{"component": "clause", "props": {"groups": [{"samples": [{"hash": "60u2h5D3khS", "uri": "/contracts/60u2h5D3khS#plan-coverage", "label": "Collective Bargaining Agreement", "score": 32.1338272095, "published": true}, {"hash": "89SsFWXcdvX", "uri": "/contracts/89SsFWXcdvX#plan-coverage", "label": "Collective Bargaining Agreement", "score": 31.7725563049, "published": true}, {"hash": "1h1qKeIp5B4", "uri": "/contracts/1h1qKeIp5B4#plan-coverage", "label": "Collective Bargaining Agreement", "score": 30.1181716919, "published": true}], "snippet_links": [{"key": "provide-a", "type": "definition", "offset": [14, 23]}, {"key": "insurance-plan", "type": "clause", "offset": [70, 84]}, {"key": "eligible-employees", "type": "clause", "offset": [93, 111]}, {"key": "all-bargaining-unit-members", "type": "clause", "offset": [122, 149]}, {"key": "eligible-dependents", "type": "definition", "offset": [160, 179]}], "snippet": "The City will provide a medical/dental, vision, and prescription drug insurance plan for all eligible employees including all bargaining unit members and their eligible dependents.", "size": 10, "hash": "ec43478292f6665881b121f117d99560", "id": 1}, {"samples": [{"hash": "hqGTAmIeYCt", "uri": "/contracts/hqGTAmIeYCt#plan-coverage", "label": "Labor Agreement", "score": 36.2307212584, "published": true}, {"hash": "72O0NO4bneT", "uri": "/contracts/72O0NO4bneT#plan-coverage", "label": "Labor Agreement", "score": 34.2379112244, "published": true}, {"hash": "bKcsYm3O1hP", "uri": "/contracts/bKcsYm3O1hP#plan-coverage", "label": "Labor Agreement", "score": 26.6960983276, "published": true}], "snippet_links": [{"key": "life-insurance", "type": "definition", "offset": [0, 14]}, {"key": "employee-only", "type": "clause", "offset": [64, 77]}, {"key": "an-employee", "type": "definition", "offset": [118, 129]}, {"key": "option-to-purchase", "type": "definition", "offset": [211, 229]}, {"key": "family-coverage", "type": "definition", "offset": [230, 245]}, {"key": "benefit-rate", "type": "definition", "offset": [264, 276]}, {"key": "eligible-dependents", "type": "definition", "offset": [382, 401]}], "snippet": "Life insurance is provided through a $20,000 term policy on the employee only, together with a $10,000 term policy on an employee's spouse and $5,000 term policy on the employee's dependents. Employees have the option to purchase family coverage at the negotiated benefit rate which provides a $10,000 term policy on an employee\u2019s spouse and/or $5,000 term policy on the employee\u2019s eligible dependents.", "size": 6, "hash": "227e1970b8972e936601dfe10ac10005", "id": 2}, {"samples": [{"hash": "lqjXKKPNyFC", "uri": "/contracts/lqjXKKPNyFC#plan-coverage", "label": "Collective Agreement", "score": 31.5650405884, "published": true}, {"hash": "abpQnG4ZppC", "uri": "/contracts/abpQnG4ZppC#plan-coverage", "label": "Collective Agreement", "score": 22.0349082947, "published": true}], "snippet_links": [{"key": "the-employer-shall", "type": "clause", "offset": [0, 18]}, {"key": "provide-a", "type": "definition", "offset": [19, 28]}, {"key": "for-regular-employees", "type": "clause", "offset": [115, 136]}, {"key": "scheduled-to-work", "type": "definition", "offset": [188, 205]}, {"key": "per-week", "type": "definition", "offset": [233, 241]}, {"key": "employees-must", "type": "clause", "offset": [252, 266]}, {"key": "coverage-on", "type": "clause", "offset": [284, 295]}, {"key": "january-1st", "type": "clause", "offset": [315, 326]}, {"key": "per-year", "type": "definition", "offset": [387, 395]}, {"key": "for-other-employees", "type": "clause", "offset": [413, 432]}, {"key": "following-the", "type": "definition", "offset": [458, 471]}, {"key": "completion-of-probation", "type": "clause", "offset": [472, 495]}, {"key": "employees-who", "type": "clause", "offset": [594, 