Medical and Dental Sample Clauses

Medical and Dental. If an employee is not actively at work on the initial effective date of coverage due to a reason other than hospitalization or medical disability of the employee or dependent, medical and dental coverage will be effective on the first day of the employee’s return to work. The effective date of a change in coverage is not delayed in the event that, on the date the coverage change would be effective, an employee is on an unpaid leave of absence or layoff.
Medical and Dental. The Employer shall provide Medical and Dental Insurance Plans set forth in this article. The Employer and the Guild recognize that coverage changes may be initiated and implemented by the insurance carrier(s) and shall not be prohibited. The Employer acknowledges the duty to bargain the effects of such changes on the Guild membership. The AWC Regence Health First 250 Plan and the Kaiser Twenty Dollar Co-Pay Plan shall be available. The AWC Regence High Deductible Health Plan (HDHP) with Health Savings Account (HSA) will also be available. Employees may select from any plan offered to the bargaining unit. The Employer shall pay the premiums for health and welfare plans (Medical, Vision for employee only, Life, Dental) for the employee. The Employer shall pay 90% of Dental premiums for the employee’s enrolled dependents. The Employer shall pay ninety percent (90 %) of Medical premiums for the employee's dependents who are enrolled in Health First or Kaiser, and 100% of Medical premiums for employee’s dependents who are enrolled in the HDHP plan. The City will not cover the $10 co-pay for yearly vision health checks. If the co-pay is increased to exceed $10 the employer acknowledges the duty to bargain the effects of such changes on the guild membership. Additionally the employer agrees to a Section 125 Plan to provide for pre-tax payments of employee insurance co-pays. For employees enrolled in the HDHP with HSA plan, the Employer will contribute the following annual amounts into the employee’s HSA: Employee Only: $2000 Employee + 1 dependent: $3000 In addition on an annual basis: after the employee pays the first $8,000 of the $10,000 HDHP out-of-pocket maximum (e.g., the $3,000 HSA plus $5,000 additional dollars out of pocket), The City will reimburse the employee up to $2,000 of the remainder of the out-of-pocket maximum. Employee + 2 dependents: $4000 In addition on an annual basis: after the employee pays the first $9,000 of the $10,000 HDHP out-of-pocket maximum (e.g., the $4,000 HSA plus $5,000 additional dollars out of pocket), The City will reimburse the employee up to $1,000 of the remainder of the out-of-pocket maximum. Employee + 3 dependents: $5250 The Employer’s HSA contributions will be paid monthly, except that the first time an employee enrolls in the HDHP Plan the contributions will be paid quarterly. In the event of a change in the number of dependents enrolled in the HDHP, the Employer’s HSA contribution amount will adjust on the first da...
Medical and Dental. The City shall continue current medical, vision and dental insurance through the term of this Agreement. All employees within the Bargaining Unit shall only be eligible for the standard insurance plans adopted for this employee group. The coverage begins the first of the month following hire. As the City cannot guarantee that the insurance carriers, providers or associations through which the City contracts its insurance plans shall not make changes in the plans, the City retains the right to change carriers, contracts, and provider panels in an effort to maintain overall benefit comparability and cost efficiency. Effective July 1, 2016, the City’s total cost share will be 90 percent of the cost for the medical, vision and dental plans. Employees shall pay any portion of the premiums for the selected medical plan or dental plan for which the city is not obligated as set forth in this Section. Each month an employee is enrolled in the Health Incentive Plan (HIP) during the term of this Agreement, the City will contribute to a Health Reimbursement Account (HRA) on the following schedule: Single Coverage + Eligible Dependents 0.80 to 1.00 FTE $100 $200 (32-40 hrs/wk) 0.50 to 0.79 FTE $ 75 $150 (20-31.6 hrs/wk) The City will provide health services at the City Wellness Clinic at minimal or no cost to employees and covered dependents. Beginning January 1, 2013, the City is self-funded for health insurance. The City will calculate and provide the health insurance premiums to employees prior to each enrollment period. In the event the City is subjected to a penalty, tax, fine or increased cost as a result of the Affordable Care Act (ACA), the parties agree to reopen this agreement on Medical Insurance and bargain the cost split on the penalty, tax, fine or increased cost. Along with the Excise Tax on High Cost Employer-Sponsored Health Coverage (Section 49801 of the Internal Revenue Code), the Joint Benefits Advisory Committee will review and notify employees about any other penalties, taxes, fines, or costs resulting from the ACA.‌
Medical and Dental. If you are enrolled in the Medical or Dental Plan on your Termination Date, you will be eligible for COBRA continuation coverage at no cost to you, for a period equal to three (3) weeks for each completed year of service, provided that there is a minimum free coverage period of 20 weeks, and a maximum free coverage period of 52 weeks. Your free COBRA coverage period is 27 weeks. Additionally, if your free COBRA continuation coverage period extends only partially into a month, your COBRA continuation coverage will be at no cost for that entire month. After your free COBRA continuation coverage ends, you may be eligible to continue coverage at the rates that apply to terminated employees. Generally, the maximum COBRA continuation coverage period is 18 months. The free COBRA continuation coverage period counts toward this 18-month limit. COBRA continuation coverage is not automatic; to be eligible for COBRA continuation coverage, including the initial period during which coverage is provided at no cost to you, you must first make a timely election of COBRA coverage. You make a timely election by completing and returning the COBRA election form that will be sent to you by the Ashland Benefits Service Center. If you have any questions please contact the Ashland Benefits Service Center at (000) 000-0000 (Monday-Friday 8:00 am – 5:00 pm EST).
