HOSPITALIZATION COVERAGE Sample Clauses

The Hospitalization Coverage clause defines the insurance policy's provisions for covering expenses related to a policyholder's admission to a hospital. It typically outlines which medical costs are included, such as room charges, surgery fees, and prescribed medications, and may specify limits, exclusions, or required pre-approvals. This clause ensures that insured individuals receive financial support for hospital stays, reducing the burden of unexpected medical expenses and providing clarity on what is covered during hospitalization.
HOSPITALIZATION COVERAGE. A. Employees who have retired since January 1, 1971, have met the vesting requirements with ▇▇▇▇▇▇ County service only, and are immediately eligible for retirement benefits as provided in the above plan, shall be provided single subscriber health and hospitalization coverage supplementing Medicare. B. Employees who retire after January 1, 1992, have met the vesting requirements with ▇▇▇▇▇▇ County service only, and are immediately eligible for retirement benefits shall be provided single subscriber health and hospitalization coverage. Retirees shall receive the same health coverage options as active employees, if available, with a benchmark as set forth in Article 24, including the increase in the benchmark will be shared 50/50 by the Employer and the retiree on a monthly basis. Retirees can pay for their spouse's coverage under the conditions established by the County. If a coverage is no longer available, the retiree must select from what is available and pay the difference in cost, if any. C. In the event a retiree wishes to cover his or her spouse, he/she do so by prepaying the County the difference between the applicable two-person rate and the appropriate benchmark amount.
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HOSPITALIZATION COVERAGE. Employees will be offered choices of health insurance coverage. Commencing with July 1, 2017, the District’s monthly health care insurance premium shall not exceed the following amounts: Single $592.94 2 person $1,264.39 Family $1,334.64 Any applicable health insurance plan premium that costs less than the 2017-2018 amounts will be fully paid by the Board and no payroll deductions by OPEIU Staff will occur, provided that the District’s annual contributions for health care costs for OPEIU bargaining unit members do not exceed the limitations stated within section 3 of the Publicly Funded Health Insurance Contribution Act, MCL §15.561-.569. Any applicable health insurance plan premium that costs more than the above amounts will be the employee’s responsibility and shall be paid via payroll deduction. The following health insurance options will be offered to staff: • BCBS PPO Select Community Blue Option 1 with a $30 Office Copay and $10/40/80 Rx Copays. • BCBS PPO Versatile Community Blue Option 2 with a $20 Office and $10/40/40 Rx Copays. Option 2 has a $250/500 in-network deductible. There is also a 90% in-network coinsurance after the deductible with a $1,000/2,000 maximum. • BCBS PPO Simply Blue Option 3 with a $20 Office Visit copay, $40 Specialist copay, $60 Urgent Care copay, $150 Emergency Room copay and $20/$40/$80 Rx copays. Option 3 has a $250/500 in-network deductible. There is also a 90% in-network coinsurance after the deductible with a $1,000/2,000 maximum. • BCBS HDHP Flexible Blue Option 4 with a $1,300 single deductible and $2,600 two-person or family deductible. This deductible will increase to $1,350 for single and $2,700 for two-person or full family effective January 1, 2018 as required by the Internal Revenue Service. The employee must pay the full deductible before any insurance payments are made. Once the deductible is paid in full for the calendar year, all covered in-network services are covered at 100%. However, there is still a $10/40/40 Rx Copay after the full deductible is paid. The plan qualifies for a Health Savings Account that the employee can fund. • BCBS PPO Simply Blue Option 5 with a $30 Office Visit copay, $50 Specialist copay, $60 Urgent Care copay, $150 Emergency Room copay and $20/$40/$80 Rx copays. Option 5 has a $250/500 in-network deductible. There is also an 80% in-network coinsurance after the deductible with a $2,500/5,000 maximum. For employees working half time or more but less than full time, the District m...
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HOSPITALIZATION COVERAGE. A. From the effective date of this agreement through, June 30, 2023, the City agrees to provide health insurance for all members covered by this agreement. B. During the term of this agreement, the City of Salem agrees to pay eighty-eight and one half percent (88.5%) of the cost of the family, employee/spouse, employee/child, or single plan and the employee agrees to pay the remaining eleven and one half percent (11.5%) of the family, employee/spouse, employee/child plan, or single plan twice a month through payroll deduction. With respect to the employee share of premium payments as outlined in this paragraph, the parties agree to reopen negotiations on health insurance within a minimum of sixty (60) days prior to the expiration of the health plan. The parties agree that the premiums will not exceed 15% for the employees during the life of this