C. Except as otherwise provided in this Article 16, upon the request of an eligible member of
the bargaining unit, the City shall provide the premium for an individual, two-person, or
family plan of one but not more of, the following plans, if available, or a comparable plan if
the following plan(s) are not available:
a. Point-of-Service Plan;
b. HMO Plan;
c. High Deductible Health Plan with Health Savings Account (HDHP wi
H.S.A.)
d. The City may make additional plans available to members with benefit
levels and premium cost sharing determined by the City in its sole
discretion.
_ The City shall contribute 70% of the premium of option “a” and 80% of the premium of option “b”
and “c". The following plans offered by the City shall have the following co-pays and deductibles:
Option “a”: Point of Service:
1) Twenty Dollars ($20.00) per medical visit;
2) One Hundred Dollars ($100.00) per emergency room visit;
3) Two Hundred Fifty Dollars ($250.00) per person, Five Hundred Dollars
($500.00) per two-person/Family Inpatient/Outpatient Facility Deductible;
4) Three (3) Tier Pharmacy Benefit of $5/15/35 ($5/30/70 mail order).
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 plan 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 alf parties
concerned that the City reserves and shall 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.
