Payment in Lieu of Health Insurance Clause Samples

Payment in Lieu of Health Insurance. Notwithstanding the provisions of Section 14.1, effective with the execution of this Agreement, a full-time employee may voluntarily elect to waive in writing all health insurance coverage outlined in Section 14.1 and in lieu thereof, shall receive thirty-five dollars ($35.00) per pay period subject to the following:

Payment in Lieu of Health Insurance. All full-time employees who elect at their own discretion not to participate in the hospital and surgical insurance program as set forth in Section 1 shall be eligible to receive a cash alternative in lieu of insurance coverage, in the amount of Fifty and 00/100 Dollars ($50.00), each pay period (or such higher amounts as may be approved by the County for any County wide bargaining unit or the County non-union group), if the employee is not covered by the insurance of a relative whose premiums are paid by County or Court funds. Before any employee chooses to opt-out of the County insurance, the employee must provide proof of a reasonable level of health care coverage from another source.

Payment in Lieu of Health Insurance. Notwithstanding the provisions of Section 14.1, effective with the execution of this Agreement, a full-time employee may voluntarily elect to waive in writing all health insurance coverage outlined in Section 14.1 and in lieu thereof, shall receive thirty-five dollars ($35.00) per pay period subject to the following: (a) The employee must provide proof of insurance coverage from some other source. (b) Notice of the intent to waive insurance must be sent to Human Resources during the open emollment period. (c) All insurance waived employees who wish to return to provided insurance may do so during the open emollment period. (d) Employees who have a change in coverage status such as death of a spouse, divorce, or the loss of coverage (not by selection) may return to provided health insurance program at any time throughout the year as long as written evidence is provided which substantiates one of these special conditions. (e) Restoration of insurance coverage shall be reinstated as soon as possible subject, however, to any regulations or restrictions, including waiting periods, which may be prescribed by the appropriate insurance carriers. (f) Waiver of coverage procedures must be acceptable to the applicable insurance earner. (g) Payment in lieu of health insurance shall not be paid to an employee's spouse or dependent who is covered by a County plan.

Payment in Lieu of Health Insurance. Employees who are eligible for health insurance coverage through the County and elect to NOT enroll in the group medical benefit plan because they are eligible for coverage under another qualified group medical benefit plan available to their spouse and/or eligible dependents will be eligible to receive additional monthly compensation based upon their health insurance coverage eligibility status. The amount of such compensation may be fixed by the Board of Commissioners, but shall not be less than $166.67 per month. Payments will be made once per month on the first paycheck in each month that the employee would otherwise be eligible for health insurance coverage. This amount will be pro-rated based on the number of hours the employee is regularly scheduled to work and the eligible months of service. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act of such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine. Should insurance coverage through the secondary source terminate for any reason, the employee should notify the County Administrator, or his or her designee, within (30) days and re-enroll in the County health insurance program. Failure to timely notify the County may result in the ability to re-enroll being limited to the open-enrollment period. Employees who are insured under a Grand Traverse County health insurance plan provide to their spouse are not eligible for this payment. Eligibility and benefit provisions are provided subject to plan documents.

Payment in Lieu of Health Insurance. Employees who are eligible for health insurance coverage through the County and elect to NOT enroll in the group medical benefit plan because they are eligible for coverage under another qualified group medical benefit plan available to their spouse and/or eligible dependents will be eligible to receive additional monthly compensation based upon their health insurance coverage eligibility status. The amount of such compensation may be fixed by the Board of Commissioners, but shall not be less than $166.67 per month. Payments will be made once per month on the first paycheck in each month that the employee would otherwise be eligible for health insurance coverage. This amount will be pro-rated based on the number of hours the employee is regularly scheduled to work and the eligible months of service. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act of such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine. Should insurance coverage through the secondary source terminate for any reason, the employee should notify the County Administrator, or his or her designee, within (30) days and re-enroll in the County health insurance program. Failure to timely notify the County may result in the ability to re-enroll being limited to the open-enrollment period. Employees who are insured under a Grand Traverse County health insurance plan provided to their spouse are not eligible for this payment. The benefits provided under this section shall be secondary to any personal protection or personal injury benefits available from an insurer under a motor vehicle policy described in Section 500.3101(1) of the Michigan Compiled Laws. Eligibility and benefit provisions are provided subject to plan documents. The employee is obligated to pay any applicable cost share whether actively at work or on an approved leave. Failure to make the required cost share payment in a timely manner will result in loss of coverage.

Payment in Lieu of Health Insurance. Employees eligible for payment under this section shall receive the same payment per month as non-union employees and under the same terms and conditions. Employees exercising the above option shall give proper written authorization to the Administration Office. Employees assume all risks if they want to later re-enroll and they must wait for an open enrollment period.

Payment in Lieu of Health Insurance. The amount payable to employees who waive health insurance coverage is 12 increased as follows: 13 14 Family - $300 per month 15 Single - $150 per month

Payment in Lieu of Health Insurance. 11.11.1 Any unit member who does not enroll in the health insurance plans will receive $2,500 for the 2010—2011 school year and every year thereafter. The dental plan is not affected by this clause. The payment will be prorated based on the date of hire/ leave and in a manner agreeable to both the District and the Association. 11.11.2 Health Insurance shall be deemed to exist from July 1st of each year to June 30th of the succeeding year. 11.11.3 When a continuing employee elects payment in lieu of Health Insurance, the amount they will receive shall be calculated as follows: 1/12 times the amount identified in the Payment in Lieu of Health Insurance section (11. 11.1) times the number of months remaining in the school year (July-June), commencing with the effective date that insurance ceases. The dollar value as calculated above shall be spread equally over the remaining pay periods in the year commencing with the first available pay period in which adjustments can be made to reflect the additional amount. 11.11.4 New unit members will receive 1/10 the amount identified in the Payment in Lieu of Health Insurance section (11. 11.1) for each month they are not covered under the District Health Insurance Plan up to a maximum of the amount identified in Payment in Lieu of Health Insurance section (11.11.1). Payment will spread equally over remaining regular pay periods. 11.11.5 Health insurance elections must be made by June 15th (during the enrollment period) of the prior year. Elections may not be changed during that school year unless there is a life change: e.g. marriage, divorce, birth, loss of insurance by a spouse, death, etc. during the year.

Payment in Lieu of Health Insurance. Employees who are eligible for health insurance coverage through the County and elect to NOT enroll in the group medical insurance plan because they are eligible for coverage under another qualified group health insurance plan available to their spouse and/or eligible dependents will be eligible to receive additional monthly compensation based upon their medical care coverage eligibility status. The amount of such compensation may be fixed by the Board of Commissioners, but shall not be less than $166.67 per month. Payments will be made once per month on the first paycheck in each month that the employee would otherwise be eligible for health insurance coverage. An employee must provide proof of insurance coverage under a qualified group plan for the employee and eligible dependents as defined or required by the Affordable Care Act or implementing regulations and complete all forms or certifications required by the County and under the Affordable Care Act for eligibility for such payments. It is agreed by the Parties that an employee will not be eligible for payment in lieu of health insurance if such payment would violate the Affordable Care Act or implementing regulations, or cause the Employer to be subject to penalty or fine. Should insurance coverage through the secondary source terminate for any reason, the employee should notify the County Administrator within thirty