R2022-173 Resolution Authorizing Collective Bargaining Agreement for Pay and Benefits - AFSCME Council 31 and Local 268 General Service Employees

Home Browse Search

any other reason shall not be eligible for benefits under the City's health insurance plan and spe- cifically waive any right to them. The terms of the health insurance summary plan description notwithstanding, any em- ployee represented by the Collective Bargaining Agreement whose spouse is also an employee represented by the Collective Bargaining Agreement 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 cov- erage. 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. (c)The City and the Union agree to the formation of a multi-departmental group healthcare committee (GHCC) composed of representatives appointed by the City Manager and represent- atives 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 benefits programs. The purpose of the GHCC is to bring matters that change or affect the offerings and services of group health benefit programs to the committee—both those that require amendments of employee agreements and those that do not require approval of union groups and/or amend- ment of collective bargaining agreements. (d) Emergency room fees shall be as provided in Exhibit E except when the patient is admitted to the hospital or where there is a medical emergency conforming to Blue Cross/Blue Shield' serious and unavoidable emergency conditions. Those conditions are"Emergency Room $150 Copayment(waived if admitted to the hospital as 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 out- patient of diagnostic services but are of a medical condition displaying itself through acute symp- toms of sufficient severity, including severe pain such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect that the absence of im- mediate medical attention could result in: (i) placing the health of the individual in serious jeop- ardy; (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. Section 3. Those employees who retired after May 1, 1981, or were placed on disability pension pursuant to State statute after said date, shall be entitled to belong to the employee and dependent group insurance program provided for employees under the provisions of this agree- ment provided that such retired or disabled employees pay the entire premium for such insurance. Those retirees, disability pensioners, their spouses and dependents who are enrolled in the employee and dependent group insurance programs provided for employees under the pro- visions of this agreement,who reach Medicare eligibility age, who are Medicare eligible, and who enroll in Medicare shall no longer be eligible for the group health insurance program. Alterna- tively, the City shall offer a commercially available Medicare supplement policy,to the extent that such is available, to such enrollees. The parties hereto agree that the coverage shall only be offered at the time the enrollee initially elects Medicare, there shall be no gap in coverage for 26