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ARTICLE XV
HEALTH AND WELFARE BENEFITS
15.1 District Contribution to Health Insurance
15.1.1 2007/2008 School Year
15.1.1.1 As of October 1, 2007, the following Health plans are in effect: Blue Shield of California POS Group ZH5572-0000 with Medco Prescription Coverage PUSDRX1, Kaiser Group 0101631-0000, and Delta Dental DPO. These provisions shall remain the same as those provided in 2006-2007.
15.1.1.2 As of October 1, 2007, Delta Dental DPO insurance coverage, and life insurance coverage in the amount of $10,000 for each covered employee, shall also be provided.
15.1.1.3 The Insurance Review Committee will explore options that will find alternative ways to meet rising insurance costs and will make recommendations to reduce insurance costs. Each party may appoint an expert consultant on health care cost containment. Unless modified, the plans provided by the District will be as set forth in Sections 15.2 – 15.3.
15.1.1.4 For the 2007-2008 school year, the amount of out-of-pocket expense per unit member for health benefit plan premiums (based on a tenthly contribution) shall be: Single $13.00 2-Party $28.00 Family $68.00
15.2 Each unit member is required to enroll in one of the following Health plans:
15.2.1 Kaiser Group 0101631-00. 15.2.2 Blue Shield of California POS Group ZH5572-0000, with Medco Prescription Coverage Group PUSDRX1.
15.3 Each member is required to enroll in the Delta Dental Plan (0710-1010).
15.4 Each member may by payroll deduction, enroll in one or more of the following programs as offered by the District:
15.4.1 Vision Care 15.4.2 Additional Life Insurance Coverage 15.4.3 Income Protection Plan 15.4.4 Tax-Shelter Annuity program per various plans approved by the District. 15.4.5 An IRC 125 premium contribution plan is available for all unit members. Those who do not choose to participate in said plan, permitting employee pre-tax contributions for medical/dental benefits, as described herein, shall submit the annual notice form to the district declining participation.
15.5 Effective July 1, 2008, and annually thereafter, Pasadena Unified School District and United Teachers of Pasadena agree that both parties must, prior to the first day of instruction (unless this is not possible due to the action or inaction of an outside third party), approve of the complete text of the Evidence of Coverage (E.O.C.) and the Summary of Health Benefits Plans for each of the mutually agreed to health care providers (e.g. Blue Shield and Kaiser) prior to their implementation. Approval shall require the signatures of both the UTP President and Bargaining Chairperson and that of the District Superintendent and/or designee.
Once the two parties have committed to the signatures of approval as referenced above, then, the provisions of the health benefits plan coverage are established as approved. It is the express intent of the District and the Association that the referenced Agreement be executed prior to Open Enrollment (See Appendix F).
In the absence of the complete text of the Evidence of Coverage, Kaiser, Blue Shield, and/or the current insurance broker (e.g. Alliant Insurance Services) must provide the District and the Association with a letter of assurance that attests to the continuity of the provisions from those of 2006-2007 into 2007-2008 and beyond; unless such provisions are changed by legislative mandate or through contract negotiations. It is the expressed intent of the District and the Association to hold Blue Shield and Kaiser accountable for providing the exact coverage that the parties have negotiated.
15.6 Unit members who work seventy-five percent (75%) or more of a daily or weekly full-time assignment shall be entitled to full health and welfare coverage as described in Section 15.1-15.4, above. Unit members who work less then seventy-five (75%) of a daily or weekly full-time assignment shall be excluded from receiving any health or welfare benefits.
15.7 Unit members who work a complete school year shall receive health and welfare benefits effective through the last day of September. Unit members who are employed subsequent to the first day of the school year shall have health and welfare benefits.
15.8 Unit members who terminate their employment prior to the close of the school year shall be covered by their health and welfare benefits through the last day of the month for which the health and welfare benefits have been paid.
15.9 Unit members shall have health and welfare benefits effective through the last day of September during the year in which this Agreement expires.
15.10 Reimbursement shall be made to any unit member for the loss, destruction or damage of personal property sustained in situations that fall within the scope of District employment. Reimbursement for property other than personal articles, such as clothing, eyeglasses and watches, shall be made only for articles whose use has been approved via a District form before the article(s) has been brought to school, and when the immediate administrator and the unit member bringing the property have agreed in advanced as to the approximate value of the property. No reimbursement shall be made for mysterious disappearance, accidental damage, or any other loss suffered because of lack of supervision by the owner.
