Waiver of Health Insurance Benefits. Teachers may elect to waive all health insurance benefits and in lieu thereof, be remunerated in the amount of $500 at the end of each quarter of the year. Teachers choosing this option shall be able to change their option effective on July 1st and each quarter thereafter by notifying, in writing, the Director of Business Affairs at least sixty (60) days prior to the beginning of the quarter for which the change is requested. Upon receipt of revocation of the waiver, coverage by the insurer shall be subject to any regulations or policy restrictions, including waiting periods, which may then be in effect. Waivers under this section must be permitted by the applicable insurance companies and policies.
Waiver of Health Insurance Benefits. Nurses may elect to waive all health insurance benefits and in lieu thereof, be remunerated in the amount of $500 at the end of each quarter of the fiscal year. Nurses choosing this option shall be able to change their option effective July 1st and each quarter thereafter by notifying, in writing, the Chief Operating Officer at least sixty (60) days prior to the beginning of the quarter for which the change is requested. Upon receipt of revocation of the waiver, coverage by the insurer shall be subject to any regulations or policy restrictions, including waiting periods, which may then be in effect. Waivers under this section must be permitted by the applicable insurance companies and policies. APPENDIX C BLOOMFIELD BENEFIT PLAN DESCRIPTION BENEFIT CIGNA PREFERRED PROVIDER PLAN Benefit Cost Shares In Network: $20 Office Visit Copay Unlimited Office Visit Maximum Out-of-Network: Subject to deductible & copay below Deductible - $250/500/625 Coinsurance - 80% to $5000/10,000/12,500 Cost Share Max: $1250/2500/3125 Lifetime Maximum In-Network: Unlimited Lifetime Maximum Out-of-Network: $2,000,000 School Nurse Cost Premium Share 17% Preventive Care Pediatric In Network: Covered according to Age based schedule $20 copay Out-of-Network: 80% after annual deductible Adult In Network: Covered according to Age based schedule $20 Copay Out-of-Network: 80% after annual deductible Vision In Network: Covered once every two years $20 Copay (includes refraction) Out-of-Network: 80% after annual deductible Vision Care rider included (coverage for frames, lenses, contacts & additional eye exams) See separate benefit schedule. Gynecological In Network: Covered once every year $20 Copay Out-of-Network: 80% after annual deductible Hospital Admission $200 Copay Medical Services Medical Office Visit In Network: $20 Copay Out-of-Network 80% after deductible BENEFIT CIGNA PREFERRED PROVIDER PLAN Outpatient PT/OT/ST/Chiro In Network: $20 Copay Covered up to 50 combined treatments per member per calendar year (Treatment Plan Required) Subsequent treatment subject to 80% after deduction. Out-of-Network 80% after deductible Allergy Services In Network: $20 Copay for office visits and testing. No copay for injections (Treatment Plan Required) Out-of-Network 80% after deductible Diagnostic Lab & X-Ray In Network: Covered in full Out-of-Network: 80% after deductible Inpatient Medical Services In Network: Covered in full Out-of-Network: 80% after deductible Surgery Fees In Network: Covered ...
Waiver of Health Insurance Benefits. Employees who would otherwise be eligible for district coverage, who elect insurance coverage under their spouse's plan, or another comparable insurance plan, will be eligible for compensation in lieu of the district's health insurance plan. Eligible employees will be compensated Three Hundred Dollars ($300) per month for waiver of the benefit. To be eligible for this benefit, the employee must meet the following criteria:
Waiver of Health Insurance Benefits. Unit members employed by the District for at least one year may submit a waiver of health insurance benefits and receive the sum of $1,200 if an individual and $2,000 if family, so long as coverage is not picked up by a spouse employed by Half Hollow Hills. If the unit member has to re-enroll because of an unforeseen event, the unit member can pick up the district=s coverage provided the unit member pays his/her proportionate share for same for that year=s coverage and the requisite unit member contribution thereafter. Similarly, if the unit member has been employed by the District for at least one year with family coverage, the unit member will receive $1,000 if he/she first switches from family to individual coverage and family coverage is not picked up by the spouse employed by the Half Hollow Hills School District. However, if both are district employees, the unit member cannot drop the coverage and receive the waiver of premium money and have the spouse pick up the coverage. Payment for the waiver of health insurance benefits will be paid in the first payroll in January and the first payroll in June. If the unit member is eligible after the payment date then the reimbursement will take place at the next semi-annual payment date. A completed and signed waiver form must be on file in the benefits office prior to the payment dates.
