ADDITIONAL LANGUAGE. The District may change plans only if all of the following procedures are followed. 1. The District reserves the right to change all insurance plan carriers as long as the benefits are equal to or better than the previous carrier. 2. Any proposed new carrier must offer benefits equal to or better than those provided by the New Jersey State Public and School Employees’ Health Benefits Plan. 3. The District shall provide the Association with the proposed master policy, which the Association may review and analyze for a period of at least thirty (30) days. 4. Any disputes over the award of benefits which arise between an employee and the New Jersey State Health Plan, the District agrees to support the employees with appropriate documentation and information to assist with the claim and/or appeal process. The following is applicable only if the District leaves the New Jersey State Health Benefits Plan: a. Any disputes over benefit levels or procedures which are not resolved by the parties through negotiations shall be submitted to binding arbitration. b. An arbitrator selected by the parties shall be experienced in the handling of health insurance issues. c. The decision of the arbitrator shall be issued not later than fifteen (15) days from the date of the closing of the hearing.
Appears in 1 contract
Sources: Collective Bargaining Agreement
ADDITIONAL LANGUAGE. The District may change plans only if all of the following procedures are followed.
1. The District reserves the right to change all insurance plan carriers as long as the benefits are equal to or better than the previous carrier.
2. Any proposed new carrier must offer benefits equal to or better than those provided by the New Jersey State Public and School Employees’ Health Benefits Plan.
3. The District shall provide the Association with the proposed master policy, which the Association may review and analyze for a period of at least thirty (30) days.
4. Any disputes over the award of benefits which arise between an employee and the New Jersey State Health Plan, the District agrees to support the employees with appropriate documentation and information to assist with the claim and/or appeal process. The following is applicable only if the District leaves the leave New Jersey State Health Benefits Plan:
a. Any disputes over benefit levels or procedures which are not resolved by the parties through negotiations shall be submitted to binding arbitration.
b. An arbitrator selected by the parties shall be experienced in the handling of health insurance issues.
c. The decision of the arbitrator shall be issued not later than fifteen (15) days from the date of the closing of the hearing.
Appears in 1 contract
Sources: Contract Agreement