Election to participate in a County offered health plan will take place within the first 31 days following date of appointment to permanently allocated position of.40 FTE or greater or it shall be made during an annual open-enrollment period.
The effective date of benefits will be the first of the month following date of initial eligibility.
Effective the pay period beginning June 21, 2016 for coverage beginning July 1, 2016, health plan coverage will be paid on a semi-monthly basis (24 payments per year).
15.2.1 County Offered Medical Plans
The County will offer at least three medical plans: County Health Plan PPO, County Health Plan EPO, and Kaiser HMO ($10 co-pay) Plan. The benefit provisions, co- payments and deductibles of each plan are outlined in the Summary Plan Description or Evidence of Coverage.
Specific reference to a vendor does not obligate the County to continue to offer a medical plan offered by a specific vendor. The County may change health insurance carrier(s) and/or network provider(s), provided the plan design(s) are substantially equivalent.
15.2.2 County Contribution Toward Medical for Active Employee Medical Benefits
Effective the pay period beginning September 11, 2018, for coverage beginning October 3, 2018, the County shall contribute up to maximum of the following amounts based on level of coverage for employees enrolled in County-offered medical coverage for any eligible full-time regular employee and their eligible dependent(s).
This is the full and total contribution amount the County will contribute toward medical benefits for active regular employees and their dependent(s).
The County shall contribute to part-time eligible employees on a pro-rated basis, in accordance with Section 15.2.6 (Part-Time Employee Health Benefits).
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15.2.3 Dental Benefits
The County offers dental and orthodontic benefits to full and part- time regular employees and their eligible dependent(s). Benefits provisions, co-payments and deductibles are outlined in the Evidence of Coverage.
The semi-monthly deduction is effective the pay period beginning June 21, 2016 for coverage beginning July 1, 2016.
The County shall contribute to part-time eligible employees on a pro-rated basis, in accordance with Section 15.2.6.
Effective the pay period of October 3, 2018, and continuing beyond the term of this MOU extension, the employee contributions shall be suspended, resuming October 1, 2020. The suspension of the employee contribution is contingent on Union ratification of the Successor MOU and approval by the Sonoma County Board of Supervisors on or before September 25, 2018.
15.2.4 Vision Benefits
The County provides vision benefits to full time active employees and their dependent(s) and computer vision care benefits to full-time active employees, with no employee contribution. Part-time employees will automatically be enrolled in the vision benefit and the County shall contribute to part-time eligible employees on a pro-rated basis, in accordance with Section 15.2.6. Benefit provisions, co-payments, and deductibles are outlined in the Summary Plan Description or Evidence of Coverage.
15.2.5 Life Insurance
The County provides a basic term-life insurance plan for an allocated full-time equivalent position of sixty (60) hours or more (.75 FTE or more) with no employee contribution. Effective May 24, 2016, the life insurance coverage amount will be an amount equal to one (1) times the employee’s base salary. Enrollment in basic life insurance is automatic, based on eligibility.
Each eligible and enrolled employee may purchase through payroll deduction dependent coverage of $5,000 for each eligible dependent. Benefit provisions are outlined in the Summary Plan Description or Evidence of Coverage.
Eligible employees may purchase additional life insurance for themselves at their own expense upon initial eligibility or during the annual open enrollment period specified in Section 15.2 (Participation in County Offered Health (Medical, Dental, Vision, Life Insurance) Plans. Effective the first pay period following a special enrollment (June 21, 2016), the employee may purchase supplemental coverage in increments of $10,000, not to exceed the maximum of $500,000 which includes the County paid basic term life insurance plan and supplemental coverage purchased by the employee, in accordance with the insurance carrier’s policy. Members will be responsible for paying any increased cost for the benefits. Participating employees and the County will be required to follow the insurance company’s contracted requirements with respect to maximum amounts and the necessity for evidence of insurability in order to be eligible to receive the benefit as may be amended from time to time and may be based on actual participation by County employees in the program. An employee enrolled in supplemental coverage who moves from one age bracket to the next will have to pay the rate of the higher age bracket beginning the January of the year in which the employee moves to the higher age bracket.
Effective June 21, 2016 members enrolled in supplemental coverage who make no changes to their supplemental coverage during open enrollment will automatically have their supplemental coverage amount adjusted to the nearest, lower, multiple of $10,000 below current coverage. Members will be responsible for paying any increased cost for the benefits.
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15.2.6 Part-Time Employee Health Benefits
Part-time employees in allocated positions of thirty-two (32) hours or more biweekly (0.40 FTE minimum) shall be eligible to participate in the County’s medical, dental and vision plans, and the County’s contribution toward their premiums shall be pro-rated. Pro-ration shall be based on the number of pay status hours in the pay period, excluding overtime. Employees working less than 32 hours bi-weekly and receiving benefits, prior to the implementation of the Human Resources Management System (HRMS), will be grandfathered and remain eligible to receive pro-rated benefits.
- A part-time employee covered under this MOU, whose allocated position is.75 FTE or greater bi-weekly, shall receive medical, dental and vision coverage as if the part-time employee were a full-time employee. Said part-time employee shall receive life insurance and long-term disability insurance in accordance with the employee’s FTE.
- Except for part-time (.75 FTE+) employees referred to in this Section 15.2.6(b) part-time employees shall not be eligible to participate in the County’s life insurance program.
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