UINTAH SCHOOL DISTRICT POLICY ACTION REVIEW

 

1st Reading

5/14/13

 

New

 

2nd Reading

6/18/13

 

Revised

X

Effective Date

6/18/13

 

Substitute

 

005.0600         INSURANCE BENEFITS

REVISES POLICY 005.0600 INSURANCE BENEFITS (LAST APPROVED 10/15/05)

1.0              GENERAL STATEMENT

1.1              The Board of Education provides medical, life, and long term disability insurance programs for contracted employees who work an average of 30 hours or more per week. Medical Benefits will be furnished to contracted employees depending on the number of hours an employee works. All contracted employees who work an average of 30 hours or more per week will receive life insurance benefits and long term disability insurance.

1.2              The Board of Education reserves the right to offer increased benefits to attract employees in areas of special need.

 

2.0              EMPLOYER VS. EMPLOYEE PAID BENEFITS

2.1              If an employee works less than 1.0 FTE (40 hours each week) but at least .75 FTE (30 hours per week) the employee will qualify for partial Medical benefits based on the FTE (see chart below). Employees working less than .75 will not qualify for medical benefits.

2.2               

*Hours Worked

District Portion

Employee Portion

6.0

75.00%

25.00%

6.5

81.25%

18.75%

7.0

87.50%

12.50%

7.5

93.75%

6.25%

8.0

100%

0%

 

*Based on .5 hour increments.

 

Note: If the school district is not fully funding insurance, the District Portion (see chart above) will be equivalent to the percentage of the FTE x the amount the district is currently supporting.

 

2.3              EXCEPTION TO SECTION 2.3 ABOVE: Food Service Workers and bus drivers hired prior to 7/1/92. See chart below.

FOOD SERVICE WORKERS

Hours worked

District Portion

Employee Portion

3.0

50%

50%

4.0

67%

33%

5.0

83%

17%

6.0

100%

0%

7.0

100%

0%

8.0

100%

0%

BUS DRIVERS

4.0

100%

0%

 

 

 

 

 

 

 

 

 

 

 

 

2.4              EXCEPTIONS TO SECTION 2.3 ABOVE: All Employees hired between 07/01/92 and 07/01/05. See chart below:

 

*Hours Worked

District Portion

Employee Portion

4.0

50.0%

50.0%

5.0

62.5%

34.5%

6.0

75.0%

25.0%

7.0

87.5%

12.5%

8.0

100%

0%

 

2.5              If an employee is offered a higher hour contract in the same job classification an refuses to accept that contract, the employee will no longer receive their grandfathered status in relation to this policy. Instead, he/she will follow Section 2.3 chart for benefits.  Employees wishing to participate in, or maintain a higher plan than is funded by the district, will be required to pay 100% of the difference between the premiums.

 

2.6              If an employee voluntarily decreases their hours from an average of 30 or more hours per week to less than an average of 30 or more hours per week, they will no longer be eligible for benefits.

 

3.0              START AND TERMINATION

3.1              Insurance coverage for employees will begin on the first day of the month following their employment date. Insurance benefits will terminate on the last day worked.  For employees who complete their current year contract, insurance benefits will terminate on the last day of the month in which the final payroll check is issued per the following chart:

 

 

June 30

July 31

August 31

December 31

Maintenance

Administrators

Teachers

Board Members

Custodians

School Secretaries

Teaching Assistants

 

Board Secretaries

 

Bus Drivers

 

12 Mo. Administrators

 

Food Service Workers

 

 

4.0              COVERAGE CHANGES

4.1              It is the employees’ responsibility to notify the Business Office of any coverage change within a 30 day period. If employee fails to notify the Business Office of changes that would result in premium savings to the district, employee will be charged the difference in excess coverage.

 

5.0              GRANDFATHER CLAUSE

5.1              This policy takes affect for any employee hired to begin work on or after July 1, 2013. Employees employed prior to July 1, 2013, will be able to maintain their current level of district contributions for benefits. (See Section 2.4 and 2.5 for the exceptions that were grandfathered in this and earlier policies.)

 

6.0              SPOUSES HAVING INSURANCE BENEFITS

6.1              If an employee’s spouse has medical insurance available at no expense to him/her at his/her place of employment regardless of coverage, the spouse must enroll in that plan for the employee to qualify for any medical insurance benefit from the district.

7.0              WAIVER OPTION

7.1              For those employees who waive their insurance coverage, the details of the waiver option will be set yearly and will be posted on the Uintah School District web page under insurance rates.

8.0              PERCENTAGE PAID BY EMPLOYEE

8.1              The percentage of insurance to be paid by employees will be negotiated yearly and will be posted on the Uintah School District web page under insurance rates.

 

9.0              PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA):

 

The District will establish its Standard Measurement Period starting on July 1 of each year and gong through June 30.  The Administrative Period will run concurrently from July 1 to August 31 and the Standard Stability Period will run from September 1 to August 31 of each year.  The District will use a 12-month look back period to determine eligibility for medical insurance benefits.  Eligibility for benefits will be calculated under the PPACA guidelines of 30 hours or more average per week or 130 hours average per month.  “Hours” for these purposes include all hours for which the employee is paid (including, sick leave and vacation), and also include unpaid leaves of absence if qualified under FMLA or military leave under USERRA.