Common use of Medical Benefit Plan Clause in Contracts

Medical Benefit Plan. The Employer agrees to offer the MESSA Choices PPO plan ($500/$1,000 deductible, $20 Office Visit co-pay, $25 Urgent Care co-pay, $50 Emergency Room co-pay, with Rx Saver prescription drug rider) or the MESSA ABC Plan 1 ($1400/$2800 deductible, $0 Office Visit co-pay, and ABC RX) to the employee and his/her immediate family. For employees choosing the MESSA ABC Plan 1, the employer agrees to fund the HSA deductible at the current rates (family/two-person $2125 and single $1062.50) for the duration of this contract only. The parties expressly agree that the employer will not be responsible for any HSA funding after August 14, 2022. The employee’s contribution toward these insurance programs shall be as follows: For insurance year 2021 (January 1, 2021-December 31, 2021):  The rates for such insurance are attached hereto as Appendix “C”.  For employees choosing the MESSA Choices PPO Plan, the employee contribution toward the cost of this health insurance program shall be 20% of the cost of the premium.  For employees choosing the MESSA ABC Plan 1, the employee contribution toward the cost of this health insurance program shall be 20% of the cost of such insurance which shall include 20% of the employer’s contribution to the HSA. For insurance year 2022 (January 1, 2022-December 31, 2022):  If the insurance rates for insurance year 2022 increase by more than 8%, the employer retains the right to elect the hard cap. Payroll deductions are authorized for employees’ contributions. Employees shall have the opportunity to pay their premium contribution through a Premium Conversion Plan (pre-tax). In the event that the State of Michigan makes any determination that the School District is not the policyholder of this MESSA plan, this medical coverage shall be converted as soon as possible to another insurance carrier or third party administrator. The plan of benefits will be comparable to the medical benefit plan(s) referenced in the first paragraph of Article XXVIII Section A. The parties agree that the Insurance Study Committee (ISC) as defined in article XXII, paragraph “D” shall not convene until January 2022 for the 2023 insurance year.

Medical Benefit Plan. The Beginning January 1, 2024, the Employer agrees to offer the only MESSA Choices PPO plan ($500/$1,000 deductible, $20 Office Visit co-pay, $25 Urgent Care co-pay, $50 Emergency Room co-pay, with Rx Saver prescription drug rider) or ABC Plan 1 and MESSA ABC Plan 2 medical insurance plans. For employees choosing to enroll in the MESSA ABC Plan 1 ($1400/$2800 deductible, $0 Office Visit co-pay, and ABC RX) to the employee and his/her immediate family. For employees choosing the or MESSA ABC Plan 12, the employer Employer agrees to fund the HSA deductible deductibles at the current IRS established rates (family/two-person $2125 and single $1062.50) for the duration of this contract only. The parties expressly agree that Effective January 2024, the employer HSA contributions shall be issued quarterly in equal amounts on the second pay in January, April, July and October. Employees starting and/or ending employment mid-year will not be responsible for any have employer HSA funding after August 14, 2022contributions pro-rated. The employee’s contribution toward these insurance programs shall be as follows: For insurance year 2021 2024 and continuing through the duration of this contract (January 1, 2021-1- December 31, 2021):  ● The current rates for such insurance are attached hereto as Appendix “C”.  ● For employees choosing enrolling in either the MESSA Choices PPO PlanABC Plan 1 or MESSA ABC Plan 2, the employee contribution toward the cost of this these health insurance program shall be 20% of the cost of the premium.  For employees choosing the MESSA ABC Plan 1, the employee contribution toward the cost of this health insurance program programs shall be 20% of the cost of such insurance insurance, which shall include 20% of the employer’s contribution to the HSA. For insurance year 2022 2024 and continuing through the duration of this contract (January 1, 2022-2024 - December 31, 20222025):  ● If the insurance rates for any insurance year 2022 during the duration of this contract increase by more than 8%, the employer Employer retains the right to elect the hard cap. ● In the event the Employer elects the hard cap, it is agreed that up to three (3) MESSA medical plans will be offered to employees. Payroll deductions are authorized for employees’ contributions. Employees shall have the opportunity to pay their premium contribution through a Premium Conversion Plan (pre-pre- tax). In the event that the State of Michigan makes any determination that the School District is not the policyholder of this MESSA plan, this medical coverage shall be converted as soon as possible to another insurance carrier or third party administrator. The plan of benefits will be comparable to the medical benefit plan(s) referenced in the first paragraph of Article XXVIII Section A. The parties agree that the Insurance Study Committee (ISC) as defined in article XXII, paragraph “D” shall not convene until January 2022 for the 2023 insurance year.28 Paragraph A.

