Health Insurance Plan Design Sample Clauses

Health Insurance Plan Design. The Town offers two health insurance plan options including a health maintenance organization (HMO) option and a high deductible health plan (HDHP) option including a health savings account (HSA). The plan designs for these options shall be posted in Appendix C of this Agreement. The Town will also provide eligible family members coverage for any employee who elects such coverage. The Town reserves the right to change health insurance carriers provided that coverage under new plans is substantially equivalent to and not overall less favorable to Employees to the coverage presently in effect including access to health care providers, and further provided that the Union is notified of the proposed change at least thirty (30) days prior to implementation. As soon as practicable following implementation of this Agreement, there shall be a one-time special open enrollment period for thirty-one (31) days to give eligible employees the opportunity to consider both health insurance plan options and to be held as soon as practicable following implementation of this Agreement.
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Health Insurance Plan Design. For the period beginning January 1, 2013 and expiring on June 30, 2016, the plan design for the Network Blue New England Deductible includes the following: • The $1,000/$2,000 deductible does not apply to prescription drug benefits, emergency room visits, doctors’ office visits and other services as described below. • The out of pocket maximum is $2,000 per individual per plan year and $4,000 per family per plan year. This includes all deductible costs and co-pays that are more than $100 and it does not include prescription drug co-pays • There is not any overall benefit maximum • Routine adult physical exams and tests-$0 co-pay • Preventive dental pediatric care-$0 co-pay (one visit every six months) • Routine colonoscopy-$0 co-pay • Routine GYN exams-$0 co-pay • Family planning-$0 co-pay • Maternity services, inpatient-no cost after deductible • Maternity services, outpatient-$20 co-pay • Well newborn inpatient care- no cost after deductible • Infertility services-inpatient services -no cost after deductible • Infertility office or health center medical care services and surgery-$20 co-pay (deductible does not apply) • Routine hearing exams and tests-$0 co-pay • Routine vision care-$0 co-pay (one every twenty-four months) • Ambulance services-$0 co-pay • Home health care-$0 co-pay • Hospice services-$0 co-pay • Mental health and substance abuse biologically based and non-biologically based inpatient services-$0 co-pay • Mental health and substance abuse biologically based and non-biologically based outpatient services-$20 co-pay (deductible does not apply) • Medical formulas-$0 co-pay ($5,000 benefit limit per member per year) • Oxygen and respiratory therapy-no cost after deductible • Prosthetic devices-no cost after deductible • Inpatient medical and surgical care in a general or chronic disease hospital-no cost after deductible • Inpatient care in a rehabilitation hospital (sixty days per calendar year)-no cost after deductible • Inpatient care in a skilled nursing facility (one hundred days per calendar year)-no cost after deductible • Cardiac rehabilitation-$20 co-pay after deductible • Chiropractor services diagnostic lab tests and x-rays-no cost after deductible • Chiropractor services outpatient medical care-$20 co-pay (deductible does not apply) • Dialysis services-outpatient-no cost after deductible • Dialysis services-home-$0 co-pay • Early intervention services-$0 co-pay • Emergency room services-$100 co-pay per visit (deductible does not app...
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Health Insurance Plan Design. (A) Effective January 1, 2015, employees will have the choice between a point of service plan (the “Co-Pay Plan”), and a high deductible major medical plan with a health savings account (the “HSA Plan”). Employees may elect to move from plan to plan during subsequent open enrollment periods.
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Related to Health Insurance Plan Design

  • Health Insurance Plan (Excluding Summer Students Regardless of Wage Schedule Paid From) These employees shall be considered as a group in order that they may apply to participate in the Supplementary Plan and the Extended Health Benefit Plan at group rates. One hundred percent (l00%) of all premiums will be paid by the employees. The Company will pay one hundred percent (l00%) of the Ontario Health Insurance Plan premium for temporary employees who have four months' accumulated service.

  • Ontario Health Insurance Plan The parties recognize that the method of funding OHIP has been changed from an individually paid premium to a system funded by an employer paid payroll tax. If the government, at any time in the future, reverts to an individually paid premium for health insurance, the parties agree that the Colleges will resume paying 100% of the billed premium for employees.

  • Health Insurance The Couple agrees that: (check one) ☐ - Each Spouse is responsible for THEIR OWN health insurance. ☐ - Health insurance IS PROVIDED by ☐ Husband ☐ Wife (“Health Insurance Paying Spouse”) to ☐ Husband ☐ Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ - Medical ☐ - Dental ☐ - Vision Care ☐ - Other. . To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse 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.

  • Health Insurance Committee The UFF-USF-GAU President will appoint one (1) employee to serve on the University's Student Health Insurance Committee.

  • Retiree Health Insurance Retired members of the Department receiving, or to receive City of Lincoln monthly pension checks, may participate in the group comprehensive health care plan for active City employees, provided that each retiree so desiring will execute the required forms in a timely fashion, and further provided that each retiree will be required to pay the full monthly cost at the current rates subject to any rate increases which may occur from time to time. Such payment will be made by payroll deduction from pension checks, or by direct payment in the case of an early retiree.

  • Health Insurance Benefits To the extent provided by the federal COBRA law or, if applicable, state insurance laws, and by the Company’s current group health insurance policies, Executive will be eligible to continue Executive’s group health insurance benefits at Executive’s own expense. If Executive timely elects continued coverage under COBRA, the Company shall pay Executive’s COBRA premiums, and any applicable Company COBRA premiums, necessary to continue Executive’s then-current coverage for a period of 18 months after the date of Executive’s termination of employment; provided, however, that any such payments will cease if Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such premiums. Executive agrees to immediately notify the Company in writing of any such enrollment. Notwithstanding the foregoing, if the Company determines, in its sole discretion, that it cannot provide the foregoing benefit without potentially incurring financial costs or penalties under applicable law (including, without limitation, Section 2716 of the Public Health Service Act), the Company shall in lieu thereof provide to Executive a taxable monthly amount to continue his group health insurance coverage in effect on the date of separation from service (which amount shall be based on the premium for the first month of COBRA coverage), which payments shall be made regardless of whether Executive elects COBRA continuation coverage and shall commence in the month following the month in which Executive incurs a separation from service and shall end on the earlier of (x) the date on which Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such amounts and (y) 18 months after the date of Executive’s separation from service.

  • Group Health Insurance Immediately following retirement, the teacher shall have the option of remaining in the Corporation’s current group health insurance plan if all of the following conditions are met as of the date of retirement and thereafter:

  • Retirement Health Insurance Subd. 1. Benefit Eligibility for Employees who Retire Before Age 65

  • Health Benefits The method for determining the Employer bi-weekly contributions to the cost of employee health insurance programs under the Federal Employees Health Benefits Program (FEHBP) will be as follows:

  • Health Insurance Coverage (a) An employee who is laid off or separated from employment on or after July 1, 1994, under circumstances which entitle such employee to reemployment rights under this Article, other than pursuant to Section 23, may elect to continue membership in their health benefit plan, upon advance payment of the regular percentage contribution to the cost of the plan, during the first six

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