Common use of Plan Coverage Clause in Contracts

Plan Coverage. The Board shall provide hospital, drug, medical insurance, dental and vision plan coverage. The Board shall pay one hundred percent (100%) of the premium costs for all members including the member’s spouse and dependant children in accordance with the following policies: a) Manulife Financial, or equivalent, semi-private b) Manulife Financial, or equivalent, extended health care plan 10/20 and thirty-five ($0.35) cent prescription plan. A dispensing fee cap of ten ($10.00) dollars shall be introduced for all prescription drugs. This plan shall include Manulife Deluxe Pay Med benefit or equivalent and the following: i) Chiropractic Services: $75.00 per visit, to a maximum of $1,000.00 annually to be used in conjunction with the member’s annual OHIP eligibility. ii) Physiotherapy: maximum $75.00 per visit, to a maximum of $1,000.00 annually. iii) Massage Therapy: maximum $75.00 per visit, to a maximum of $1,000.00 annually. c) The Board will continue to remit the required payroll tax known as the Employer Health Tax. d) Manulife Financial, or equivalent Dental Plan 15, at the current O.D.A. rates. Maximums of $3,000.00 for specialized services. e) Manulife Financial, or equivalent, Vision Care, $385.00 every twenty-four (24) months. This benefit may also be used for laser eye correction procedures and eye examinations. f) The Board will pay one hundred (100%) percent of the benefit premium costs for a), b) d) and e) for the spouse and dependent children of a member who has died prior to retirement, for a period of twenty-four (24) months from the date of the member’s death. Such coverage will terminate if the spouse turns sixty-five (65) years of age, remarries or is eligible for coverage through another employer. ▇) ▇▇▇▇▇▇/Widowers and dependents of Police Officers killed in action while in the discharge of their duties or from injuries received in the service of the Board as a Police Officer, and in either case for which the compensation award is made by the Workplace Safety and Insurance Board, the Board will have the above named included in the benefit plans above (a, b, d and e). This provision will be provided to widows/widowers outlined a. The Board will pay 100% of the premium cost of a), b), d) and e) and 100% of the premium cost for group life insurance of $25,000.00 for a Member retiring or a Member on disability pensions subject to the following: i. To be eligible a Member must have attained fifty (50) years of age. ii. The retiring or disabled member must have a minimum of ten (10) years continuous service with the Board at the time of the retirement or disability to be eligible for this program. iii. In the event of the death of the retired or disabled member prior to age 65, coverage will be continued for his or her spouse or dependent as defined in this agreement to the date when the member would have attained age 65. iv. This provision will be provided to retiring or disabled members provided they are not receiving their benefits from another employer, or through the Government or Government Agencies. Benefits are not available if equivalent coverage is available through member’s spouse. If the spouse’s plan has a similar condition, the member’s plan will continue. v. The above benefit coverage terminates when the member reaches their 65th birthday.

Plan Coverage. The Board shall provide hospital, drug, medical insurance, dental and vision plan coverage. The Board shall pay one hundred percent (100%) of the premium costs for all members including the member’s spouse and dependant children in accordance with the following policies: a) Manulife Financial, or equivalent, semi-private b) Manulife Financial, or equivalent, extended health care plan 10/20 and thirty-five ($0.35) cent prescription plan. A dispensing fee cap of ten ($10.00) dollars shall be introduced for all prescription drugs. This plan shall include Manulife Deluxe Pay Med benefit or equivalent and the following: i) Chiropractic Services: $75.00 per visit, to a maximum of $1,000.00 annually to be used in conjunction with the member’s annual OHIP eligibility. ii) Physiotherapy: maximum $75.00 per visit, to a maximum of $1,000.00 annually. iii) Massage Therapy: maximum $75.00 per visit, to a maximum of $1,000.00 annually. c) The Board will continue to remit the required payroll tax known as the Employer Health Tax. d) Manulife Financial, or equivalent Dental Plan 15, at the current O.D.A. rates. Maximums of $3,000.00 for specialized services. e) Manulife Financial, or equivalent, Vision Care, $385.00 every twenty-four (24) months. This benefit may also be used for laser eye correction procedures and eye examinations. f) The Board will pay one hundred (100%) percent of the benefit premium costs for a), b) d) and e) for the spouse and dependent children of a member who has died prior to retirement, for a period of twenty-four (24) months from the date of the member’s death. Such coverage will terminate if the spouse turns sixty-five (65) years of age, remarries or is eligible for coverage through another employer. ▇g) ▇▇▇▇▇▇/Widowers Widows/Widowers and dependents of Police Officers killed in action while in the discharge of their duties or from injuries received in the service of the Board as a Police Officer, and in either case for which the compensation award is made by the Workplace Safety and Insurance Board, the Board will have the above named included in the benefit plans above (a, b, d and e). This provision will be provided to widows/widowers outlined a. The Board will pay 100% of the premium cost of a), b), d) and e) and 100% of the premium cost for group life insurance of $25,000.00 for a Member retiring or a Member on disability pensions subject to the following: i. To be eligible a Member must have attained fifty (50) years of age. ii. The retiring or disabled member must have a minimum of ten (10) years continuous service with the Board at the time of the retirement or disability to be eligible for this program. iii. In the event of the death of the retired or disabled member prior to age 65, coverage will be continued for his or her spouse or dependent as defined in this agreement to the date when the member would have attained age 65. iv. This provision will be provided to retiring or disabled members provided they are not receiving their benefits from another employer, or through the Government or Government Agencies. Benefits are not available if equivalent coverage is available through member’s spouse. If the spouse’s plan has a similar condition, the member’s plan will continue. v. The above benefit coverage terminates when the member reaches their 65th birthday.