Common use of Group Insurance Program Clause in Contracts

Group Insurance Program. A. Except as specifically set forth in the Agreement, the School Corporation has the right, in its discretion, to change, modify or alter any aspects of the insurance programs contained in this Agreement, including without limitation, carriers, eligibility requirements, plan design, premium, and open enrollment periods. However, there must be mutual agreement between the Board and the Association to change or modify the Prime Health Plan. B. Group Hospital, Medical, Dental, and Vision Insurance 1. The Board shall pay the amounts below for insurance coverage for the Prime, Standard, or either of the High Deductible/Health Savings Plan (HSA) as selected by the Teacher for hospital, medical, dental and vision insurance coverage: Single Plan An amount equal to 80% of Standard Plan Employee / child(ren) An amount equal to 65% of Standard Plan Employee / spouse An amount equal to 65% of Standard Plan Family An amount equal to 65% of Standard Plan *Married 2 CCS Employees An amount equal to 72% of Standard Family Plan *Applies only if both spouses are employed by Carmel Clay Schools, both are eligible for benefits, and they select a Family Plan 2. Teachers may enroll in the medical, dental and vision plan or change their enrollment status within thirty-one (31) days prior to retirement with the change to be effective on the date of retirement. Teachers with a part-time or alternative contract <50% of a regular teacher contract who subsequently accept another part-time/full-time contract at or more than 50% of a full time contract will be eligible to enroll or change their status in medical, dental and vision plans within 31 days after accepting the full-time contract. 3. Teachers may enroll in the medical, dental and vision plan or change their enrollment status within thirty-one (31) days following any qualifying event as generally defined by state and federal law. 4. Effective January 1, 2020, new enrollees, including retirees, are not permitted in the Prime plan. If the Prime plan falls below 20% participation of the active teachers, who participate in the district’s health insurance under all plan options the plan is discontinued at the beginning of the next calendar year. If a plan is eliminated, teachers on that plan are given at least thirty (30) days to transfer to any of the other existing plans. 5. The lifetime maximum for the orthodontia benefit shall be $5,000. The orthodontia benefit shall not have an age limitation. C. Short Term Disability (“STD”) Program The Board shall provide to the teacher a short-term disability program as follows: 1. After a seven (7) calendar day elimination period,STD will begin paying benefits. 2. The teacher will receive 60% of base pay from STD for qualifying leaves. 3. To supplement the STD benefits, a teacher who qualifies for STD may use one (1) of his/her available personal illness or personal business days per five (5) days on STD to receive an additional 20% of base salary (for a total of 80% of base salary) or two (2) such days per five (5) days on STD to receive an additional 40% of base salary (total of 100% of base salary). 4. The Board shall pay all but $1.00 per year of the cost for the STD Program. 5. CCS will continue to pay the employer’s contribution toward insured benefit premiums during the STD period. D. Income Protection (LTD) 1. The Board shall pay all but $1.00 per year for each teacher covered by the group insurance carrier for Income Protection Insurance Coverage pursuant to the group insurance policy purchased for teachers by the Board. Such coverage shall include: a. a maximum ninety (90) continuous calendar day waiting period, b. at least 66 ⅔% of salary to a maximum gross monthly benefit up to $10,000 and up to Social Security Normal Retirement Age (SSNRA) for disability due to illness or accident,

Group Insurance Program. A. Except as specifically set forth in the Agreement, the School Corporation has the right, in its discretion, to change, modify or alter any aspects of the insurance programs contained in this Agreement, including without limitation, carriers, eligibility requirements, plan design, premium, and open enrollment periods. However, there must be mutual agreement between the Board and the Association to change or modify the Prime Health Plan. B. Group Hospital, Medical, Dental, and Vision Insurance 1. The Board shall pay the amounts below for insurance coverage for the Prime, Standard, or either of the High Deductible/Health Savings Plan Plans (HSA) as selected by the Teacher for hospital, medical, dental and vision insurance coverage: Single Plan An amount equal to 80% of Standard Plan Employee / child(ren) An amount equal to 65% of Standard Plan Employee / spouse An amount equal to 65% of Standard Plan Family An amount equal to 65% of Standard Plan *Married 2 CCS Employees An amount equal to 72% of Standard Family Plan *Applies only if both spouses are employed by Carmel Clay ▇▇▇▇▇▇ ▇▇▇▇ Schools, both are eligible for benefits, and they select a Family Plan 2. Teachers may enroll in the medical, dental and vision plan or change their enrollment status within thirty-one (31) days prior to retirement with the change to be effective on the date of retirement. Teachers with a part-time or alternative contract <50% of a regular teacher contract who subsequently accept another part-time/full-time contract at or more than 50% of a full time contract will be eligible to enroll or change their status in medical, dental and vision plans within 31 days after accepting the full-time contract. 3. Teachers may enroll in the medical, dental and vision plan or change their enrollment status within thirty-one (31) days following any qualifying event as generally defined by state and federal law. 4. For any new teacher hired to the School District, insurance will begin on September 1 of each new school year. For any teacher hired after September 1, their insurance will begin the month after they were hired. Effective January 1, 2020, new enrollees, including retirees, are not permitted in the Prime plan. If the Prime plan falls below 20% participation of the active teachers, who participate in the district’s health insurance under all plan options the plan is discontinued at the beginning of the next calendar year. If a plan is eliminated, teachers on that plan are given at least thirty (30) days to transfer to any of the other existing plans. 5. The lifetime maximum for the orthodontia benefit shall be $5,000. The orthodontia benefit shall not have an age limitation. C. Short Term Disability (“STD”) Program The Board shall provide to the teacher a short-term disability program as follows: 1. After a seven (7) calendar day elimination period,STD will begin paying benefits. 2. The teacher will receive 60% of base pay from STD for qualifying leaves. 3. To supplement the STD benefits, a teacher who qualifies for STD may use one (1) of his/her available personal illness or personal business days per five (5) days on STD to receive an additional 20% of base salary (for a total of 80% of base salary) or two (2) such days per five (5) days on STD to receive an additional 40% of base salary (total of 100% of base salary). 4. The Board shall pay all but $1.00 per year of the cost for the STD Program. 5. CCS will continue to pay the employer’s contribution toward insured benefit premiums during the STD period. D. Income Protection (LTD) 1. The Board shall pay all but $1.00 per year for each teacher covered by the group insurance carrier for Income Protection Insurance Coverage pursuant to the group insurance policy purchased for teachers by the Board. Such coverage shall include: a. a maximum ninety (90) continuous calendar day waiting period, b. at least 66 ⅔% of salary to a maximum gross monthly benefit up to $10,000 and up to Social Security Normal Retirement Age (SSNRA) for disability due to illness or accident,