Health and Diagnostic Insurance Sample Clauses

Health and Diagnostic Insurance. The Board of Education shall pay ninety percent (90%) of the cost of the single premium for all eligible employees covered under this agreement. The Board will contribute this amount toward the cost of the family premium program plus one half of the cost of dependent coverage. The Board will not enter into any special agreements or refunds because of duplication of coverage when a spouse is covered under a similar plan with the same insurance company or other insurance organization. Licensed staff members working half time or more either during the school year or during the calendar year will receive full health benefits for the full calendar year. Health insurance benefits may not be reduced without the express written approval of both the Association and the Board. Retirees of District 155, through COBRA, may continue with the health insurance group on the same basis as they have had for the most recent consecutive five year period at no expense to the school district, if they are eligible for Illinois Teachers Pension and have been a member of the licensed staff and health insurance group for five years. Health insurance benefits may not be reduced without the express written approval of both the Association and the Board. The Board will pay ninety percent (90%) of the individual and family health and diagnostic coverage for any staff member reaching the end of any column of the salary index. Plan eligibility will exclude spouses who are employed and eligible for health insurance coverage under their employer's group health insurance plan; however, as a component of the insurance plan, District 155 will achieve parity for spouses of employees utilizing family health insurance. Compensation will be based on:
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Health and Diagnostic Insurance. ‌ For the 2022 calendar year, the Board of Education shall pay the following percentages of the PPO and HMO health insurance premiums for all eligible employees covered under this agreement. Employees whose first day of employment with the District is after June 30, 2022, shall only have access to the HDHP. Plan choice PPO HMO HDHP Employee 83% 89.5% 90% The District will contribute the following amount toward these plans in addition to the Employee only coverage contribution: + Spouse 50% 50% 50% + Child(ren) 50% 50% 50% + Family 50.4% 51.7% 50% In addition, for the 2020-2023, 2023-2024, 2024-2025, and 2025-2026 school years, the Board will make a contribution to a Health Saving Account (“HSA”) for employees enrolled in the HDHP in the following amounts: HSA Contribution Employee $1,825 Employee + Spouse $2,737.50 Employee + Child(ren) $2,737.50 Employee + Family $3,650 For the 2026-2027 school year, the contribution to the HSA for employees enrolled in the HDHP shall be the following amounts: HSA Contribution Employee $1,250 Employee + Spouse $2,500 Employee + Child(ren) $2,500 Employee + Family $2,500 The Board will not enter into any special agreements or refunds because of duplication of coverage when a spouse is covered under a similar plan with the same insurance company or other insurance organization. Licensed staff members working half time or more either during the school year or during the calendar year will receive full health benefits for the full calendar year. Health insurance benefits may not be reduced without the express written approval of both the Association and the Board. Retirees of District 155, through COBRA, may continue with the health insurance group on the same basis as they have had for the most recent consecutive five-year period at no expense to the school district, if they are eligible for Illinois Teachers Pension and have been a member of the licensed staff and health insurance group for five years For employees whose first day of employment with the District was before July 1, 2022, the Board will pay the following percentages of the health insurance premiums for the 2022 calendar year for any staff member reaching step 19 of any column of the salary schedule. Plan Choice PPO HMO HDHP Employee 83% 89.5 90% The District will contribute the following amount toward these plans in addition to the Employee only coverage contribution: + Spouse 100% 100% 100% + Child(ren) 100% 100% 100% + Family 90.1% 98.1% 100% The aforementi...
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Health and Diagnostic Insurance. This Section and Sections 13.4 and 13.5 do not apply to Food Service Employees. For other employees regularly scheduled to work at least 35 hours per week, the Board shall pay 90% of the cost of the premium for the single employee for 12 month employees and 95% of the cost of the premium for the single employee for 9 and 10 month employees. Further, the Board shall contribute this amount towards the cost of the family premium plus one half (1/2) of the cost of the dependent coverage. Health and Diagnostic Insurance provided under this section shall be for the full calendar year. The Board will not enter into any special agreements or refunds because of duplication of coverage when a spouse is covered under a similar plan with the same insurance company or other insurance organization.
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Related to Health and Diagnostic Insurance

  • Health and Diet Counseling This plan covers diabetes and nutritional counseling in accordance with state and federal laws, when prescribed by a physician and provided by either a physician or an appropriately licensed, registered or certified counselor.

  • Health Care Insurance While a faculty member is on an approved leave of this type, the faculty member will be advised regarding the right to continue health care benefits in accordance with COBRA during the period of unpaid absence.