Agreement. Should the employer desire to change coverage, providers, deductibles, and/or co-pays, it shall notify the union in writing a minimum of sixty (60) days in advance and may initiate renegotiations of the issue of health coverage within two (2) weeks of such notice. Upon request of the Union, the Employees shall meet to negotiate over options. C. All bargaining members hired after July 1, 2017 will pay fifteen percent (15%) of the family, employee/spouse, employee/child, or single plan, twice a month through payroll deduction and the City of Salem agrees to pay eighty five percent (85%) of the family, employee/spouse, employee/child, or single plan. D. All bargaining members hired after July 1, 2017 whose spouse has access to his/her own hospitalization health benefit through his/her own employer, but elects our plan as his/her primary coverage, will be required to pay an additional fifty percent (50%) of the employer share, twice a month through payroll deduction, of the difference between family and employee child, or single and employee/spouse. (This excludes spouses who are eligible for Medicare.) E. Periodically, a form will be required to be filled out by each employee indicating whether there has been a life changing event that would affect his/her spouse’s access to his/her employer’s hospitalization health benefit. It will be the bargaining member’s responsibility to notify the Employer of any change in spousal employment insurance coverage or any qualifying event regarding the spouse’s medical coverage. If the bargaining member fails to inform the City of Salem of any change to the spousal employ...
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HOSPITALIZATION COVERAGE. Employees will be offered choices of hospitalization coverage. Physicians Health Plan plus with a $5/$10/$25 prescription co-pay; $10 office visit co-pay; $15 urgent care, $25emergency co-pay. PHP (as specified above) will be paid 85% by the District and the employee will pay 15% of the premium (be it single, two-person or full family) for any requesting full-time employee. The 85% of the premium paid by the board will be established as the benchmark for single, two- person or full family. In addition to the PHP Plus plan specified above, employees will be offered choices during open enrollment of any other PHP plans offered in the district. Any applicable insurance premium less than the benchmark (i.e. PHP Plus plan identified above less the 15% paid by the employee) will be fully paid by the Board and no payroll deductions by OPEIU staff will occur. Any applicable insurance premium more than the cost of the benchmark (i.e. PHP Plus plan identified above less the 15% paid by the employee) will be paid by the employee via payroll deduction. For employees working half time or more but less than full time, the premium payment will be prorated for requesting employees. Flexible Spending Account (FSA) program will be available to employees. The parties will begin negotiations for a successor agreement to their 2011-2012 Agreement by March 1, 2012
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HOSPITALIZATION COVERAGE. The Board shall make payment of insurance premiums, in accordance with NJ Public Law Chapter 78.
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HOSPITALIZATION COVERAGE. The employer agrees to pay the full premium for the Core Plan hospitalization medical coverage for the employee and their dependants. The Core Plan and Buy-Up options for the period 1/1/11-2/28/11 and beginning 3/1/11 are made part of this Agreement. Effective January 1 of each subsequent year of this contract, the revised Health Insurance Options page will be attached to this Agreement to reflect any increases or decreases in plan rates. Coverage shall be applied to all seniority employees. If any other employee group employed by the county receives an improvement in medical insurance coverage provided by the employer, the same improved coverage shall be provided to the AFSCME County Airport employees on the same terms. The Union further agrees that the employer may change the insurance provider, with the unions consent, providing that said coverage is equal to or better than the coverage now provided its employees. The cash-in-lieu payment will be equal to 40% of the premium in effect during 2010 for Plan 1 (Core Plan). Employees qualified to enroll in the plan as a single member, two-person or family will receive 40% of the 2010 rate for Plan 1.
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HOSPITALIZATION COVERAGE. The Emoloyer aarees to oay the full oremium for hospitalization "ledical coveraae for the emoloyee and his deoendents; the plan to be Michioan Blue Cross MVF olus Master Medical. This coverage shall be aoolied to all seniority employees. I. The employee shall also be provided a $2.00 prescription rider.
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HOSPITALIZATION COVERAGE. 1. The Board will contribute the full premium cost of the currently established hospitalization plan for the individual teacher and his dependents during the term of this contract. 2. The carrier of said hospitalization plan will be the New Jersey State Health Benefits Plan.
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Related to HOSPITALIZATION COVERAGE

