Prescription Insurance Clause Examples

Prescription Insurance. 1. The Board shall provide a Family Coverage program of prescription insurance based upon the following co-pay amounts: Generic $10 $20 Formulary $30 $60 Non-Formulary $60 $120 Specialty $100 $200 Step Therapy, Preferred Specialty Management, and Prior Authorization with additions shall be in effect. The Prescription insurance annual out-of-pocket maximum shall be Five Thousand Dollars ($5,000.00). 2. Co-pays apply once to each 90-day mail order.

Prescription Insurance. SECTION 1. Effective upon the date of ratification of the within agreement, the Prescription Plan provided to all employees covered by this Agreement shall be the NJ DIRECT 15 Plan maintained by the SHBP. SECTION 2. The Township reserves the right to change insurance carriers and/or insurance plans so long as substantially similar or greater benefits are provided.

Prescription Insurance. 31.1 The ▇▇▇▇▇▇▇ Board of Education will provide prescription insurance coverage for each member of the bargaining unit through the HESE Wellness Plan effective August 1, 2015.

Prescription Insurance. Subject to the provisions of Section 4.05 below, the Board will provide prescription insurance coverage for each member of the bargaining unit. Employees may elect to receive twenty-five percent (25%) of the current single premium in lieu of participating in the prescription insurance program upon providing proof of other insurance coverage that is not through the Health Insurance Marketplace. Payment is to be made the first pay in July. Employees are not eligible for this payment in lieu if they are covered by insurance provided by the Board or any other member of the health insurance consortium of which the District is a member.

Prescription Insurance. Section 1. The Employer shall make available to all employees covered by this Agreement, who are enrolled under one of the Employer's health insurance plans, a $7.00 co-pay for prescription drugs. The Employer has contracted with a managed pharmacy drug benefit program for a three-tier prescription benefit at $7/$15/$35. a.) The Employer will reimburse employees, the difference between $7.00 co-pay referred to in Section 1. above and the second or third tier co-pay when: 1.) there is verification from a valid formulary or a licensed pharmacy that there are no generic drugs available; or 2.) employees have their physician document that they cannot tolerate the generic alternative or the generic alternative is ineffective and only a second or third tier drug is appropriate. Reimbursement forms must be submitted within ninety (90) days of purchase. Section 2. An employee will be provided prescription coverage at the same time the health plan becomes effective. Section 3. The Employer shall contribute to the cost of the prescription coverage the same percentages as contributed under Article 49, Section 3.

Prescription Insurance. The Board shall provide a full family prescription drug plan at the following costs to the employee of five ($5.00) dollars per brand prescription and one ($1.00) dollar per generic prescription. For mail order, five ($5.00) dollars per brand prescription and one ($1.00) per generic prescription. Effective January 1, 2022, or as soon thereafter as possible, the Board shall provide a full family prescription drug plan at the following co-payment costs to the employee: Retail: $5.00 Generic $10.00 Preferred Brand Name $15.00 Non-Preferred Brand Name Mail Order: [90-Day Supply] $5.00 Generic $10.00 Preferred Brand Name $15.00 Non-Preferred Brand Name Fertility drugs will no longer be covered under the drug plan. The claim must be filed under the medical plan for consideration by the carrier.

Prescription Insurance. 14:9.1 During the leave, if the teacher recovers and is certified by his or her physician as being able to return to a Board-offered vacancy and refuses to do so, or if the employee accepts employment elsewhere, all Board payments (the benefits noted above) will cease.

Prescription Insurance. The Board shall provide a prescription drug insurance plan, without contraceptives. The employee co-pay shall be $0 mail order; $10 generic; and $20 brand name. Effective July 1, 2006, the enrolled employee covered by single coverage shall pay $300 per year toward the premium; and the enrolled employee covered by an enrollment level above single coverage shall pay $375 per year toward the premium. During the term of the Agreement, the Board shall assume the balance of the premium. The actual contribution to the premium paid by the Board at each future enrollment level shall be the same as per the PEA contract.

Prescription Insurance. Effective as soon after mutual ratification of the 2004-2007 Agreement as possible, the employee co-payment shall be $20 for brand-name drugs; $10 for generic drugs; and one co-payment ($20 for brand-name drugs; $10 for generic) for a 90 day supply by mail-order.