Group Plans and Contributions. The State agrees to continue to provide group health benefits to all eligible bargaining unit members employed. Department of Transportation Employees will have health plan options of Iowa Choice or National Choice at the same level of benefits under such plans as of January 1, 2021 (For Board of Regents Employees, see Section 6 of this Article). The State will meet and confer with the bargaining unit if there is a material change in the benefits plan. Effective January 1, 2021 the State further agrees to contribute to the cost of health benefits in accordance with the following provisions:
Group Plans and Contributions. The State agrees to continue to provide group health benefits to all eligible bargaining unit members. Employees will have health plan options of Program 3 Plus, Iowa Select, a PPO with a fifty dollar ($50) emergency room co-payment, without consideration of any other deductible, as well as such managed care organization plans as offered annually by the State with the benefits at the same level as provided under such plans during 2007. Program 3 Plus and Iowa Select will be modified to include a three (3) tier drug card program in which there is a separate $250/$500 drug card out-of-pocket maximum and a $5/$15/$30 (generic/ brand name formulary/brand name nonformulary respective) co-payment. Program 3 Plus and Iowa Select will include a mail order prescription provision where two co-payments will be paid for a ninety
Group Plans and Contributions. The State agrees to continue to provide group health benefits to all eligible bargaining unit members. Employees will have health plan options of Program 3 Plus, Iowa Select, a PPO with a $50 emergency room co-payment, without consideration of any other deductible, as well as such managed care organization plans as offered annually by the State with the benefits at the same level as provided under such plans during 2007. Program 3 Plus and Iowa Select will be modified to include a three (3) tier drug card program in which there is a separate $250/$500 drug card out-of-pocket maximum and a $5/$15/$30 (generic/brand name formulary/brand name nonformulary respective) copayment. Program 3 Plus and Iowa Select will include a mail order prescription provision where two co-payments will be paid for a ninety (90) day supply for maintenance drugs determined by the carrier. If a generic equivalent is appropriate and available and the member chooses a brand name drug, the member is responsible for the copayment plus any difference between the maximum allowable fee for the generic drug and the maximum allowable fee for the brand name drug, even if the provider has specified that the brand name drug must be taken. The deductible carry over provision for both Plan 3 Plus and Iowa Select will be eliminated. A $15 standard office visit co-pay will be included in both Program 3 Plus and Iowa Select. This co-pay applies once per date of service and applies to the exam only, deductible and coinsurance do not follow the co-pay for the exam. Coinsurance would apply to other office services and the co-pay will not count towards out-of-pocket maximums. The State further agrees to contribute to the cost of health benefits in accordance with the following provisions:
Group Plans and Contributions. Iowa State University The State agrees to continue to provide group health benefits to all eligible bargaining unit members. Employees will have health plan options of Wellmark PPO (Alliance Select Network) and Wellmark HMO (Blue Advantage Network). The Plan Design is as follows: Deductible: None – Single and Family Wellmark PPO(In- Network) $300.00 Single - Wellmark PPO(Out-of-Network) $600.00 Family – Wellmark PPO(Out-of-Network) None – Single and Family Wellmark HMO Out of Pocket Medical Maximum: $1,500.00 Single – Wellmark PPO(In-Network) $3,000.00 Family – Wellmark PPO(In-Network) $3,000.00 Single – Wellmark PPO(Out-of-Network) $6,000.00 Family – Wellmark PPO(Out-of-Network) None – Single and Family Wellmark HMO Preventive: 100% after $20.00 copay - Wellmark PPO(In- Network) Not covered - Wellmark PPO(Out-of-Network) 100% after $10.00 copay – Wellmark HMO Office Visits (including chiropractic care): 100% after $20.00 copay - Wellmark PPO(In- Network) 80% - Wellmark PPO(Out-of-Network) 100% after $10.00 copay – Wellmark HMO Outpatient MH/Chemical Dependency: 100% after $20.00 copay - Wellmark PPO(In- Network) 80% - Wellmark PPO(Out-of-Network) 100% after $10.00 copay – Wellmark HMO Emergency Room: 90% after $100.00 copay - Wellmark PPO(In- Network) 80% after $100.00 copay - Wellmark PPO(Out-of- Network) 100% after $100.00 copay – Wellmark HMO Prescription Drug (design applies to both PPO and HMO) Retail 30-day supply 90-day supply Generic Pays 100% after $10 Pays 100% after $30 Formulary Pays 70% ($100 max) Pays 70% after ($100 max) NonFormulary Pays 50% ($200 max) Pays 50% after ($600 max) Mail Order 90-day supply Generic Pays 100% Formulary Pays 75% ($250 max) NonFormulary Pays 67% ($600 max) The State further agrees to contribute to the cost of health benefits in accordance with the following provisions:
Group Plans and Contributions. University of Iowa The State agrees to continue to provide group health benefits to all eligible bargaining unit members. Employees will have health plan options of UI Choice and UI Select. The Current Plan Design will remain as currently exist. The State further agrees to contribute to the cost of health benefits in accordance with the following provisions:
Group Plans and Contributions. University of Northern Iowa The State agrees to continue to provide group health benefits to all eligible bargaining unit members. Employees will have health plan options of UNI PPO (Alliance Select) and UNI Blue Advantage (HMO). The Current Plan Design will remain as currently exist. The State further agrees to contribute to the cost of health benefits in accordance with the following provisions:
Group Plans and Contributions. University of Northern Iowa The State agrees to continue to provide group dental benefits to all eligible bargaining unit members. The Current Plan Design will remain as currently exist. The State further agrees to contribute to the cost of dental benefits in accordance with the following provisions:
Group Plans and Contributions. The State agrees to continue to provide group health benefits to all eligible bargaining unit members. Em health plan options of Plan 3 Plus, including a cash and carry prescription drug program, and Iowa Sel PPO, with their benefit design as adjusted by those cost containment features provided for in sub Containment, of this Section, as well as such HMO and ODS plans as offered annually by the State. agrees to contribute to the cost of health benefits in accordance with the following provisions:
Group Plans and Contributions. The State agrees to continue to provide group health benefits to all eligible bargaining unit members. Employees will have health plan options of Program 3 Plus, Iowa Select, a PPO with a fifty dollar ($50) emergency room co-payment, without consideration of any other deductible, as well as such managed care organization plans as offered annually by the State with the benefits at the same level as provided under such plans during 2015. Program 3 Plus and Iowa Select will be modified to include a three (3) tier drug card program in which there is a separate $500/$1,000 drug card out-of-pocket maximum and a $5/$15/$30 (generic/ brand name formulary/brand name nonformulary respective) co-payment. Program 3 Plus and Iowa Select will include a mail order prescription provision where two co-payments will be paid for a ninety (90) day supply for maintenance drugs determined by the carrier. If a generic equivalent is appropriate and available and the member chooses a brand name drug, the member is responsible for the co-payment plus any difference between the maximum allowable fee for the generic drug and the maximum allowable fee for the brand name drug, even if the provider has specified that the brand name drug must be taken. The deductible carry over provision for both Plan 3 Plus and Iowa Select will be eliminated. A fifteen dollar ($15.00) standard office visit co-pay will be included in both Program 3 Plus and Iowa Select. This co-pay applies once per date of service and applies to the exam only, deductible and coinsurance do not follow the co-pay for the exam. Coinsurance would apply to other office services and the co-pay will count towards out-of-pocket maximums. The employee may elect to purchase coverage in accordance with the provisions of Appendix C (Health Benefits Plan section). After positively enrolling for plan year 2016, a bargaining unit member does not need to re-enroll for future plan years. If the member does not make any changes, the member’s coverage’s will remain the same and carry over to the next plan year. Effective January 1, 2016, the State further agrees to contribute to the cost of health benefits inaccordance with the following provisions:
Group Plans and Contributions
