2021-2022
The District and the Association are committed to maintaining a quality health and welfare benefits program for all employees. The parties agree to a good faith effort and commitment to maintain a program which is comprehensive and cost-effective. |
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13.1 |
Medical Plans |
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13.1a |
The District shall provide full-time employees and eligible dependents, including spouses and domestic partners with a medical services insurance plan. The employee shall have a choice from among no less than three (3) plans (Fee for Service, Exclusive Provider Organization, Health Maintenance Organization) provided by the District. Plans will provide benefits as outlined in the following schedule to be administered as set forth in the Summary Plan Descriptions.
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13.1b |
The District shall provide a medical services insurance plan for retiring employees to age 65 and for disabled employees, age 50 or older. The retiring or disabled employee shall have a choice from the plans provided by the District. The retiring employee must have served at least ten (10) years and have retired from the District as defined in Education Code Section 22148. The disabled employee must have served fifteen (15) years in the District. A District approved leave shall constitute a year of service for the purpose of eligibility for this benefit. |
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13.1c |
The District shall provide medical insurance for the spouse or domestic partner of an employee who qualifies for the provisions in 13.1b. |
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13.1d |
Pre-authorization is required in the fee-for-service medical plan for outpatient services as indicated in the Summary Plan Description. |
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13.1e |
Mail Order Prescriptions: One co-pay is required for each month's prescription drugs |
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13.1f |
The District will provide employees access to an 800 number for medical questions. |
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13.1g |
The medical and dental fee-for-service plans will include a third party recovery clause for all employees and a pre-existing condition clause in the medical plan for new hires. |
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13.2 |
Dental Plans The District shall provide full-time employees and eligible dependents, including spouses and domestic partners with a dental services insurance plan. The employee shall have a choice from between two (2) plans (Fee for Service and Pre-Paid) provided by the District. The plans will provide benefits as outlined in the following schedule to be administered as set forth in the Summary Plan Descriptions |
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13.3 |
Vison Plan The District shall provide full-time employees and eligible dependents, including spouses and domestic partners with a vision insurance plan. The plan shall be special "Plan B" of California Vision Services, or its equivalent, except that tinted or photo-chromatic lenses shall be covered by the plan. The plan will provide as outlined in the following schedule, to be administered as set forth in the Summary Plan Description. |
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13.4 |
Life Insurance The district shall provide all eligible employees with a $50,000 term life insurance policy, to include a provision for dependent life coverage and an age reduction schedule complying with Age Discrimination Act regulations. |
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13.5 |
Limitation of Benefits |
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13.5a |
All health and welfare benefits shall be maintained and premium increases shall be paid by the District for the duration of this contract. |
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13.5b |
Effective with the September 2010 payroll, in order to receive the medical, dental, and vision benefits package described in Sections 13.1a, 13.2, and 13.3, all eligible employees enrolled in the group health program shall make a tenthly payroll deduction contribution based upon the following schedule:
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13.5c |
Effective September 1, 2010, an employee who is eligible to receive the medical benefits described in Sections 13.1b and 13.1c shall make a yearly contribution based on the following schedule:
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13.6 |
Duration of Benefits |
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13.6a |
The benefits provided in this Article shall remain in effect during the term of this Agreement. |
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13.6b |
The Association shall be consulted before any change in carriers or administrators of the health and welfare benefits plan is made. |
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13.6c |
Full-time employees who are absent on account of illness and who have exhausted their accumulated sick leave shall continue to receive full health and welfare benefits paid by the District for six (6) months from the first day of the month following the last day worked, or until exhaustion of all paid leaves, whichever is longer. |
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13.6d |
Employees on District-approved leaves of absence without pay shall be given the option of converting to a health and welfare benefit plan for the period of the leave, at the employee's expense. |
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13.6e |
An employee who has been actively employed on a regular full-time basis through June 30 of any school year will have continuous coverage until October of that year, unless the employee subsequently gives notice of intent to terminate, in which case coverage ends on the first day of the month following. |
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13.7 |
Miscellaneous |
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13.7a |
Each employee in the bargaining unit shall receive from the District a full explanation of all health and welfare benefits - including carriers, coverage, and other pertinent information. |
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13.7b |
Examinations for tuberculosis will be required every four years. The examination may be either an x-ray, a skin test, or questionnaire. The District shall arrange and pay for these tests. |
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13.7c |
Employees will be provided the opportunity annually to change health plans during a 30-day open enrollment period. |
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13.7d |
Employees will be provided the opportunity to terminate coverage for themselves, or any eligible family member, the first of the month following the submission of a written request to cancel coverage. The enrollment of eligible employees and family members will be in accordance with the Summary Plan Description and shall include the following:
Change requests for items 2, 3, and 4 are to be submitted in writing within thirty (30) days of the date of marriage, domestic partnership, birth, or termination of benefits. |
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13.7e |
The District and the Association agree to participate in an ongoing study, analysis, and education program in health benefits. At least four insurance newsletters shall be prepared and distributed to all employees each school year. |
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13.8 |
The District shall provide for employee participation in the Medicare program to begin within the last quarter of the 1991 calendar year. |
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Our Mission Statement:
"GGEA is an association of educators who advocate for the well-being of our membership and the students we serve."
Our Mission Statement:
"GGEA is an association of educators who advocate for the well-being of our membership and the students we serve."
Our Mission Statement:
"GGEA is an association of educators who advocate for the well-being of our membership and the students we serve."
Our Mission Statement:
"GGEA is an association of educators who advocate for the well-being of our membership and the students we serve."