Common use of Extended Health Care, Dental and Vision Care Clause in Contracts

Extended Health Care, Dental and Vision Care. All employees as of October 1, 2006 can choose between Plan A or Plan B. Any employee that chooses Plan B cannot switch back to Plan A. All employees hired after October 1, 2006 will join Plan B when they become eligible. Dependents of married employees, as outlined in the Plan Document are covered under this provision. Plan A is the benefit plan in place at September 30, 2006. The following is a comparative outline of the two plans: PLAN A PLAN B MAJOR MEDICAL AND SUPPLEMENTAL HOSPITAL Deductible $25 annual No deductible Co-insurance 100%-drugs & hospital 80% other than drugs 80% - medical supplies & services 50% - vision Hospital semi-private to $55/day semi-private to $175/day Drugs Reimbursement Drug Card generic mandate generic mandate 80% of first $500/single 85% of first %500/single, effective October 1, 2013 80% of first $1000/family 85% of first $1000/family, effective October 1, 2013 100% coinsurance thereafter Subject to lifetime max $10,000 annual max $20,000 Anti-smoking $300 lifetime Anti-smoking $300 lifetime Drug Dispensing Fee N/A $6 limit per prescription Private Duty Nurse $5,000 lifetime $8,000 lifetime Chiropractor $7/visit to 20 visits/year $30/visit to max of $400 for Osteopath $7/visit to 20 visits/year all Paramedicals combined Speech therapist $7/visit to 20 visits/year Physiotherapist $7/visit to 20 visits/year Out-of-Country $100,000 lifetime/hosp $1,000,000 lifetime max $20,000 lifetime all other Travel assistance not covered 1-800 Emergency Medical Termination Retirement Age 65 or retirement, whichever comes earlier All premiums for the above benefits are 100% paid by the Company. DENTAL CARE Covered services are diagnostic services (routine examinations and x-rays), preventative services (cleaning, scaling (Plan A - limited to two units of cleaning and scaling with a six month recall and Plan B – limited to three units of cleaning and scaling with a six month recall) and fluoride applications), restorative services (fillings), and surgical services (extractions and necessary anesthesia), denture, denture repair and root canal services. PLAN A PLAN B Deductible $10 single, $20 family/year No Deductible Coinsurance 100% 90% Maximum $1500/year combined $2,000/year combined with dentures with dentures PLAN A PLAN B Dependent Ortho 50% 50% Maximum $2,000 lifetime $3,000 lifetime Eligible Fee Guide Two year lag current Termination Retirement Age 65 or retirement whichever comes earlier The premium cost will be shared between the Company and the employees on an 80/20 basis with the employee’s contribution payable by payroll deduction. Subject to the eligibility and entitlement provisions of the plan document, all employees will contribute except those who provide proof of coverage under another dental plan. Payments with respect to dental claims will only be paid to the employees – i.e. cannot be assigned a dentist. VISION CARE The company will pay vision care costs for employees and their dependents as follows: PLAN A PLAN B Vision Care Overall max $200/24 months Overall max $350/24 months Coinsurance 50% 80% Glasses/contacts $125/24 months $350/24 months Eye exams 1/year 1/year

