R2024-362 Resolution Authorizing Collective Bargaining Agreement for Pay and Benefits - AFSCME Council 31 and Local 268, General Service Employees

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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 those converting from City coverage to Medicare supplement coverage, and such retired or disa- bled employees and their dependents shall pay the entire premiums for such insurance. Section 4. The City will provide maternity benefits as required by all applicable State and Federal laws. Off-the-job illness will be administered in accordance with Administrative Policy & Procedure No. F-452. Section 5. Employees will be eligible for the City Dental Plan, subject to underwriting approval. If the Union establishes a dental plan, premiums shall be payroll deducted. Section 6. When the City provides an employer-sponsored "health fair" for employees, attendance at such fair shall be required for all on-duty employees, and voluntary for all off-duty personnel. 27