High Plan definition

High Plan. 10% monthly premium with costs specified in Appendix B. Premium contributions shall be based upon the illustrative premium rates for all applicable plans, and will be subject to revision based upon the plan’s experience each year for the duration of this contract. In months when there are three (3) pay periods, premium contributions shall be taken only from the first two (2) of such pay periods. By October 15th of each year of this contract, the City will provide the Union with the illustrative rates for the health care plan for the following calendar year, as well as the applicable premiums for the following calendar year. If the City’s costs for the health care plan exceed the hard cap limits for costs that a public employer can pay as set by PA 152, the City will provide the Union with an option that will modify the health care plan in such a way as to bring the City’s plan costs under the hard cap limits. The Union will have thirty (30) days to consider the City’s proposed modification and to make a decision whether it will accept the proposed modification for its members beginning January 1 of the following calendar year. If the proposed modification is not accepted by the Union, the members will be required to pay the difference between the hard cap limit and the City’s actual costs as based on the illustrative rates of the group on a stand-alone basis. This incremental payment will be allocated equally among the members and will be withdrawn from paychecks on a twice-monthly basis beginning January 1. Any applicable mandates under the Patient Protection and Affordable Care Act (PPAC) that take effect during the duration of this contract will be implemented as required by law for active employees and those who retire after July 1, 2012. Employees who retired on or before July 1, 2012, are considered to be part of “retiree only” plans to which PPAC changes do not apply.

High Plan. 10% monthly premium with costs specified in Appendix B. Premium contributions shall be based upon the illustrative premium rates for all applicable plans, and will be subject to revision based upon the plan’s experience each year, for the duration of the Agreement. In months where there are three pay periods, premium contributions will be deducted from first two pay periods. Any applicable mandates under the Patient Protection and Affordable Care Act (PPAC) or successor legislation that take effect during the duration of this contract will be implemented as required by the law for active employees and those who retire on or after July 1, 2012. Employees who retired before July 1, 2012, are considered to be part of “retiree only” plans to which PPAC changes do not apply. By October 15th of each year of this contract, the City will provide the Union with the illustrative rates for the health care plan for the following calendar year, as well as the applicable premiums for the following calendar year. If the City’s costs for the health care plan exceed the hard cap limits for costs that a public employer can pay as set by PA 152, the City will provide the Union with an option that will modify the health care plan in such a way as to bring the City’s plan costs under the hard cap limits. The Union will have thirty (30) days to consider the City’s proposed modification and to make a decision whether it will accept the proposed modification for its members beginning January 1 of the following calendar year. If the proposed modification is not accepted by the Union, the members will be required to pay the difference between the hard cap limit and the City’s actual costs as based on the Illustrative rates of the group on a stand-alone basis. This incremental payment will be allocated equally among the members and will be withdrawn from paychecks on a twice-monthly basis beginning January 1.

Examples of High Plan in a sentence

• You have a choice of selecting coverage under the Low Plan or the High Plan.

• Health Advantage - High Plan Prescription drug coverage will be provided by the EMPLOYER through a pharmacy benefits manager.

• Thereafter, at the end of the current policy term, the plan will be upgraded to a twelve (12) month Anthem RESA High Plan with the Board paying 100% of the premium for all coverage tiers.

• Effective during the period of this Master Contract, the stated insurance programs shall be available for all members of the bargaining unit as specified with the elimination of the High Plan effective July 1, 2017.

• Employees electing the High Plan pay the additional premium via semi-monthly payroll deductions.

• All existing members on the High Plan will continue to receive the district contribution to the High Plan health insurance as indicated in the table above.

• Select Your CoverageEnrolleesHealth Plan🞎Self🞎Self + 1🞎Self + family🞎 Kaiser Permanente HMO (If your district offers a choice, select a plan below)🞎 High Plan 🞎 Low Plan🞎UnitedHealthcare (UHC) PHMO(If your district offers the Performance HMO, you must choose one network for your family.)🞎Network 1 🞎Network 2 🞎Network 3🞎UHC Alliance HMO🞎Alliance 1200🞎 Alliance 10🞎 Alliance 20🞎 Alliance 20/30🞎UHC Harmony HMO 🞎 Harmony 10🞎 Harmony 20🞎 Harmony 20/30🞎 UHC Journey HMO 🞎 Harmony🞎 Alliance🞎 UHC PPOC.

• BCBSOK – BlueCare Dental High Plan BCBSOK – BlueCare Dental Low Plan This is only a sample of the services covered by each plan.

• The High and Low Plans are identical except the High Plan provides an additional $500 to the Annual Benefit Maximum and an additional $500 to the Orthodontic Lifetime Maximum.

• The BOE will provide Dental Insurance coverage equal to the Delta Dental Plan High Plan [100/80/60/60% co-insurance; Twenty-Five Dollar ($25.00) deductible single, Fifty Dollar ($50.00) deductible family; Two Thousand Five Hundred Dollar ($2,500) calendar year maximum; Two Thousand Five Hundred Dollars ($2,500.00) Orthodontia lifetime maximum].