APPENDIX C – INSURANCE BENEFITS Sample Clauses

APPENDIX C – INSURANCE BENEFITS. A. Upon acceptance of written application, the Board agrees to provide each employee in the bargaining unit with medical care protection for the employee and his immediate family through MESSA. Rates for the above Single Employee and spouse Employee and children Full family Effective upon ratification date 2006, the Board will contribute the current rate for MESSA Choices II PAK coverage on all employees in the bargaining unit for the duration of this Agreement. Rx co-pay shall become $5/10 with reimbursement according to the letter of agreement, herein, below. Insurance must be carried through the school program—MESSA. Bargaining unit members not electing health insurance coverage may apply up to the amount of the Super Care I single subscriber premium to MESSA and/or MEA’s Fixed Option programs as determined by the Association. The single subscriber premium amount may be applied on an individual basis to purchase any of the MESSA variable options. For the employees not electing health or MESSA options the employer shall provide a cash option in lieu of health benefits up to the amount of the Super Care I single subscriber premium according to the following:
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APPENDIX C – INSURANCE BENEFITS. The Board agrees to pay the amounts set forth in this section for the employee and his/her dependent under one of the two health insurance options set forth below, and for the dental insurance described below. The Board may change any insurance carrier/administrator/plan described in this Agreement so long as the new insurance coverage provides an overall level of benefits that remains substantially equivalent to or better than the current insurance coverage. The “substantially equivalent to or better than” standard shall be applied on a program-wide analysis, and shall not be benefit specific. At least sixty (60) days prior to changing insurance carriers, the Board or its designee shall notify the Union in writing. Upon request, the parties shall meet to discuss the proposed change. Should the Union and the Board disagree that the changes proposed would provide substantially equivalent coverage, when viewed in total; the disagreement shall be subject to impartial arbitration before a mutually agreeable member of the American Dispute Resolution Center. If the parties are not able to agree upon an arbitrator, then an arbitrator will be selected in accordance with the ADRC’s rules and procedures. The Board will not change to the new insurance carrier/administrator/plan until the arbitrator’s decision has been issued in writing. Century Preferred PPO Plan Effective July 1, 2011: As soon as practicable after execution of the Agreement, the Century Preferred PPO plan shall be modified to include the following components: Office Visit Co-payment $25 ($0 for preventive) Urgent Care Co-payment $25 Emergency Room Co- payment $75 Hospitalization Co- payment $200 Outpatient Co-payment $100 Prescription Coverage: Retail $5/25/40 (for 30-day supply) (Public Sector Option 2) Mail Order 2x retail co-payment for 90-day supply Annual Maximum $2,000 Out of Network Deductible $250/500/750 Out of Network Coinsurance 80% co-insurance after deductible, subject to co- insurance maximum Out of Network $700/1400/2100 Coinsurance Maximum Out of Network Out of Pocket Maximum $950/1900/2850 Out of Network Lifetime Maximum $1,000,000 The Century Preferred PPO plan will include the unmarried dependent child rider to age 25. The following premium cost sharing provisions shall apply to employees electing the Century Preferred PPO plan during the term of this Agreement: Effective July 1, 2010, employees shall pay 13% of the cost of coverage under the Century Preferred PPO plan. Effective ...
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APPENDIX C – INSURANCE BENEFITS. The Board agrees to pay the amounts set forth in this section for the employee and his/her dependent under one of the two health insurance options set forth below, and for the dental insurance described below. The Board may change any insurance carrier/administrator/plan described in this Agreement so long as the new insurance coverage provides an overall level of benefits that remains substantially equivalent to or better than the current insurance coverage. The “substantially equivalent to or better than” standard shall be applied on a program-wide analysis, and shall not be benefit specific. At least sixty (60) days prior to changing insurance carriers, the Board or its designee shall notify the Union in writing. Upon request, the parties shall meet to discuss the proposed change. Should the Union and the Board disagree that the changes proposed would provide substantially equivalent coverage, when viewed in total; the disagreement shall be subject to impartial arbitration before a mutually agreeable member of the American Dispute Resolution Center. If the parties are not able to agree upon an arbitrator, then an arbitrator will be selected in accordance with the ADRC’s rules and procedures. The Board will not change to the new insurance carrier/administrator/plan until the arbitrator’s decision has been issued in writing.
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Related to APPENDIX C – INSURANCE BENEFITS

  • Group Insurance Benefits To determine if a leave under the provisions of the Family and Medical Leave Act will be paid or unpaid leave of absence contact the school district Employee Benefits Department.

