Option “b”: HMO Plan:
1 Twenty-five Dollars ($25.00) per medical visit:
2 One Hundred Dollars ($100.00) per emergency room visit :( co-payment
waived if admitted)
3 Fifteen Hundred Dollars ($1500.00) per person, Three Thousand Dollars
($3000.00) per two-person/Family Inpatient/Outpatient Facility Deductible:
4 Three (3) Tier Pharmacy Benefit of $10/$30/$50 ($20/$60/$100 mail order).
Option “c” High Deductible Health Plan with Health Savings Account (HDHP w/ H.S.A.):
The deductibles for this ptan will be $2000 for an individual plan and $4000 for a 2-person or
family plan. The City will contribute $1500 of the $2000 for the single plan (the remaining $500
will be the responsibility of the employee) and $3000 of the 2-person or family plan (the remaining
$1000 will be the responsibility of the employee}.
The City H.S.A contribution will be distributed in 2 installments, one on or about July 1 and one
on or about October 1 of each year. If an employee is required to pay more towards his/her
deductible than the initial 50% contribution, upon presentation of suitable documentation, the City
will contribute the remaining 50% prior to October 1. Employees who retire between July 1 and
October 1 will receive their July 1 City contribution. If the retired employee keeps the City
insurance plan they will also receive the October 1 contribution. If the employee does not keep
the City plan they will not be eligible for the October_1 contribution. If an employee retirees after
October 1 they will keep the City contribution,
Coverage for new employees is available on the 1° of the next month following date of hire if hired
on or before the 15" of the month; and on the 1* of the month following a full month of employment
if hired after the 15" of the month. Employees who do not enroll on their initial eligibility date may
subsequently only do so during the annual open enrollment period or following a “qualifying
event’.
The option of the health care plan is at the sole discretion of the City. It is agreed by all parties
concerned that the City reserves and shail 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 be 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 (Article 12), 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.
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