New Jersey Health Benefits Plan. At the option of each eligible full-time, permanent employee whose regular work week is twenty (20) hours or more, the Board of Education agrees to provide hospitalization insurance which includes traditional coverage, preferred provider organization and health maintenance organization through New Jersey State Health Benefits Plan as exists or as modified by the State Health Benefit Program (or and substantially equal health benefit plan), including any changes in co-pays or deductibles that may be implemented by the State Health Benefits Program for all employees and eligible dependents covered by this Agreement. In order for an employee hired after May 21, 2010 to be eligible for coverage, he or she will be required to work not less than twenty-five (25) hours per week.
New Jersey Health Benefits Plan. At the option of each full-time, permanent employee whose regular work week is twenty (20) hours or more, the Board of Education shall furnish individual, employee/spouse, parent/child and/or family, full premium coverage for all eligible employees for hospitalization, dental, prescription and vision plans during each year of this agreement. the coverage provided under hospitalization shall be equivalent to the New Jersey State Health Benefits Plan. Should the Board elect to change the health insurance carrier during the term of this agreement, the level of benefits shall not be decreased except as set forth in this contract. The Board to pay the full premium costs for such insurance for the duration of this contract. The parties acknowledge that the Board currently provides health insurance benefits pursuant to a plan with Aetna/US Healthcare. The Board currently provides two plans, the Patriot V and Patriot X. Effective the third year of this contract, Patriot V Plan is amended as follows: The co-pay for specialty care for office visits, diagnostic out-patient testing and physical, occupational, and speech therapy is increased to $15.00. The Emergency room co-pay is increased to $50.00. The maternity co- pay, first ob visit is increased to $15.00. The mental health out-patient co-pay is increased to a $25.00 co-pay and the maximum number of visits is increased to 30 visits. Substance abuse out-patient rehabilitation is increased to $15.00 co-pay with a maximum of 60 visits. Preventative care, routine eye examination (per benefit schedule) is increased to $15.00 co- pay. Preventative care, routine mammography is increased to $15.00 co-pay. Preventative care, routine gyn exam is increased to $15.00 co-pay. Chiropractic care is increased to $15.00 co- pay with unlimited visits.
