953 | Back | 2003 Health Benefit Agreement |
Cost Sharing |
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Section 1 - Employee Cost-Sharing Contributions (a) Effective November 1, 2003, each employee covered by this Agreement shall contribute $1 19.61 per month to the Plan for each month that his employer is required to make a contribution to the Plan on his behalf for foreign-to-occupation health benefits coverage for himself and/or his dependents. (b) Effective July 1, 2004, the per month employee cost-sharing contribution amount set forth in subsection (a) shall be changed to $100.00. (c) Effective July 1, 2005, the per month employee cost-sharing contribution amount set forth in subsection (b) shall be increased by the lesser of (x) one-half of the increase, if any, in the carriers’ 2005 monthly payment rate over such ~ a y m ~ n t rate for 2004, and (y) one-half of the cost-of-living allowance effective July 1, 2005 pursuant to Article 111, Part B, Section 1 (a), multiplied by one-twelfth of the average straight-time equivalent hours ("ASTE Hours") for calendar year 2003. (d) Effective January 1, 2006,
the per month employee cost-sharing contribution amount in effect on December 3
1, 2005 shall be increased by the lesser of (x) the sum of (i) one-half of the
increase, if any, in the carriers’ 2006
monthly payment rate over such payment rate for 2005, plus (ii) the amount (if
any) by which the number described in part (x) of subsection ( (e) Effective July 1, 2006, the per month employee cost-sharing contribution amount in effect on June 30,2006 shall be increased by the lesser of (x) the amount (if any) by which the number described in part (x) of subsection (d) of this Section exceeds the product described in part (y) of such subsection (d), and (y) one-half of the cost-of-living allowance effective July 1, 2006 pursuant to Article 111, Part B, Section l(a), multiplied by one-twelfth of the ASTE Hours for calendar year 2004. (f) Effective January 1, 2007, the per month employee cost-sharing contribution amount in effect on December 3 1,2006 shall be increased by the lesser of (x) the sum of (i) one-half of the increase, if any, in the carriers’ 2007 monthly payment rate over such payment rate for 2006, plus (ii) the amount (if any) by which the number described in part (x) of subsection (e) of this Section exceeds the product described in part (y) of such subsection (e), and (y) one-half of the cost-of-living allowance effective January 1, 2007 pursuant to Article 111, Part B, Section l(a), multiplied by one-twelfth of the ASTE Hours for calendar year 2005. (g) The pattern specified in subsections (e), and (f) above shall be followed with respect to computation of adjustments to the amount of the employee cost sharing contribution in subsequent periods during which this Part is in effect. (h) For purposes of subsections (c) through (f) above and subsection 0) below, the carriers’ payment rate for any year shall mean twelve times the sum of what the carriers’ payments to the Plan would have been, in the absence of any employee contributions to the Plan, for foreign-to-occupation health benefits under the Plan per month (in such year) per employee. The carriers’ monthly payment rate for any year shall mean the carriers’ payment rate for that year divided by 12. An "employee" for these purposes shall include any employee who has elected to opt-out of foreign-to-occupation health benefits under the Plan and under any Hospital Association plan in which he participates (except for employees who opt-out pursuant to item no. 2 of Side Letter No. 7). Carrier payments to the Plan for these purposes shall be deemed to include amounts paid pursuant to Section 3(k) of Part A of this Article IV to employees who elected to opt-out of foreign-to-occupation health benefits under the Plan and under any Hospital Association plan in which they participate, but shall not be deemed to include the amounts per such employee per month (in such year) taken from the Special Account, or from any other special account, fund or trust maintained in connection with the Plan, to pay or provide for current Plan benefits, or any amounts paid by remaining carriers to make up the unpaid contributions of terminating carriers pursuant to Article 111, Part A, Section 1 of the November 1, 1991 Implementing Document applicable to employees represented by the organization signatory hereto and the carriers represented by the National Carriers’ Conference Committee. (i) For the purpose of this Section, the ASTE Hours to be used shall be based on all such hours for individuals in operating employee crafts and classes represented by the United Transportation Union, and who are employed by Class One carriers that are participating in national bargaining in the round of negotiations that commenced January 1,2000. (j) If the per month employee cost-sharing contribution amount ("cost-sharing amount") is increased for the period July 2005 through December 2005 or any subsequent periods and if a lower payment rate is established for the calendar year that immediately follows, then the cost-sharing amount shall be adjusted as appropriate to reflect such decreased benefit costs. Such adjustment shall be made effective January 1 of the calendar year for which such payment rate decrease is applicable and in no event shall take into account any portion of a payment rate below the payment rate level established for calendar year 2004. The cost-sharing amount shall also be subject to adjustment as provided in Article 111, Part B, Section l(c) of this Agreement. Section 2 - Pre-Tax Contributions Employee cost-sharing contributions made pursuant to this Part shall be on a pre-tax basis, and in that connection a Section 125 cafeteria plan will be established pursuant to this Agreement. Section 3 - Employer Election At the employer’s election, employee cost-sharing contributions may be made for the employee by the employee’s employer. If that election is exercised, the employer shall then deduct the amount of such employee contributions from the employee’s wages and retain the amounts so deducted as reimbursement for the employee contributions that the employer had made for the employee." |