Hospitalization Insurance. The Employer shall provide: HOSPITALIZATION INSURANCE Effective as soon as is practical after September 1, 2011 or date of ratification, whichever is sooner. Community Blue PPO 4$2/25/50 Prescription Drug Rider Dental Plan 2 $ Mandatory Mail-Order for Maintenance Drugs $ On Mail-Order- Pay for 2 month supply, get 3 month supply $ Mandatory Generic Drugs$ $10 Office and Chiropractic Visit Employees Contribute $10 per Pay Period for spousal coverage. Effective the first pay period after 9/1/2011 or as soon as is practicable employees hired before 9/1/11 shall pay 5% of the illustrated rate for the health and dental coverage they select. Effective 1/1/2012 employees hired before 9/1/11 shall pay 10% of the illustrated rate for the health and dental coverage they select. Effective the first pay period after 9/1/2011 or as soon as is practicable, for employees hired on or after 9/1/11, employees shall contribute 20% of the illustrated rate for the coverage the employee selects.
Hospitalization Insurance. No coverage
Hospitalization Insurance. The Board shall make available health care benefits equal to or better than those previously adopted and as adjusted based on the negotiated contract for the years 2017-2018, 2018-2019, 2019-2020, and 2020-2021. Terms of coverage and benefit schedules are found in the Plan Document and Summary Plan Description for the Penn Manor School District Employee Healthcare Benefit Plan. The Board shall make available, through payroll deductions, coverage for members, members’ spouses, and members’ dependents as specified under The Patient Protection and Affordable Care Act. Monthly payroll deductions for healthcare: Calendar year basis 2018 2019 2020 2021 Single 2 Party Family 9% based upon 7/1/2017 Expected Floating Rate less dental deduction amount 9% based upon 7/1/2018 Expected Floating Rate less dental deduction amount 10% based upon 7/1/2019 Expected Floating Rate less dental deduction amount 10% based upon 7/1/2020 Expected Floating Rate less dental deduction amount The annual in-network deductible under the point of service plan will be as follows: Effective Date Individual Family January 1, 2018 $500 $1,000 Waived if Lancaster Regional/Heart Of Lancaster used January 1, 2019 $500 $1,000 Waived if Lancaster Regional/Heart Of Lancaster used January 1, 2020 $750 $1,500 Waived if Lancaster Regional/Heart Of Lancaster used January 1, 2021 $750 $1,500 Waived if Lancaster Regional/Heart Of Lancaster used The annual out-of-network deductible under the point of service plan will be as follows: Effective Date Individual Family January 1, 2018 $1,000 $2,000 January 1, 2019 $1,000 $2,000 January 1, 2020 $1,500 $3,000 January 1, 2021 $1,500 $3,000 Out-of-network co-insurance expense beyond the listed deductibles shall be paid at an 80% district/20% member rate subject to the usual and customary charge. The maximum out-of-pocket for combined in-network and out-of-network charges, which includes deductibles, medical co-pays, pharmacy co-pays, and amounts over reasonable and customary charges will be as follows: Effective Date Maximum out-of-pocket Individual Maximum out-of-pocket Family January 1, 2018 $4,000 $8,000 January 1, 2019 $4,000 $8,000 January 1, 2020 $6,350 $12,000 January 1, 2021 $6,350 $12,000 The doctor’s visit office co-pay under the current plan will be as follows: Primary Care Effective Date Physician Visit Specialist Visit January 1, 2018 $15 $40 January 1, 2019 $15 $40 January 1, 2020 $15 $45 January 1, 2021 $15 $45 Urgent Care and Emergency Room Co-pa...
Hospitalization Insurance. 1. No employee will be eligible to receive any benefits until they have satisfactorily completed the probationary period.
Hospitalization Insurance. The Employer agrees to provide hospitalization insurance for eligible full- time employees as set forth below:
Hospitalization Insurance. Employees shall be provided the following health insurance choices, including spouse and dependent children coverage as defined by the carrier, during the Township’s annual open enrollment period:
Hospitalization Insurance. A) Effective January 1, 2012, all eligible employees shall be enrolled into Blue Cross Blue Shield Community Blue 4 (CB4) medical plan with a closed formulary $5 generic/$40 preferred brand/$80 non-preferred brand prescription drug card. The CB4 medical plan shall include a $500 single/$1,000 couple/family first dollar deductible, after which coinsurance will be provided at 80% with an annual employee maximum co-insurance out of pocket at $1,500 single and $3,000 family. In accordance with Health Care Reform preventative care is covered 100%. Copays shall include $30 for office visits, $30 for urgent care, and $150 for emergency room visits. Effective July 1, 2019 the City will also provide Blue Cross Blue Shield Simply Blue PPO with a $5 generic/$40 preferred brand/$80 non-preferred prescription drug card as a voluntary option for employees. Effective January 1, 2012, the City shall establish a Cafeteria Plan Section 125 Flexible Spending Account (FSA) for qualified medical expenses compliant with all IRS regulations. Employees may elect to contribute into the FSA on a pre-tax basis up to a limit set by the employer in compliance with IRS regulations and Health Care Reform. Employees must establish their contributions each calendar year, and the amount may not be altered unless the employee experiences a qualifying event as defined by the IRS. The City shall not contribute into the employee’s FSA for calendar year 2011, 2012 or 2013. Effective with calendar year 2014 the City’s contribution into the FSA will be in accordance with Article IV Section 5. Qualified purchases during the calendar year using FSA funds must be submitted for reimbursement no later than the last day of February the following calendar year. Any money contributed into the FSA and not spent will be forfeited by the employee. Effective July 1, 2019 the FSA plan year shall be July through June to coincide with the medical plan year. Qualified purchases during the plan year using FSA funds must be submitted for reimbursement no later than the last day of September following the close of the plan year June 30th. Any money contributed into the FSA and not spent will be forfeited by the employee, except for the amount allowed by IRS regulations. The City reserves the right to self insure any and all medical insurance plans as described in this Collective Bargaining Agreement at the City’s sole discretion.
Hospitalization Insurance. During the annual open enrollment period eligible bargaining unit members may enroll in the health care coverage specified below. Once made, this election may not be changed until the next open enrollment period.
Hospitalization Insurance. The Employer agrees to continue basic group hospitalization insurance premium payments for one (1) additional month after an employee is on lay off.
Hospitalization Insurance. The Board shall make available to full-time bargaining unit members and their eligible dependents substantially similar group health and hospitalization insurance coverage and benefits as existed in the Board’s conventional insurance plan immediately prior to the signing of this Agreement. The Board reserves the right to change or provide alternate insurance carriers, or to self-insure as it deems appropriate for any form or portion of insurance coverage referred to in this Article, so long as the new coverage and benefits are substantially similar to the conventional insurance which predated this Agreement. The Board shall pay 85% of the premium for bargaining unit members hired prior to August 1, 2009. The Board shall pay 70% of the premium, for bargaining unit members hired after July 31, 2009. Whenever a Bargaining unit member, grandfathered in at the 85% premium paid by the Board retires under a State of Ohio retirement system, the Board will move the most senior employee hired after August 1, 2009 from the Board payment of seventy percent (70%) of the health insurance premium up to eighty-five percent (85%) of the health insurance premium being paid by the Board.
