6:3
Health Insurance
The District shall provide, upon the request of an Association member, the benefits of an individual,
two-person or family coverage under one of the following plans offered by the Board of Education,
or a comparable pian as -determined by the Board:
a. Point-of-Service Plan;
HMO Plan; or
ee -a.0 rete
High Deductible
Health Plan (HDHP) with Health Savings Account (HSA):
d. High Deductible Health Plan without Health Savings Account [HSAI,
Health care plan options are at the sole discretion of the Board, and the Board reserves the right to
change a health insurance carrier providing comparable benefits. The District shall have the right to
provide prescription benefits through a separate provider managed by a pharmacy benefits manager.
Any Association member requesting initial membership in a plan may enter during a specified
enrollment period. Any eligible Association member desiring to select a different plan may make
such a change only during the annual enrollment period or a qualifying event.
The group health insurance of any Association member terminating employment with the District for
whatever reason - resignation, retirement, lay-off, discharge or unpaid ieave of absence other than
sick leave - shall expire on the last day of the month following the month the Association member
terminates employment with the District.
The District shall contribute 70% of the premium for a point-of-service plan, and 80% of the premium
for an HMO and High Deductible plans. Ail plans offered by the district 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 two-
person/Family Inpatient/Outpatient Facility Deductible; and
d) Three (3) Tier Pharmacy Benefit of $5/15/35 ($5/$30/$70 mail order).
The following co-pays and deductibles below will become effective on July 1, 2022.
a) Twenty-five Dollars ($2025.00) per medical visit;
b) One Hundred Dollars ($100.00) per emergency room visit;
c) Fwetundrad fiftyOne Thousand Five Hundred Dollars ($2501500.00) per person, Five-Three
Thousand _Hurndsed—Dollars ($5903000.00) per two-person/Famit}y—family
Inpatient/Outpatient Facility Deductible; and
d) Three (3) Tier Pharmacy Benefit of $510/4530/35-50 ($520/30560/20-$100 mail order}.
2. Anthem HDHP with Health Savings Account (HSA):
a) Deductibles for the HDHP are $2,000 (single) and $4,000 (two-person/family);
b} Annual $1,500 single and 53,000 (two-person/family) contriubtion to the HSA;
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