Health Care Related. Insurance Committee The Board and Union have a mutual interest in ensuring that employees and their families have the best benefits possible for the dollars spent on health care. Therefore, the Insurance Committee, comprised of representatives from all bargaining units and representatives from the finance department will meet at least quarterly to examine out health care plans to determine how to maximize cost efficiency and have a healthy workforce. The committee shall also investigate plan options and designs, and recommend any changes to be negotiated before the end of the current contract cycle. E. Dental, Vision Care, Prescription Drug, and Skilled Nursing These benefits are guaranteed as follows: Dental: 100% Preventative (to include pit and fissure sealants) and 80% basic/major/restorative (to include implants) (annual limit of $3,300) on dental; and 80% orthodontia (lifetime limit of $3,300) Prescription Drug: Effective through December 31, 2020: $6.00 deductible – generic $15.00 deductible - name brand if no generic is available $50.00 deductible - name brand if generic is available (this is subject to the plan appeal process) Retin-A or equivalent coverage is included for plan participants who are age 25 and older for medically necessary purposes only. Effective January 1, 2021-February 28, 2021 or January 1, 2021-January 31, 2021; whichever date is sooner depending on when Medical Mutual can convert to Appendix 7; the Board agrees to provide prescription drug as included in Appendix 7. Effective March 1, 2021, or February 1, 2021; whichever date in sooner based on when Medical Mutual can convert to Appendix 8; the Board agrees to provide prescription drug as included in Appendix 8. Vision Care: Eye Exam - up to $70.00 Lenses and Frames: Single Vision up to $180.00 Bifocals up to $205.00 Trifocals up to $230.00 Contacts up to $130.00 Skilled Nursing: Hearing: The benefits in effect in 1991. Hearing exam – up to $70 Hearing aides - $1,000 per ear every 24 months The Union shall have the right to name carriers and agents for the insurance benefits described in this section. Any changes in carriers or agents shall not result in an insurer’s retention rate that is more than one percent (1%) above the composite retention rate being paid at the time a change in carriers or agents is desired.
Health Care Related. Insurance Committee The Board and Union have a mutual interest in ensuring that employees and their families have the best benefits possible for the dollars spent on health care. Therefore, the Insurance Committee, comprised of representatives from all bargaining units and representatives from the finance department will meet at least quarterly to examine out health care plans to determine how to maximize cost efficiency and have a healthy workforce. The committee shall also investigate plan options and designs, and recommend any changes to be negotiated before the end of the current contract cycle. E. Dental, Vision Care, Prescription Drug, and Skilled Nursing These benefits are guaranteed as follows: Dental: 100% Preventative (to include pit and fissure sealants) and 80% basic/major/restorative (to include implants) (annual limit of $3,300) on dental; and 80% orthodontia (lifetime limit of $3,300) Prescription Drug: $6.00 deductible – generic $12.00 deductible - name brand if no generic is available $18.00 deductible - name brand if generic is available Retin-A or equivalent coverage is included for plan participants who are age 25 and older for medically necessary purposes only. Vision Care: Eye Exam - up to $70.00 Lenses and Frames: Single Vision up to $180.00 Bifocals up to $205.00 Trifocals up to $230.00 Contacts up to $130.00 Skilled Nursing: The benefits in effect in 1991. The Union shall have the right to name carriers and agents for the insurance benefits described in this section. Any changes in carriers or agents shall not result in an insurer’s retention rate that is more than one percent (1%) above the composite retention rate being paid at the time a change in carriers or agents is desired.
Health Care Related. Insurance Committee The Board and Union have a mutual interest in ensuring that employees and their families have the best benefits possible for the dollars spent on health care. Therefore, the Insurance Committee, comprised of representatives from all bargaining units and representatives from the finance department will meet at least quarterly to examine out health care plans to determine how to maximize cost efficiency and have a healthy workforce. The committee shall also investigate plan options and designs, and recommend any changes to be negotiated before the end of the current contract cycle. E. Dental, Vision Care, Prescription Drug, and Skilled Nursing These benefits are guaranteed as follows: Dental: 100% Preventative (to include pit and fissure sealants) and 80% basic/major/restorative (to include implants) (annual limit of $3,300) on dental; and 80% orthodontia (lifetime limit of $3,300) Prescription Drug: Effective March 1, 2021, or February 1, 2021; whichever date in sooner based on when Medical Mutual can convert to Appendix 8; the Board agrees to provide prescription drug as included in Appendix 8. Vision Care: Eye Exam - up to $70.00 Lenses and Frames: Single Vision up to $180.00 Bifocals up to $205.00 Trifocals up to $230.00 Contacts up to $130.00 Skilled Nursing: The benefits in effect in 1991. Hearing: Hearing exam – up to $70 Hearing aides - $1,000 per ear every 24 months The Union shall have the right to name carriers and agents for the insurance benefits described in this section. Any changes in carriers or agents shall not result in an insurer’s retention rate that is more than one percent (1%) above the composite retention rate being paid at the time a change in carriers or agents is desired.
