Alameda City USD | BP 4254 Personnel
Health And Welfare Benefits
Employees who are not in bargaining units shall receive health and welfare benefits as specified in this Board policy and accompanying administrative regulation.
For purposes of this Health and Welfare Benefits policy, the following definitions shall apply:
1. Administrative and Supervisory Employees shall mean all certificated and classified administrative, supervisory, confidential, licensed and unrepresented classified personnel who are not subject to the district's collective bargaining agreements.
2. Full Time Employees shall mean those employees who are regularly assigned to work five (5) days per week, seven (7) to eight (8) hours a day, 35 (thirty-five) to 40 (forty) hours per week, and who are employed for either the fiscal or academic year.
Active Administrative and Supervisory Employee Health and Welfare Benefits
1. Basic Medical Plan
Effective July 1, 2011, the district shall contribute the minimum amount required by Govt. Code section 22892 per month for administrative and supervisory employees toward payment of the premium of a medical plan selected by the employee. In 2011, the minimum amount is $108.00. The medical plan chosen shall be one of those offered by PERS under the Public Employees Medical and Hospital Care Act.
2. Compensation in Lieu of Medical Benefits
Those full time administrative and supervisory employees eligible for medical benefits who can prove other health care coverage may elect to decline coverage by the district and receive $305.00 in cash compensation in lieu of medical benefits. This money may be used for any purpose and will be taxable to the employee.
Once health benefits are declined, no change may be made during the benefit year unless authorized under PERS approved exceptions to open enrollment period elections.
Any employee who declines coverage must renew that declination each year during the open enrollment period and provide proof of continuing health coverage.
3. Supplemental Benefits Plan
Effective July 1, 2011, the district shall provide as a supplemental benefit plan for full time administrative and supervisory employees an amount equal to the difference between the basic medical plan and the amounts designated as the district's maximum contribution for medical, dental, and vision insurance care plans selected by the employee for the employee and his/her dependents as shown on Attachment 1.
4. Flexible Benefit Plans.
A flexible benefits plan (as defined in Internal Revenue Code Section 125) consisting of options for premium conversion, unreimbursed medical expenses, and dependent care will be available for employees choosing to participate.
Health and Welfare Benefits for Employees Working Less Than Full Time
Administrative and supervisory employees who work fewer than 35 (thirty-five) hours per week, but 20 (twenty) or more hours per week, shall receive a pro-rata share of the supplemental benefits plan authorized for a full time employee if they elect to be enrolled in a health, vision, or dental care plan. The pro-ration shall be based on a 40 (forty) hour week.
Employees who work fewer than 20 hours per week shall not be eligible for benefits enumerated in this policy.
Retired Administrative and Supervisory Employee Health and Welfare Benefits
The district shall provide health and welfare benefits for retired administrative and supervisory employees of the district in accordance with the following:
1. Eligibility for Basic Medical Plan for Retirees
Administrative and supervisory employees who retire from the district will be eligible to be covered under the PERS medical plan for retirees provided the employee retired at or after age of fifty (50) years and had at least ten (10) continuous years of paid service with the district immediately prior to retirement. Each year the contribution by the district shall equal the amount allocated for the Basic Medical Plan for active full time employees as described in this policy.
2. Eligibility for Supplemental Benefit Plan
As part of an early retirement plan, administrative and supervisory employees who retire at or after the age of 55 years, and have at least 10 continuous years of paid service with the district immediately prior to retirement, may receive the supplemental benefit plan provided to active full time employees for employee only coverage until they are eligible to purchase or receive Medicare.
Eligible retirees under this provision may, at their cost, purchase coverage for their dependents or domestic partner. In the event a retiree elects to purchase coverage for his/her dependents or domestic partner, the employee shall pay the premiums, dues, and other charges, including any increases in premiums, dues, and costs incurred by the district in administering this program. The required payments from the retired employee must be remitted to the district office by the first day of each month.
