Health and Hospitalization Sample Clauses
The Health and Hospitalization clause outlines the obligations and entitlements related to medical care and hospital services for individuals covered under an agreement, such as employees or insured parties. Typically, this clause specifies the types of health benefits provided, the extent of coverage for medical expenses, and any procedures for accessing hospitalization or treatment. Its core practical function is to ensure that parties have clear expectations regarding healthcare support, thereby reducing uncertainty and potential disputes over medical costs or access to necessary treatment.
Health and Hospitalization. The Town shall provide bargaining unit members with the choice to enroll in either the Lumenos plan or the AB15IPDED-RX 10/20/45 plan provided by HealthTrust for single, two person, or family coverages. Employees will provide to the Town, through equal weekly payroll deductions, an insurance premium cost sharing of the following amounts of the total monthly premium for that employee’s level of coverage: 12.5% for the Lumenos plan and 12.5% for the AB15IPDED plan.
a) Employees who opt to enroll in the Lumenos plan are eligible to open a health savings account (“HSA”).For each year an employee is enrolled in the Lumenos plan the Town shall contribute as follows to his or her HSA account: On an annual basis, the Town shall contribute $2,000 for employees enrolled in family or two-person coverage, and $1,000 for employees enrolled in single coverage. The Town’s contributions shall be made in equal installments on a semiannual basis. Employees enrolled in the Lumenos plan may contribute to their HSA through payroll deduction.
b) Employees enrolled in the AB15IPDED plan are not eligible to open an HSA account. Such employees are eligible, however, to participate in a medical expense reimbursement account, “Flexible Spending Account” (FSA), which provides for reimbursement of qualifying medical expenses per the provisions of the Internal Revenue Code and the Affordable Care Act.
c) Employees may also enroll in AB10 – RX10/20/45 provided by HealthTrust for single, 2- person, or family coverage. The Town shall share the cost of enrollment in the AB10 – RX10/20/45 with participating employee up to the dollar value contributed by the Town to employees enrolled in the AB15IPDED plan, as set forth in Article XXV(1). The remainder of the premium cost for the AB10 – RX10/20/45 shall be paid by the employee through equal weekly payroll deductions.
d) Employee contributions for premium costs of both medical and dental insurance shall be on a Section 125 pre-tax basis.
e) Insurance Buy-out – Members hired on or before 11/10/04 may receive a buy-out (in lieu of health insurance) at rates in effect on July 1, 2007, which are $633.03 monthly for 2- person and $854.59 monthly for family. Members hired after 11/10/04 may receive an annualized buy-out of $2500 family, two-person, or single plan. This is available for employees who, upon proof of alternative employer-sponsored coverage, opt out of the Town’s plan. Buy-out shall be at the coverage level for which the employee is el...
Health and Hospitalization. Effective January 1, 2000, the County shall pick up the premium payment for the Building Trades Plan in the following ratio: Employee 90% 10% Employee + 1 90% 10% Employee + Family 90% 10% Increases and decreases in the Building Trades Plan will be shared between the County and employee in the same ratio as above.
Health and Hospitalization a) The Board will provide the opportunity to participate in health and hospitalization insurance for all eligible teachers and eligible dependents. The method of establishing the premium payments, stabilization funds, and related financial decisions are for the review and decision of the Board with recommendations by the Insurance Committee. The District contribution to the total cost of the plan will be no less than 60%. For example, in 2018 the District contributed approximately 6 million when the total plan cost approximately 10 million. The current members that are now “pooling” will be grandfathered under the past system. In the event of insurance plan changes, the District and / or the Association reserve the right to reopen negotiations for health insurance only. (2019)
b) Teachers who are regularly employed for less than a full-time duty day, may participate in the Health and Hospitalization Insurance Program by paying their entire share of the premium prior to the first day of the month following their date of employment. The Board shall pay that amount of the premium that is proportionate to the portion of the duty day that the teacher is employed.
c) All requirements and insurance benefits shall be subject to the provisions of the policy issued by the carrier.
d) Benefits shall continue through August 31 of the ensuing school year.
