Healthcare. Section 1. Bargaining unit employees with one (1) year or more of service will be provided coverage for the duration of this contract through the “Full Coverage” Team Care Plan (“Team Care MM200”), which includes dental, vision, life, short term disability, medical and prescription drug benefits. Prior to January 1, 2020, bargaining unit employees with less than one (1) year of service will be provided coverage through the “Medical Only” plan. On January 1, 2020, all bargaining unit employees enrolled in the Medical Only plan shall be enrolled in the Full Coverage plan, and the Medical Only plan will eliminated. The rates for 2019 and a further description of the plan and rates are referenced
Healthcare. During the Term, Executive shall be entitled to participate in a comprehensive healthcare plan (that includes medical, prescription drug, dental and vision coverage) as is afforded generally to other executives of the Company in accordance with the terms of such plan and generally applicable Company or Affiliate policies, as the same may be in effect from time to time, and any other restrictions or limitations imposed by law. Premiums relating to the participation of Executive in such plan shall be paid for by the Company; provided, however, that in the event that the Company’s payment of such premiums could subject the Company to any tax or penalty under the Patient Protection and Affordable Care Act (as amended from time to time, the “ACA”) or Section 105(h) of the Internal Revenue Code of 1986, as amended (“Section 105(h)”), or applicable regulations or guidance issued under the ACA or Section 105(h), or any other law or regulation, the Company will only be required to pay such portion of the premiums that it may cover, as determined in the Company’s discretion, without any risk of incurring any tax or penalty.
Healthcare. Without limiting or being limited by any other provision of any Loan Document, Borrower has timely filed or caused to be filed all cost and other reports of every kind required by law, agreement or otherwise. Subject to subsection (x) of Section 5.21, there are no claims, actions or appeals pending (and Borrower has not filed any claims or reports which could reasonably result in any such claims, actions or appeals) before any commission, board or agency or other Governmental Authority, including, without limitation, any intermediary or carrier, the Provider Reimbursement Review Board or the Administrator of the Center for Medicare and Medicaid Services, with respect to any state or federal Medicare or Medicaid cost reports or claims filed by Borrower, or any disallowance by any commission, board or agency or other Governmental Authority in connection with any audit of such cost reports. No validation review or program integrity review related to Borrower or the consummation of the transactions contemplated herein or to the Collateral have been conducted by any commission, board or agency or other Governmental Authority in connection with the Medicare or Medicaid programs, and to the knowledge of Borrower, no such reviews are scheduled, pending or threatened against or affecting any of the providers, any of the Collateral or the consummation of the transactions contemplated hereby.
Healthcare. Healthcare shall comply with each representation and statement made, or to be made, to any taxing authority in connection with any ruling obtained, or to be obtained, by LTC and Healthcare acting together, from any such taxing authority with respect to any transaction contemplated by this Agreement.
Healthcare. (a) Borrower has obtained from (i) the Medicare program, approval to receive the provider numbers which will permit Borrower to bxxx the Medicare program with respect to covered services rendered to patients insured under the Medicare program, (ii) the applicable Medicaid programs, approval to receive the provider numbers/in-patient service contracts which will permit Borrower to bxxx the Medicaid program with respect to covered services rendered to patients insured under the Medicaid programs, and (iii) the CHAMPUS/TRICARE program, approval to receive the provider numbers which will permit Borrower to bxxx the CHAMPUS/TRICARE program with respect to covered services rendered to patients insured under the CHAMPUS/TRICARE program. Borrower is in compliance with the conditions of participation in the Medicare, Medicaid and CHAMPUS/TRICARE programs.
Healthcare. Without limiting or being limited by any other provision of any Loan Document, Borrower has timely filed or caused to be filed all cost and other reports of every kind required under any Healthcare Laws or any provider or other agreement relating to Borrower’s participation in Medicare or Medicaid programs. Subject to subsection (a)(x) of Section 5.20, there are no claims, actions or appeals pending (and Borrower has not filed any claims or reports which could reasonably result in any such claims, actions or appeals) before any commission, board or agency or other Governmental Authority, including, without limitation, any intermediary or carrier, the Provider Reimbursement Review Board or the Administrator of the Centers for Medicare and Medicaid Services, with respect to any state or federal Medicare or Medicaid cost reports or claims filed by Borrower, or any disallowance by any commission, board or agency or other Governmental Authority in connection with any audit of such cost reports. No validation review or program integrity review related to Borrower or the consummation of the transactions contemplated herein or to the Collateral have been conducted by any commission, board or agency or other Governmental Authority in connection with the Medicare or Medicaid programs, and to the knowledge of Borrower, no such reviews are scheduled, pending or threatened against or affecting any of the providers, any of the Collateral or the consummation of the transactions contemplated hereby.
Healthcare. During the term of this Agreement, Employee shall be eligible to participate in any health insurance programs available to officers or employees of the Company.
Healthcare. Section 1. Effective January 1, 2016, or as soon thereafter as practicable, bargaining unit employees will transition to Team Care M200 Plan (“Team Care”). The rates for 2016 and a further description of the plan and rates are referenced in Appendix C to this National Addendum.
Healthcare. The Employer shall:
Healthcare. District will pay all increased costs for the July 1, 2013 – June 30, 2016 contract period. CSEA agrees to participate in a joint study group to include management, MCFA, MCCDPOA and the District. The purpose of the study group is to re-examine all areas of health, benefits with the aim of addressing benefits cost savings. This study group will be required to meet on a mutually agreeable date following ratification. It will disband after the health benefits have been re-examined. Recommendations from the study group will be forwarded to the negotiating teams for consideration. Should the health benefits study group recommend changes to the current plan options, both parties agree to re-open this article and bargain any changes. For the year July 1, 2015 – June 30, 2016 the District will continue to pay any increased costs for the health benefit plan unless the health benefits committee recommends a change and both the District and CSEA negotiate the terms of that change, The District agrees to pay the full cost for all bargaining unit classified employees (who meet eligibility requirements as listed below) and their dependents who choose to participate in Blue Cross Prudent Buyer Classic, Option II ($100/300 deductible and $3/15/35/3 prescription co-payment) health insurance or a comparable plan. Reimbursement by the District for deductible amounts of covered costs shall be one hundred percent (100%). Effective July 1, 2006, reimbursement of the deductible will be eliminated. Beginning with the 1995-96 academic year, the psychological portion of the health plan will be carved out of the Blue Cross Prudent Buyer Classic, Option II and will be provided as add on coverage through Behavioral Health Associates (BHA) through SISC. Participants are required to contribute $120 per year in order to be eligible to participate in this program. The District agrees to provide bargaining unit members and their dependents with a fully paid dental plan comparable to the current plan underwritten by Delta Dental Premier Unlimited Plan effective July 1, 2008 and a vision care plan comparable to the $5.00 deductible Plan C of the California Vision Service. The District will provide Orthodontic coverage for members and their families with a maximum of $1,500 coverage per individual with a 50/50 CO-PAY (i.e. if orthodontics for a family member is $4,000, the insurance pays a maximum of $1,500 and the employee pays the balance).
