Platinum Plan Clause Samples
The PLATINUM Plan clause defines the terms and benefits associated with the highest tier of a service or subscription offering. Typically, this clause outlines the specific features, privileges, or enhanced support that subscribers to the Platinum Plan receive, such as priority customer service, increased usage limits, or exclusive access to premium content. By clearly delineating what is included in the Platinum Plan, this clause ensures that customers understand the value and scope of the top-tier service, helping to prevent misunderstandings and set expectations for both parties.
Platinum Plan. The District will pay 85% of the monthly premium and the Employee will be responsible for the remaining 15% of the monthly premium. (Effective 7/1/21, the District will contribute 84% and the Employee will be responsible for the remaining 16%; effective 7/1/23, the District will contribute 83% and the Employee will be responsible for the remaining 17%). **Employees hired on or after 7/1/2020 shall not be permitted to enroll in the Platinum Plan. Consistent with Internal Revenue Service Regulation 105 (h), for any employee who selects coverage under this plan, the District will make the following annual contribution: Single coverage: $250 Family coverage: $450
Platinum Plan. The Personal Choice Alternative Gold Plan is available to all bargaining unit members who have not selected the silver plan and who are eligible for medical insurance coverage. Bargaining Unit members who elect the Personal Choice Alternative Gold Plan will contribute to the monthly premium. In year 1 (2021-2022) employees will be responsible for four (4%) percent of the monthly premium. In year 2 (2022-2023) employees will be responsible for four (4%) percent of the monthly premium. In year 3 (2023-2024) employees will be responsible for four (4%) percent of the monthly premium. In year 1 (2024-2025), bargaining unit members will be responsible for two (2%) percent of the monthly premium. In year 2 (2025-2026) bargaining unit members will be responsible for four (4%) percent of the monthly premium. In year 3 (2026-2027), bargaining unit members will be responsible for six (6%) percent of the monthly premium. In year 4 (2027-2028), bargaining unit members employees will be responsible for eight (8%) percent of the monthly premium.
2. Health Reimbursement Account (HRA) Funding
a. Silver Plan – the HRA funding level remains at $2,500.00 for single coverage and $5,000.00 for all other coverage levels for the length of collective bargaining agreement.
b. Platinum Plan – delete the language
3. Prescription Remove references injectables and specialty prescriptions (See Prudent Rx language below). The prescription plan will include: drug quantity management, step therapy program, prior authorization programs, and Prudent Rx, and exclude compound prescriptions that are not FDA approved from the plan. The Prudent Rx program will implemented as follows:.
Platinum Plan. Bargaining unit members who participate in the Platinum Plan will be eligible for the following funding to a Health Reimbursement Account (HRA). During the 2021-2022 contract year, the District will fund up to $1,500.00 annually for single coverage and up to $3,000.00 annually for all other coverage levels in a Health Reimbursement Account (HRA). The HRA funding may be used for the deductible, medical copayments, out of network claims, and prescription copayments. During the 2022-2023 contract year, the District will fund up to $1,500.00 annually for single coverage and up to $3,000 annually for all other coverage levels in a Health Reimbursement Account (HRA). The HRA funding may be used for the deductible, medical copayments, out of network claims, and prescription copayments. During the 2023-2024 contract year, the District will fund up to $1,200.00 annually for single coverage and up to $2,700.00 annually for all other coverage levels in a Health Reimbursement Account (HRA). The HRA funding may be used for the deductible, medical copayments, out of network claims, and prescription copayments.
Platinum Plan. Maximum out of pocket (OOP) costs of $2,800 single coverage, $5,600 other coverages. Employees are responsible for the first $400 of OOP costs required for single coverage and the first $800 for two person, parent-child or family coverage. The District will fund the next OOP costs of $2,100 (single coverage) or $4,200 for two persons, parent child or family coverage through a Health Reimbursement Account (HRA). Employees will then be responsible for the last $300 of OOP costs required for single coverage and the last $600 for two persons, parent-child or family coverage.
Platinum Plan. Consent of Both Parties
Platinum Plan. Product Support and Maintenance
Platinum Plan. Scope /Territory: 24 Hours / Whilst on travel outside Country of Residence (Excluding Afghanistan, Iraq, Cuba and Democratic Republic of Congo)