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 plan as determined by the Board:
Point-of-Service (POS) Plan;
HMO Plan; or
High Deductible Health Plan (HDHP) with Health Savings Account (HSA);
High Deductible Health Plan without Health Savings Account (HSA).
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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 leave 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. All plans offered by the district shall have the following co-
pays and deductibles:
1. POS and HMO:
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 ($5/530/$70 mail order).
The following co-pays and deductibles below will become effective on July 1, 2022.
a. Twenty-five Dollars ($25.00) per medical visit;
b. One Hundred Dollars ($100.00) per emergency room visit;
c. One Thousand Five Hundred Dollars ($1500.00) per person, Three Thousand Dollars
($3000.00) per two-person/family Inpatient/Outpatient Facility Deductible; and
d. Three (3) Tier Pharmacy Benefit of $10/30/50 ($20/$60/$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);
. Annual $1,500 single and $3,000 (two-person/family) contriubtion to the HSA;
c. Prorating of HSA contribution based upon enrollment date — Employees who join the HDHP
with HSA at any time other than July 1 will receive a pro-rated city contribution of $125
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