MEDICAL CARE BENEFITS Sample Clauses

MEDICAL CARE BENEFITS. The Board will provide without cost for active full-time employees, MESSA Medical Care Group Choices II insurance. PROVIDED, that such contribution shall not exceed that required for the coverage category, within which the employee is included, e.g., full family, two persons, one person family continuation or sponsored dependent. A member may elect to retain MESSA Medical Care Group Super Care I by assuming via a Section 125 Plan the cost difference between MESSA Medical Care Group Choices II $10/20 drug card rate and the MESSA Medical Care Group Super Care I $5/10 or $10/20 drug card rate. (see Letter of Agreement) The Board of Education will deduct any employee contributions through payroll deduction. The Board of Education will pay each full-time employee who waives coverage in the medical care program the sum of $250 per month as additional cash compensation. [Prorated payment will be made to less than full-time employees.] These waivers shall be made under the Flexible Benefit Plan established by the Board of Education under Internal Revenue Code Section 125. An employee may waive coverage or revoke a prior waiver only during the open enrollment period provided under the Plan or if the employee has a change in family status. The Board of Education will reimburse employees prescription co-pays that exceeds $250 per family, per fiscal year (July 1 through June 30). The employee must have receipts that must be submitted quarterly for reimbursement. (September 30, December 31, March 31, and June 30) (extended until August 31, 2008) A Health Insurance Committee will be formed to study health insurance options. The committee will be composed of eight (8) members - four (4) administrators, chosen by the Superintendent and four (4) teachers chosen by the President of EGREA.
Sample 1
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MEDICAL CARE BENEFITS. 1. The Board will provide the MESSA “ABC” Plan 1 high deductible health care plan. The Board will cover the cost of the premiums towards the ABC Plan 1 premiums subject to the following cap amounts: Beginning July 1, 2015, $5,992.30 for single, $12,531.75 for 2-person and $16,342.66 for full family. On July 1 of each year of this agreement, the cap amount will be increased by the percentage increase in the statutory cap identified by the State Treasurer.
Sample 1
MEDICAL CARE BENEFITS. (a) Notwithstanding anything in this Agreement to the contrary, and in all events, until the last to die of you, your Spouse and your Children, the Company shall pay for all Medical Care and reimbursement for tax consequences as specified in this Section 6 for you, your Spouse and your Children, without reduction. The Company may arrange for a group or individual insurance policy to provide all or a portion of these Medical Care costs, however, in all events, the Company is obligated to ensure that payment for all Medical Care costs is made within 10 days of submittal to the Company for payment. The Company shall either pay all amounts directly to the provider of the Medical Care or reimburse you, your Spouse and your Children for such expenses incurred, whichever may be requested by you, your Spouse or your Children. Should the Company elect to provide insurance for any or all of the costs of Medical Care, the Company shall nevertheless provide 100% reimbursement of any expenses incurred by you, your Spouse and your Children that are not reimbursed by insurance or otherwise within 10 days after submittal of such expenses to the Company for payment.
Sample 1
MEDICAL CARE BENEFITS. (a) Notwithstanding anything in this Agreement to the contrary, from August 15, 2001 until the last to die of you, your Spouse and your Children, the Company shall pay for all Medical Care and Reimbursement for Tax Consequences as specified in Section 6 for you, your Spouse and your Children, without reduction, subject only to possible termination of Medical Care Benefits specified in Section 6 on the Termination Date but only if pursuant to the termination of your service prior to your death, Disability or a Change of Control and prior to August 16, 2006, by the Company for Cause pursuant to Section 4(a)(i) or by you for reason other than Good Reason pursuant to Section 4(b)(ii) or 4(d). The Company may arrange for a group or individual insurance policy to provide all or a portion of these Medical Care costs, however, in all events, the Company is obligated to ensure that payment for all Medical Care costs is made within 10 days of submittal to the Company for payment. The Company shall either pay all amounts directly to the provider of the Medical Care or reimburse you, your Spouse and your Children for such expenses incurred, whichever may be requested by you, your Spouse or your Children. Should the Company elect to provide insurance for any or all of the costs of Medical Care, the Company shall nevertheless provide 100% reimbursement of any expenses incurred by you, your Spouse and your Children that are not reimbursed by insurance or otherwise within 10 days after submittal of such expenses to the Company for payment.
