To:                   All H.H.H.T.A. members

From:               Mel A. Stern, President

Date:               September 11, 2008

Subject:           Health Insurance Waiver

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One of the most important union benefits that you have is your health insurance.

The Board of Education assumes either 85%, 80% or 75% of the cost of this benefit as stated in Article 36, Section B of the agreement between the Board of Education and the Half Hollow Hills Teachers’ Association.

For unit members whose base salary is less than $60,000, the Board of Education shall assume 85% of the cost of the Empire Plan Plus Enhancements.  The same dollar amount shall be applied to the other plan (HIP).  For unit members whose base salary is at least $60,000 but less than $100,000, the Board of Education shall assume 80% of the cost of the Empire Plan Plus Enhancements.  The same dollar amount shall be applied to the other plan (HIP).  For unit members whose base salary is $100,000 or more, the Board of Education shall assume 75% of the cost of the Empire Plan Plus Enhancements.  The same dollar amount shall be applied to the other plan (HIP).  Unit members shall take into retirement the same contribution rate they had in their final year of active employment. 

Waiver of Insurance

 If less than 65 members with family and/or 57 members with individual coverage opt to submit a waiver of coverage, the following yearly schedule will be utilized:

$2,000 for waiver of family coverage

$1,200 for waiver of individual coverage

$1,000 to reduce coverage from family to individual, provided that the unit member is carrying family coverage, and provided further that family coverage is not picked up by a spouse employed by the District.

Or

If 65 or more members with family coverage opt to submit a waiver of coverage, the following yearly schedule will be utilized:

·         $4,000 for waiver of family coverage

·         $2,000 to reduce coverage from family to individual, provided that the unit member is carrying family coverage, and provided further that family coverage is not picked up by a spouse employed by the district.

If  57 or more unit members with individual coverage opt to submit a waiver of coverage, the following yearly schedule will be utilized:

·         $2,400 for waiver of individual coverage

** Health Insurance Waiver – there is no longer a waiting period for eligibility. **

*Please complete attached form and send to Barry Corbett at C.O. or fax (preferred) to 592-3912*     

(BEFORE NOVEMBER 15^TH ) ONLY IF YOU ARE WAIVING YOUR HEALTH                                                                          INSURANCE

Per 23 Payroll Rate for members whose base salary is above   $60.000.to $99,99

(Employee’s Share 20% - District’s Share 80%)

Per 23 Payroll Rate for members whose base salary is above $99,999

(Employee’s Share 25% - District’s Share 75%)

NEW RATES GO INTO EFFECT ON JANUARY 1, 2009

We believe all our members should take advantage of the health insurance benefit or health insurance waiver.                                                                               

Date                September 2008

To:                  All H.H.H.T.A Members

From:              Barry Corbett—Benefits Office

Re:                 Health Insurance Option

If your employment contract contains the option to enroll in health insurance or receive payment by waiving family coverage, individual coverage or switching from family to individual coverage (provided insurance is not picked up by a spouse employed by the Half Hollow Hills School District), and you wish to exercise any one of these options, please complete, sign, and date the memorandum below and send it to me no later than November 15, 2008.

Payment is scheduled for the first payroll in January.

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WAIVER OF HEALTH INSURANCE

As authorized below, I wish to terminate all or part of my health insurance coverage and understand that I will receive payment for each year that this document continues in force.  This waiver will be deemed to continue unless the Half Hollow Hills Central School District receives written notification from me that I am in need of re enrolling in the Empire or HIP Health Insurance Plan.  In the event I must re-enroll, I will return, on a pro rata basis, that portion of the contractual sum that I have been paid.  The pro-rata amount shall be based upon the date I am re-enrolled in the plan.

PLEASE CHECK AS INDICATED BELOW

I am enrolled in the following health insurance plan with HHHCSD

________ EMPIRE

________ HIP

I wish to exercise the following change.

_______    Cancel/Waive my Family Coverage

_______    Cancel/Waive my Individual Coverage

_______    Switch from Family to Individual Coverage

DOES YOUR SPOUSE WORK FOR HHHCSD? ______ if so, please state name__________________

PRINT YOUR NAME____________________________ YOUR JOB TITLE _______________________

SS# _______________________

SIGNATURE _______________________________________ DATE____________________________