Master Agreement 2005 - State Employment Relations Board

Article 806
Health Benefits
806.01 The Board shall provide one or more health benefit
plans to teachers. As of January 1, 2010, the only such
plans are the Preferred Provider Organization (“PPO”)
plan and the Exclusive Provider Organization (“EPO”)
plan. Those two plans, along with the prescription drug
plan(s), will remain in effect as they existed in May 2009
untilchanged by thedecision of the Joint CEA/Board of
Education Insurance Committee established in Section
806.05 below. The Board will implement best practices
at the time they are required by the State’s School
Employees Health Care Board to be effective.
806.02 During the term of this Agreement, a member of the
bargaining unit married to, or the domestic partner of
another employee of the Board, both of whom are eligible
for the benefits provided in Section 806.01 above
and who have no dependents, shall be provided two (2)
single plans or one (1) single plus one plan at the option
of such employees. In addition, such personnel shall be
provided family coverage effective on the first day of the
month in which they acquire a dependent eligible for
coverage, provided they advise the Board of their eligibility
for family coverage no later than thirty (30) days after
becoming eligible for the change in status. If the notification
requirement is not met within the thirty (30) day
period, family coverage will be effective on the first day
of the month following such notification.
806.03 During the term of this Agreement, members of the
bargaining unit may elect to enroll in a health maintenance
organization offered by the Board as an alternative
to theprogram provided above in Section 806.01. Such
election shall be in accordance with the following:
A. The employee shall pay, bythebiweekly payroll
deduction schedule, the difference between the cost
of the health maintenance organization and the
Board’s cost for such employee coverage as provided
in Section 806.04 below.
B. Teachers may change their status under this program
with regard to enrollment,withdrawal, or change to
other plans during the enrollment period.
806.04 The Board shall contribute the amounts derived
from the following percentages toward the monthly
funding (“premium”) cost for health benefits for onehalf
time or more teachers and for full-time hourly professional
employees based on the “benchmark plan.” The
“benchmark plan” is the PPO unless and until the plans
are changed by the Joint CEA/Board of Education
Insurance Committee. If theJointCEA/Board of
Education Insurance Committee offers three or more
84