Common use of Medical/Dental Insurance Clause in Contracts

Medical/Dental Insurance. The Board shall pay 80% of the insurance premiums and the employee shall pay 20%. Medical coverage shall be determined annually by an insurance committee composed of three certified members, three classified members, one principal, one supervisor and one school board member with the Treasurer serving (ex officio) as the facilitator. Through August 31, 2020 the level of benefits provided to each Bargaining Unit Member will be the same or better than the level of benefits effective September 1, 2017 unless required otherwise to comply with applicable state and federal laws. When both spouses are employed by the Board they are entitled to one family plan or two single plans. STRS retirees are required to take STRS health insurance and are ineligible for District health insurance unless denied by STRS or state law. If re-employed retirees are ineligible to participate in the STRS insurance program, they may participate in the District's insurance program as a single policy holder. The retiree may purchase a family policy by paying the difference in premium at their own expense. STRS retirees are eligible for payment in lieu of not taking health insurance. This provision applies only to bargaining unit eligible retirees beginning work as a retiree for the district after July 31, 2008. A $2,500 per year bonus shall be paid to any full-time employee who would be eligible for a family plan (i.e., who has a spouse and/or dependents), but who does not enroll in the Medical Insurance Plan. A $2,000 per year bonus shall be paid to any full-time employee who would be eligible for a single plan (i.e., who does not have a spouse or any dependents), but who does not enroll in the Medical Insurance Plan. To be eligible for this bonus, the employee must provide proof of insurance coverage that is not through the Insurance Marketplace. For this article, a year is defined as beginning on the effective date for employees joining during open enrollment. The employee may enroll in the insurance during that one year only if a qualifying event occurs under federal law entitling the person to enroll. In this event, the employee will receive a pro-rated amount for each month they were not enrolled in the plan since the beginning of the current year. New employees after the annual enrollment period and employees who leave prior to the end of the contract year shall receive a pro-rated amount for each month they are not enrolled in the plan. Those full-time employees who decline enrollment into the Medical Plan can receive the opt-out bonus and still participate in the Dental and Life insurance plans provided by the district. The opt-out bonus will be paid in two installments; the first being in the second pay of the month following the open enrollment month; the second being in the second pay of June.