Medical Program Clause Samples

Medical Program. Employees have a choice of various options depending on employee address, including health maintenance organization (HMO), point-of-service (POS), preferred provider (PPO), exclusive provider organization (EPO) or a Health Care Reimbursement Account (HRA). Choice of plans may vary from location to location. Eligible part-time employees appointed and paid by the University to work a specified minimum appointment and average regular paid time may be covered by the CORE major medical plan. The plan is available to the employee and eligible family members.

Medical Program. Eligible postdoctoral scholars and their dependents may choose between the following medical programs provided through Healthnet: a. Health Maintenance Organization (HMO) b. Preferred Provider Organization (PPO)

Medical Program. A. The medical program for installers is composed of a Medical, Vision, Prescription, Dental and Life insurance program. Each Employer signatory to this Agreement shall pay into the Sign, Pictorial and Display Industry Medical Program for all hours paid or owed for employees covered by this Agreement. effective effective effective 4/1/2012 4/1/2013 4/1/2014 Installers/Apprentices $10.70 $11.20 $11.70 Regular $9.45 $9.95 $10.45 B. Payments are due and payable into the Medical Program between the first and fifteenth day of each month, provided that the Employers receive the necessary forms and data by the first of the month. C. Said Medical Program shall be administered in accordance with the provisions of the Trust Agreement adopted by the parties hereto and by any amendments thereto. D. The Union may defer wages to the Medical Plan during the term of this Agreement. (See Article XV, section H)

Medical Program. A variety of Health Maintenance Organizations (HMOs) and fee- for-service plans are available to cover eligible employees and their eligible family members. Choice of plans may vary from location to location. Eligible part-time employees appointed and paid by the University to work a specified minimum appointment and average regular paid time may be covered by the CORE major medical plan. The plan is available to the employee and eligible family members. For a list of medical plans and rates, please refer to UCNet Compensation and Benefits webpage: ▇▇▇▇▇://▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/compensation-and-benefits/

Medical Program a. Effective November 1, 2015, the District shall self-fund health insurance coverage for eligible and participating association members and will offer the following health insurance plans: ▇▇▇▇▇▇▇▇ CSD C Plan Clarence CSD HDHP ($1,100/$2,200 deductible) b. Effective November 1, 2015, the prescription drug co-payment on health insurance plans shall be as follows: ▇▇▇▇▇▇▇▇ CSD C Plan $5 $25 $35 ▇▇▇▇▇▇▇▇ CSD HDHP $10 $30 $50 (after deductible) In the event that an insurance company unilaterally changes its prescription drug rider co-payment amounts, the District and the Association shall negotiate to secure a new rider which results in the least increase in cost to the bargaining unit members. c. The District’s contribution for health insurance premium equivalents regardless which plan an employee selects shall be 90%. Beginning with the 2016-2017 school year, the District’s contribution for all health insurance plans will be 89%. Beginning with the 2017-18 school year, the District’s contribution for all health insurance plans will be 88%. The District’s contribution to the ▇▇▇▇▇▇▇▇ CSD HDHP premium equivalents will not exceed the District’s contribution to the ▇▇▇▇▇▇▇▇ CSD C Plan. d. In accordance with IRS Code Section 105h, bargaining unit members who select the ▇▇▇▇▇▇▇▇ CSD C health insurance plan shall be issued a debit card with an annual funding of the card by the District as follows: $165 for individuals eligible for the single plan, $295 for individuals eligible for the double plan, and $375 for individuals eligible for the family plan. e. For employees enrolled in the ▇▇▇▇▇▇▇▇ CSD HDHP plan, the District shall establish a plan in accordance with IRS Code Section 105h with annual deposits of $1,100 (single plan) and $2,200 (two person or family plan). Unused funds shall accumulate with no maximum accumulation. f. The District will not institute changes in the benefit plans or levels of coverage which are in effect pursuant to Section 9.01(a) and (b) above, until and unless a new plan is negotiated during the term of this Agreement. A joint task force will be formed as soon as possible for the purpose of examining and developing health care options to be recommended to the Superintendent and President of the CTA. Ratification by a majority vote of the CTA and Board is required for implementation. g. In the event a health insurance plan is changed or modified by a carrier, the District will offer an equivalent plan from the same carrier. h. The Distri...

