Medical Plan Benefits. The District’s medical and prescription drug plans are tied together. An employee electing coverage under the medical plan will automatically be afforded the same level or coverage under the prescription drug plan. Coverage under the prescription drug program will not be offered separately from the medical plan. The deductible amounts indicated in Appendix A will apply during a calendar year period (beginning January 1, 2020) and will apply separately to network and non-network services covered under the plan of benefits. For example, amounts paid by a plan participant toward satisfaction of the annual network deductible will not count against the annual non-network deductible, and amounts paid by a plan participant toward satisfaction of the annual non-network deductible will not count against the annual network deductible required under the plan. It is mutually understood that deductible amounts for all of calendar year 2019 will be administered in accordance with the health/prescription drug plan specifications appearing in the plan in effect from January 1, 2019 through June 30, 2019. The annual out-of-pocket limits indicated in Appendix A will apply during a calendar year period (beginning January 1, 2020) and will apply separately to network and non- network services covered under the plan of benefits. For example, amounts paid by a plan participant toward the satisfaction of the annual out-of-pocket limit, and amounts paid by a plan participant toward satisfaction of the annual non-network out-of-pocket limit will not count against the annual network out-of-pocket limit. It is mutually understood that out-of-pocket limits for all of calendar year 2019 will be administered in accordance with the health/prescription drug plan specifications appearing in the plan in effect from January 1, 2019 through June 30, 2019. It is further understood that an employee eligible to receive a 90-day supply of a maintenance drug by mail with an employee co-pay of twenty dollars ($20.00) may opt instead to have the prescription filled at a pharmacy instead of by mail, but the employee co-pay in such case will be sixty dollars ($60.00), not twenty dollars ($20.00). Coordination of benefit provisions also including dental and vision will be administered under standard non-duplication of benefit language, which prevents a covered person from receiving more in benefits under a combination of plans than would have been received under this plan alone had other coverage not ...
Medical Plan Benefits. Through December 31, 2010, the Company will allow eligible bargaining unit employees to continue to participate in the following coverage options under the Entergy Corporation Companies‟ Benefits Plus Medical Plan:
Medical Plan Benefits. Medical benefits will continue for a 12 month period following the Termination Date (commencing September 1, 2007) at the same coverage levels and at the same premiums that exist at the Termination Date. Under the medical plan, your status will switch to an Eligible Retiree, meaning that you can maintain your health care coverage until age 65 after which time you will switch to the Company’s Medigap premium reimbursement program. At the end of the 12 month continuation period, your medical premiums to continue coverage as an Eligible Retiree will be increased to the same level as other Eligible Retirees.
Medical Plan Benefits. If the termination of the Executive’s employment occurs in anticipation of, or on or after, a Change in Control, during the eighteen-month period following the termination of the Executive’s employment the Company will, subject to the next sentence, reimburse the Executive monthly for the costs of medical insurance for the Executive and the Executive’s family under COBRA less the then-applicable monthly associate contribution amount for comparable participation under the Company’s medical insurance plan. If prior to the end of the eighteen-month period and as a result of employment the Executive becomes eligible for medical insurance the coverage and the cost of which is comparable in all material respects to the coverage and the cost of participation in the Company’s medical insurance plan then in effect, the Company’s obligations in the preceding sentence will immediately terminate. Unless the Company’s obligations in the first sentence of this paragraph have terminated in accordance with the preceding sentence, at the end of the eighteen-month period the Company will pay to the Executive in a lump sum an amount sufficient to enable the Executive to obtain equivalent medical insurance plan coverage for six months, no amount of which the Executive will be obligated to return upon subsequent employment. If termination of the Executive’s employment occurs as described in clause (B) of the first sentence of paragraph (i) of this subsection (b), the Company’s obligation with respect to the Executive’s participation under the Company’s medical insurance plan will be limited to the Executive’s COBRA rights, which the Executive may exercise at the Executive’s expense.
Medical Plan Benefits. Choice of coverage between HMSA and Kaiser. · Prescription Drug, Vision Rider, Acupuncture and Chiropractor included. · Effective: First of the month following date of hire. · Dependent coverage includes spouse and/or eligible child up to age 19, or through age 24 if full-time student. · If your spouse is employed by Hawaiian Airlines, individual coverage if desired, will be provided to each but neither may be included on his or her spouse’s plan. Likewise, coverage for dependent children may be included under one employee’s plan only. HMSA-PPP Monthly Premiums:
