Benefits and Exclusions. Only medically necessary eligible services are covered. The State, after consultation with the JHCC, may carve-out procedures and services, including but not limited to, durable medical equipment, laboratory services, and prosthetics so that carved-out procedures and services may be provided by a vendor other than the participant’s health plan. After consultation with the JHCC, the Director of DAS may require participants to use centers of excellence for designated procedures or services. Additionally, upon the recommendation of the JHCC, the Director of DAS may place limits on certain benefits.
Benefits and Exclusions a. The aggregate benefit paid on behalf of eligible bargaining unit member accepted for participation in the ERI Plan shall be an amount not to exceed thirty thousand dollars ($30,000) per participant which shall only be used by the Board to purchase two (2) years of generic service credit, on behalf of an eligible bargaining unit member participating in the Plan, pursuant to Section 69f of the Michigan Public School Employees Retirement Act. The Plan is to provide for the purchase of two
