Health Insurance & Benefits — Kaiser Permanente — Northern California RNs & NPs

A Nurse placed on an authorized leave of absence must pay the required premium necessary for continued hospital-medical-surgical, dental and group life insurance coverage during the period of leave, provided, however that Nurses on a leave of absence attributable to an industrial injury or illness as determined by the Workers' Compensation Appeals Board shall continue to be covered by hospital-surgical- medical insurance as described in Article XXXII, Section A – Hospital-Medical- Surgical-Drug Coverage at the Employer's expense for a period of time not to exceed twelve (12) months.

board access shall not be unreasonably denied. A designated Association representative shall be responsible for posting material submitted by the Association, a copy of which shall be furnished to the Employer before posting. The Association agrees that no controversial material shall be posted. It is further agreed that the Employer shall post position vacancies as provided in Article IX of the contract on such bulletin boards. ARTICLE V – PERSONNEL CATEGORIES Section A – Probationary Nurses Regular Registered Nurses may be discharged without recourse to the grievance procedure within the first ninety (90) days of employment. Short- Hour, Temporary and Per diem Registered Nurses may be discharged without recourse to the grievance procedure until such Nurse has been employed for six (6) months or worked three hundred (300) hours, whichever comes first. Section B – Regular Nurses A Regula …

A “Post-2016 Retiree” means a Nurse who terminates employment on or after January 1, 2017, after meeting the eligibility requirements for retiree health plan coverage, under the qualifications listed above (paragraphs 3213 – 3220). The retiree medical coverage for a Post-2016 Retiree and his/her spouse or domestic partner and eligible children will be equivalent to the KFHP Plan for active Nurses, currently described in Article XXXII, Section A, as the post-2016 PID 10 EU7 plan, effective 1/1/17, with a schedule of co- payments referenced in Appendix O, except this coverage will not include optical for Nurses hired on or after January 1, 1988, or equivalent to the Alternate Medical Plan currently described as KP2RX. Any changes to the cost-sharing features of the KFHP Plan for active Nurses or to the Alternate Medical Plan will also be implemented for the Retiree and his/her spouse/domes …

Through December 31, 2016, the Employer agrees to provide Kaiser Foundation Health Plan benefits currently described in the Evidence of Coverage identified as PID 10 EU 7 for Regular Nurses and their eligible dependents or to pay the premium required to the Alternate Medical Plan currently described as KP2RX. Effective January 1, 2017, the Employer agrees to provide the post-2016 PID 10 EU7 (hereinafter “The Post-2016 PID Plan”) or the Alternate Medical Plan currently described as KP2RX to all Regular Nurses, and their eligible dependents. A detailed list of deductibles, co-payments, and out-of-pocket maximum for The Post-2016 PID Plan is in Appendix O. Such coverage shall become effective the first day of the month following assignment as a Regular Nurse. The Employer agrees to pay any additional premium payments required to maintain the Kaiser Foundation Health Plan benefits described …

The Employer agrees to provide to those Regular Nurses covered by the Kaiser Foundation Health Plan currently described as Kaiser Permanente Senior Advantage (KPSA). The Alternative Medical Plan coverage currently described as KP2RX integrated with Medicare also will be offered. The medical benefits that retirees receive from the Senior Advantage program will be the same as those described as the KFHP Plan for active Nurses in Article XXXII, Section A except for the optical benefit modification described in 3217 for Nurses hired on or after January 1, 1988. These benefits will be provided for retiring Nurses who terminate before January 1, 2017, and meet the following qualifications: Normal Retirement

The Employer agrees to maintain the level of health benefits described in paragraph 3201 in place at the inception of the term of each collective bargaining agreement during the term of such agreement, absent mutual agreement of the parties to deviate from such benefit levels. It is understood by the parties that the term of the health plan contract between the insurer and the Employer may not be coextensive with the term of the collective bargaining agreement. Should the insurer seek to alter the benefits provided under the applicable Kaiser Foundation Health Plan benefit contract during the term of the collective bargaining agreement, the Employer shall pay an additional premium to the insurer to prevent such changes from impacting bargaining unit members (e.g., “buy up” the changes). Should this not be feasible due to constraints imposed by the insurer, the Employer shall provide noti …

If individuals eligible for coverage under this plan live outside the Kaiser Permanente service area, and do not elect the Alternate medical Plan currently described as KP2RX, the Employer will offer its Medicare Out of Area Group Plan. If individuals eligible for coverage under this plan live in another Kaiser Permanente Service Area, the Employer will offer an Out of Region plan. Such individuals must enroll in Senior Advantage. Out of Region dependents who are not yet Medicare eligible must enroll in Kaiser Permanente’s Senior Advantage Plan as soon as they become eligible. A Post-2016 Retiree who is in the Medicare Out of Area Group Plan or the Out of Region group plan will be required to pay the monthly premium contribution amount required of a Post-2016 Retiree in the in- region retiree medical plan, plus any amount of the Out of Area or Out of Region premium which is in excess of …

A Post-2016 Retiree who elects the retiree medical plan (with cost sharing) which begins upon Medicare enrollment (usually age 65), will receive an Employer allocation to an unfunded Retiree Premium Health Reimbursement Account (“HRA”) at the time of retirement in the amount of Fifteen Thousand dollars ($15,000). A Post-2016 Retiree may access the Retiree Premium HRA only for reimbursement of the amount of his/her required monthly premium contribution for his/her own retiree medical plan coverage that is in excess of Thirty Dollars ($30) and for the required monthly premium contribution of his/her Medicare-eligible spouse/domestic partner’s retiree medical plan coverage that is in excess of Thirty Dollars ($30). In the event of a Post-2016 Retiree’s death, any balance in the Retiree Premium HRA will be available for the benefit of the retiree’s surviving spouse or domestic partner, until …