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ARTICLE XX HEALTH CARE AND LIFE INSURANCE
Burrillville School District
The Burrillville School District shall provide certified personnel ("employee") of the Burrillville School District with the "Burrillville Standard Plan" of healthcare insurance as provided below:
· The employee shall receive an individual or family plan, as appropriate.
· The District may offer an alternative healthcare plan, which may be selected, at the option of the certified personnel.
· If the District changes the healthcare provider, it must provide a health insurance package(s) substantially equivalent or superior to the package being replaced. Healthcare providers will not be changed without mutual agreement of the parties.
· Burrillville Standard Plan — The District shall provide a PPO plan (100/80 $1,000/$2,000 deductible, with vision rider), which shall be the standard health insurance plan offered to members of the bargaining unit.
· A summary of benefits for said PPO plan is appended in this contract, labeled Appendix E and incorporated herein by reference.
· A summary description of the Burrillville Standard Plan shall be available at District's Central Office.
· The District shall pay 100% of the cost of the plan less applicable- employee cost share contribution.
· Employees eligible for a single plan will be reimbursed up to $500 for the In-Network Deductible once the $1,000 In-Network Deductible has been met.
· Employees eligible for a family plan will be reimbursed up to $1,000 for the In-Network Deductible once the $2,000 In-Network Deductible has been met.
· Such reimbursements shall be paid in a separate (non-payroll) check, with no taxes withheld upon their submission of the "Reimbursement of Health Care Deductible" form and a copy of the Healthcare Services Summary in the form of "Evidence of Benefits" (EOB) provided by the health insurance provider evidencing the amount of In-Network Deductible used.
· Reimbursements for In-Network Deductibles for each calendar year ending December 31st must be submitted prior to June 30th of the following calendar year.
Dental Plans Offered
· Burrillville Standard Dental Plan including coverage for full time students to age 23 at no cost to the employee. In the event the School Committee changes the dental insurance provider, it must provide a dental insurance package substantially equivalent or superior to the package being replaced.
Co-payments
Such a request will not be unreasonably denied. A teacher electing this leave agrees to the following conditions:
A 1.a Individual or Family coverage shall be at the option of the employee if qualified, except that if a married teacher's spouse is employed by the School Committee or other department or agency of the Town of Burrillville then only one (1) of the two (2) shall be entitled to Family Plan Health Insurance Coverage and the other shall be entitled to the stipend provided in Article XX (A.1.b). If the teacher's spouse is employed by an agency or department of the Town of Burrillville other than the School Committee, and if that agency or department offers a comparable health care plan with benefits not less than those described herein, then the teacher shall be encouraged to accept the stipend provided in Article XX A.1.b of this Agreement. The employee shall have the option to select coverage comparable to the Base Plan or other comparable coverage as provided by State law in lieu of above.
1.b Any teacher who elects to drop the health care coverage provided in XX.A.1. shall be paid a yearly stipend of one thousand dollars ($1 ,000.00) for single health care plan and two thousand five hundred dollars ($2,500.00) for family health care plan.
1.c If, however, during the year, the spouse of said teacher loses the medical coverage on which the teacher now depends, he/she shall be eligible to be reinstated to health care coverage in the School District on the first date made available by the health care carrier. Teachers requesting reinstatement must make appropriate application to the Superintendent including the showing of cause for same. A prorated portion of the stipend paid to the teacher shall be returned to the School Department prior to the reinstatement of coverage.
A. 2. The Burrillville School Committee shall provide all certified personnel of the Burrillville School Department with a group life insurance policy having a face value of $40,000 effective September 1, 2000, with the option to purchase additional coverage available through the Committee's carrier at the available group rate.
2.a. In the event of the death of a teacher having attained 20 years of service in the school department, all unused sick leave shall be paid to the teacher's designated beneficiary at seventy dollars ($70.00) per day.
A. 3. A new employee shall be afforded Health and Life coverage effective as of the first day of the month after the month work began, or if hired during the summer months for the next school year, effective September 1 of that year.