Board Of Aldermen - Agenda - 12/8/2020 - P193
comparable, the grievance shall not be subject to the grievance procedure and shall be
submitted directly for arbitration no later than thirty (30) days after the Union is notified of the
proposed change to the comparable plan. The grievance shall be heard in an expedited manner. The
decision of the arbitrator shall be binding on both parties.
Comparable Plan Definition: For the purposes of this Article, a comparable plan means no
additional out-of-pocket increases to employees and no reduction in current benefits. In
addition, the plan must provide reasonable access to health services and physicians, including
specialists and hospitals.
For the duration of this Agreement, either party to the Agreement may request that a
joint labor/management committee be convened to consider the performance of the aforementioned
plans and any changes thereto.
City Contributions and Employee Enrollment:
For eligible members, the City shall contribute 70% of the premium for option (a) and 80% of
the premium for option (b) or (c).
Any eligible member of the bargaining unit requesting initial membership in a plan may enter
during a specified enrollment period. Any eligible member desiring to select a different plan
may make such a change only during the annual enrollment period. Eligible members moving
into or out of a HMO or Point-of-Service Plan service area may change plans within a specified
period after such move to the extent permitted by the plans.
ANNUAL AUDIT: The City of Nashua hereby agrees to conduct a yearly loss ratio analysis of
all Health Insurance plans offered to employees and return all employee overpayments in the form
of a monetary payment at the completion of the analysis.
Regular part time employees working a minimum of 20 hours per week are covered by
the provisions of this article 23 on a pro rata basis. The proration is based on the ratio the
employee’s regular weekly work hours are to 40 hours. The proration applies to the City’s
premium contribution.
POS Co-pays and Deductibles:
The POS Plan shall have the following co-pays and deductibles:
(a) Twenty Dollars ($20.00) per medical visit;
(b) One Hundred Dollars ($100.00) per emergency room visit;
(c) Two Hundred Fifty Dollars ($250.00) Per Person, Five Hundred Dollars
($500.00) Per 2 Person/Family Inpatient/Outpatient Facility Deductible; and
(d) Three Tier Pharmacy Benefit of $5/$15/$35 ($5/$30/$70 Mail Order).
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