  • Pharmacy Benefits - Prescription Drugs and Diabetic Equipment or Supplies from a Pharmacy This plan covers prescription drugs listed on our formulary and diabetic equipment or supplies bought from a pharmacy as a pharmacy benefit. These benefits are administered by our Pharmacy Benefit Manager (PBM). Our formulary includes a tiered copayment structure and indicates that certain prescription drugs require preauthorization. If a prescription drug is not on our formulary, it is not covered. For specific coverage information or a copy of the most current formulary, please visit our website or call our Customer Service Department. Prescription drugs and diabetic equipment or supplies are covered when dispensed using the following guidelines: • the prescription must be medically necessary, consistent with the physician’s diagnosis, ordered by a physician whose license allows him or her to order it, filled at a pharmacy whose license allows such a prescription to be filled, and filled according to state and federal laws; • the prescription must consist of legend drugs that require a physician’s prescription under law, or compound medications made up of at least one legend drug requiring a physician’s prescription under law; • the prescription must be dispensed at the proper place of service as determined by our Pharmacy and Therapeutics Committee. For example, certain prescription drugs may only be covered when obtained from a specialty pharmacy; and • the prescription is limited to the quantities authorized by your physician not to exceed the quantity listed in the Summary of Pharmacy Benefits. Prescription drugs are subject to the benefit limits and the amount you pay shown in the Summary of Pharmacy Benefits.

  • Health and Dental Insurance ☐ Husband ☐ Wife shall maintain coverage for each minor child under the medical and dental insurance provided through his/her employment. To facilitate the use of such coverage for the child(ren), the Couple shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments. For purposes of duration and modification, this provision shall be deemed part of the child support orders made by the local court in the Couples’ dissolution action.

  • Health Care Coverage The Company shall continue to provide Executive with medical, dental, vision and mental health care coverage at or equivalent to the level of coverage that the Executive had at the time of the termination of employment (including coverage for the Executive’s dependents to the extent such dependents were covered immediately prior to such termination of employment) for the remainder of the Term of Employment, provided, however that in the event such coverage may no longer be extended to Executive following termination of Executive’s employment either by the terms of the Company’s health care plans or under then applicable law, the Company shall instead reimburse Executive for the amount equivalent to the Company’s cost of substantially equivalent health care coverage to Executive under ERISA Section 601 and thereafter and Section 4980B of the Internal Revenue Code (i.e., COBRA coverage) for a period not to exceed the lesser of (A) 18 months after the termination of Executive’s employment or (B) the remainder of the Term of Employment, and provided further that (1) any such health care coverage or reimbursement for health care coverage shall cease at such time that Executive becomes eligible for health care coverage through another employer and (2) any such reimbursement shall be made no later than the last day of the calendar year following the end of the calendar year with respect to which such coverage or reimbursement is provided. The Company shall have no further obligations to the Executive as a result of termination of employment described in this Section 8(a) except as set forth in Section 12.

  • Health and Hospitalization Insurance Single Coverage: The School District shall contribute a sum not to exceed $284.00 per month toward the premium for individual coverage for each full-time employee employed by the School District who qualifies for and is enrolled in single coverage in the School District’s group health and hospitalization insurance plan. Any additional cost of the premium shall be borne by the employee and paid by payroll deduction.

  • MEDICAL AND HOSPITAL INSURANCE 14.1 Current practices will prevail for the duration of this Agreement, except that any changes in medical or hospital insurance plans, including the premium payable by employees, applicable to the majority of those employed in the Public Service for whom the Treasury Board is the employer, will during the life of this Agreement be applicable to the employees under this Agreement.

  • Extended Health Care Coverage A) The Employer shall pay one hundred percent (100%) of the monthly premiums for extended health care coverage for regular employees and their eligible dependents (including common-law spouses) under the Pacific Blue Cross Plan, or any other plan mutually acceptable to the Union and the Employer (See also Appendix “I”). The plan benefits shall be expanded to include:

  • Hospital and Medical Insurance The University shall make available health insurance to the employees covered by this agreement to the same extent and in the same manner as is available to other University employees, such as Faculty and the Executive, Administrative and Professional Staff employees. It is the University's goal to have the same health insurance plans offered uniformly to all University groups and employees.

  • HEALTH AND LIFE INSURANCE The Sheriff will continue to offer to employees of this bargaining unit the same health and life insurance programs being offered to other Sheriff’s Office employees. Due to the changing nature of the health insurance market, the Sheriff retains the right during the term of this Agreement to develop plan changes or to change carriers in order to reduce costs or for other reasons. Changes to the level and types of benefits shall be subject to bargaining as provided by law. Rates paid by the employee will be established by the Sheriff.

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