3.25.010 Health insurance.
(1) The district shall provide to each eligible employee an amount up to $2,600 per month to pay directly for medical, dental, and vision insurance coverage. Employees that select medical, dental, and vision coverage that costs less than the monthly amount provided by the district shall then deposit 75 percent of the remaining amount to their HRA VEBA Trust Account. Should the cost of such health care plan or policy exceed the amount paid by the district, the employee or commissioner must cover the excess cost through personal funds to obtain the insurance coverage selected by said employee or commissioner.
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Calculation Example |
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|
District’s Monthly Stipend |
$ |
2,600.00 |
|
Cost of Employee’s Medical Coverage |
1,536.02 |
|
|
Cost of Employee’s Dental Coverage |
148.55 |
|
|
Cost of Employee’s Vision Coverage |
– |
|
|
Less Total Cost of Employee’s Health Coverage |
1,684.57 |
|
|
Employee’s Remaining Amount |
$ |
915.43 |
|
District Factor |
75% |
|
|
Employee’s Deposit Amount to HRA VEBA |
$ |
686.57 |
(2) Regular part-time employees who are expected to work 30 hours or more per week or more than an average of 130 hours per month will be eligible to a prorated medical, dental, vision, and HRA VEBA contribution based on their monthly hours worked divided by 168 hours per month.
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Calculation Example |
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|
District’s Monthly Stipend |
$ |
2,600.00 |
|
Hours Worked |
135 |
|
|
Hours per Month |
168 |
|
|
Part-Time Hours Worked Factor |
80.36% |
|
|
Part-Time Employee’s Monthly Stipend |
2,089.29 |
|
|
Cost of Employee’s Medical Coverage |
1,536.02 |
|
|
Cost of Employee’s Dental Coverage |
148.55 |
|
|
Cost of Employee’s Vision Coverage |
– |
|
|
Less Total Cost of Employee’s Health Coverage |
1,684.57 |
|
|
Employee’s Remaining Amount |
$ |
404.72 |
|
District Factor |
75% |
|
|
Employee’s Deposit Amount to HRA VEBA |
$ |
303.54 |
(3) Regular part-time employees who are expected to work 30 hours or more per week or more than an average of 130 hours per month will be eligible to a prorated medical, dental, vision, and HRA VEBA contribution based on their monthly hours worked divided by 168 hours per month.
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Calculation Example |
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|
District’s Monthly Stipend |
$ |
2,525.00 |
||
|
Hours Worked |
135 |
|||
|
Hours per Month |
168 |
|||
|
Part-Time Hours Worked Factor |
80.36% |
|||
|
Part-Time Employee’s Monthly Stipend |
$ |
2,029.02 |
||
|
Cost of Employee’s Medical Coverage |
1,695.87 |
|||
|
Cost of Employee’s Dental Coverage |
115.85 |
|||
|
Cost of Employee’s Vision Coverage |
0 |
|||
|
Less Total Cost of Employee’s Health Coverage |
1,811.72 |
|||
|
Employee’s Remaining Amount |
$ |
217.30 |
||
|
District Factor |
75% |
|||
|
Employee’s Deposit Amount to HRA VEBA |
$ |
162.98 |
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(4) No employee or commissioner may pay personal funds or contribute the value of personal accrued leave to the HRA VEBA trust.
(5) Contributions on behalf of each eligible employee shall be based on the following funding sources/formulas:
(a) Excess Monthly Benefit Dollars. Employer contribution to HRA VEBA trust is limited to employees with excess monthly health care benefit dollars provided by the employer. Employer contributions shall include excess monthly benefit dollars on behalf of such employees with a deposit of 75 percent of the remaining amount to their HRA VEBA trust account.
(b) Employer Contribution in Lieu of Medical Insurance. When an employee waives medical insurance coverage and provides proof of coverage under another employer-sponsored qualified medical insurance plan, the employer contribution to HRA VEBA trust is limited to the 75 percent of the amount the employer would have otherwise paid toward the cost of the waived medical insurance coverage on behalf of such employee.
(c) Sick Leave Cash Outs upon Separation from Service, Retirement or in Accordance to Excess Sick Leave Balance Cash Outs Authorized by SLWSDC 3.15.050(2). Cash out payments to HRA VEBA trust eligibility is limited to employees who retire or separate from service with sick leave cash out rights during the term hereof or in accordance SLWSDC 3.15.050(2). Employer contributions shall include the entire cash out value of all unused sick leave days accrued and available for cash out upon retirement or separation from service, less any regular payroll deductions.
(6) The general manager of the district is authorized to continue to execute documents and establish procedures consistent with plan and trust provisions and applicable district policies necessary to effect the administration of the plans. [Res. 849 § 2 (Exh. 1), 2023; Res. 836 § 2 (Exh. 1), 2022; Res. 818 § 1 (Exh. 1), 2021; Res. 801 § 1 (Exh. 1), 2020; Res. 773 § 7, 2019; Res. 768 § 8, 2018; Res. 763 §§ 1 – 6, 2018; Res. 646 §§ 1, 2, 2010; Res. 638 §§ 1, 2, 2009; Res. 627 §§ 1, 2, 2008; Res. 616 §§ 1 – 3, 2007; Res. 606 §§ 1 – 3, 2006; Res. 592 §§ 1, 2, 2005; Res. 572 §§ 1, 2, 2004; Res. 554 §§ 1, 2, 2003; Res. 543 §§ 1, 2, 2002; Res. 512 §§ 1, 2, 2000; Res. 494 §§ 1 – 3, 1999; Res. 480 §§ 1 – 3, 1997; Res. 373, 1982; Res. 331 § 7, 1977; Res. 301, 1973.]