Appears in 1 contract

Samples: Agreement

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Extended Health Care, Dental and Vision Care. All employees as of October 1, 2006 can choose between Plan A or Plan B. Any employee that chooses Plan B cannot switch back to Plan A. All employees hired after October 1, 2006 will join Plan B when they become eligible. Dependents of married employees, as outlined in the Plan Document are covered under this provision. Plan A is the benefit plan in place at September 30, 2006. The following is a comparative outline of the two plans: PLAN A PLAN B MAJOR MEDICAL AND SUPPLEMENTAL HOSPITAL Deductible $25 annual No deductible Co-insurance 100%-drugs & hospital 80% other than drugs 80% - medical supplies & services 50% - vision Hospital semi-private to $55/day semi-private to $175/day Drugs Reimbursement Drug Card generic mandate generic mandate 80% of first $500/single 85% of first %500/single, effective October 1, 2013 80% of first $1000/family 85% of first $1000/family, effective October 1, 2013 100% coinsurance thereafter Subject to lifetime max $10,000 annual max $20,000 Anti-smoking $300 lifetime Anti-smoking $300 lifetime Drug Dispensing Fee N/A $6 limit per prescription Private Duty Nurse $5,000 lifetime $8,000 lifetime Chiropractor Osteopath Speech therapist Physiotherapist $7/visit to 20 visits/year $7/visit to 20 visits/year $7/visit to 20 visits/year $7/visit to 20 visits/year $30/visit to max of $400 for Osteopath $7/visit to 20 visits/year all Paramedicals combined Speech therapist $7/visit to 20 visits/year Physiotherapist $7/visit to 20 visits/year Out-of-Country $100,000 lifetime/hosp $1,000,000 1, 000, 000 lifetime max Travel assistance $20,000 lifetime all other Travel assistance not covered 1-800 Emergency Medical Termination Retirement Age 65 or retirement, whichever comes earlier All premiums for the above benefits are 100% paid by the Company. DENTAL CARE Covered services are diagnostic services (routine examinations and x-rays), preventative services (cleaning, scaling (Plan A - limited to two units of cleaning and scaling with a six month recall and Plan B – limited to three units of cleaning and scaling with a six month recall) and fluoride applications), restorative services (fillings), and surgical services (extractions and necessary anesthesia), denture, denture repair and root canal services. PLAN A PLAN B Deductible $10 single, $20 family/year No Deductible Coinsurance 100% 90% Maximum $1500/year combined with $2,000/year combined with dentures with dentures PLAN A PLAN B Dependent Ortho 50% 50% Maximum $2,000 lifetime $3,000 lifetime Eligible Fee Guide Two year lag current Termination Retirement Age 65 or retirement whichever comes earlier The premium cost will be shared between the Company and the employees on an 80/20 basis with the employee’s contribution payable by payroll deduction. Subject to the eligibility and entitlement provisions of the plan document, all employees will contribute except those who provide proof of coverage under another dental plan. Payments with respect to dental claims will only be paid to the employees – i.e. cannot be assigned a dentist. VISION CARE The company will pay vision care costs for employees and their dependents as follows: PLAN A PLAN B Vision Care Overall max $200/24 months Overall max $350/24 275/24 months Coinsurance 50% 80% Glasses/contacts $125/24 months $350/24 275/24 months Eye exams 1/year 1/year

Appears in 1 contract

Samples: Agreement

Extended Health Care, Dental and Vision Care. All employees as of October 1, 2006 can choose between Plan A or Plan B. Any employee that chooses Plan B cannot switch back to Plan A. All employees hired after October 1, 2006 will join Plan B when they become eligible. Dependents of married employees, as outlined in the Plan Document are covered under this provision. Plan A is the benefit plan in place at September 30, 2006. Co-insurance will be paid utilizing the actual cost incurred to the maximum. Ex. On Plan B If a hospital stay is $200 the employee will be reimbursed 80% of $200 which is $160. The following is a comparative outline of the two plans: PLAN A PLAN B MAJOR MEDICAL AND SUPPLEMENTAL HOSPITAL Deductible $25 annual No deductible Co-insurance 100%-drugs & hospital 80% other than drugs 80% - medical supplies & services 50% - vision Hospital semi-private to $55/day semi-private to $175/day Drugs Reimbursement Drug Card generic mandate generic mandate 80% of first $500/single 85% of first %500/single, effective October 1, 2013 80% of first $1000/family 85% of first $1000/family, effective October 1, 2013 100% coinsurance thereafter Subject to lifetime max $10,000 annual max $20,000 Anti-smoking $300 lifetime Anti-smoking $300 lifetime Drug Dispensing Fee N/A $6 limit per prescription Private Duty Nurse $5,000 lifetime $8,000 lifetime Chiropractor $7/visit to 20 visits/year $30/visit to max of $400 for Osteopath $7/visit to 20 visits/year all Paramedicals combined Speech therapist $7/visit to 20 visits/year Physiotherapist $7/visit to 20 visits/year Out-of-Country $100,000 lifetime/hosp $1,000,000 lifetime max $20,000 lifetime all other Travel assistance not covered 1-800 Emergency Medical Termination Retirement Age 65 or retirement, whichever comes earlier All premiums for the above benefits are 100% paid by the Company. DENTAL CARE Covered services are diagnostic services (routine examinations and x-rays), preventative services (cleaning, scaling (Plan A - limited to two units of cleaning and scaling with a six month recall and Plan B – limited to three units of cleaning and scaling with a six month recall) and fluoride applications), restorative services (fillings), and surgical services (extractions and necessary anesthesia), denture, denture repair and root canal services. PLAN A PLAN B Deductible $10 single, $20 family/year No Deductible Coinsurance 100% 90% Maximum $1500/year combined $2,000/year combined with dentures with dentures PLAN A PLAN B Dependent Ortho 50% 50% Maximum $2,000 lifetime $3,000 lifetime Eligible Fee Guide Two year lag current Termination Retirement Age 65 or retirement whichever comes earlier The premium cost will be shared between the Company and the employees on an 80/20 basis with the employee’s contribution payable by payroll deduction. Subject to the eligibility and entitlement provisions of the plan document, all employees will contribute except those who provide proof of coverage under another dental plan. Payments with respect to dental claims will only be paid to the employees – i.e. cannot be assigned a dentist. VISION CARE The company will pay vision care costs for employees and their dependents as follows: PLAN A PLAN B Vision Care Overall max $200/24 months Overall max $350/24 months Coinsurance 50% 80% Glasses/contacts $125/24 months $350/24 months Eye exams 1/year 1/year

