Common use of Medical Program Clause in Contracts

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 District shall offer an annual open enrollment period. i. 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/or regulations issued in relation to the Patient Protection and Affordable Care Act and/or the Health Care and Education Reconciliation Act of 2010, either party may reopen negotiations on the issue of health care, upon five (5) calendar days prior notice. The parties agree to expeditiously negotiate in good faith matters related to health insurance. The parties hereby agree that if they are unable to reach an agreement within two (2) calendar days prior to the penalties or taxes being imposed on the District, the District may implement changes necessary to comply with federal and/or state laws, rules and regulations and/or to avoid or eliminate penalties, potential penalties, or taxes after prior written notice to the union. The District agrees that any unilateral change made pursuant to this article will not result in an overall decrease in the total value of compensation and benefits provided to unit members. Any dispute concerning the changes implemented by the district pursuant to this provision shall be subject to the contractual grievance and arbitration provision; any such grievance may be filed directly to Stage 2. The Parties agree to continue to negotiate in good faith until a mutual change and agreement is made.

Medical Program. a. Effective November July 1, 20152010, 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 Active & Family ▇▇▇▇▇▇▇▇ CSD HDHP ($1,100/$2,200 deductible) b. Effective November July 1, 20152010, the prescription drug co-payment on health insurance plans shall be as follows: ▇▇▇▇▇▇▇▇ CSD C Plan $5 $25 15 $30 ▇▇▇▇▇▇▇▇ CSD Active & Family $10 $20 $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 9092%. Beginning with the 20162014-2017 2015 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 8890%. 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: $165 150 for individuals eligible for the single plan, $295 275 for individuals eligible for the double plan, and $375 350 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 District shall offer an annual open enrollment period. i. 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/or regulations issued in relation to the Patient Protection and Affordable Care Act and/or the Health Care and Education Reconciliation Act of 2010, either party may reopen negotiations on the issue of health care, upon five (5) calendar days prior notice. The parties agree to expeditiously negotiate in good faith matters related to health insurance. The parties hereby agree that if they are unable to reach an agreement within two (2) calendar days prior to the penalties or taxes being imposed on the District, the District may implement changes necessary to comply with federal and/or state laws, rules and regulations and/or to avoid or eliminate penalties, potential penalties, or taxes after prior written notice to the union. The District agrees that any unilateral change made pursuant to this article will not result in an overall decrease in the total value of compensation and benefits provided to unit members. Any dispute concerning the changes implemented by the district pursuant to this provision shall be subject to the contractual grievance and arbitration provision; any such grievance may be filed directly to Stage 2. The Parties agree to continue to negotiate in good faith until a mutual change and agreement is made.