Medical and Dental. (a) Seller shall be responsible in accordance with ------------------ its applicable medical and dental plans for all medical and dental claims for expenses incurred prior to the Closing Date by Continued Employees and their dependents. Reimbursement of Continued Employees and their dependents for such medical and dental expenses shall be determined in accordance with the terms of Seller's medical and dental programs as then in effect. Seller shall terminate coverage of Continued Employees and their dependents effective for claims for medical and dental expenses incurred on and after the Closing Date. CompuCom shall be responsible in accordance with its applicable medical and dental plans for all medical and dental claims made by Continued Employees and their dependents for expenses incurred on and after the Closing Date. Reimbursement of Continued Employees for such medical and dental expenses shall be determined in accordance with the terms of CompuCom's medical and dental programs. For purposes of this Section 10.6, a medical or dental claim otherwise covered under Seller's or CompuCom's applicable medical or dental plan shall be deemed incurred when the services giving rise to the claim are rendered (regardless of when such claim is billed by the service provider or filed by the Continued Employee). No waiting period or exclusion from coverage of any pre-existing medical condition shall apply to any such Continued Employee's (or eligible dependent's) participation in CompuCom's applicable medical or dental plans on and after the Closing Date; provided, however, that with respect to any Continued Employee (or eligible dependent) who is subject to a waiting period or exclusion from coverage of any pre-existing medical condition under any of Seller's applicable medical or dental plans as of the Closing Date, such Continued Employee (or eligible dependent) shall continue to be subject to such a waiting period or exclusion from coverage to the extent required by CompuCom's applicable medical or dental plans, but shall receive full credit under CompuCom's applicable welfare benefits plan for the time during which they have been subject to the exclusion from coverage of any pre-existing medical condition under any of Seller's medical or dental plans as of the Closing Date. All charges and expenses of such Continued Employees and their eligible dependents which were applied to the deductible and out-of-pocket maximums under Seller's medical or dental plans dur...
Medical and Dental. If you are enrolled in the Medical or Dental plan on your Release Date, you will be eligible to continue your participation during your Payroll Continuation Period at the same contribution rates which apply to regular, active employees. You will be allowed to enroll in the plan or plans for which you are otherwise eligible during your Payroll Continuation Period on the same basis as an active employee. This could happen if an annual enrollment occurred and you were still on Payroll Continuation during the next year. This could also occur if you experience an election change event during your Payroll Continuation Period. You should refer to the relevant summary plan description for more information. If you are retirement eligible on your Termination Date, you may be eligible for retiree coverage under the Medical Plan and the Dental Plan. Dental coverage during retirement is only available if you were covered by the plan on your Termination Date. Your dental coverage during retirement also must end on the last day of the month before the month in which you attain age 65. Medical coverage during retirement is generally only available if you were covered by the plan on your Termination Date. The exceptions to this general rule are described in the summary plan description. If you elect retiree coverage, it would begin at the end of your Payroll Continuation Period. Your retiree contributions would be determined using your service to your Termination Date. Although your Payroll Continuation Payments will extend into 2016, if you elect to commence retire medical coverage immediately following the date on which your Payroll Continuation period ends, then for the purposes of your continued eligibility for retiree medical coverage after you reach age 65 you will be considered to have retired effective December 1, 2015. You will not be eligible to elect COBRA continuation coverage at the end of your Payroll Continuation Period, because your coverage during payroll continuation will exhaust your maximum period of eligibility for continued coverage under COBRA, which is 18 months for a reduction in working hours, which is what occurred on your Release Date.
Medical and Dental. The Employer shall pay each month one hundred percent (100%) of the premium necessary for the purchase of employee and dependent dental coverage for the following insurance plans: Association of Washington Cities Dental Plan F or Willamette Dental ($10 co-pay plan) (offered through the Association of Washington Cities (AWC) Benefit Trust) as selected by the employee. The Employer shall pay each month the percentage of medical premiums for employees and dependents set forth in Appendix C. Employees and dependents may qualify for the Wellness rates annually; once qualified for the Wellness rates under the City’s Wellness Program Document, which is set forth in Appendix C.5, the employees and dependents shall receive the Wellness rate for the entire calendar year. Once the qualification takes place, the employee will qualify annually and the qualification resets each calendar year thereafter under the City’s Wellness Program Document. The details of how employees and dependents qualify for the Wellness rate are set out in Appendix C.5. Each Employee shall select one of the City’s Medical plans set forth in Appendix C. Each Employee may change from the Medical plan in Appendix C that the Employee selected to a different Medical plan in Appendix C during the annual open enrollment period (typically during the month of October) if so desired. Notice of the change from one Medical plan to a different Medical plan must be given to the Employer during open enrollment of the prior year, typically held during the month of October each year. The change to the coverage will begin effective January 1st of the following year. New employees shall be eligible for Medical benefits the first day of the first month following employment.
Medical and Dental. If a supervisor is not actively at work on the initial effective date of 4 coverage due to a reason other than hospitalization or medical disability of the supervisor 5 or dependent, medical and dental coverage will be effective on the first day of the 6 supervisor’s return to work.
Medical and Dental. Benefits for active members and Retirees with a Retirement Date after January 1, 2019