607]}, {"key": "to-receive", "type": "definition", "offset": [612, 622]}, {"key": "dental-plan-coverage", "type": "clause", "offset": [623, 643]}, {"key": "health-benefit-coverage", "type": "clause", "offset": [668, 691]}], "snippet": "The Employer shall provide a plan for coverage as outlined in 35.02, 35.03 and 35.04. Membership shall be optional for regular employees, who have completed probation and who are normally scheduled to work fifteen (15) or more hours per week. Eligible employees must opt to enrol for coverage on or before the next January 1st. Thereafter, they may change their option for coverage once per year, on January 1st. For other employees, coverage shall commence following the completion of probation, if before the 15th of the month; if after the 15th of the month, at the start of the next month. Employees who opt to receive dental plan coverage must also take extended health benefit coverage and vice versa.", "size": 3, "hash": "e8b21f661efdc19f5299ee827c6e1ede", "id": 3}, {"samples": [{"hash": "20BxYtLMFHD", "uri": "/contracts/20BxYtLMFHD#plan-coverage", "label": "Collective Bargaining Agreement", "score": 33.3957481384, "published": true}, {"hash": "gQVGmI1RhpO", "uri": "/contracts/gQVGmI1RhpO#plan-coverage", "label": "Collective Bargaining Agreement", "score": 29.996006012, "published": true}], "snippet_links": [{"key": "the-board-of-education", "type": "clause", "offset": [9, 31]}, {"key": "agree-to", "type": "clause", "offset": [32, 40]}, {"key": "insurance-administration", "type": "clause", "offset": [53, 77]}, {"key": "for-members", "type": "clause", "offset": [109, 120]}, {"key": "existing-plan", "type": "definition", "offset": [137, 150]}, {"key": "blue-cross", "type": "definition", "offset": [184, 194]}, {"key": "blue-shield", "type": "definition", "offset": [195, 206]}, {"key": "school-year", "type": "clause", "offset": [228, 239]}, {"key": "dental-benefits", "type": "clause", "offset": [241, 256]}], "snippet": "EPET and the Board of Education agree to use EBC for insurance administration. Medical benefits and coverage for members shall remain at existing plan levels as previously provided by Blue Cross/Blue Shield during the 2019-2020 school year. Dental benefits and coverage will also be comparable to the coverage previously provided during the 2019-2020 school year.", "size": 2, "hash": "c13877fca76e321a8f513e87432faa48", "id": 4}, {"samples": [{"hash": "7xduIxcwBHL", "uri": "/contracts/7xduIxcwBHL#plan-coverage", "label": "Collective Agreement", "score": 17.0, "published": true}], "snippet_links": [{"key": "board-shall", "type": "definition", "offset": [4, 15]}, {"key": "medical-insurance", "type": "definition", "offset": [40, 57]}, {"key": "dental-and-vision-plan", "type": "clause", "offset": [59, 81]}, {"key": "premium-costs", "type": "clause", "offset": [146, 159]}, {"key": "all-members", "type": "clause", "offset": [164, 175]}, {"key": "the-member", "type": "clause", "offset": [186, 196]}, {"key": "dependant-children", "type": "definition", "offset": [210, 228]}, {"key": "in-accordance-with", "type": "clause", "offset": [229, 247]}, {"key": "manulife-financial", "type": "clause", "offset": [275, 293]}, {"key": "or-equivalent", "type": "definition", "offset": [295, 308]}, {"key": "extended-health-care-plan", "type": "clause", "offset": [361, 386]}, {"key": "prescription-plan", "type": "clause", "offset": [422, 439]}, {"key": "fee-cap", "type": "clause", "offset": [454, 461]}, {"key": "prescription-drugs", "type": "definition", "offset": [514, 532]}, {"key": "this-plan", "type": "definition", "offset": [534, 543]}, {"key": "chiropractic-services", "type": "clause", "offset": [626, 647]}, {"key": "massage-therapy", "type": "clause", "offset": [857, 872]}, {"key": "payroll-tax", "type": "definition", "offset": [985, 