  • Insurance Benefits Borrower shall cooperate with Lender in obtaining for Lender the benefits of any Insurance Proceeds lawfully or equitably payable in connection with the Property, and Lender shall be reimbursed for any expenses incurred in connection therewith (including reasonable attorneys' fees and disbursements, and the payment by Borrower of the expense of an appraisal on behalf of Lender in case of a fire or other casualty affecting the Property or any part thereof) out of such Insurance Proceeds.

  • Workplace Safety Insurance Benefits (WSIB) Top Up Benefits If the employee is in a class of employees that, on August 31, 2012, was entitled to use unused sick leave credits for the purpose of topping up benefits received under the Workplace Safety and Insurance Act, 1997;

  • Life Insurance Benefits A. During the life of this Agreement, the basic life insurance benefit made available to Faculty members shall be calculated as 3 times base annual earnings, rounded to the next highest $1,000, but not more than $225,000. A separate additional benefit up to the amount of the life insurance will be paid for accidental death and dismemberment, or loss of sight. The amount of Life and Accidental Death and Dismemberment/Loss of Sight benefits will be reduced to 65% at age 65, and further reduced (from the original insurance amount) as follows: to 50% at age 70, and 35% at age 75. Basic life insurance and AD&D benefits will be provided with no employee contributions.

  • Health Insurance Benefits To the extent provided by the federal COBRA law or, if applicable, state insurance laws, and by the Company’s current group health insurance policies, Executive will be eligible to continue Executive’s group health insurance benefits at Executive’s own expense. If Executive timely elects continued coverage under COBRA, the Company shall pay Executive’s COBRA premiums, and any applicable Company COBRA premiums, necessary to continue Executive’s then-current coverage for a period of 18 months after the date of Executive’s termination of employment; provided, however, that any such payments will cease if Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such premiums. Executive agrees to immediately notify the Company in writing of any such enrollment. Notwithstanding the foregoing, if the Company determines, in its sole discretion, that it cannot provide the foregoing benefit without potentially incurring financial costs or penalties under applicable law (including, without limitation, Section 2716 of the Public Health Service Act), the Company shall in lieu thereof provide to Executive a taxable monthly amount to continue his group health insurance coverage in effect on the date of separation from service (which amount shall be based on the premium for the first month of COBRA coverage), which payments shall be made regardless of whether Executive elects COBRA continuation coverage and shall commence in the month following the month in which Executive incurs a separation from service and shall end on the earlier of (x) the date on which Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such amounts and (y) 18 months after the date of Executive’s separation from service.

  • HEALTH AND INSURANCE BENEFITS 22.01 All health and insurance benefit premium costs paid by the Employer shall prorate in accordance with the proration formula under Article 22.12 of this Agreement. Same sex spouse is eligible to be a dependent for insured benefits.

  • Program Benefits Under the Probation Status, the Participating Contractor will be eligible for all contractor incentives, its customers will have access to financing offered through the Program, and income- eligible households will be eligible to receive Program incentives.

  • Supplementary Employment Insurance Benefits (1) Birth mothers who are entitled to maternity leave and who have applied for and are in receipt of Employment Insurance benefits are eligible to receive XXXX Plan payments.

  • Death Benefits Upon the Executive's death during the Contract Period, his estate shall not be entitled to any further benefits under this Agreement.

  • WORKPLACE SAFETY AND INSURANCE BENEFITS 25.01 An employee who sustains an injury or disease arising out of and in the course of his/her duties is covered by the Workplace Safety and Insurance Act, 1997, S.O. 1997, as amended.

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