Philadelphia Federation of Teachers School District of Philadelphia

XIII. Benefits
required to pay five percent (5%) of the then applicable current Personal Choice
Component Premium (e.g., Single, Husband and Wife, Family).
(b) As soon as possible, any employee who is currently enrolled in Keystone
HMO 10 shall be enrolled in Keystone HMO 15. Any employee hired before
September 1, 2010, who has completed four (4) years of employment, may choose
to enroll in the PC 20/30/70% (w/variations) Plan provided however, that such
employee shall be required to pay three percent (3%) of the then applicable
current Personal Choice Component Premium (e.g., Single, Husband and Wife,
Family).
(c) When the Medical Plan becomes self-funded the School District shall
establish premium equivalents using reasonable actuarial methods. These premium
equivalents shall be used to establish the payments, if any, required in
Article XIII, Section A(4)(a) & (b).
(d) As soon as possible, but no later than July 1, 2010, all employees currently
enrolled in Personal Choice 15/25/70% (w/variations) shall be enrolled in Personal
Choice 20/30/70% (w/variations) at no cost to the employee.
5. Cafeteria Plan. The School District will maintain a pre-federal income tax
medical insurance premium conversion account for bargaining unit members.
Participation in the medical insurance premium conversion account will be
governed by the Collective Bargaining Agreement. If a participant elects health
coverage requiring a co-pay, the co-pay will be taken out of salary through regular
payroll deduction on a before-tax basis, unless an affirmative election is made
to use “after-tax” payroll deduction.
Employees who experience a change in family status within the meaning of
the premium conversion plan document that apply to this pre-tax account may,
in certain circumstances, enroll after the start of the plan year, or stop further
deductions during the year.
6. The School District shall be responsible for the management of the medical
plans.
Effective July 1, 2010, the medical plans shall be self-funded with appropriate
stop-loss coverage as determined by the School District. Medical plans must
include all current and future federal and state mandated programs.
Effective July 1, 2010, or as soon as reasonable thereafter, the School District
shall introduce and maintain an employee health management program including
disease management and wellness. Incentives for participation and engagement
in this program may be included at the discretion of the School District. These
programs will be administered by the medical carrier or an independent third
party(ies) as selected by the School District in consultation with the
Federation.
The Parties agree that, if costs in the self-funded program exceed eight percent
(8%) trend, a Joint Labor Management Committee will be convened to
review options for controlling costs.
7. Medical Insurance Opt-Out Program
An eligible employee who meets the requirements listed in this Section may
elect to waive his/her medical insurance coverage and receive cash compensation
equal to twenty-five percent (25%) of the School District’s cost of the coverage
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