R2021-164 Resolution Authorizing the City Manager to Execute Collective Bargaining Agreement Pay and Benefits for Decatur Police Benevolent and Protective Association Labor Committee

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health insurance coverage through another source to the city. Such proof of insurance must be submitted at the time the employee makes such an election. If an employee is unable to provide adequate proof of insurance,the employee shall not be removed from the city's insurance plan. An employee electing to opt out of the city's health insurance plan shall be allowed to subsequently enroll in the city's health insurance plan only through a COBRA qualifying event. Employees opting out of the city's health insurance plan and who are not enrolled in the city's health insurance plan at the time of retirement,resignation,termination or separation for any other reason shall not be eligible for city paid benefits under the city's health insurance plan and specifically waive any right to them. The terms of the health insurance summary plan description notwithstanding, any employee covered by this Agreement whose spouse is also an employee may elect at annual plan renewal to opt out as a subscriber in favor of being covered as a dependent under the other employee's family coverage. Any such employee covered as a dependent under the spouse's family coverage may elect at annual plan renewal to resume coverage as a subscriber under the city's insurance plan and be dropped as a dependent under the spouse's coverage. The City and the Union agree to the formation of a multi-departmental group health care committee(GHCC) comprised of representatives appointed by the city manager, and representatives appointed by each of the city's organized labor groups. Each union group will have up to four(4)representatives on the GHCC. The GHCC will not have authority to bargain changes to contract terms,but will serve as a labor-management interface to better inform employees of possible changes to the city's group health benefits considered by the city, and to better inform the city about the experiences and preferences of employees as it concerns group health benefit programs. The City agrees to create the GHCC and convene its first meeting no later than July 1, 2022, and to bring matters that change or effect the offerings and services of group health benefit programs to the committee—both those that require amendment of employment agreements, and those that do not require approval of union groups and/or amendment of collective bargaining agreements. The health services provided shall be in accordance with Exhibit"I"except when the patient is admitted to the hospital or where there is a medical emergency conforming to Blue Cross/Blue Shield's serious and unavoidable emergency conditions. These conditions are: Emergency Room$150 Copayment(waived if admitted to the Hospital as an Inpatient immediately following emergency treatment or if visit is emergent as per the definition below). EMERGENT MEDICAL CARE means services provided, which may have started as outpatient or diagnostic services,but are of a medical condition displaying itself through acute symptoms of sufficient severity(including severe pain) such that a prudent lay-person,who possesses an average knowledge of health and medicine, could reasonably expect that the absence of immediate medical attention could result in: i)placing the health of the individual in serious jeopardy; ii) serious impairment to bodily functions; or iii) serious dysfunction of any bodily organ or part. Examples of symptoms that may indicate the presence of an emergency medical condition include,but are not limited to, difficulty breathing, severe chest pains, convulsions or persistent severe abdominal pains." 27