Health and Hospitalization. The Board will pay a specific dollar amount for each health plan as outlined below toward the payment of the School Corporation’s health and hospital insurance. Beginning January 1, 2014, contribution to the HSA will be the difference between the flat dollar amount minus the cost of plan IV. Total Premium Corporation Contribution Teacher Cost Annual Teacher Cost Per Pay PPO Plan I/Plan II Employee $9,008.00 $6,739 $2,269 $94.54 Employee/Spouse $19,549 $14,128 $5,421 $225.88 Family $23,322 $16,615 $6,707 $279.46 PPO Plan III Employee $7,411 $6,336 $1,075 $44.79 Employee/Spouse $16,038 $13,224 $2,814 $117.25 Family $19,332 $15,564 $3,768 $157.00 Plan IV (HDHP) Corp HSA Contribution Employee $5,881 $5,881 $0 $0.00 $858 Employee/Spouse $12,537 $12,537 $0 $0.00 $1,591 Family $15,068 $15,068 $0 $0.00 $1,547 Any teacher on leave of absence from the Metropolitan School District of Decatur Township may continue membership in any insurance program provided by the Corporation during the leave period; however, the entire cost of the monthly premiums shall be paid by the employee from the time the leave begins until one (1) month after the leave terminates and the employee returns to work unless subject to the 12-week family medical leave act. The parties have mutually agreed that the health and hospitalization insurance program shall be Plans I/II, III and IV (High Deductible Health Plan) provided by the Hoosier School Benefit Trust with the provisions in effect as of the date of this agreement. Enrollment in the corporation health and hospitalization plan will be closed except for qualifying events, an annually established open enrollment period and as required by the Patient Protection and Affordable Care Act. If an employee’s spouse is eligible for health insurance at his/her place of employment, the spouse will be required to enroll in his/her employer’s health insurance plan if the employer pays at least sixty percent (60%) of the single premium. The spouse’s plan will then become primary for all his/her health insurance claims. It is understood that the MSDDT PPO will be secondary for payment of claims. If the employee elects to continue secondary coverage for his/her spouse or dependents, the employee will be responsible for paying the additional premium required to provide this coverage.
Health and Hospitalization. The School District will contribute to the premium cost of the group health and hospitalization insurance as follows:
1. Individual, Two-Party and Dependent Coverage: Effective July 1, 2017, health and hospitalization insurance benefits will be based on language contained in the Master Agreement by and between Independent School District 197 and the West St. ▇▇▇▇ Federation of Teachers Local #1148, Article VIII, Section 6. For child nutrition employee convenience purposes only, the language contained in Article VIII, Section 6 of the West St. ▇▇▇▇ Federation of Teachers Local #1148 master agreement has been reprinted in Attachment A. The parties understand and agree that as the language changes in this section of the Teacher’s Master Agreement, those changes will be implemented for the child nutrition employees as well. Enrollment in the plan will be accomplished the first day of the month following date of employment; or the effective date of open enrollment thereafter upon completion of all necessary forms. Any additional cost of the premium will be borne by the employee and paid by payroll deduction.
Health and Hospitalization. The School District shall provide eligible employees an opportunity to enroll for either single or family coverage in the District health and hospitalization insurance plan. The School District shall contribute the amounts listed below toward the monthly premium for single and family coverage. The effective date for employer contributions shall be January 1 of each year of this agreement. The school district will contribute the same amount toward the monthly premiums for single and family coverage as identified in the NEA Master Agreement.
Health and Hospitalization. Group Health Insurance - During the term of this Agreement, the School District shall contribute towards the monthly premium cost for eligible and enrolled employees in the group health insurance plan adopted by the School District. Premiums are subject to annual changes. Premiums in excess of the District contribution are the responsibility of the employee and will be made through payroll deduction. The School District shall contribute a sum not to exceed $615 per month toward the premium for individual coverage and not to exceed $1,284.92 (custodians) and $1,180 (Food Service) per month toward the premium for family coverage. Effective January 1, 2023 The School District shall contribute a sum not to exceed $630 per month toward the premium for individual coverage and not to exceed $1,314.92 (custodians) and $1,210 (Food Service) per month toward the premium for family coverage.
Health and Hospitalization. The School District shall provide the Director of Community Education with a family health insurance policy under the School District's plan, with a defined contribution not to exceed $19,500. In the event that the DCE decides to take a high deductible family health insurance plan, the district will contribute up to $4000 into an HSA or VEBA plan, however, the amount of contribution towards the health insurance plan will be reduced by the contribution amount of the HSA or VEBA contribution. At no time will the cost of the plan and the contribution to the HSA/▇▇▇▇ together, exceed $19,500. * In the event this Contract will cause or does cause penalties, fees, or fines to be assessed against the School District, the parties agree to reopen negotiations that result in a revised Contract between the parties that eliminates or reduces penalties, fees, or fines to be assessed against the School District. The amount of any reduction in the School District’s contribution toward the employee’s healthcare benefits as a result of addressing the “highly compensated employee” component of the ACA will be placed into another School District provided benefit(s) (i.e., a retirement HRA, salary, etc.) as agreed upon between the parties.
Health and Hospitalization. The employer will contribute the same amount toward the premium as the amount contributed toward the premium for regular classroom teachers under the district health and hospitalization insurance plan if the employee wishes to enroll in the plan.
Health and Hospitalization. For each regularly employed Plano ESAP employee who is scheduled to work at least thirty