Medical Benefit Plan. The Employer agrees to offer the MESSA Choices PPO plan ($500/$1,000 deductible, $20 Office Visit co-pay, $25 Urgent Care co-pay, $50 Emergency Room co-pay, with Rx Saver prescription drug rider) or the MESSA ABC Plan 1 ($1400/$2800 deductible, $0 Office Visit co-pay, and ABC RX) to the employee and his/her immediate family. For employees choosing the MESSA ABC Plan 1, the employer agrees to fund the HSA deductible at the current rates (family/two-person $2125 and single $1062.50) for the duration of this contract only. The parties expressly agree that the employer will not be responsible for any HSA funding after August 14, 20222023. The employee’s contribution toward these insurance programs shall be as follows: For insurance year years 2021 and 2022 (January 1, 2021-December 31, 2021):  • The rates for such insurance are attached hereto as Appendix “C”.  • For employees choosing the MESSA Choices PPO Plan, the employee contribution toward the cost of this health insurance program shall be 20% of the cost of the premium.  • For employees choosing the MESSA ABC Plan 1, the employee contribution toward the cost of this health insurance program shall be 20% of the cost of such insurance which shall include 20% of the employer’s contribution to the HSA. For insurance year 2022 2023 (January 1, 20222023-December 31, 20222023):  • If the insurance rates for insurance year 2022 2023 increase by more than 8%, the employer retains the right to elect the hard cap. Payroll deductions are authorized for employees’ contributions. Employees shall have the opportunity to pay their premium contribution through a Premium Conversion Plan (pre-pre- tax). In the event that the State of Michigan makes any determination that the School District is not the policyholder of this MESSA plan, this medical coverage shall be converted as soon as possible to another insurance carrier or third party administrator. The plan of benefits will be comparable to the medical benefit plan(s) referenced in the first paragraph of Article XXVIII Section A. The parties agree that the Insurance Study Committee (ISC) as defined in article XXII, paragraph “D” shall not convene until January 2022 2023 for the 2023 2024 insurance year.

Medical Benefit Plan. The Employer agrees to offer the MESSA Choices PPO plan ($500/$1,000 deductible, $20 Office Visit co-pay, $25 Urgent Care co-pay, $50 Emergency Room co-pay, with Rx Saver prescription drug rider) or the MESSA ABC Plan 1 ($1400/$2800 deductible, $0 Office Visit co-pay, and ABC RX) to the employee and his/her immediate family. For employees choosing the MESSA ABC Plan 1, the employer agrees to fund the HSA deductible at the current rates (family/two-person $2125 and single $1062.50) for the duration of this contract only. The parties expressly agree that the employer will not be responsible for any HSA funding after August 14, 20222023. The employee’s contribution toward these insurance programs shall be as follows: For insurance year years 2021 and 2022 (January 1, 2021-December 31, 2021):  The rates for such insurance are attached hereto as Appendix “C”.  For employees choosing the MESSA Choices PPO Plan, the employee contribution toward the cost of this health insurance program shall be 20% of the cost of the premium.  For employees choosing the MESSA ABC Plan 1, the employee contribution toward the cost of this health insurance program shall be 20% of the cost of such insurance which shall include 20% of the employer’s contribution to the HSA. For insurance year 2022 2023 (January 1, 20222023-December 31, 20222023):  If the insurance rates for insurance year 2022 2023 increase by more than 8%, the employer retains the right to elect the hard cap. Payroll deductions are authorized for employees’ contributions. Employees shall have the opportunity to pay their premium contribution through a Premium Conversion Plan (pre-pre- tax). In the event that the State of Michigan makes any determination that the School District is not the policyholder of this MESSA plan, this medical coverage shall be converted as soon as possible to another insurance carrier or third party administrator. The plan of benefits will be comparable to the medical benefit plan(s) referenced in the first paragraph of Article XXVIII Section A. The parties agree that the Insurance Study Committee (ISC) as defined in article XXII, paragraph “D” shall not convene until January 2022 2023 for the 2023 2024 insurance year.

Medical Benefit Plan. The Employer agrees to offer the MESSA Choices PPO plan ($500/$1,000 deductible, $20 Office Visit co-pay, $25 Urgent Care co-pay, $50 Emergency Room co-pay, with Rx Saver prescription drug rider) or the MESSA ABC Plan 1 ($1400/$2800 deductible, $0 Office Visit co-pay, and ABC RX) to the employee and his/her immediate family. For employees choosing the MESSA ABC Plan 1, the employer agrees to fund the HSA deductible at the current rates (family/two-person $2125 and single $1062.50) for the duration of this contract only. The parties expressly agree that the employer will not be responsible for any HSA funding after August 14, 2022. The employee’s contribution toward these insurance programs shall be as follows: For insurance year 2021 (January 1, 2021-December 31, 2021):  • The rates for such insurance are attached hereto as Appendix “C”.  • For employees choosing the MESSA Choices PPO Plan, the employee contribution toward the cost of this health insurance program shall be 20% of the cost of the premium.  • For employees choosing the MESSA ABC Plan 1, the employee contribution toward the cost of this health insurance program shall be 20% of the cost of such insurance which shall include 20% of the employer’s contribution to the HSA. For insurance year 2022 (January 1, 2022-December 31, 2022):  • If the insurance rates for insurance year 2022 increase by more than 8%, the employer retains the right to elect the hard cap. Payroll deductions are authorized for employees’ contributions. Employees shall have the opportunity to pay their premium contribution through a Premium Conversion Plan (pre-tax). In the event that the State of Michigan makes any determination that the School District is not the policyholder of this MESSA plan, this medical coverage shall be converted as soon as possible to another insurance carrier or third party administrator. The plan of benefits will be comparable to the medical benefit plan(s) referenced in the first paragraph of Article XXVIII Section A. The parties agree that the Insurance Study Committee (ISC) as defined in article XXII, paragraph “D” shall not convene until January 2022 for the 2023 insurance year.