Spousal Coordination of Benefits. Spouses of employees who work for an employer where insurance is available will be required to enroll in at least Single coverage through their employer. Xxxxxxx who retire after this date and who are eligible for health insurance through his/her retirement system or Medicare will be required to enroll in at least single coverage. The spouse can still be covered on the district’s policy as secondary. Spouses will be exempt from this requirement if:
Spousal Coordination of Benefits. ⬩ Any spouse of an employee of the Versailles Exempted Village Schools (VEVSD) who is eligible or later becomes eligible for benefits under his or her employer’s Medical, Dental, Vision or retiree health insurance plan is required to enroll for at least single coverage in the plan offered by or through his or her employer. Xxxxxxx enrolled in their employer’s plan may be enrolled as a covered dependent for secondary coverage under VEVSD plans. ⬩ If the spouse is eligible for coverage and does not enroll, he or she is not eligible to be covered by the Versailles Exempted Village Schools health care benefit plan. This change in the health insurance plan policy became effective July 1, 2005 and is applicable to you if you currently cover your spouse under the plan and he or she is eligible for health care benefits (Medical, Dental, Vision) through his or her own employer. In order to certify that your spouse is or is not covered by a plan where he or she works, you must complete a Spousal Coordination of Benefits Policy Form if you are enrolled in the Versailles Exempted Village Schools’ Medical, Dental or Vision insurance plan for family coverage. Falsification of statements on this form regarding benefits information will be considered grounds for termination of your contract. Generally, the following waivers apply: ⬩ If none of the above group mentioned sponsored health care benefit plans are available to the spouse, he or she is exempt from this requirement. ⬩ Spouse is under sixty-five (65), retired and does not have access to the option to purchase group or system pooled and/or sponsored retiree health care coverage ⬩ Spouse is unemployed
Spousal Coordination of Benefits. Spouses of employees who are eligible for medical insurance through their own employer by an employer-sponsored plan or a retiree eligible for medical insurance by a retirement system group health insurance plan are required to enroll in at least Single coverage through their employer or retirement system. Upon the spouse’s enrollment in any such employer or retirement plan sponsored group medical insurance coverage that coverage will become the primary payor of benefits and the coverage sponsored by the District will become the secondary payor of benefits. Spouses of the bargaining unit member affected by this change effective July 1, 2022 will remain under current coverage until the next open enrollment period provided by their employer if necessary. If the employee’s spouse has to wait for the next open enrollment, he/she will provide a letter from his/her spouse’s employer indicating the next open enrollment period. Employees affected by the spousal coordination of benefits clause are eligible for a forty percent (40%) reduction in monthly medical co-pays. The monthly co-pay reduction will be for those employees eligible for an employee+spouse plan who take the single plan and forty percent (40%) per month for those employees eligible for a family plan who take the employee+child(ren) plan.
Spousal Coordination of Benefits. Spouses of employees are to obtain health insurance from their employers, as long as it is made available to them from their employer, or retirement system if they do not have to pay more than 50% of the premium. This shall become the spouses’ primary health insurance policy. The PCSD employee may choose to carry his/her spouse on a family policy, but the PCSD insurance becomes secondary in coverage. Employees whose spouse is retired and currently on the PCSD family plan prior to the effective date of this contract will be grandfathered. NOTE: This policy became effective on October 01, 2007. Employees must notify the treasurer’s office by August 20, of each school year, that the spouse has enrolled in his/her employer’s policy to be effective October 01, 2007.
Spousal Coordination of Benefits. Effective September 1, 2023, spousal healthcare coverage will only be extended to employees whose spouse is unable to obtain healthcare through their employer. In the event a spouse can obtain coverage through their employer, they are not eligible to be on the Saucon Valley plan.
Spousal Coordination of Benefits. 1. If the employee’s spouse is eligible in their employer’s group health insurance and/or prescription drug insurance, the spouse of the employee must enroll in said employer’s sponsored group insurance coverage(s). (Spouse available insurance). The employee’s spouse may enroll in single employer sponsored group insurance coverage, the spouse is not required to enroll in family coverage.