Sample 1
MEDICAL CARE BENEFITS. 1. The Board will provide without cost for active full-time employees, MESSA Medical Care Group Choices II insurance. PROVIDED, that such contribution shall not exceed that required for the coverage category, within which the employee is included, e.g., full family, two persons, one person family continuation or sponsored dependent. A member may elect to retain MESSA Medical Care Group Super Care I by assuming via a Section 125 Plan the cost difference between MESSA Medical Care Group Choices II $10/20 drug card rate and the MESSA Medical Care Group Super Care I $5/10 or $10/20 drug card rate.
Sample 1
MEDICAL CARE BENEFITS. 1. The Board will provide the MESSA “ABC” Plan 1 high deductible health care plan. The Board will cover the cost of the premiums towards the ABC Plan 1 premiums subject to the following cap amounts: Beginning July 1, 2015, $5,992.30 for single, $12,531.75 for 2-person and $16,342.66 for full family. On July 1 of each year of this agreement, the cap amount will be increased by the percentage increase in the statutory cap identified by the State Treasurer. As of January 1, 2018, the Board & Association agree to offer a second MESSA medical care option ($1,350/$2,700 deductible, 10% coinsurance, ABC Rx). As of January 1, 2019, the Board and Association agree to offer a 3rd and/or 4th MESSA medical care plan to reduce bargaining unit employees’ out of pocket costs. If any of the MESSA plans offered are below the state’s maximum contribution cap for health insurance, the Board will provide the bargaining unit employees who choose said plan additional compensation or a contribution to the bargaining unit employee’s Health Savings Account in the amount the premium is below the allowable maximum contribution cap after deducting applicable state retirement and FICA costs on the contribution, effective in paychecks January 1st of each year.
Sample 1
MEDICAL CARE BENEFITS. For You and Your Dependents Pre-Admission Certification/Continued Stay Review Requirements Pre-Admission Certification (PAC) and Continued Stay Review (CSR) refer to the process used to certify the Medical Necessity and length of a Hospital Confinement when you or your Dependent requires treatment in a Hospital or Other Health Care Facility as a registered bed patient. PAC and CSR are performed through a utilization review program by a Review Organization with which CG has contracted. You or your Dependent should request PAC prior to any non-emergency treatment in a Hospital or Other Health Care Facility as described above. For an admission due to pregnancy, you should call the Review Organization by the end of the third month of pregnancy. CSR should be requested, prior to the end of the certified length of stay, for continued Hospital or Other Health Care Facility confinement. SAMPLE DOCUMENT Covered Expenses incurred for which benefits would otherwise be payable under this plan for Hospital or Other Health Care Facility charges listed below will be reduced by 50% for: Hospital or Other Health Care Facility charges for Bed and Board, for treatment listed above for which PAC was not performed. . Expenses incurred for which benefits would otherwise be payable under this plan will not include: . Hospital or Other Health Care Facility charges for Bed and Board, during a Hospital or Other Health Care Facility Confinement for which PAC is performed, which are made for any day in excess of the number of days certified through PAC or CSR; and any Hospital or Other Health Care Facility charges made during any Hospital or Other Health Care Facility Confinement as a registered bed patient: (a) for which PAC was performed; but (b) which was not certified as medically necessary. In any case, those expenses incurred for which payment is excluded by the terms set forth above will not be considered as expenses incurred for the purpose of any other part of this plan, except for the "Coordination of Benefits" section. Pre-authorization Requirement: Prior-authorization should be requested by you or your Dependent at least 14 days prior to the performance of diagnostic or surgical services performed at an Outpatient Surgical Facility and for magnetic resonance imaging. Amounts for expenses incurred, which would otherwise be payable under this plan, will be reduced to 50% for services described above for which pre-authorization was not obtained. POS-PAC(01) 1/05 How to File ...
Sample 1
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Related to MEDICAL CARE BENEFITS

