Subject to the provisions of this Article, the City, upon the request of an eligible member,
shall provide to an employee the amount of the premium specified below for individual, two-
person or family plan, of one of the following:
(a) Point of Service Plan (POS)
(b) Health Maintenance Organization (HMO)
(c) High Deductible Health Plan with Health Savings Account (HDHP w/ HSA)
The option of the health care plan is at the sole discretion of the City. It is agreed by all
parties that the City reserves and shall have the right to change insurance carriers provided the
benefits to participants are comparable and the City elects the least expensive plan available to
provide such benefits.
Should the City determine that it is in the best interests of the City to offer a
“comparable” plan to either option “a” or “‘b”, it shall provide at least one hundred twenty (120)
days prior written notice to the Union and documentation of the cost to members and the benefits
that will provided under the comparable plan. Should the Union determine that the proposed
plan is not 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
one that offers the same type of benefits, but benefits do not have to be exactly the same. In
addition, the plan must provide reasonable access to health services and physicians, including
specialists and hospitals.
The POS and HMO Plans shall have the following co-pays and deductibles:
(a) _ Twenty Dollars ($20.00) per medical visit;
a (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).
Effective July 1, 2021 -
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).
21