Appears in 1 contract

Samples: Agreement

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Extended Health Care, Dental and Vision Care. All employees as of October 1, 2006 can choose between Plan A or Plan B. Any employee that chooses Plan B cannot switch back to Plan A. All employees hired after October 1, 2006 will join Plan B when they become eligible. Dependents of married employees, as outlined in the Plan Document are covered under this provision. Plan A is the benefit plan in place at September 30, 2006. The following is a comparative outline of the two plans: PLAN A PLAN B MAJOR MEDICAL AND SUPPLEMENTAL HOSPITAL Deductible $25 annual No deductible Co-insurance 100%-drugs & hospital 80% other than drugs 80% - medical supplies & services 50% - vision Hospital semi-private to $55/day semi-private to $175/day Drugs Reimbursement Drug Card generic mandate generic mandate 80% of first $500/single 85% of first %500/single, effective October 1, 2013 80% of first $1000/family 85% of first $1000/family, effective October 1, 2013 100% coinsurance thereafter Subject to lifetime max $10,000 annual max $20,000 Anti-smoking $300 lifetime Anti-smoking $300 lifetime Drug Dispensing Fee N/A $6 limit per prescription Private Duty Nurse $5,000 lifetime $8,000 lifetime Chiropractor Osteopath Speech therapist Physiotherapist $7/visit to 20 visits/year $7/visit to 20 visits/year $7/visit to 20 visits/year $7/visit to 20 visits/year $30/visit to max of $400 for Osteopath $7/visit to 20 visits/year all Paramedicals combined Speech therapist $7/visit to 20 visits/year Physiotherapist $7/visit to 20 visits/year Out-of-Country $100,000 lifetime/hosp semi $1,000,000 1, 000, 000 lifetime max Travel assistance $20,000 lifetime all other Travel assistance not covered 1-800 Emergency Medical Termination Retirement Age 65 or retirement, whichever comes earlier All premiums for the above benefits are 100% paid by the Company. DENTAL CARE Covered services are diagnostic services (routine examinations and x-rays), preventative services (cleaning, scaling (Plan A - limited to two units of cleaning and scaling with a six month recall and Plan B – limited to three units of cleaning and scaling with a six month recall) and fluoride applications), restorative services (fillings), and surgical services (extractions and necessary anesthesia), denture, denture repair and root canal services. PLAN A PLAN B Deductible $10 single, $20 family/year No Deductible Coinsurance 100% 90% Maximum $1500/year combined with $2,000/year combined with dentures with dentures PLAN A PLAN B Dependent Ortho 50% 50% Maximum $2,000 lifetime $3,000 lifetime Eligible Fee Guide Two year lag current Termination Retirement Age 65 or retirement whichever comes earlier The premium cost will be shared between the Company and the employees on an 80/20 basis with the employee’s contribution payable by payroll deduction. Subject to the eligibility and entitlement provisions of the plan document, all employees will contribute except those who provide proof of coverage under another dental plan. Payments with respect to dental claims will only be paid to the employees – i.e. cannot be assigned a dentist. VISION CARE The company will pay vision care costs for employees and their dependents as follows: PLAN A PLAN B Vision Care Overall max $200/24 months Overall max $350/24 275/24 months Coinsurance 50% 80% Glasses/contacts $125/24 months $350/24 275/24 months Eye exams 1/year 1/year

Appears in 1 contract

Samples: Agreement

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