Alternate Coverage Clause Samples

Alternate Coverage. Nothing contained in this Article shall prevent any 16 employee from participating in any other health insurance plan offered by the City. 17 18 ARTICLE 28 19 EDUCATION REIMBURSEMENT

Alternate Coverage. If any insurance required hereunder ceases to be available, or is available on terms so unacceptable that prudent lessors or tenants, as the case may be, generally do not carry such insurance, then in lieu of such insurance, the pertinent party may carry the most comparable insurance which is available and generally carried by prudent parties.

Alternate Coverage. The Hospital reserves the right to change the insurance carrier or health maintenance organization (HMO) to some other insurance carrier or HMO with the understanding that such change will result in equivalent rather than identical benefits. CIR will be notified prior to any change.

Alternate Coverage. (a) If an employee’s spouse is employed by any department of the Town and is eligible to receive health and/or dental insurance coverage through a plan supported by taxpayer funds, the Town will provide the employees with only one health and/or dental insurance plan, and the Town shall have the sole discretion to choose which employee’s health and/or dental plan such employees will be enrolled in. If the Town chooses to enroll such employees in a health plan other than the health plan set forth in Section 1 of this Article XII, the employee covered by this agreement shall become eligible to receive a payment at the end of the fiscal year, equal to $3,500. (b) If an employee is eligible to receive comparable health and/or dental insurance through a spouse’s plan, other than a plan provided through another department of the Town, such employee shall be required to enroll in such plan(s) and shall not be eligible for health and/or dental insurance under this Agreement; however, the employee shall become eligible to receive a payment at the end of the fiscal year, equal to $3,500. (c) If an employee is eligible for Medicare, the employee shall be required to enroll in Medicare, and the Town will provide such employee with a Medicare Supplement Plan, subject to the applicable employee co-payment as set forth in Section 4 of this Article XII. (d) Employees shall be required annually to complete a form provided by the Town indicating what health and/or dental insurance benefits are available to the employee. (e) The Town shall provide two individual health and/or dental insurance plans to employee and spouse in lieu of one family plan, when there are no dependents eligible for coverage, or enrollee plus dependents if no spouse is eligible, once the Town health plan has been amended to accommodate these tiered choices. If dependents and/or spouse need to be added, the employee may transfer back to a Family plan at that time. (f) The Town may seek alternative health insurance coverage, which will provide the same level of coverage to that set forth herein. In such case, the Town will consult with the union, prior to implementing such plans.

Alternate Coverage. Notwithstanding the provisions in Section 14.1 above, which 7 provides for health care coverage, the Union agrees that the Employer may offer alternative health 8 care coverage programs during the term of the Agreement. The City shall determine the terms and 9 conditions of such alternative programs. The cost and/or terms and conditions of said programs 10 shall be at the discretion of the City and may be subject to change. Employees may withdraw from 11 said program at their discretion and shall be entitled to the benefits described in Section 14.1.

Alternate Coverage. Nothing contained in this Article shall prevent any employee from participating in any other health insurance plan offered by the City.

Alternate Coverage. A combination of primary and excess/umbrella policies may be used to fulfill the insurance requirements of this section

Alternate Coverage. Should Central States not be available at any time during the term of the Agreement employees will be eligible to enroll in the County's Health Insurance plan according to the terms and conditions of the plan at the time, subject to any enrollment requirements, at the contribution rate established by the Plan.

Alternate Coverage. An eligible retiree, past or present whose spouse has comparable group health insurance coverage from another source must secure coverage for the spouse from the group. The comparable coverage must also cost the spouse less than six hundred ($600.00) dollars annually (nine hundred [$900.00] dollars effective January 1, 2009.) (This amount shall be twelve hundred [$1,200.00] dollars for those eligible retirees who retire on or after April 20, 2011.) The spouse may then be covered by the Employer’s group health coverage upon becoming ineligible to be covered by the other source of if the alternate coverage does not continue to be comparable to the coverage provided by the Employer. If an employee does not agree with the County’s determination of comparable coverage, they may submit the issue for an independent third-party review. The independent third-party will be mutually agreed to by the Union and the County. The decision made by the independent third-party shall be final and binding on all parties and not subject to the Grievance Procedure.