Personal automobile or other modes of transportation shall be covered by this section to that extent that the damage or loss shall have occurred at the school or within an approximate distance of one-eighth (1/8) mile radius of the school boundaries (if parking on site is unavailable, not accessible, or would unreasonably delay the unit member’s exit in order to keep an appointment). Examples of such damage or loss are “keying,” slashed tires or stolen batteries. The maximum reimbursement shall not exceed five hundred dollars ($500) for each incident, nor shall the reimbursement be less than fifty ($50).
15.11 Early Retirement Incentive
15.11.1 The following Early Retirement Incentive Program (ERI) shall be in effect for qualifying employees retiring on or after October 31, 1985, and only for qualifying employees who submit a non-revocable letter of retirement to the District prior to June 6, of any year.
15.11.1.1 Eligibility/Qualification Requirements To be eligible for the ERI described herein, an employee shall meet all of the following conditions:
15.11.1.1.1 have attained age 55, or older, as of September 1, of the year of retirement;
15.11.1.1.2 have rendered fifteen (15) years of service in the District (2008); and
15.11.1.1.3 be at the maximum step of his/her salary column placement at the time of retirement.
15.11.1.2 Benefits
15.11.1.2.1 for a qualifying employee who has attained age fifty-eight (58) or older, the District shall pay eighty percent (80%) of the District contribution for employee medical benefit coverage, for the current school year as provided for in Section 15.1. The contribution amount shall be increased annually during the period ERI to whatever the District contribution in existence for the 1986-87 school year (2008).
15.11.1.2.2 for qualifying employee who has attained age fifty-seven (57), the District shall pay seventy percent (70%) of the District contribution for employee medical benefit coverage for the current school year as provided for in Section 15.1. The contribution amount shall be increased annually during the period of the ERI to whatever the District contribution level becomes for the medical program in existence for the 1986-87 school year.
15.11.1.2.3 for a qualifying employee who has attained age fifty-six (56), the District shall pay sixty (60%) of the District contribution for employee medical benefit coverage for the current school year, as provided for in Section 15.1. The contribution amount shall be increased annually during the period of the ERI to whatever the District contribution level becomes for the medical program in existence for the 1986-87 school year.
15.11.1.2.4 for a qualifying employee who has attained age fifty-five (55), the District shall pay fifty percent (50%) of the District contribution for employee medical benefit coverage for the current school year, as provided for in Section 15.1. The contribution amount shall be increased annually during the period of the ERI to whatever the District contribution level becomes for the medical program in existence for the 1986-87 school year.
15.11.1.3 Duration of Benefits The ERI benefits for qualifying employees, as described herein, shall continue for the retiring employee until whatever of the following conditions occurs first: attains age sixty-five (65); or becomes eligible for Medicare; or becomes eligible for a national health insurance program that may be enacted. Pursuant to the Omnibus Budget Reconciliation Act of 1993 (OBRA 1993), upon entitlement to Medicare due to disability, Medicare coverage becomes primary and District coverage becomes secondary. In the event, the combination of Government and District provided coverage will not be less than current District coverage provided to retirees. This provision may be subject to change based upon the changes to inapplicable federal law.
15.11.1.4 The District contribution levels provided for early retirees in Section 15.10.1.2, above, shall also be extended to one dependent of the retiree who leaves the District service on or after June 30, 1985, provided the dependent was covered by the District health coverage at the time the retiree left service with the District. The dependent contribution shall continue until the retiree coverage expires pursuant to Section 15.10.1.3 and 15.10.1.5 herein.
15.11.1.5 The retiree dependent coverage shall be in effect for the period provided for in Section 15.10.1.3, above; however, should the retiree become deceased prior to age sixty-five (65), or the eligibilities provided for in Section 15.10.1.3, the dependent coverage shall cease at the end of the first full month following the death of the retiree. No dependent coverage of a retiree shall extend beyond the period of child coverage for an active employee.
15.11.1.6 The medical benefits described in Section 15.10.1.2, above, shall include the retiring unit member’s dependent, if any, who was covered by a District medical plan at the time of the unit member’s retirement.
15.12 Domestic Partners
The rights and responsibilities under this Article include Domestic Partners as defined by California law.
15.13 The Prescription Plan of active members will be made available to current and ongoing retirees over sixty-five (65), including one dependent, at the unit member prescription rate. |
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