Medical Program. Career plans are available to eligible employees. A variety of medical plans are available to cover employees and their eligible dependents. Costs in excess of the University contribution levels, if any, are paid by the employee through payroll deduction. Choice of plans may vary from location to location. Eligible part-time employees appointed and paid by the University to work a specified minimum appointment and average regular paid time may be covered by the CORE major medical plan. The plan is available to the employee and eligible dependents.

Medical Program. CBIA Service Corporation (CBIASC) makes a bundled medical benefits solution available to CBIA members, which includes the following service providers, negotiated by CBIASC on behalf of each Participating Employer: • Provider Network – CIGNA Healthcare (CIGNA) • Stop Loss Carrier – Great Midwest Insurance Company (GMIC) • Third-party Administrator – S&S Health (S&S Health) • Pharmacy Benefits Manager – Ventegra, Inc. (Ventegra) • Member Services & Member Navigation – Valenz Health (Valenz) • Telemedicine – Recuro Health, Inc. (Recuro) Under this program: • The Participating Employer is a fiduciary and serves as the Plan Sponsor and Plan Administrator under ERISA, whereas CBIASC is the program manager. • As Plan Sponsor, the Participating Employer has a relationship with GMIC, ▇▇▇▇▇, S&S Health, and Ventegra for claim payment and liability purposes. • CBIASC performs certain administrative functions, including but not limited to enrollment and billing. The Participating Employer authorizes CBIA Service Corp. to work on its behalf in the design of the program and to convene the associated service providers. Service providers may be replaced at the discretion of CBIASC. Submission of this Employer Participation Agreement is deemed your acceptance of the terms of this program and the solution stack, along with the corresponding service providers with which CBIASC has partnered.

Medical Program a. Effective November 1, 2015, the District shall self-fund health insurance coverage for eligible and participating association members and will offer the following health insurance plans: ▇▇▇▇▇▇▇▇ CSD C Plan ▇▇▇▇▇▇▇▇ CSD HDHP (deductible shall be established as per IRS limits) b. After the ratification of this collective bargaining agreement by both parties to this Agreement, effective July 1, 2021, the prescription drug co-payment on health insurance plans shall be as follows: ▇▇▇▇▇▇▇▇ CSD C Plan $0 $30 $50 ▇▇▇▇▇▇▇▇ CSD HDHP $10 $30 $50 (after deductible) In the event that an insurance company unilaterally changes its prescription drug rider co-payment amounts, the District and the Association shall negotiate to secure a new rider which results in the least increase in cost to the bargaining unit members. c. The District’s contribution for health insurance premium equivalents regardless of which plan an employee selects shall be as follows: Year District Contribution 2021-22 86.5% 2022-23 86.5% 2023-24 85.5% The District’s contribution to the ▇▇▇▇▇▇▇▇ CSD HDHP premium equivalents will not exceed the District’s contribution to the ▇▇▇▇▇▇▇▇ CSD C Plan. d. In accordance with IRS Code Section 105h, bargaining unit members who select the ▇▇▇▇▇▇▇▇ CSD C health insurance plan or the HDHP plan shall be issued a debit card with an annual funding of the card by the District as follows: Plan Level 2021-2022 2022-2023 2023-2024 C – Single $185 $200 $215 C- 2-person $320 $345 $375 C – Family $410 $440 $475 HDHP – Single $1100 $1100 $1190 HDHP – Family $2200 $2200 $2380 e. The District will not institute changes in the benefit plans or levels of coverage which are in effect pursuant to Section 9.01(a) and (b) above, until and unless a new plan is negotiated during the term of this Agreement. A joint task force will be formed as soon as possible for the purpose of examining and developing health care options to be recommended to the Superintendent and President of the CTA. Ratification by a majority vote of the CTA and Board is required for implementation. f. In the event a health insurance plan is changed or modified by a carrier, the District will offer an equivalent plan from the same carrier. g. The District shall offer an annual open enrollment period. h. In the event that the health insurance plans, costs, or benefits provided for in this Agreement will result in a penalty or tax are otherwise financially impacted by the federal or state legislation, rules and/o...

Medical Program. New Mexico Public School Insurance Authority NMPSIA – (▇▇▇) ▇▇▇-▇▇▇▇, ext 108 Group #GR002192 Within the first 30 days after date of hire employees may sign up for the medical insurance program. After 30 days, they may only join the program during the periodic open enrollment period or due to a change in status as defined in IRS Section 125. Complete details of the program are explained in the group medical insurance booklet available from HR. Coverage becomes effective the first of the month following date of hire or status change.