Common use of Group Insurance Programs Clause in Contracts

Group Insurance Programs. 1. During the life of this Agreement, the Vermont State Colleges will continue to pay 100% of the cost of accidental death and dismemberment insurance, and of group life insurance and long term disability insurances. All such benefit plans are subject to insurance carrier provisions and restrictions in effect as of November 2004. An employee who is on Long- term Disability shall remain on Long-Term Disability but shall remain an employee for no longer than one year after determination of eligibility. 2. The Vermont State Colleges shall offer a group dental and medical point of service managed care plan. Effective July 1, 2001, office visits under this plan shall be $15 per visit, regardless of premium payment. The Colleges and the employee shall share the cost of the premium of such a plan in accordance with the following schedule: a) For employees whose base annual salary is under $15,000, the Colleges will pay the entire cost of the premium for a single, two-person or family plan. b) For employees whose base annual salary is between $15,000 and $20,000, the Colleges will pay 98% of the cost of the premium and the employee shall pay 2%. c) For employees whose base annual salary is between $20,001 and $25,000, the Colleges will pay 96% of the cost of the premium and the employee shall pay 4%. d) For employees whose base annual salary is between $25,001 and $30,000, the Colleges will pay 94% of the cost of the premium and the employee shall pay 6%. e) For employees whose base annual salary is between $30,001 and $35,000, the Colleges will pay 92% of the cost of the premium and the employee shall pay 8%. f) For employees whose base annual salary is between $35,001 and $40,000, the Colleges will pay 90% of the cost of the premium and the employee shall pay 10%. g) For employees whose base annual salary is between $40,001 and $45,000, the Colleges will pay 88% of the cost of the premium and the employee shall pay 12%. h) For employees whose base annual salary is between $45,001 and $50,000, the Colleges will pay 86% of the cost of the premium and the employee shall pay 14%. i) For employees whose base annual salary is between $50,001 and $60,000, the Colleges will pay 84% of the cost of the premium and the employee shall pay 16%. j) For employees whose base annual salary is between $60,001 and $70,000, the Colleges will pay 82% of the cost of the premium and the employee shall pay 18%. k) For employees whose base annual salary is over $70,000, the Colleges will pay 80% of the cost of the premium and the employee shall pay 20%. 3. Effective July 1, 2001, new employees must have a FTE of at least .8 to be eligible for health insurance. Such employee shall be covered by the insurance plans described above or in section 9 below upon the first day of employment. The Colleges will not engage in any new hiring on a part-time basis specifically to avoid paying for the benefits of health insurance coverage. The Colleges will not divide a full-time position into two or more part-time positions in order to avoid paying for the benefits of health insurance coverage. “To avoid paying for the benefits of health insurance coverage” shall not include circumstances where health care savings may be a factor, but not a significant factor, in the job structuring. 4. An employee may opt out of the health insurance plan in accordance with the VSC policy on opting out of health insurance. Employees opting out of both the group dental and medical plan shall receive $1800 at the completion of any VSC fiscal or calendar year in which there is a waiver of enrollment in the VSC medical and dental plans. Employees opting out of the medical plan only will receive $1400. The opt-out option can be exercised only once a year. The dollar amounts listed above shall remain in effect in accordance with VSC policy on opting out of health insurance. 5. All employees will participate in the same prescription plan of the Colleges’ choice, provided, however, that the cost of generic drugs shall be $10 per prescription and the cost of brand drugs shall be $20 per prescription. When a generic drug is available and the employee elects a brand drug instead, they shall pay the $20 plus the difference between the cost of the generic and the brand drug, subject to the further provisions of Appendix II. There shall be a prescription drug co-payment cap of $500 yearly per employee account (the year shall run from July 1 to June 30). 6. If during the term of this Agreement the State of Vermont should enact universal health insurance coverage, the parties agree to reopen the contract to negotiate the impact of any such changes on employee compensation. 7. All unit members shall be eligible to receive services through the VSC Employee Assistance Program. 8. Beginning January 1, 2017, the Calendar Year Maximum under the dental plan shall be increased to $1,000. For Class II basic dental restorative services, payment under the plan shall be increased to 80% after plan deductible. The Calendar Year Deductible for dental services shall be reduced to $25 for an individual and $75 for family plans. 9. Beginning January 1, 2017, all newly hired employees shall receive health care coverage through a High Deductible Health Reimbursement Account. Such Account shall be optional for employees hired prior to January 1, 2017. This High Deductible plan will be structured so that the Colleges will fund the first portion of the annual deductible through the HRA. The employee’s portion of the deductible will not exceed, after the HRA contribution, $500 per year for an individual or $1000 per year for a family. If the Colleges provide more favorable terms in connection with health care coverage to non- bargaining unit employees of the Colleges, the Colleges shall apply the more favorable terms to bargaining unit employees covered under this Agreement.

