Health Care Reform Reopener Sample Clauses

Health Care Reform Reopener. ‌ The County and the Union agree to reopen the MOU solely to make necessary changes to health and welfare benefit eligibility and/or coverage options as required by the Patient Protection and Affordable Care Act (PPACA), commonly referred to as Health Care reform, or as required by subsequent state or federal statutes or regulations implemented during the term of this agreement.
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Health Care Reform Reopener. ‌ It is the intent of the parties that the Employer and the employees shall not be required to pay twice for health insurance coverage - once pursuant to the terms of this Agreement and again by operation of law. According, in the event that a federal or state law or regulations for health care services requires the employer or the employees to pay for the same, similar, or a portion of the benefits provided by this Agreement, or in the event the Employer or the employees are otherwise required to contribute additional costs for health care benefits by operation of law in excess of the cost of health care benefits set forth herein, the parties agree that the cost of such health care benefits, and/or the level of benefits, shall be subject to renegotiation. Such negotiations may be commenced upon the request of either the Employer or the Association by giving thirty (30) days’ written notice to the other party and shall be for the sole purpose of negotiating a change in the provisions for health care benefits set forth in this Agreement as a result of the implementation of federal or state health care reform. If within thirty (30) days of the receipt of such notice by either party, the parties have not reached a mutual written agreement regarding the allocation of health care costs and/or the level of benefits, either party may submit this matter directly to arbitration under the grievance provisions of this Agreement. The sole issue before the arbitrator in such case shall be the appropriate allocation of the cost of health care. During the process of negotiation and arbitration of the health care issue all other provisions of this Agreement shall remain in effect without change. 2019-2020 SALARY SCHEDULE Full step movement, prep level movement. STEP Bach Xxxx+00 Xxxx Xxxx+00 Xxxx+00 Xxxx+00 Xxxx+00 0 $ 50,180 $ 51,658 $ 54,028 $ 56,517 $ 59,130 $ 61,874 $ 66,439 2 50,632 52,131 54,526 57,039 59,678 62,450 67,061 3 51,087 52,610 55,028 57,567 60,233 63,031 67,689 4 51,548 53,094 55,536 58,101 60,792 63,619 68,323 4.5 51,781 53,339 55,793 58,370 61,075 63,916 68,644 5 52,014 53,583 56,049 58,639 61,358 64,213 68,964 5.5 52,380 53,967 56,453 59,063 61,804 64,681 69,468 6 52,746 54,351 56,856 59,486 62,249 65,148 69,972 6.5 53,701 55,353 57,908 60,591 63,409 66,366 71,287 7 54,655 56,355 58,960 61,696 64,568 67,583 72,601 7.5 55,647 57,398 60,055 62,845 65,774 68,850 73,968 8 56,639 58,440 61,149 63,994 66,980 70,117 75,335 8.5 57,672 59,524 62,287 65,189 68,...
Sample 1
Health Care Reform Reopener. It is the intent of the parties that the Employer and the employees shall not be required to pay twice for health insurance coverage - once pursuant to the terms of this Agreement and again by operation of law. According, in the event that a federal or state law or regulations for health care services requires the employer or the employees to pay for the same, similar, or a portion of the benefits provided by this Agreement, or in the event the Employer or the employees are otherwise required to contribute additional costs for health care benefits by operation of law in excess of the cost of health care benefits set forth herein, the parties agree that the cost of such health care benefits, and/or the level of benefits, shall be subject to renegotiation. Such negotiations may be commenced upon the request of either the Employer or the Association by giving thirty
Sample 1

Related to Health Care Reform Reopener

  • Health Care Benefits (a) Each regular full-time employee may elect coverage for himself and his eligible dependents* under one of the following health insurance plans:

  • Benefit Level Two Health Care Network Determination Issues regarding the health care networks for the 2017 insurance year shall be negotiated in accordance with the following procedures:

