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”, “b", or “c’, 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 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 shail be heard in an
expedited manner. The decision of the arbitrator shall be binding on both parties.
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 f¢}) HDHP wath
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;
¢) 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 wiHealth Savings Account {HSA}
fa) Commitment ta. 31,500.00 Single and $3,000.00 for 2-oersan and family contribution to the HSA,
(b} HSA contribution will be prorated based upon enrollment date — Employees who join the HDHP
w/HSA 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.
fc) Disbursement_of HSA contrbutian 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 employes is raquired to pay more towards his/her deductible than tha
intial 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:
fa) Twenty-Five Dollars (325.00) per medical visit:
if