Group Insurance Programs. 1. During the life of this Agreement, the Vermont State Colleges will continue to pay 100% of the cost of accidental death and dismemberment insurance, and of group life insurance and long term disability insurances. All such benefit plans are subject to insurance carrier provisions and restrictions in effect as of November 2004. An employee who is on Long- term Disability shall remain on Long-Term Disability but shall remain an employee for no longer than one year after determination of eligibility. 2. The Vermont State Colleges shall offer a group dental and medical point of service managed care plan. Effective July 1, 2001, office visits under this plan shall be $15 per visit, regardless of premium payment. The Colleges and the employee shall share the cost of the premium of such a plan in accordance with the following schedule: a) For employees whose base annual salary is under $15,000, the Colleges will pay the entire cost of the premium for a single, two-person or family plan. b) For employees whose base annual salary is between $15,000 and $20,000, the Colleges will pay 98% of the cost of the premium and the employee shall pay 2%. c) For employees whose base annual salary is between $20,001 and $25,000, the Colleges will pay 96% of the cost of the premium and the employee shall pay 4%. d) For employees whose base annual salary is between $25,001 and $30,000, the Colleges will pay 94% of the cost of the premium and the employee shall pay 6%. e) For employees whose base annual salary is between $30,001 and $35,000, the Colleges will pay 92% of the cost of the premium and the employee shall pay 8%. f) For employees whose base annual salary is between $35,001 and $40,000, the Colleges will pay 90% of the cost of the premium and the employee shall pay 10%. g) For employees whose base annual salary is between $40,001 and $45,000, the Colleges will pay 88% of the cost of the premium and the employee shall pay 12%. h) For employees whose base annual salary is between $45,001 and $50,000, the Colleges will pay 86% of the cost of the premium and the employee shall pay 14%. i) For employees whose base annual salary is between $50,001 and $60,000, the Colleges will pay 84% of the cost of the premium and the employee shall pay 16%. j) For employees whose base annual salary is between $60,001 and $70,000, the Colleges will pay 82% of the cost of the premium and the employee shall pay 18%. k) For employees whose base annual salary is over $70,000, the Colleges will pay 80% of the cost of the premium and the employee shall pay 20%. 3. Effective July 1, 2001, new employees must have a FTE of at least .8 to be eligible for health insurance. Such employee shall be covered by the insurance plans described above or in section 9 below upon the first day of employment. The Colleges will not engage in any new hiring on a part-time basis specifically to avoid paying for the benefits of health insurance coverage. The Colleges will not divide a full-time position into two or more part-time positions in order to avoid paying for the benefits of health insurance coverage. “To avoid paying for the benefits of health insurance coverage” shall not include circumstances where health care savings may be a factor, but not a significant factor, in the job structuring. 4. An employee may opt out of the health insurance plan in accordance with the VSC policy on opting out of health insurance. Employees opting out of both the group dental and medical plan shall receive $1800 at the completion of any VSC fiscal or calendar year in which there is a waiver of enrollment in the VSC medical and dental plans. Employees opting out of the medical plan only will receive $1400. The opt-out option can be exercised only once a year. The dollar amounts listed above shall remain in effect in accordance with VSC policy on opting out of health insurance. 5. All employees will participate in the same prescription plan of the Colleges’ choice, provided, however, that the cost of generic drugs shall be $10 per prescription and the cost of brand drugs shall be $20 per prescription. When a generic drug is available and the employee elects a brand drug instead, they he or she shall pay the $20 plus the difference between the cost of the generic and the brand drug, subject to the further provisions of Appendix II. There shall be a prescription drug co-payment cap of $500 yearly per employee account (the year shall run from July 1 to June 30). 6. If during the term of this Agreement the State of Vermont should enact universal health insurance coverage, the parties agree to reopen the contract to negotiate the impact of any such changes on employee compensation. 7. All unit members shall be eligible to receive services through the VSC Employee Assistance Program. 8. Beginning January 1, 2017, the Calendar Year Maximum under the dental plan shall be increased to $1,000. For Class II basic dental restorative services, payment under the plan shall be increased to 80% after plan deductible. The Calendar Year Deductible for dental services shall be reduced to $25 for an individual and $75 for family plans. 9. Beginning January 1, 2017, all newly hired employees shall receive health care coverage through a High Deductible Health Reimbursement Account. Such Account shall be optional for employees hired prior to January 1, 2017. This High Deductible plan will be structured so that the Colleges will fund the first portion of the annual deductible through the HRA. The employee’s portion of the deductible will not exceed, after the HRA contribution, $500 per year for an individual or $1000 per year for a family. If the Colleges provide more favorable terms in connection with health care coverage to non- bargaining unit employees of the Colleges, the Colleges shall apply the more favorable terms to bargaining unit employees covered under this Agreement.