Health Maintenance Organization Sample Clauses

Health Maintenance Organization. A prepaid group medical plan that provides a comprehensive, predetermined medical care benefit package. Incumbent - Employee currently occupying (appointed to) a position. Intermittent Employee - An employee who works an irregular and uncertain schedule which alternately begins, ceases and begins again as the needs of the agency require. Job Audit - Process by which a position is reviewed by Minnesota Management and Budget or an Appointing Authority to determine the correct classification. Just Cause - A standard upon which discipline is based. The definition of just cause varies from case to case. Each has its own unique characteristics and such characteristics must be weighed in assessing the appropriateness and level of discipline as it meets the just cause standards. Where appropriate, supervisors and managers should follow progressive discipline working through oral reprimands, written reprimands and suspensions in order to correct chronic misconduct. Layoff List - An eligible list of employees laid off, demoted in lieu of layoff or reallocated down from a job class. See “Bargaining Unit Layoff List” and “Seniority Unit Layoff List.” Lower Class - A class which is a demotion from the employee’s current class. See “Demotion.” MMB – Minnesota Management and Budget; the Employer of all Executive Branch State employees. Mobility Assignment - Per Administrative Procedure 1.1, voluntary, limited assignments of classified permanent employees to alternative duties within another state agency, governmental jurisdiction, or private employer. Duration cannot normally exceed two years.
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Health Maintenance Organization. In lieu of health insurance outlined above, employees may elect to participate in any eligible Health Maintenance Organization (HMO) certified by the Town. The Town will contribute to the cost of an HMO plan a monthly amount equal to that provided for the employee and/or dependent health insurance coverage as contained in subsection A above. Any cost for HMO participation greater than the Town's contribution shall be paid by the employee.
Health Maintenance Organization. Oakland and the Association may agree to participate in or dissociate from federally qualified Health Maintenance Organization (HMO) plans as alternatives to the health care coverage provided above. In calendar year 2016 two outcome based HMO plans are to be offered: Priority Health’s Health by Choice HMO, and BCN’s Healthy Blue Living HMO, or essentially similar plans. Both of these HMO plans will offer two levels of benefits – Enhanced and Standard. The chart below contains the key features of these two HMO plans. A summary chart of these plans is also provided in Appendix M, for informational purposes, only (and shall not be the basis of a grievance). Additional information, including how members qualify for the level of coverage, will be provided in the annual open enrollment materials that are distributed to each eligible faculty member. Both of these HMO plans shall contain riders for Other Eligible Adults including Dependent Children of Other Eligible Adults. Enhanced Standard Deductible (Single/Family) $0 $200/$400 Co-Insurance N/A 80%/20% Out-of-Pocket Max (including deductible) N/A $2,000/$4,000 Office/Urgent Care Co-Pay $20 $30 *Prescription Co-Pay Generic $7 $10 Preferred Brand Name $15 $20 Non-Preferred Brand Name $30 $50 *The Priority Health Standard Prescription co-pay matches the Enhanced Prescription co-pay. The True Out-of-Pocket Maximum (which includes the deductible, coinsurance and flat dollar copays, as required by the Affordable Care Act) is set by the Federal government. Information about Plan benefits, plan design and open enrollment materials may be obtained from the Benefit and Compensation Services office and available on- line at the website, and will be provided by the medical carriers. All benefits of the HMO plans are subject to specific HMO policy provisions and the Group Operating Agreements between Oakland and the HMO.
Health Maintenance Organization. The Canton Township Board of Trustees shall make available to and hereby inform the members of the Canton Township Professional Firefighters IAFF Local 3676 of the option to enroll in the current Health Care Plan in lieu of traditional health care (hospitalization, major medical and drug insurance).
Health Maintenance Organization. A prepaid group medical plan that provides a comprehensive, predetermined medical care benefit package. Incumbent - Employee currently occupying (appointed to) a position. Intermittent Employee - An employee who works an irregular and uncertain schedule which alternately begins, ceases and begins again as the needs of the agency require. Job Audit - Process by which a position is reviewed by the Department of Employee Relations or an Appointing Authority to determine the correct classification. Just Cause - A standard upon which discipline is based. The definition of just cause varies from case to case. Each has its own unique characteristics and such characteristics must be weighed in assessing the appropriateness and level of discipline as it meets the just cause standards. Where appropriate, supervisors and managers should follow progressive discipline working through oral reprimands, written reprimands and suspensions in order to correct chronic misconduct. Layoff List - An eligible list of employees laid off, demoted in lieu of layoff or reallocated down from a job class. See “Bargaining Unit Layoff List” and “Seniority Unit Layoff List.” Lower Class - A class which is a demotion from the employee’s current class. See “Demotion.” Mobility Assignment - Per Administrative Procedure 1.1, voluntary, limited assignments of classified permanent employees to alternative duties within another state agency, governmental jurisdiction, or private employer. Duration cannot normally exceed two years. M.S. - Minnesota Statutes. Multi-Source Recruitment and Selection Process - A competitive hiring process used to fill unlimited classified positions in the Executive Branch. Non-exempt Employee - An employee who is covered by minimum wage and overtime provisions of the federal FLSA. The law does not limit hours or days worked but requires that non-exempt employees receive overtime at the rate of time and one-half (1 1/2) after forty (40) hours worked in a seven (7) day work week. O.S.H.A. - Occupational Safety and Health Act, a federal law which governs safety and health issues in the workplace. Part-time Employee - An employee who is normally scheduled to work fewer than 80 hours in a biweekly payroll period. P.E.L.R.A. - Public Employment Labor Relations Act (Minnesota Statute 179A) which governs the relationships between public employers and their employees. Provisions include granting public employees the right to organize, requiring public employers to meet and n...
Health Maintenance Organization. Effective July 1, 2001, all new employees or employees currently on the traditional health plan will only be offered the traditional health plan. Teachers who are currently participating in the Health Maintenance Organization (HMO) program can remain in the program but will not be able to participate in the district’s prescription discount drug program unless they elect to participate in the traditional health plan.
Health Maintenance Organization. The Village agrees to provide full time employees (as defined in Section 23.1) with the option of enrolling in a health maintenance organization selected by the Employer in accordance with applicable law.
Health Maintenance Organization. Oakland and the Association may agree to participate in or dissociate from federally qualified Health Maintenance Organization (HMO) plans as alternatives to the health care coverage provided above. Two HMO plans are offered currently:
Health Maintenance Organization. For purposes of this Title, "health maintenance organization" is defined in section 4202-A, subsection 10. [1993, c. 702, Pt. A, §9 (NEW).] SECTION HISTORY 1993, c. 702, §A9 (NEW).
Health Maintenance Organization. A Health Maintenance Organization ("HMO") established under the provisions of Minnesota Statutes Chapter 62D.