996]}, {"key": "employer-health-tax", "type": "clause", "offset": [1010, 1029]}, {"key": "dental-plan", "type": "clause", "offset": [1068, 1079]}, {"key": "the-current", "type": "clause", "offset": [1087, 1098]}, {"key": "specialized-services", "type": "clause", "offset": [1139, 1159]}, {"key": "vision-care", "type": "definition", "offset": [1199, 1210]}, {"key": "eye-examinations", "type": "clause", "offset": [1321, 1337]}, {"key": "benefit-premium", "type": "clause", "offset": [1395, 1410]}, {"key": "spouse-and-dependent-children", "type": "clause", "offset": [1446, 1475]}, {"key": "a-member", "type": "definition", "offset": [1479, 1487]}, {"key": "prior-to", "type": "clause", "offset": [1501, 1509]}, {"key": "period-of", "type": "clause", "offset": [1528, 1537]}, {"key": "date-of", "type": "clause", "offset": [1571, 1578]}, {"key": "years-of-age", "type": "clause", "offset": [1664, 1676]}, {"key": "another-employer", "type": "definition", "offset": [1724, 1740]}, {"key": "police-officers", "type": "clause", "offset": [1779, 1794]}, {"key": "service-of", "type": "clause", "offset": [1884, 1894]}, {"key": "compensation-award", "type": "definition", "offset": [1959, 1977]}, {"key": "workplace-safety-and-insurance-board", "type": "clause", "offset": [1993, 2029]}, {"key": "benefit-plans", "type": "clause", "offset": [2083, 2096]}, {"key": "cost-of", "type": "clause", "offset": [2222, 2229]}, {"key": "group-life-insurance", "type": "definition", "offset": [2281, 2301]}, {"key": "disability-pensions", "type": "clause", "offset": [2353, 2372]}, {"key": "subject-to-the", "type": "definition", "offset": [2373, 2387]}, {"key": "disabled-member", "type": "definition", "offset": [2490, 2505]}, {"key": "continuous-service", "type": "clause", "offset": [2544, 2562]}, {"key": "retirement-or-disability", "type": "clause", "offset": [2597, 2621]}, {"key": "to-be-eligible-for", "type": "clause", "offset": [2622, 2640]}, {"key": "in-the-event-of", "type": "clause", "offset": [2660, 2675]}, {"key": "death-of-the", "type": "clause", "offset": [2680, 2692]}, {"key": "age-65", "type": "clause", "offset": [2729, 2735]}, {"key": "spouse-or-dependent", "type": "definition", "offset": [2779, 2798]}, {"key": "agreement-to", "type": "clause", "offset": [2818, 2830]}, {"key": "attained-age", "type": "definition", "offset": [2867, 2879]}, {"key": "government-agencies", "type": "clause", "offset": [3051, 3070]}, {"key": "not-available", "type": "clause", "offset": [3085, 3098]}, {"key": "equivalent-coverage", "type": "clause", "offset": [3102, 3121]}, {"key": "benefit-coverage", "type": "definition", "offset": [3252, 3268]}], "snippet": "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\u2019s spouse and dependant children in accordance with the following policies:\na) Manulife Financial, or equivalent, semi-private\nb) 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:\ni) Chiropractic Services: $75.00 per visit, to a maximum of $1,000.00 annually to be used in conjunction with the member\u2019s annual OHIP eligibility.\nii) Physiotherapy: maximum $75.00 per visit, to a maximum of $1,000.00 annually.\niii) Massage Therapy: maximum $75.00 per visit, to a maximum of $1,000.00 annually.\nc) The Board will continue to remit the required payroll tax known as the Employer Health Tax.\nd) Manulife Financial, or equivalent Dental Plan 15, at the current O.D.A. rates. Maximums of $3,000.00 for specialized services.\ne) 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.\nf) 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\u2019s death. Such coverage will terminate if the spouse turns sixty-five (65) years of age, remarries or is eligible for coverage through another employer.\n\u2587) \u2587\u2587\u2587\u2587\u2587\u2587/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\na. 