  • Vision Coverage A fully employee paid vision benefit will be available beginning January 1, 2021 subject to agreement by the subcommittee of the Joint Labor Management Insurance Committee to the benefit set determined through the state’s Request for Proposal (RFP) process.

  • Hospitalization In the event an employee is hospitalized overnight, the employee will have access to their EIB accrual at the first day of absence due to the hospitalization. Same day surgery, if requiring five (5) or more days of recovery, may also be paid from the employee’s EIB account.

  • Hospitalization Insurance A) Effective January 1, 2012, all eligible employees shall be enrolled into Blue Cross Blue Shield Community Blue 4 (CB4) medical plan with a closed formulary $5 generic/$40 preferred brand/$80 non-preferred brand prescription drug card. The CB4 medical plan shall include a $500 single/$1,000 couple/family first dollar deductible, after which coinsurance will be provided at 80% with an annual employee maximum co-insurance out of pocket at $1,500 single and $3,000 family. In accordance with Health Care Reform preventative care is covered 100%. Copays shall include $30 for office visits, $30 for urgent care, and $150 for emergency room visits. Effective July 1, 2019 the City will also provide Blue Cross Blue Shield Simply Blue PPO with a $5 generic/$40 preferred brand/$80 non-preferred prescription drug card as a voluntary option for employees. Effective January 1, 2012, the City shall establish a Cafeteria Plan Section 125 Flexible Spending Account (FSA) for qualified medical expenses compliant with all IRS regulations. Employees may elect to contribute into the FSA on a pre-tax basis up to a limit set by the employer in compliance with IRS regulations and Health Care Reform. Employees must establish their contributions each calendar year, and the amount may not be altered unless the employee experiences a qualifying event as defined by the IRS. The City shall not contribute into the employee’s FSA for calendar year 2011, 2012 or 2013. Effective with calendar year 2014 the City’s contribution into the FSA will be in accordance with Article IV Section 5. Qualified purchases during the calendar year using FSA funds must be submitted for reimbursement no later than the last day of February the following calendar year. Any money contributed into the FSA and not spent will be forfeited by the employee. Effective July 1, 2019 the FSA plan year shall be July through June to coincide with the medical plan year. Qualified purchases during the plan year using FSA funds must be submitted for reimbursement no later than the last day of September following the close of the plan year June 30th. Any money contributed into the FSA and not spent will be forfeited by the employee, except for the amount allowed by IRS regulations. The City reserves the right to self insure any and all medical insurance plans as described in this Collective Bargaining Agreement at the City’s sole discretion.

  • Workers’ Compensation Coverage Consultant certifies that Consultant has qualified for workers’ compensation as required by the State of Oregon. Consultant shall provide the Owner, within ten (10) days after execution of this Agreement, a certificate of insurance evidencing coverage of all subject workers under Oregon’s workers’ compensation statutes. The insurance certificate and policy shall indicate that the policy shall not be terminated by the insurance carrier without thirty (30) days’ advance written notice to City. All agents or Consultants of Consultant shall maintain such insurance.

  • Continuation Coverage If Executive elects continuation coverage pursuant to the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended (“COBRA”) within the time period prescribed pursuant to COBRA for Executive and Executive’s eligible dependents, then the Company will reimburse Executive for the COBRA premiums for such coverage (at the coverage levels in effect immediately prior to Executive’s termination) until the earlier of (A) a period of six (6) months from the date of termination or (B) the date upon which Executive and/or Executive’s eligible dependents become covered under similar plans. The reimbursements will be made by the Company to Executive consistent with the Company’s normal expense reimbursement policy. Notwithstanding the first sentence of this Section 3(a)(iii), if the Company determines in its sole discretion that it cannot provide the foregoing benefit without potentially violating, or being subject to an excise tax under, applicable law (including, without limitation, Section 2716 of the Public Health Service Act), the Company will in lieu thereof provide to Executive a taxable monthly payment, payable on the last day of a given month, in an amount equal to the monthly COBRA premium that Executive would be required to pay to continue Executive’s group health coverage in effect on the termination of employment date (which amount will be based on the premium for the first month of COBRA coverage), which payments will be made regardless of whether Executive elects COBRA continuation coverage and will commence on the month following Executive’s termination of employment and will end on the earlier of (x) the date upon which Executive obtains other employment or (y) the date the Company has paid an amount equal to six (6) payments. For the avoidance of doubt, the taxable payments in lieu of COBRA reimbursements may be used for any purpose, including, but not limited to continuation coverage under COBRA, and will be subject to all applicable tax withholdings.