Leave for Relatives of Military Personnel. Each employee who has a relative stationed in a military war zone (declared or undeclared) or in an area designated as a “police action” shall be granted, upon request, up to five (5) days of leave with pay per school year. This leave is in addition to any other applicable leave granted by the Agreement. This leave may be used upon deployment, return from deployment, leave during deployment, or any combination thereof.
Leave for Relatives of Military Personnel. It is the responsibility of the employee, upon his/her return to school, to fill out an absence report. Staff Member’s Signature Date Principal’s Signature Date Superintendent’s Signature Date Huron-Erie School Employee Medical Mutual Insurance Association Wellness Plan Effective for the 2022-2025 Years SuperMed Medical PPO Benefits Network Non-Network Benefit Period January 1st through December 31st Dependent Age Limit 26 Removal upon End of Month Blood Pint Deductible 0 pints Overall Annual Benefit Period Maximum Unlimited Wellness Plan Deductible – Single/Family1 $500/$1,000 $500/$1,000 High Deductible Health Plan – Single/Family1 $750/$1,500 $750/$1,500 Requirements for Wellness Plan (Deductible changes occurs on calendar year basis) Complete Screening and/or Physician form and Health Assessment – November 1st. Complete Screening and/or Physician form and Health Assessment – November 1st. Coinsurance 90% 70% Coinsurance Out-of-Pocket Maximum (Excluding Deductible) – Single/Family $1,000/$2,000 (Wellness) $750/$1,500 (HDHP) $2,500/$5,000 (Wellness) $2,250/$4,500 (HDHP) Coinsurance Out-of-Pocket Maximum (Including Deductible) – Single/Family $1,500/$3,000 (Wellness) $1,500/$3,000 (HDHP) $3,000/$6,000 (Wellness) $3,000/$6,000 (HDHP) Physician/Office Services Office Visit (Illness/Injury)2 $25 copay, then 100% $25 copay, then 70% Specialist Office Visit2 $40 copay, then 100% $40 copay, then 70% Urgent Care Office Visit2 $40 copay, then 100% $40 copay, then 70% Preventive Services Preventive Services in accordance with federal law6 100% 70% after deductible Routine Physical Exams 2 100% $25 copay, then 70% Well Child Care Services including Exam, Routine Vision, Routine Hearing Exams, Well Child Care Immunizations and Laboratory Tests (Birth to age 21, Unlimited) 100% $25 copay, then 70% Routine Mammogram (One per benefit period) 100% 70% not subject to deductible Routine Pap Test (One per benefit period) 100% 70% not subject to deductible Routine Prostate Specific Antigen (PSA) 100% 70% not subject to deductible Routine Endoscopies 100% 70% not subject to deductible All Routine X-rays, Medical Tests and Laboratory Tests 100% 70% not subject to deductible Outpatient Services Surgical Services 90% after deductible 70% after deductible Diagnostic Services 90% after deductible 70% after deductible Physical & Occupational Therapy – Facility and Professional (40 visits combined per benefit period) 90% after deductible 70% after deductible Chiropractic Therapy – ...
