Common use of EMPLOYEE AND DEPENDENTS Clause in Contracts

EMPLOYEE AND DEPENDENTS. The District shall contribute, per eligible unit member per month to CVT, ninety percent (90%) of the amount established by CVT to provide the following dental coverage: No annual maximum on basic coverage, including crowns and cast restorations Four cleanings per patient per year Prosthodontics cost sharing 50/50 Nitrous oxide at no additional cost $2,000 lifetime maximum orthodontia cost sharing 50/50 The District shall contribute, per eligible unit member per month to CVT, ninety percent (90%) of the amount established by CVT to provide Life Insurance. APPENDIX C. GRIEVANCE FORM If more space is required in any section, please attach additional sheets. Name: Job Classification: School: Employee Organization: This form is not completed if the grievance is resolved at Level I. Supervisor’s Name: Title: Informal Conference Date: Date of Supervisor’s Response: Decision rendered at informal conference:

EMPLOYEE AND DEPENDENTS. The District shall contribute, per eligible unit member per month to CVT, ninety percent (90%) of the amount established by CVT to provide the following dental coverage: No annual maximum on basic coverage, including crowns and cast restorations Four cleanings per patient per year Prosthodontics cost sharing 50/50 Nitrous oxide at no additional cost $2,000 lifetime maximum orthodontia cost sharing 50/50 The District shall contribute, per eligible unit member per month to CVT, ninety percent (90%) of the amount established by CVT to provide Life Insurance. APPENDIX C. GRIEVANCE FORM If more space is required in any section, please attach additional sheets. Name: Job Classification: School: Employee Organization: This form is not completed if the grievance is resolved at Level I. Supervisor’s Name: Title: Informal Conference Date: Date of Supervisor’s Response: Decision rendered at informal conference:

EMPLOYEE AND DEPENDENTS. The District shall contribute, per eligible unit member per month to CVT, ninety percent (90%) of the amount established by CVT to provide the following dental coverage: No annual maximum on basic coverage, including crowns and cast restorations Four cleanings per patient per year Prosthodontics cost sharing 50/50 Nitrous oxide at no additional cost $2,000 lifetime maximum orthodontia cost sharing 50/50 The District shall contribute, per eligible unit member per month to CVT, ninety percent (90%) of the amount established by CVT to provide Life Insurance. APPENDIX C. GRIEVANCE FORM SEIU Appendix B • Health and Welfare Benefits ▇▇ If more space is required in any section, please attach additional sheets. Name: Job Classification: Classification School: Employee Organization: Organization This form is not completed if the grievance is resolved at Level I. Supervisor’s Name: Title: Name Title Informal Conference Date: Date of Supervisor’s Response: Decision rendered at informal conference: