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health benefit programs. The City agrees to create the GHCC and convene its first meeting no <br /> later than July 1, 2022, and to bring matters that change or effect the offerings and services of <br /> group health benefit programs to the committee—both those that require amendment of <br /> employment agreements, and those that do not require approval of union groups and/or <br /> amendment of collective bargaining agreements. <br /> The health services provided shall be in accordance with Exhibit"I"except when the patient is <br /> admitted to the hospital or where there is a medical emergency conforming to Blue Cross/Blue <br /> Shield's serious and unavoidable emergency conditions. These conditions are: <br /> Emergency Room $150 Copayment(waived if admitted to the Hospital as an Inpatient <br /> immediately following emergency treatment or if visit is emergent as per the definition below). <br /> EMERGENT MEDICAL CARE means services provided, which may have started as outpatient <br /> or diagnostic services,but are of a medical condition displaying itself through acute symptoms of <br /> sufficient severity(including severe pain) such that a prudent lay-person, who possesses an <br /> average knowledge of health and medicine, could reasonably expect that the absence of <br /> immediate medical attention could result in: i)placing the health of the individual in serious <br /> jeopardy; ii)serious impairment to bodily functions; or iii) serious dysfunction of any bodily <br /> organ or part. Examples of symptoms that may indicate the presence of an emergency medical <br /> condition include,but are not limited to, difficulty breathing, severe chest pains, convulsions or <br /> persistent severe abdominal pains." <br /> Section 3. Those employees who retired after January 1, 1980, or were placed on <br /> disability pension pursuant to State statute after said date, shall be entitled to belong to the <br /> employee and dependent group insurance programs provided for employees under the provisions <br /> of this agreement provided that such retired or disabled employees pay the entire premium for such <br /> insurance. <br /> Section 4. If an insurance rebate is received for employee dependent medical insurance <br /> coverage the City will retain that portion of the rebate that is proportionate to the percentage of the <br /> employee dependent insurance premium paid by the City during the time period for which the <br /> rebate is made. <br /> Section 5. The City will reimburse the cost of tuition and textbooks for courses directly <br /> related to an employee's job and will reimburse half the cost of tuition and textbooks for pre- <br /> approved courses indirectly related to an employee's job,up to a maximum of one thousand dollars <br /> ($1,000.00) per year per employee. Tuition reimbursement shall be administered in accordance <br /> with current Administrative Policy F-470.Approval of courses shall not be unreasonably withheld. <br /> Section 6. The City will deduct from the employee's wages a percentage, in an amount <br /> certified by the Union, and pay same to the Union for the purposes of funding the Union's health <br /> and welfare plan. All deductions will be made against the employee's pre-tax income and shall be <br /> done in accordance with applicable Internal Revenue Service regulations.No such deduction shall <br /> be made if all of the provisions of this section cannot be met. <br /> 27 <br />