3. Eligibility for Dental and Vision Plans
Administrative and supervisory employees who retire at or after the age of 55 years, and have at least 10 years of paid service with the district immediately prior to retirement, may receive the same dental and vision benefits as provided to active full time employees, as described in this policy.
Eligible retirees under this provision may, at their cost, purchase dental and/or vision coverage for their dependents or domestic partner. In the event a retiree elects to purchase dental and/or vision coverage for his/her dependents or domestic partner, the employee shall pay the premiums, dues, and other charges, including any increases in premiums, dues, and costs incurred by the district in administering this program. The required payments from the retired employee must be remitted to the district office by the first day of each month.
The benefit carriers for retired persons shall be the same as those provided to active employees.
Domestic Partner Coverage: Health, Dental and Vision
The district will fully implement state law provisions pertaining to domestic partner enrollment under PERS health plans offered by the district. In addition, the district will permit domestic partners to enroll as dependents under any non PERS benefit plan, including dental and vision plans. For purposes of enrollment in non PERS health, dental and vision plans, the definition of domestic partner will be as established pursuant to Chapter 588, Statutes of 1999. Domestic partners will be eligible for any benefits in the retirement period to which spouses or surviving spouses are eligible under the provisions of this policy.
Confidentiality of Medical Information
The Superintendent or designee shall not use or disclose any medical information the district possesses pertaining to an employee without the employee's authorization obtained in accordance with Civil Code 56.21, except for the purpose of administering and maintaining employee benefit plans and for other purposes specified in law. (Civil Code 56.20)
(cf. 4312.6 - Personnel Records)
Continuation of Coverage
Retired administrative and supervisory employees who would otherwise lose coverage due to a qualifying event specified in law and administrative regulation, and their qualified beneficiaries may continue to participate in the district's group health and welfare benefits in accordance with state and federal law.
For those programs for which deductions are not made by PERS, the required payments from the retired employee must be remitted to the district office by the first day of each month. Except as otherwise set forth herein, to receive continuation coverage, covered employees and their qualified beneficiaries shall pay the premiums, dues, and other charges, including any increases in premiums, dues, and costs incurred by the district in administering this program.
17566 Self-insurance fund
35208 Liability insurance
35214 Liability insurance (self-insurance)
44986 Leave of absence, state disability benefits
45136 Benefits for classified employees
HEALTH AND SAFETY CODE
1367.08 Disclosure of fees and commissions paid related to health care service plan
1373 Health services plan, coverage for dependent children over 18 who are full-time students
1373.621 Continuation coverage, age 60 or older after five years with district
1374.58 Coverage for registered domestic partners, health service plans and health insurers
10116.5 Continuation coverage, age 60 or older after five years with district
10604.5 Annual disclosure of fees and commissions paid
2800.2 Notification of conversion and continuation coverage
4856 Health benefits for spouse of peace officer killed in performance of duties
UNEMPLOYMENT INSURANCE CODE
2613 Education program; notice of rights and benefits
UNITED STATES CODE, TITLE 1
7 Definition of marriage, spouse
UNITED STATES CODE, TITLE 26
139C COBRA premium assistance, elimination of subsidy for high-income individuals
4980B COBRA continuation coverage
6432 COBRA premium assistance
6720C COBRA premium assistance, failure to notify health plan of cessation of eligibility
UNITED STATES CODE, TITLE 29
UNITED STATES CODE, TITLE 42
CODE OF FEDERAL REGULATIONS, TITLE 26
54.4980B-1-54.4980B-10 COBRA continuation coverage
CODE OF FEDERAL REGULATIONS, TITLE 45
INTERNAL REVENUE SERVICE GUIDANCE
Premium Assistance for COBRA Benefits, Notice 2009-27
California Department of Industrial Relations: http://www.dir.ca.gov
California Employment Development Department: http://www.edd.ca.gov
Internal Revenue Service: http://www.irs.gov
U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services: http://www.cms.hhs.gov
U.S. Department of Labor: http://www.dol.gov
Policy ALAMEDA UNIFIED SCHOOL DISTRICT
adopted: June 28, 2011 Alameda, California