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:\ni. To be eligible a Member must have attained fifty (50) years of age.\nii. 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.\niii. 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.\niv. 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\u2019s spouse. If the spouse\u2019s plan has a similar condition, the member\u2019s plan will continue.\nv. The above benefit coverage terminates when the member reaches their 65th birthday.", "size": 2, "hash": "5c4f5ab504ed9c1e23ca14fb63094b47", "id": 5}, {"samples": [{"hash": "alwWh1ESo07", "uri": "/contracts/alwWh1ESo07#plan-coverage", "label": "Collective Agreement", "score": 33.406791687, "published": true}], "snippet_links": [{"key": "adoption-leave", "type": "clause", "offset": [35, 49]}, {"key": "the-employer", "type": "clause", "offset": [83, 95]}, {"key": "insurance-and-medical-plans", "type": "clause", "offset": [109, 136]}], "snippet": "A Nurse on pregnancy, parental, or adoption leave may continue to be covered under the Employer's group life insurance and medical plans, provided the Nurse pays the Nurse\u2019s portion of the premium each month of the Nurse\u2019s leave.", "size": 2, "hash": "85db03ac677c22433b1859c910124e8c", "id": 6}, {"samples": [{"hash": "iaKNdCt2oQF", "uri": "/contracts/iaKNdCt2oQF#plan-coverage", "label": "Provincial Collective Agreement", "score": 21.0, "published": true}], "snippet_links": [{"key": "employees-shall", "type": "clause", "offset": [17, 32]}, {"key": "covered-by", "type": "definition", "offset": [36, 46]}, {"key": "superannuation-plan", "type": "definition", "offset": [150, 169]}, {"key": "in-accordance-with", "type": "clause", "offset": [170, 188]}, {"key": "enrollment-requirements", "type": "clause", "offset": [193, 216]}, {"key": "pension-corporation", "type": "definition", "offset": [236, 255]}, {"key": "the-plan", "type": "clause", "offset": [280, 288]}, {"key": "condition-of-employment", "type": "clause", "offset": [294, 317]}, {"key": "portability-of-benefits", "type": "clause", "offset": [338, 361]}, {"key": "notwithstanding-the-foregoing", "type": "clause", "offset": [363, 392]}, {"key": "regular-part", "type": "clause", "offset": [398, 410]}, {"key": "employees-who", "type": "clause", "offset": [416, 429]}, {"key": "at-the-time", "type": "clause", "offset": [445, 456]}, {"key": "public-sector-pension-plans-act", "type": "clause", "offset": [497, 528]}, {"key": "time-employment", "type": "clause", "offset": [559, 574]}, {"key": "time-status", "type": "clause", "offset": [604, 615]}, {"key": "will-be-given", "type": "clause", "offset": [650, 663]}, {"key": "the-option", "type": "clause", "offset": [664, 674]}, {"key": "opting-out", "type": "definition", "offset": [694, 704]}, {"key": "change-of-status", "type": "definition", "offset": [720, 736]}, {"key": "to-the-public", "type": "definition", "offset": [746, 759]}, {"key": "act-and-regulations", "type": "definition", "offset": [781, 800]}], "snippet": "Eligible regular employees shall be covered by the pro- visions of the Pension (Municipal) Act. All regular em- ployees shall be entitled to join the Superannuation Plan in accordance with the enrollment requirements established by the Pension Corporation and shall con- tinue in the Plan as a condition of employment. (Reference Article Portability of Benefits) Notwithstanding the foregoing, new regular part-time employees who are hired may, at the time of hiring, decline being covered by the Public Sector Pension Plans Act for the of their regular part-time employment. Employees revetting to part-time status who have not yet acquired vesting will be given the option of remaining in or opting out of the Flan on change of status, subject to