  • 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:

  • Medical Benefits The Company shall reimburse the Employee for the cost of the Employee's group health, vision and dental plan coverage in effect until the end of the Termination Period. The Employee may use this payment, as well as any other payment made under this Section 6, for such continuation coverage or for any other purpose. To the extent the Employee pays the cost of such coverage, and the cost of such coverage is not deductible as a medical expense by the Employee, the Company shall "gross-up" the amount of such reimbursement for all taxes payable by the Employee on the amount of such reimbursement and the amount of such gross-up.

  • Medical, Dental and Vision Benefits If Executive’s employment with the Bank is subject to a Termination, then, to the extent that Executive or any of Executive’s dependents may be covered under the terms of any medical, dental or vision plans maintained for active employees of the Bank or any Affiliate, the Bank shall provide Executive and those dependents with coverage equivalent to the coverage received while Executive was employed with the Bank for as long as Executive is eligible for and elects coverage under the health care continuation rules of the Consolidated Omnibus Budget Reconciliation Act of 1985 (“COBRA”). Executive will be required to pay the same amount as Executive would pay if Executive continued in active employment with the Bank during such period. Such coverage shall be provided only to the extent that it does not result in any additional tax or other penalty being imposed on the Bank or any Affiliate. The coverage under this Section 4(e) may be procured directly by the Bank (or any Affiliate, if appropriate) apart from and outside of the terms of the respective plans, provided that Executive and Executive’s dependents comply with all of the terms of the substitute medical, dental or vision plans, and provided, further, that the cost to the Bank shall not exceed the cost for continued COBRA coverage. In the event Executive or any of Executive’s dependents is or becomes eligible for coverage under the terms of any other medical, dental or vision plan of a subsequent employer with plan benefits that are comparable to Bank (or any Affiliate) plan benefits, the Bank’s obligations under this Section 4(e) shall cease with respect to the eligible Executive and dependents. Executive and Executive’s dependents must notify the Bank (or any Affiliate) of any subsequent employment and eligibility for such comparable coverage.

  • Welfare Benefits Subject to the terms and conditions of this Agreement, for a period of twelve (12) months following the date of Involuntary Termination (and an additional twelve (12) months if the Executive provides consulting services under Section 14(f) hereof), the Executive and his dependents shall be provided with life, disability, accident and group medical benefits which are substantially similar to those provided to the Executive and his dependents immediately prior to the date of Involuntary Termination or the Change in Control Date, whichever is more favorable to the Executive. Without limiting the generality of the foregoing, the continuing benefits described in the preceding sentence shall be provided on substantially the same terms and conditions and at the same cost to the Executive as in effect immediately prior to the date of Involuntary Termination or the Change in Control Date, whichever is more favorable to the Executive. Such benefits shall be provided in a manner that complies with Treasury Regulation Section 1.409A-1(a)(5). Notwithstanding the foregoing, if Sempra Energy determines in its sole discretion that the portion of the foregoing continuing benefits that constitute group medical benefits cannot be provided without potentially violating applicable law (including, without limitation, Section 2716 of the Public Health Service Act) or that the provision of such group medical benefits under this Agreement would subject Sempra Energy or any of its Affiliates to a material tax or penalty, (i) the Executive shall be provided, in lieu thereof, with a taxable monthly payment in an amount equal to the monthly premium that the Executive would be required to pay to continue the Executive’s and his covered dependents’ group medical benefit coverages under COBRA as then in effect (which amount shall be based on the premiums for the first month of COBRA coverage) or (ii) Sempra Energy shall have the authority to amend the Agreement to the limited extent reasonably necessary to avoid such violation of law or tax or penalty and shall use all reasonable efforts to provide the Executive with a comparable benefit that does not violate applicable law or subject Sempra Energy or any of its Affiliates to such tax or penalty.

