Health Care Plan. (1) If a member is also covered under any other plan (as defined here) and is entitled to benefits or other services for which benefits are also payable under Missouri Consolidated Health Care Plan (MCHCP), the benefits under MCHCP will be adjusted as shown in this rule.
Health Care Plan. Group benefits are as provided in the benefit book distributed by the carrier. Cost sharing for benefits is as follows: Extended Health Plan – 75% Employer Paid – 25% Employee Paid.
Health Care Plan. The City of Grand Rapids is the plan sponsor of a group health care plan covering certain hospitalization, surgical, medical, dental, and optical expenses for active City employees and their eligible dependents. Active City employees and their eligible dependents participate in this group health care plan. A summary of the coverage available through the City’s group health care plan is contained in the Summary Plan Document (for the City of Grand Rapids Unified Health Care Plan). Management shall, at its expense, provide a group hospital, medical, vision, surgical insurance and dental insurance policy to all employees within the bargaining unit which shall provide coverage for the employee and the employee's dependents as defined in said policy, provided that the coverage of said policy shall not be less than the coverage of the present policy provided by Management to employees.
Health Care Plan. The BOARD and the UNION agree to direct the LMCC to evaluate and initiate changes to the current Health Care Plan (the “Plan”) effective June 30, 2013 and thereafter in areas that will facilitate the shift to a preventive health care model and will result in design improvements, cost containment or savings, including but not limited to the following areas: • Expanded Disease Management Program • HRA and Bio-metric Screening • Health Fairs • Weight Management Program • Imaging Review ServiceUtilization Management • Subscriber Share for Hospital Bills and Co-insurance • Exclusion for Self-Inflicted Injuries. • Open enrollment: Comprehensive Communication and Outreach Strategies. • Prescription Coverage. • Vendor Performance Management.
Health Care Plan. Employee health care benefits shall be governed by the City’s Healthcare Committee. The Bargaining Unit currently has two (2) voting positions, and shall continue to hold proportional representation on the Committee. The City agrees not to expand the voting membership of the Healthcare Committee in 2021.
Health Care Plan. We have an approved health care plan with the Child Care Council. The health care plan has procedures that are followed if a child gets sick during program time. If a child becomes sick, we will call and inform the parent/guardian of the situation. Criteria for exclusion of children who are ill (immediate pick-up will be requested if the child is at a program) - The child is too ill to participate in program activities. - The illness results in a need for care that is greater than the staff can provide without compromising the health and safety of other youth. - An acute change in behavior – this could include a lack of responsiveness, irritability, persistent crying, difficulty breathing, or having a quickly spreading rash. - Fever – Temperature at or above 100° orally. - Head lice until after the first treatment (Exclusion is not necessary before the end of the day) For a full list, please refer to the Program Health Care Plan. Children with severe allergies or medical conditions requiring immediate medical intervention must have an individual health care plan on file stating the necessary intervention and signed by the child’s physician on file. Failure to turn this completed health plan into the program will result in the child not being able to start or continue in program until this documentation is received.
