Comparable Plan Definition: A comparable plan means no additional out of pocket increases to employees
and no reduction in current benefits and at least 95% of the current physicians, including specialists and
hospitals. 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.
Effective September 1, 2011 for eligible members, the City shall contribute 70% of the premium for
option (a) Point of Service Plan and 80% of the premium for option (b) HMO plan and (c) HDHP with
HSA.
Effective September 1, 2012 through June 30, 2023, plans A and B offered by the City 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).
Anthem HDHP w/Health Savings Account (HSA)
(a) Commitment to $1,500.00 Single and $3,000.00 for 2-person and family contribution to the HSA.
(b) HSA contribution will be prorated based upon enrollment date — Employees who join the HDHP
w/iHSA at any time other than July 1 will receive a pro-rated City contribution of $125 monthly for a
single plan and $250 monthly for 2-person or family plan for each full month remaining in that fiscal
year; except that newly eligible teachers who enroll on October 1 will receive the full contribution.
(c) Disbursement of HSA contribution in two installments (July and October). The Board's HSA
contribution will be distributed in two (2) installments, one on or about July 1 and one on or about
October 1, provided that 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% before October 1.
Effective July 1, 2023, Anthem HMO Plan shall have the following co-pays and deductibles:
(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 ($1,500.00) Per Person, Three Thousand Dollars ($3,000.00) Per
2-Person/Family Inpatient/Outpatient Facility Deductible; and
(d) Three-Tier Pharmacy Benefit of $10/$30/$50 ~ ($20/$60/$ 100) Mail Order).
All other employees of this Bargaining Unit will be accorded the group rates of this Bargaining Unit for
their own purchase if allowed by the Carrier and if available through the City of Nashua.
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.
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