Hospitalization Benefits. The health benefits plan shall remain in place for the period of this Agreement with the following conditions: Employer shall provide a 3-tiered premium plan PREMIUM COSTS The employee’s contribution to the costs of the single coverage premium shall not exceed fifteen percent (15%). The employee’s contribution to the costs of the single plus one dependent, which is the cost in excess of the single premium costs, shall not exceed twenty percent (20%); and family coverage premium shall not exceed twenty-five percent (25%). Employee contribution toward health, dental and prescription insurance premiums for the period of January 1, 2018 through June 30, 2018 shall be: Single: $55.65 per pay period Single Plus One: $128.24 per pay period Family: $234.79 per pay period Increases in employee contributions toward insurance premiums for July 1, 2018, 2019 and 2020 shall not exceed fifteen percent (15%) from one plan year to the next. AN AGREEMENT BY AND BETWEEN THE CITY OF BATAVIA AND TEAMSTERS LOCAL #673 Major Medical deductible for calendar year 2018 is as follows: Single: $300.00 per year Single Plus One: $600.00 per year Family: $900.00 per year Increase in insurance deductibles shall not exceed five percent (5%) per year for the years 2019 and 2020 for all levels of coverage. CO-INSURANCE In Network 90% / 10% Out of Network 70% / 30% RX CO-PAYS is as follows: Generic $10 Brand/Formulary $20 Brand/Non-Formulary $40 Increases in RX Co-Pays shall not be more than $5.00 per year for the years 2019 and 2020 per existing co-pay type (generic, brand/formulary and brand/non-formulary). If a new co-pay tier is added, it shall not be subject to this restriction. PHYSICIAN SERVICES Office Visits: A twenty dollar ($20.00) co-pay will be required for each office visit. Co- pays are applied to the calendar year out-of-pocket. AN AGREEMENT BY AND BETWEEN THE CITY OF BATAVIA AND TEAMSTERS LOCAL #673 Increases to the maximum co-pay for physician services shall not increase by more than twenty- five dollars ($25.00) for the years 2019 and 2020. EMERGENCY ROOM SERVICES A seventy-five dollar ($75.00) co-pay will be required to each emergency room visit. (This co-pay shall be waived if the covered plan member is admitted to the hospital). Increases to the co-pay for emergency room visits for 2019 and 2020 shall not be more than twenty-five dollars ($25.00) per year.
Appears in 2 contracts
Samples: An Agreement, www.cityofbatavia.net
Hospitalization Benefits. The health benefits plan shall remain in place for the period of this Agreement with the following conditions: Employer shall provide a 3-tiered premium plan PREMIUM COSTS The employee’s contribution to the costs of the single coverage premium shall not exceed fifteen percent (15%). The employee’s contribution to the costs of the single plus one dependent, which is the cost in excess of the single premium costs, shall not exceed twenty percent (20%); and family coverage premium shall not exceed twenty-five percent (25%). Employee contribution toward health, dental and prescription insurance premiums for the period of January 1, 2018 through June 30, 2018 shall be: Single: $55.65 per pay period Single Plus One: $128.24 per pay period Family: $234.79 per pay period Increases in employee contributions toward insurance premiums for July 1, 2018, 2019 and 2020 shall not exceed fifteen percent (15%) from one plan year to the next. AN AGREEMENT BY AND BETWEEN THE CITY OF BATAVIA AND TEAMSTERS LOCAL #673 Major Medical deductible for calendar year 2018 is as follows: Single: $300.00 per year Single Plus One: $600.00 per year Family: $900.00 per year Increase in insurance deductibles shall not exceed five percent (5%) per year for the years 2019 and 2020 for all levels of coverage. CO-INSURANCE In Network 90% / 10% Out of Network 70% / 30% RX CO-PAYS is as follows: Generic $10 Brand/Formulary $20 Brand/Non-Formulary $40 Increases in RX Co-Pays shall not be more than $5.00 per year for the years 2019 and 2020 per existing co-pay type (generic, brand/formulary and brand/non-formulary). If a new co-pay tier is added, it shall not be subject to this restriction. PHYSICIAN SERVICES Office Visits: A twenty dollar ($20.00) co-pay will be required for each office visit. Co- Co-pays are applied to the calendar year out-of-pocket. AN AGREEMENT BY AND BETWEEN THE CITY OF BATAVIA AND TEAMSTERS LOCAL #673 Increases to the maximum co-pay for physician services shall not increase by more than twenty- twenty-five dollars ($25.00) for the years 2019 and 2020. EMERGENCY ROOM SERVICES A seventy-five dollar ($75.00) co-pay will be required to each emergency room visit. (This co-pay shall be waived if the covered plan member is admitted to the hospital). Increases to the co-pay for emergency room visits for 2019 and 2020 shall not be more than twenty-five dollars ($25.00) per year.
Appears in 1 contract
Samples: An Agreement
Hospitalization Benefits. The health benefits plan shall remain in place for the period of this Agreement with the following conditions: Employer shall provide a 3-tiered premium plan PREMIUM COSTS The employee’s contribution to the costs of the single coverage premium shall not exceed fifteen percent (15%). The employee’s contribution to the costs of the single plus one dependent, which is the cost in excess of the single premium costs, shall not exceed twenty percent (20%); and family coverage premium shall not exceed twenty-five percent (25%). Employee contribution toward health, dental and prescription insurance premiums for the period of January 1, 2018 2015 through June 30December 1, 2018 2015 shall be: Single: $55.65 54.16 per pay period Single Plus One: $128.24 118.04 per pay period Family: $234.79 227.34 per pay period Effective January 1, 2015, the following language shall take effect: Increases in employee contributions toward insurance premiums for July 1, 2018, 2019 2016 and 2020 2017 shall not exceed fifteen percent (15%) from one plan year to the next. AN AGREEMENT BY AND BETWEEN THE CITY OF BATAVIA AND TEAMSTERS LOCAL #673 The deductibles shall be $250.00 for single coverage and $750.00 for family coverage. Effective January 1, 2015, the language regarding major medical deductibles above will be replaced with the following: Major Medical deductible for calendar year 2018 2015 is as follows: Single: $300.00 per year Single Plus One: $600.00 per year Family: $900.00 per year Increase in insurance deductibles shall not exceed five percent (5%) per year for the years 2019 2016 and 2020 2017 for all levels of coverage. CO-INSURANCE In Network 90% / 10% Out of Network 70% / 30% Effective January 1, 2015, the language regarding co-insurance above will be replaced with the following: Co-Insurance for the period beginning January 1, 2015 through December 31, 2017 shall be 90% / 10% for in Network and 70% / 30% for Out of Network. RX CO-PAYS (for 2015) is as follows: Generic $10 Brand/Formulary $20 Brand/Non-Formulary $40 Effective January 1, 2016 through December 31, 2017, the language regarding RX Co-Pays above will be replaced with the following: Increases in RX Co-Pays shall not be more than $5.00 per year for the years 2019 2016 and 2020 2017 per existing co-pay type (generic, brand/formulary and brand/non-formulary). If a new co-pay tier is added, it shall not be subject to this restriction. PHYSICIAN SERVICES Office Visits: A twenty dollar ($20.00) co-pay will be required for each office visitvisit subject to a maximum of $150.00 per employee’s family per year. Co- pays are applied Effective January 1, 2015, the language regarding physician services above will be replaced with the following: The Co-Pay for physician services for 2015 shall be twenty dollars ($20.00) for each office visit subject to the calendar year outa maximum of $150 per employee’s family per year. PHYSICIAN SERVICES A twenty dollar ($20.00) co-of-pocketpay will be required for each office visit subject to a maximum of $150 per employee’s family per year. AN AGREEMENT BY AND BETWEEN THE CITY OF BATAVIA AND TEAMSTERS LOCAL #673 Increases to the maximum co-pay for physician services shall not increase by more than twenty- twenty-five dollars ($25.00) for the years 2019 2016 and 2020. EMERGENCY ROOM SERVICES A seventy-five dollar ($75.00) co-pay will be required to each emergency room visit. (This co-pay shall be waived if the covered plan member is admitted to the hospital). Increases to the co-pay for emergency room visits for 2019 and 2020 shall not be more than twenty-five dollars ($25.00) per year2017.
Appears in 1 contract
Samples: An Agreement