Health Care Plan. Group benefits are as provided in the benefit book distributed by the carrier. Cost sharing for benefits is as follows: Medical Services Plan – 50% Employer Paid – 50% Employee Paid. Extended Health Plan – 75% Employer Paid – 25% Employee Paid. EHC Benefit % Benefit Maximum Provincial Drug Formulary 100% Limited to the British Plan Columbia Drug Benefit formulary and Special Authority drugs that are approved by Pharmacare Deductible is equal to the dispensing xxx.Xx coverage for drugs not listed in the provincial formulary. Fertility Drugs 50% $2,500 lifetime maximum Massage Therapist 80% $500 per calendar yearPhysician referral required Physiotherapist 80% $500 per calendar year Speech Therapist 80% $500 per calendar year Acupuncturist Naturopath Osteopath Chiropodist Psychologist / Psychotherapist/ Social Worker (MSW) 80% $500 per calendar year per practitioner Podiatrist 80% $500 per calendar year Chiropractor 80% $500 per calendar year Registered Nutritional Consulting Practitioner / Registered Dietician 80% $150 per calendar year Eye Examinations 80% $80 Every 24 months Vision Care $300 every 2 years Ambulance Service 100% Per EHC Details Foot Orthotics 80% 2 pair per calendar year.$350 total per calendar year Orthopedic Shoes 80% 2 pair per calendar year.$500 total per calendar year Prosthetics 100% $25,000 lifetime maximum– initial placement only Hearing Aids 100% $500 every 4 years Dental Plan – 75% Employer Paid – 25% Employee Paid. Basics & Preventative Dental Treatment % Benefit Maximum Routine Dental Care 80% - Recall, emergency or specific oral examinations, bitewing x- Periodontics 80% Endodontics 80% rays, scaling, polishing & fluoride once every 9 months. - Periodontal scaling/root planning 8 units per calendar year. Denture Repairs 80% Dental Deductible $50 per calendar year Major Restorative 80% Max $1,500 – dentures and crowns Life Insurance – 75% Employer Paid – 25% Employee Paid. Accidental Death and Dismemberment – 75% Employer Paid– 25% Employee Paid. Life Benefit Formula $50,000 The Employer shall provide these benefits and shall be consistent with the current provisions. All employees successfully completed probation who are scheduled for 20 hours or more per week are entitled to enroll in the health and welfare benefits plan. See Group Benefits Plan for other details.
Health Care Plan. A. The Board and eligible employees will share the cost of the Health Care Plan premiums as follows: (Exhibit E) Year 1 (2019-2020): Board – 84% Employee – 16% Year 2 (2020-2021): Board – 84% Employee – 16% Year 3 (2021-2022): Board – 84% Employee – 16% Optional vision insurance to be paid in full by the employee. Employees may purchase Medical and Dental, only Medical, or only Dental.
Health Care Plan. The Union and the City agree to the continuation of the Healthcare Plan Committee to manage and make recommendations regarding the self-funded City Healthcare Plan. The Committee shall be comprised of the following people: 2 representatives from Fraternal Order of Police 2 representatives from International Association of Firefighters 3 representatives from AFSCME (includes General and Library) 3 representatives from non-union group 1 representative from the retiree group who is currently enrolled in the health plan Finance Officer Human Resources Director City Attorney Council Representative A majority of the members of the committee shall act as one with regard to the management of the City’s Healthcare Plan. The City Human Resource Director shall act as the chair of the committee. Any member of the committee may designate another person to attend any meeting on his behalf. Such a designee shall have full voting rights. It is the desire of the City Healthcare Plan Committee and the City Council to fund the City Medical Benefit Plan to a level of responsible fiscal management and build an ongoing Ideal Fund Balance to a level consistent with the Ideal Fund Balance Target. The Committee recognizes its fiduciary responsibility to adequately manage the City Healthcare Plan to ensure the Plan’s long term financial stability. To that end the Committee adopts the following Plan reporting criteria and funding philosophy.
Health Care Plan. The parties agree that the existing Preferred Provider Organization (PPO) Medical Plan as set forth in the Golden SVCS, LLC Employee Benefits Guide, shall be continued during the term of this Agreement. The parties also agree that the existing Vision Care and Dental Plans, as set forth in the Golden SVCS, LLC Employee Benefits Guide, will be continued during the term of this Agreement. The Company will arrange with an insurance company(s) to make available to participating employees in the bargaining unit certain benefits under these Plans as set forth in the above-referenced Employee Benefits Guide. It is agreed that the gross cost of the said PPO Medical or applicable Plan shall be shared by the Company and participating employees. Each employee who enrolls in the PPO Plan shall pay the applicable rate as follows: Effective November 1, 2019, the employee share will be 20% for the employee in the first year and 80% share for the Company. Effective November 1, 2020, the employee share will be 22% and the Company share 78%. Effective November 1, 2021, the employee share will be 23% and the Company share 77%. Effective November 1, 2022, the employee share will be 24% and 76% share for the Company. Effective November 1, 2023, the employee share will be 25% and 75% share for the Company. Employee participation in the PPO or applicable Plan shall be on a voluntary basis. Employees who enroll in the Plan shall authorize the Company in writing to deduct from their pay the applicable rate