  • Health and Welfare Benefits (Article 17 applies to full-time nurses only)

  • Health Benefits The method for determining the Employer bi-weekly contributions to the cost of employee health insurance programs under the Federal Employees Health Benefits Program (FEHBP) will be as follows:

  • Retiree Medical Benefits If Executive is or would become fifty-five (55) or older and Executive's age and service equal sixty-five (65) and Executive has at least five (5) years of service with the Company within two (2) years of Change in Control, Executive is eligible for retiree medical benefits (as such are determined immediately prior to Change in Control). Executive is eligible to commence receiving such retiree medical benefits based on the terms and conditions of the applicable plans in effect immediately prior to the Change in Control.

  • Health Insurance Benefits To the extent provided by the federal COBRA law or, if applicable, state insurance laws, and by the Company’s current group health insurance policies, Executive will be eligible to continue Executive’s group health insurance benefits at Executive’s own expense. If Executive timely elects continued coverage under COBRA, the Company shall pay Executive’s COBRA premiums, and any applicable Company COBRA premiums, necessary to continue Executive’s then-current coverage for a period of 18 months after the date of Executive’s termination of employment; provided, however, that any such payments will cease if Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such premiums. Executive agrees to immediately notify the Company in writing of any such enrollment. Notwithstanding the foregoing, if the Company determines, in its sole discretion, that it cannot provide the foregoing benefit without potentially incurring financial costs or penalties under applicable law (including, without limitation, Section 2716 of the Public Health Service Act), the Company shall in lieu thereof provide to Executive a taxable monthly amount to continue his group health insurance coverage in effect on the date of separation from service (which amount shall be based on the premium for the first month of COBRA coverage), which payments shall be made regardless of whether Executive elects COBRA continuation coverage and shall commence in the month following the month in which Executive incurs a separation from service and shall end on the earlier of (x) the date on which Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such amounts and (y) 18 months after the date of Executive’s separation from service.

  • Medical and Dental Benefits If Executive’s employment is subject to a Termination, then to the extent that Executive or any of Executive’s dependents may be covered under the terms of any medical or dental plans of the Company (or an Affiliate) for active employees immediately prior to the Termination Date, then, provided Executive is eligible for and elects coverage under the health care continuation rules of COBRA, the Company shall provide Executive and those dependents with coverage equivalent to the coverage in effect immediately prior to the Termination. For a period of twelve (12) months (18 months for a Termination during a Covered Period), Executive shall be required to pay the same amount as Executive would pay if Executive continued in employment with the Company during such period and thereafter Executive shall be responsible for the full cost of such continued coverage; provided, however, that such coverage shall be provided only to the extent that it does not result in any additional tax or other penalty being imposed on the Company (or an Affiliate) or violate any nondiscrimination requirements then applicable with respect to the applicable plans. The coverages under this Section 4(e) may be procured directly by the Company (or an Affiliate, if appropriate) apart from, and outside of the terms of the respective plans, provided that Executive and Executive’s dependents comply with all of the terms of the substitute medical or dental plans, and provided, further, that the cost to the Company and its Affiliates shall not exceed the cost for continued COBRA coverage under the Company’s (or an Affiliate’s) plans, as set forth in the immediately preceding sentence. In the event Executive or any of Executive’s dependents is or becomes eligible for coverage under the terms of any other medical and/or dental plan of a subsequent employer with plan benefits that are comparable to Company (or Affiliate) plan benefits, the Company’s and its Affiliates’ obligations under this Section 4(e) shall cease with respect to the eligible Executive and/or dependent. Executive and Executive’s dependents must notify the Company of any subsequent employment and provide information regarding medical and/or dental coverage available.

  • Compensation and Fringe Benefits (a) The Company shall, during the Term of Employment, pay to the Executive as compensation for the performance of his duties and obligations a salary of $240,000 per annum. This compensation is subject to annual review and adjustment, as appropriate in the judgment of the Company. The compensation payable pursuant to this Section 5(a) shall be payable in equal semi-monthly installments on the last day of each such pay period.

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