the Public Sector Pension Plans Act and Regulations.", "size": 1, "hash": "f5fbd990a9f25c54ee69c5847bc6c6bd", "id": 7}, {"samples": [{"hash": "1WW0cwbYJev", "uri": "/contracts/1WW0cwbYJev#plan-coverage", "label": "Termination Agreement (Interep National Radio Sales Inc)", "score": 19.0, "published": true}], "snippet_links": [{"key": "another-employer", "type": "definition", "offset": [86, 102]}, {"key": "available-to", "type": "definition", "offset": [109, 121]}, {"key": "medical-and-dental-coverage", "type": "clause", "offset": [128, 155]}, {"key": "coverage-for", "type": "clause", "offset": [301, 313]}, {"key": "terms-and-conditions-of", "type": "clause", "offset": [346, 369]}, {"key": "group-insurance-plans", "type": "definition", "offset": [376, 397]}, {"key": "the-future", "type": "clause", "offset": [424, 434]}, {"key": "section-3", "type": "definition", "offset": [496, 505]}, {"key": "require-the", "type": "clause", "offset": [528, 539]}, {"key": "benefit-plan", "type": "definition", "offset": [595, 607]}, {"key": "to-the-extent", "type": "clause", "offset": [635, 648]}, {"key": "cobra-notice", "type": "clause", "offset": [688, 700]}, {"key": "other-document", "type": "definition", "offset": [704, 718]}, {"key": "by-the-company", "type": "clause", "offset": [726, 740]}, {"key": "at-any-time", "type": "clause", "offset": [741, 752]}, {"key": "provisions-of-this-section", "type": "clause", "offset": [758, 784]}], "snippet": "From and after August 1, 2006 and until the earlier of March 31, 2013 or such time as another employer makes available to Guild medical and dental coverage comparable to that which the Company currently provides to Guild, the Company, under COBRA, but at its expense, shall provide medical and dental coverage for Guild under, and subject to the terms and conditions of, such group insurance plans as the Company now and in the future makes available generally for its employees. Nothing in this Section 3 shall be construed to require the Company to institute or maintain any or any particular benefit plan, program or policy. If and to the extent that this Section 3 conflicts with any COBRA notice or other document issued by the Company at any time, the provisions of this Section 3 shall prevail.", "size": 1, "hash": "b23494ceee50da43faf3920265b554ad", "id": 8}, {"samples": [{"hash": "8HAHi5pW8sN", "uri": "/contracts/8HAHi5pW8sN#plan-coverage", "label": "Collective Agreement", "score": 25.4038333893, "published": true}], "snippet_links": [{"key": "coverage-under", "type": "clause", "offset": [0, 14]}, {"key": "coverage-and-eligibility", "type": "clause", "offset": [93, 117]}, {"key": "terms-of-the", "type": "clause", "offset": [143, 155]}, {"key": "the-society", "type": "clause", "offset": [176, 187]}, {"key": "to-the-union", "type": "clause", "offset": [232, 244]}, {"key": "by-the-university", "type": "clause", "offset": [286, 303]}, {"key": "replace-the", "type": "clause", "offset": [392, 403]}, {"key": "existing-benefit-plan", "type": "definition", "offset": [404, 425]}], "snippet": "Coverage under these plans will be maintained only as long as the University can provide it. Coverage and eligibility shall be governed by the terms of the University Plan and the Society will make available copies of the Agreement to the Union. If and when coverage cannot be provided by the University for the Society, the Society will enter into negotiations in an attempt to endeavour to replace the existing benefit plan with one comparable and at existing rates.", "size": 1, "hash": "f9d474eeec8e1a3b67e298b55ad260e8", "id": 9}, {"samples": [{"hash": "zpKwFHiT7o", "uri": "/contracts/zpKwFHiT7o#plan-coverage", "label": "Collective Bargaining Agreement", "score": 22.7631759644, "published": true}], "snippet_links": [{"key": "all-coverage", "type": "clause", "offset": [2, 