Spousal Mandate. 1. Employees whose spouse’s employer or retirement provider provides and pays for at least 60% of the cost of health insurance for single coverage must have the spouse’s plan provide primary coverage for the spouse. Benefits under the Board plans will not be provided to an eligible dependent spouse eligible for the type of group plan described above until the eligible spouse’s group benefits have paid the primary portion of the claim.
Spousal Mandate. (1) Beginning January 1, 2019, employees whose spouse’s employer or retirement provider provides and pays for at least 50% of the cost of health insurance for single coverage must have the spouse’s plan and enroll the spouse in that coverage. Benefits under the Board plans will not be provided to an eligible dependent spouse who also is eligible for the type of group plan described above until the eligible spouse has a “qualifying event” under federal law and otherwise meets the eligibility requirements of this paragraph.
Spousal Mandate a) If an employee's spouse is eligible to participate, as a current employee or retiree in group health insurance and/or prescription drug insurance sponsored by his/her employer or any public retirement plan, the spouse must enroll in such employer (or public retirement plan) sponsored group insurance coverage(s). This requirement does not apply to any spouse who works less than 30 hours per week AND is required to pay more than 50% of the single premium to participate in his/her employer's group health insurance coverage and/or prescription drug insurance coverage. This requirement also does not apply to any spouse who is a retiree under a public retirement plan and enrolled in Medicare coverage. Upon the spouse's enrollment in any such employer (or public retirement plan) sponsored group insurance coverage, that coverage will become the primary payor of benefits and the coverage sponsored by the Board of Education will become the secondary payor of benefits. Any spouse who fails to enroll in any group insurance coverage sponsored by his/her employer or any public retirement plan, as required by this Section, shall be ineligible for benefits under such group insurance coverage sponsored by the Board of Education. Every employee whose spouse participates in the Board of Education's group health insurance coverage and/or prescription drug insurance coverage shall complete and submit to the Board of Education, upon request, a written certification verifying whether his/her spouse is eligible to participate in group health insurance coverage and/or prescription drug insurance coverage sponsored by the spouse's employer or any public retirement plan. If any employee fails to complete and submit the certification form by the required date, such employee's spouse will be removed immediately from all health and prescription drug insurance coverages sponsored by the Board of Education. Additional documentation may be required.
Spousal Mandate. 30.4.1 Effective January 1, 2009, if a teacher’s spouse is eligible to participate (as a current employee or retiree) in group health insurance and/or prescription drug insurance sponsored by his/her employer/retirement provider, the spouse shall enroll in such employer-sponsored group insurance coverage(s) (“spouse available insurance”) if it is determined to be cost- effective by the District Medical Committee. ▪ The District Medical Committee will annually determine the reimbursement amount (currently $250 in 2016). ▪ At no time will that amount exceed $300.00 per month. Employee’s hired after July 31st, 2016 shall have reimbursement capped at $175. ▪ No one shall be required to participate in Spousal Mandate if the spouse’s insurance premium should exceed the pre-determined amount. ▪ No reimbursement will be made to members who chose to enroll in spousal insurance policies that exceed the pre-determined reimbursement amount.
Spousal Mandate
