Limits or exclusions $60 The total Peg would pay is $2,060 Cost Sharing Deductibles $2,000 Copayments $0 Coinsurance $0 What isn’t covered Limits or exclusions $60 The total Xxx would pay is $2,060 Cost Sharing Deductibles $1,930 Copayments $0 Coinsurance $0 What isn’t covered Limits or exclusions $0 The total Mia would pay is $1,930 The plan would be responsible for Experienced Teachers 25 Mentors for Ohio Resident Educators 25 Negotiations 4 No Strike 32 Online Course Supervision 28 Opt-out for Medical Insurance 15 Order the other costs of Reduction in Force (Layoff) 20 Order of Recall 21 Part-Time Pay, Calculating 9 Passes, Extra-Curricular 27 Pay Period 9 Pay Schedule, Supplemental 10 Personal Leaves and Absences 29 Personnel Files 24 Placement of Students with Disabilities 26 Posting Position Openings 19 Procedure (Grievance) 6 Professional Education Associations 12 Professional Review Committee 4 Purpose (Grievance Procedure) 5 Qualifications (related to transfer) 18 Reasons for Reductions in Force (Layoff) 20 Reassignment 18 Reassignment or Transfer 19 Recognition 1 Reduction in Force (Layoff) and Recall 20 Reimbursement for College Coursework 16 Retirement Deduction 12 Retirement Notice Bonus 32 Rights as Individuals 28 Rights of OHEA 32 Rights of Teachers on Recall 22 Salary Schedule Index (Appendix A) 35 Section 125 Plan Deduction 13 Seniority (related to Transfer) 18 Severance Pay 31 Sick Leave 28 Solicitations 24 Special Education and Intervention Services 26 Study Hall and Online Course Supervision 27 Study Hall Supervision 28 Substitute Coverage 10 Summary of Health Care Benefits (Appendix these EXAMPLE covered services. Addendum "C) 45 Supplemental Contracts, Employment Under 23 Supplemental Salary Work 10 Supplemental Salary Committee 11 Supplemental Salary Index (Appendix B) 42 Teacher/Parent Communication 25 Teachers Salary Schedule 8 Tenure 22 Transfer 18 Unpaid Leave 30 Vacancy 18 Vision Care 15 Voluntary (related to Reassignment and Transfer) 18 Voluntary Reassignment or Voluntary Transfer 19 Work Days in Teachers Contract 17"