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Article 12 - Insurance

 

1. The University will provide a health plan, as modified July 1, 1999 January 1, 2003, or a comparable plan for all full-time regular unit members.

Effective January 1 July 1, 2002 employees will pay ten percent (10%) of the total premium cost for single coverage, and fifteen percent (15%) of the incremental premium cost for any dependant coverage. , single plus one, and family coverage with the understanding that the employees’ last dollar amount will continue at that fixed dollar amount until a successor agreement is negotiated. Employees shall have premium payments deducted bi-weekly from their pay for health coverage.

Comprehensive Care

Coverage Level

Annual Cost

Bi-Weekly Cost

Single coverage

$285 361.68

$10.96 13.91

Single plus one

$627 1,012.68

$24.12 38.95

Family coverage

$798 1,338.24

$30.69 51.47

Point of Service

Coverage Level

Annual Cost

Bi-Weekly Cost

Single coverage

$259.08 345.72

$9.96 13.30

Single plus one

$569.88 967.80

$21.92 37.22

Family coverage

$725.28 1,278.91

$27.89 49.19

 

Prescription Co-Pay

Effective January 1, 2001:

-$5 generice / $15 brand co pay for a 30 day supply ($10 / $30 for 60 days; $15 / $45 for 90 days)

-Co pays apply to Point of Service and Comprehensive plans including retirees

-Co pays apply to retail and to mail order prescriptions

-$600 annual out of pocket maximum for the Comprehensive Plan and for the Point of Service Plan for prescriptions

OHR

COLT

072302

UMS: Prescription Drug Plan -

Design Changes

Provision

Current

Proposed

Co-Pays

Generic: $5

Brand: $15

Generic: $10

Brand: $20

Rx Co-Pay Maximums

Faculty: Indiv: $600

Family: $900

All other: $600

All:

Indiv.: $1,200

Family: $1,800

Generic Substitution

Dispensed as Written

Automatic Substitution

 

UMS: Indemnity Plan Design Changes

 

Provision

Current

Proposed

Deductibles

Indiv.: $150

Family: $300

Indiv.: $300

Family: $600

Max Out of Pocket

Indiv: $750

Family: $1,500

Indiv.: $1,100

Family: $2,200

 

UMS: POS Plan Design Changes

 

Provision

Current

Proposed

Office Co-Pay

$10

$20

Out of Network Deductible:

Indiv: $250

Family: $500

 

Indiv.: $350

Family: $700

Out of Network:

Max Out of Pocket

Indiv.: $2,500

Family: $5,000

Indiv.: $3,350

Family: $6,700