ACCEPTABLE HEALTH CARE OPTION THROUGH NPS Sample Clauses
The "Acceptable Health Care Option Through NPS" clause defines the standards and requirements for health care options provided via the National Provider System (NPS). It typically outlines what constitutes an acceptable health care plan or provider under the agreement, specifying criteria such as accreditation, coverage levels, or compliance with regulatory guidelines. This clause ensures that all health care options offered meet a minimum quality threshold, protecting participants from inadequate or substandard care and providing clarity on what is considered an eligible health care option within the contract.
ACCEPTABLE HEALTH CARE OPTION THROUGH NPS. For the 2014-15 school year the School District shall provide the Certificated Staff participating in the fringe benefit package the opportunity to enroll in self only and dependent health and dental insurance under the School District’s group health and dental insurance provider for the 2014-2015 contract year, the Educators Health Alliance (EHA) health and dental insurance Blue Preferred $750 Deductible /$1,650 Deductible Dual Choice Plan with Employee PPO - 80% A & B, with 50% C coverage at the premium cost established annually by the EHA for the 2014-2015 fiscal year. Premium rates for the EHA plan will be in a 4-tier structure with the four tiers defined as follows: Employee (self-only), Employee/Child(ren), Employee/Spouse, and Employee/Spouse & Child(ren)
(1) Provision of Self-Only Health and Dental Insurance: For each 1.0 full-time-equivalency the Board will pay 100% the cost of the premium for the Employee (“self only”) Blue Preferred $1,650 deductible coverage tier of the EHA plan type, described above for all Certificated Staff who elect to receive group health and dental insurance coverage from the school district, plus an annual “fringe benefit stipend” in the amount of the difference between the cost of the annual EHA “Employee” level health and dental insurance premium and the sum of $7,220.00, which may be taken in whole or in part as cash or applied to the purchase of additional insurance through the School District’s Section 125 Plan. A Certificated Staff member may elect to take the available $750 deductible health and dental insurance coverage, and shall be responsible for payment of the difference in the cost of the insurance premiums between such coverage through a salary reduction agreement under the School District’s Section 125 Plan. Family (dependent) coverage under the group health and dental insurance plan for which the Teacher qualifies will be made available for those Certificated Staff wishing to purchase the additional insurance; a Teacher may elect to take such family health and dental insurance coverage, and shall be responsible for payment of the difference in the cost of the insurance premiums between the $1,650 deductible coverage and the family (dependent) overage (either $1,650 deductible or $750 deductible, as selected by the Certificated Staff member) through a salary reduction agreement under the School District’s Section 125 Plan. All costs of added family coverage will be paid by the teacher. All details of the c...