Alternative Health Plans. In accordance with the provisions of federal law and the regulations there under, if applicable, the Employer shall make available the option of membership in qualified health maintenance organizations and/or other alternative health plans to employees and their eligible dependents who reside in the service area of qualified HMO’s and/or alternative health plans. If an employee elects to participate in an alternative health plan under this Section, the Employer(s) agree to pay the following percentage of the cost, and the employee who elects coverage under the plan shall pay the following percentage of the cost of the individual or dependent coverage, as the case may be. There shall be no annual limit on the contribution amount. Employer Contribution Percentage Employee Contribution Percentage Effective January 1, 2010 85% 15% Effective January 1, 2011 85% 15% Effective January 1, 2012 85% 15% Effective January 1, 2013 85% 15% The cost of providing individual and dependent health and dental insurance coverage under the alternative health plan shall be determined by December 15 of each year. The employee’s share of the cost shall be divided into twenty-six (26) equal payments and shall be deducted from the employee’s paycheck.
Alternative Health Plans. In accordance with the provisions of federal law and the regulations there under, if applicable, the Employer shall make available the option of membership in qualified health maintenance organizations and/or other alternative health plans to employees and their eligible dependents who reside in the service area of qualified HMO’s and/or alternative health plans. This option shall terminate effective December 31, 2019. If an employee elects to participate in an alternative health plan under this Section, the Employer(s) agree to pay the following percentage of the cost, and the employee who elects coverage under the plan shall pay the following percentage of the cost of the individual or dependent coverage, as the case may be. There shall be no annual limit on the contribution amount. Employer Contribution Percentage Employee Contribution Percentage Effective January 1, 2017 85% 15% Effective January 1, 2018 85% 15% Effective January 1, 2019 85% 15% The cost of providing individual and dependent health and dental insurance coverage under the alternative health plan shall be determined by December 15 of each year. The employee’s share of the cost shall be divided into twenty-six (26) equal payments and shall be deducted from the employee’s paycheck. Effective January 1, 2018: The annual deductible for medical services other than prescription drugs for each employee who has elected to participate in an alternative health plan under this Section is as follows: Deductible covered employee and for each covered dependent Maximum aggregated deductible per family Effective January 1, 2018 $250 $500 Effective January 1, 2019 $500 $1,000 The annual maximum out-of-pocket expenditure over and above the co-payments for medical services other than prescription drugs per employee or dependent shall be as follows: Maximum out-of-pocket expenditures per employee or dependent Maximum out-of-pocket expenditures per family Effective January 1, 2017 $1,700 $3,400 Effective January 1, 2018 $1,650 $3,300 Effective January 1, 2019 $1,650 $3,300 Co-Pays Primary Care Co-Pays Specialist Effective January 1, 2017 $25.00 $30.00 Effective January 1, 2018 $20.00 $25.00 Effective January 1, 2019 $20.00 $25.00
Alternative Health Plans. Nothing contained in this Agreement shall preclude the Participating Hospital from participating in or contracting with any other preferred provider organization, health maintenance organization, insurer or otherwise, whether before, during or subsequent to the term of this Agreement.
Alternative Health Plans. The City and the Association agree to meet and confer regarding health plan alternatives if significant changes occur in the availability of optional health insurance plans.
