Comparable Plan Definition: for the purposes of this Article, 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.
Spouse Rule: Employees who are married to another employee of the city who
also subscribes to a plan will be subject to this rule. This rule requires that an
eligible member whose spouse is covered by another City health care plan elect the
policy under which the eligible member and spouse shall receive health care
benefits. An eligible member and spouse shall not be entitled to receive benefits
under separate City health care plans.
A.2. CITY CONTRIBUTIONS:
For eligible members, the City shall contribute 70% of the premium of
option (a) and 80% of the premium of option (b) or (c). The option (a) and option
(b) plans offered by the City shall include the following minimum co-pays:
(a) Twenty Dollars ($20.00) per medical visit;
(b) One Hundred Dollars ($100.00) per emergency room hospital 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).
High Deductible Health Plan with Health Savings Account (HDHP w/HSA)
(option (c)):
The deductibles in the High Deductible Health Plan with Health Savings
Account (HDHP w/ HSA) are $2,000 individual / $4,000 2-person or family. The
City’s contribution to Health Savings Accounts is $1,500 individual / $3,000 2-
person or family.
The City HSA contribution will be distributed in 2 installments, one on or
about July 1 and on one or about October 1, provided however 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.
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