14]}, {"key": "equal-to", "type": "definition", "offset": [27, 35]}, {"key": "in-effect", "type": "clause", "offset": [68, 77]}, {"key": "life-of-this-agreement", "type": "definition", "offset": [86, 108]}, {"key": "the-board", "type": "clause", "offset": [110, 119]}, {"key": "right-to-change-carriers", "type": "clause", "offset": [128, 152]}, {"key": "in-no-case", "type": "clause", "offset": [157, 167]}, {"key": "issues-council", "type": "clause", "offset": [257, 271]}, {"key": "approved-by", "type": "clause", "offset": [276, 287]}, {"key": "members-of", "type": "clause", "offset": [343, 353]}, {"key": "coverage-changes", "type": "clause", "offset": [459, 475]}, {"key": "insurance-committee", "type": "definition", "offset": [481, 500]}, {"key": "work-on", "type": "clause", "offset": [518, 525]}, {"key": "plan-design-changes", "type": "clause", "offset": [536, 555]}, {"key": "a-recommendation", "type": "definition", "offset": [570, 586]}, {"key": "the-issues", "type": "clause", "offset": [590, 600]}], "snippet": "\u200c All coverage will remain equal to or greater than those currently in effect for the life of this Agreement. The Board has the right to change carriers but in no case may the Board reduce benefits or services unless recommended by the CWEA and the Board\u2019s Issues Council and approved by the CWEA\u2019s and the Board\u2019s negotiation committees. Two members of OAPSE leadership will be included in the meetings with CWEA and the Board\u2019s Issues Council regarding any coverage changes. The Insurance Committee will continue to work on insurance plan design changes and will make a recommendation to the Issues", "size": 1, "hash": "21c9c1e88cbdb49d1ab301218b63d6d8", "id": 10}], "next_curs": "ClYSUGoVc35sYXdpbnNpZGVyY29udHJhY3RzcjILEhZDbGF1c2VTbmlwcGV0R3JvdXBfdjU2IhZwbGFuLWNvdmVyYWdlIzAwMDAwMDBhDKIBAmVuGAAgAA==", "clause": {"parents": [["health-insurance", "Health Insurance"], ["recall-notice", "Recall Notice"], ["life-dental-short-term-and-long-term-disability-plans", "Life Dental Short Term and Long Term Disability Plans"], ["definitions", "Definitions"], ["purpose-of-agreement", "Purpose of Agreement"]], "title": "Plan Coverage", "children": [["beyond-school-hour-assignment", "Beyond School Hour Assignment"], ["preamble-and-definitions", "Preamble and Definitions"], ["general-obligations-of-the-parties", "General Obligations of the Parties"], ["definitions", "Definitions"], ["no-third-party-beneficiary-rights", "No Third-Party Beneficiary Rights"]], "size": 48, "id": "plan-coverage", "related": [["compensation-coverage", "COMPENSATION COVERAGE", "COMPENSATION COVERAGE"], ["vision-coverage", "Vision Coverage", "Vision Coverage"], ["workers-compensation-coverage", "Workers\u2019 Compensation Coverage", "Workers\u2019 Compensation Coverage"], ["benefit-coverage", "Benefit Coverage", "Benefit Coverage"], ["continuation-coverage", "Continuation Coverage", "Continuation Coverage"]], "related_snippets": [], "updated": "2025-07-24T06:49:03+00:00", "also_ask": [], "drafting_tip": null, "explanation": "The Plan Coverage clause defines the specific benefits, services, or protections that are included under an insurance policy, employee benefit plan, or similar agreement. It typically outlines what types of incidents, treatments, or situations are covered, any applicable limits or exclusions, and the conditions under which coverage applies. For example, it may specify that certain medical procedures are included while others are not, or set annual maximums for reimbursement. The core function of this clause is to clearly delineate the scope of protection provided, ensuring both parties understand what is and is not covered, thereby reducing disputes and misunderstandings."}, "json": true, "cursor": ""}}