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ARTICLE 10
FRINGE BENEFITS

A.             The District will provide health insurance for eligible employees pursuant to the Syracuse City School District Health Insurance Program, as modified by the health plan addendum. For health care, the employees shall contribute the following amounts as monthly deductions to the cost of District provided health care benefits depending upon the individual's income (base salary or wages) on June 30 th of the year preceding the applicable school year:

Year One (7/1/03 - 6/30/04):                                      Individual                  Family

Tier

Base earnings:

Per month:

Per month:

1

Less than Starting Teachers Salary

$14.00

$46.00

2

Starting Teachers Salary - $59,999

$21.00

$60.00

3

$60,000 or over

$24.00

$67.00

Year Two (7/1/04 - 6/30/05):                                      Individual                  Family

Tier

Base earnings:

Per month:

Per month:

1

Less than Starting Teachers Salary

$15.00

$49.00

2

Starting Teachers Salary - $59,999

$25.00

$63.00

3

$60,000 or over

$27.00

$71.00

 

Year Three (7/1/05 - 6/30/06)                                     Individual                  Family

Tier

Base earnings:

Per month:

Per month:

1

Less than Starting Teachers Salary

$16.00

$52.00

2

Starting Teachers Salary - $59,999

$28.00

$65.00

3

$60,000 or over

$32.00

$75.00

           

           

            Co-pays for office visits are as follows:

Effective July 1, 2003:             $6.00

Effective July 1, 2004:             $7.00

Effective July 1, 2005:             $8.00

            Cost to Retirees (1) and (2)

            Individual Coverage - Under 65                         Medicare B rate

            Individual 65 or older                                                    -0-

            Family Coverage - all under 65                         Medicare B rate

            Family Coverage with at least

                        One 65 or older                                        -0-

            (1)             Members of the Health Insurance Program who are over 65 are responsible to apply for and pay the Medicare B coverage.

            (2)             Retirees under the age of 65 must pay a share of the premium cost equal to the cost of the Medicare B rate. As the Medicare B rate changes, so will the cost of the insurance.

B.             The STA has agreed to eliminate the Prepaid Health Plan option for its members. As soon as practicable, the District will discontinue its contract with Univera.

C.             The District will provide Dental Insurance as negotiated by the parties for eligible employees pursuant to the Syracuse City School District Dental Assistance Plan. With regard to the Plan, effective July 1, 2001, the District will assume all costs of such a program except for the following employee contributions:

            Effective July 1, 2001

            Individual Coverage                                     $2.00

            Family Coverage                                       8.00

D.             For any employee hired before July 1, 1978, the employee's eligibility shall be determined under the administrative regulations of the insurance carrier(s) and no employee who fails to qualify under the rules of the carrier(s) shall have the benefits of the health and/or dental insurance program. Any employee hired after July 1, 1978, must, in addition to these eligibility requirements, be employed in the bargaining unit to regularly work twenty-five (25) or more hours per week to be eligible to apply for these insurance benefits. No grievance shall be entertained nor shall any arbitrator have the power to award redress which would require the District to pay any health or dental insurance benefit which is disallowed by the present carrier(s) or any successors thereto. This provision shall in no way be construed as preventing the employee from taking such action as may be deemed necessary against the carrier(s) if the employee feels that any determination made by the carrier(s) regarding eligibility is inappropriate.

E.             The District will permit the admission of the children of Unit 8 members to the existing child care services, which are maintained for Unit 1 members, provided space is available.

F.             Payments for treatment of mental or nervous disorders outside the hospital are covered but subject to 80% payment. There shall be a maximum of $60.00 per visit and $3,000 per year to a lifetime maximum of $6,000.

G.             Well child care was added to the District's Health Benefits Program effective

May 15, 1996.

H.             The parties agree in lieu of vision care benefits previously in effect, the District will pay $150.00 per employee per year to an Association designated plan or trust. The parties shall agree to a Memorandum of Agreement delineating their responsibilities in connection with such plan or trust.

I.             Flexible Benefit Plan (Section 125 Plan) - The District shall continue at no cost to the employee, a flexible benefit spending plan pursuant to IRS regulations with operating procedures jointly determined by the parties, and administered by Preferred Group Plans, Inc., in accordance with IRS regulations. This plan may be utilized for premium payments, deductibles, co-insurance amounts, dependent care, and other unreimbursed medical expenses.

J.             Mail Order Drug Program:

 

Year:

 

Increase to:

One
(7/01/03 - 6/30/05)

Effective July 1, 2003, employee co-pays for the Mail Order Drug Program are $5.00 (generic drugs), $10.00 (preferred drugs) and $25.00 (non-preferred drugs)

K.             The individual/family deductibles for non-POMCO providers are $75.00/$225.00 respectively and the emergency room co-payment is $35.00.

L.             Retirees, who have retired after January 1, 1980, must have at least ten (10) years of full-time service in this District to be eligible to participate in the Syracuse City School District Health Plan upon retirement.

M.             PET Scans will need pre-certification under the Health Plan.

N.             In the event that both husband and wife are full-time employees of the District, the rate of contribution for family coverage shall be the sum of the two individual premiums (amount dependent on income level of each spouse).

 

 
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