  • Extended Health Care Benefits 12.02(a) The City will provide for all employees by contract through an insurer selected by the City an Extended Health Care Plan which will provide extended health care benefits. The City shall pay one hundred per cent (100%) of the premiums, which will include any premiums payable under The Health Insurance Act, R.S.O. 1990, as amended. Eligible Expenses (Benefit year January 1 – December 31)

  • Extended Health Care Plan (a) The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable Extended Health Care Plan.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Health Screening The Contractor shall conduct a Health Needs Screen (HNS) for new members that enroll in the Contractor’s plan. The HNS will be used to identify the member’s physical and/or behavioral health care needs, special health care needs, as well as the need for disease management, care management and/or case management services set forth in Section 3.8. The HNS may be conducted in person, by phone, online or by mail. The Contractor shall use the standard health screening tool developed by OMPP, i.e., the Health Needs Screening Tool, but is permitted to supplement the OMPP Health Needs Screening Tool with additional questions developed by the Contractor. Any additions to the OMPP Health Needs Screening Tool shall be approved by OMPP. The HNS shall be conducted within ninety (90) calendar days of the Contractor’s receipt of a new member’s fully eligible file from the State. The Contractor is encouraged to conduct the HNS at the same time it assists the member in making a PMP selection. The Contractor shall also be required to conduct a subsequent health screening or comprehensive health assessment if a member’s health care status is determined to have changed since the original screening, such as evidence of overutilization of health care services as identified through such methods as claims review. Non-clinical staff may conduct the HNS. The results of the HNS shall be transferred to OMPP in the form and manner set forth by OMPP. As part of this contract, the Contractor shall not be required to conduct HNS for members enrolled in the Contractor’s plan prior to January 1, 2017 unless a change in the member’s health care status indicates the need to conduct a health screening. For purposes of the HNS requirement, new members are defined as members that have not been enrolled in the Contractor’s plan in the previous twelve (12) months. Data from the HNS or NOP form, current medications and self-reported medical conditions will be used to develop stratification levels for members in Hoosier Healthwise. The Contractor may use its own proprietary stratification methodology to determine which members should be referred to specific care coordination services ranging from disease management to complex case management. OMPP shall apply its own stratification methodology which may, in future years, be used to link stratification level to the per member per month capitation rate. The initial HNS shall be followed by a detailed Comprehensive Health Assessment Tool (CHAT) by a health care professional when a member is identified through the HNS as having a special health care need, as set forth in Section 4.2.4, or when there is a need to follow up on problem areas found in the initial HNS. The detailed CHAT may include, but is not limited to, discussion with the member, a review of the member’s claims history and/or contact with the member’s family or health care providers. These interactions shall be documented and shall be available for review by OMPP. The Contractor shall keep up-to-date records of all members found to have special health care needs based on the initial screening, including documentation of the follow-up detailed CHAT and contacts with the member, their family or health care providers.

  • Child Rearing Teachers shall be granted a leave for child rearing purposes of up to one (1) year without pay or increment. This includes both adoption and birth. Upon written request, such leave may be extended up to one (1) year without pay or increment.

  • Inpatient In accordance with Rhode Island General Law §27-20-17.1, this agreement covers a minimum inpatient hospital stay of forty- eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • If the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • If the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn is admitted as a hospital in connection with childbirth. Any decision to shorten these stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your infant participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your infant, (any additional visits must be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge. See Section 3.23 - Office Visits for coverage of home and office visits. We cover hospital services provided to you and your newborn child. Your newborn child is covered for services required to treat injury or sickness. This includes the necessary care and treatment of medically diagnosed congenital defects and birth abnormalities as well as routine well-baby care.

  • Dental Care Plan The Welfare Plan will include a Dental Care Plan which will reimburse members for expenses incurred in respect of the coverages summarized in Appendix "1". The Plan will not duplicate benefits provided now or which may be provided in the future by any government program.

  • Health Tests At the time of employment, the Employer shall provide a Tuberculin skin test at no cost to the nurse. In the event of a positive reaction to this test, the Employer will provide a chest x-ray at no cost. Upon request, a routine blood examination and urinalysis will be provided at no cost to the nurse once each year.

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