Health Insurance & Benefits — Kaiser Permanente — Northwest RNs (Oregon / SW Washington)

OFNHP – RN 2021-2025 b. Employees who remain in a non-benefit status after hire and do not elect to enroll in the Employer-sponsored self-pay group medical coverage at hire will have one opportunity each year to enroll in the plan during the month of January with coverage effective February 1. c. Employees who lose medical plan coverage from another source because of death, divorce, or termination of employment of a spouse may, during the first thirty (30) days following the loss of coverage, enroll in the Employer sponsored self-pay group medical plan without waiting for open enrollment. The coverage will be effective on the first day of the month following the date the prior medical plan coverage terminates. d. Employees who lose Employer-paid group medical plan or dental plan coverage because of reduced hours, leaves of absence, termination or retirement, may continue the same Employe …

OFNHP – RN 2021-2025 January 1, 1997 which include a one dollar ($1.00) co-pay for each prescription purchase. The Employer will provide 100% of the plan cost. Employees who meet the eligibility rules for retiree medical benefits described above on or after January 1, 1997 will receive benefits based on provisions in effect after December 31, 1996 which include a five dollar ($5.00) co-pay for medical (and dental, if applicable) office visits and a five dollar ($5.00) co-pay for each prescription purchase. The Employer and retiree will each share one-half of the future retiree medical plan cost over the January 1, 1997 plan cost with the employee cost not exceeding 30% of the total plan cost. Coverage under the retiree medical plan will be provided through the Kaiser Permanente Medical Care Program (KPMCP). Retirees and eligible dependents who enroll in the retiree medical plan who are e …

20.A.1 Medical and Dental Plans a. Employees hired in a benefit status will be eligible to enroll themselves and their eligible dependents in the Employer-sponsored group medical and dental plan during their first thirty-one (31) days of employment. Medical plan coverage will be effective on the first day of the month following employment. Dental plan coverage will be effective the first day of the month following three (3) months of employment in a benefit status. The medical coverage will be based on the Kaiser Foundation Health Plan of the Northwest “5A5AE” medical plan benefit array and will include vision and prepaid prescriptions (with a five dollar ($5.00) charge). The medical plan will also include coverage for durable medical equipment and orthotic and prosthetic devices (Plan B) as an amendment to the Employer’s Group Medical and Hospital Service Agreement. The dental coverage …

OFNHP – RN 2021-2025 latest date that the employee enters the benefit status. Dental plan coverage will be effective the first day of the month following three (3) months of employment in a benefit status. The three (3) month waiting period may be reduced if the employee has been employed in a benefit status previously c. Employees who become eligible for the medical and dental plan and do not enroll during the first thirty-one (31) days following initial eligibility must wait for the annual open enrollment period in January of each year. January of each year shall constitute the open enrollment period with medical coverage effective February 1. The effective date of dental coverage will be determined using the rules in this Article for newly eligible employees based on an employee’s actual employment period in a benefit status. d. Employees who lose medical plan coverage from another so …

Each six (6) months, the hours compensated for each employee will be reviewed and a weekly average will be established. These weekly average hours are referred to as the Benefit Average Hours (BAH). Benefit eligibility is based upon coded hours or benefit average hours, whichever is greater. Open enrollment for Employer provided medical and dental plan benefits will be as follows: 20.B.1 January of each year shall constitute the open enrollment period with coverage effective February 1. 20.B.2 Eligible employees who lose coverage because of the death, divorce, or termination of employment of a spouse may enroll in medical and dental plan benefits without waiting for the open enrollment period. 20.B.3 Employees who do not have coverage may enroll in medical and dental plan benefits each time they become eligible for benefits through BAH or coded hours. 20.B.4 Employees who become and rema …

OFNHP – RN 2021-2025 AGE RATE AGE RATE Under 25 .06 50 – 54 .46 25 - 29 .07 55 – 59 .74 30 - 34 .08 60 – 64 1.14 35 - 39 .10 65 – 69 1.78 40 - 44 .17 70 – 74 2.68 45 - 49 .28 The minimum amount of Employer-paid coverage will be $10,000. The maximum amount of Employer-paid Life Insurance coverage will be $50,000. In addition, a total and permanent disability benefit of $10,000 (distributed in equal payments over sixty (60) months) will be made available to employees who qualify for total and permanent disability. Any benefits received under this provision will reduce the ultimate death benefit paid under the plan. Coverage shall become effective on the ninety-first (91st) day of continuous employment in an active benefit status and thereafter, eligibility shall be based on remaining in active benefit status. If an employee leaves active benefit status after coverage has become effective, …

Employees hired on or before December 31, 1984 who are eligible for employer-paid health care benefits as an active employee at the time of retirement and who are:  age 65 or older on their last day of employment, or  younger than age 65, but age 55 or older and have fifteen (15) or more years of service on their last day of employment, or  younger than age 55, and their age plus years of Service total seventy-five (75) or more on their last day of employment, shall receive employer-paid retiree health, prescription drug, vision and dental care benefits for themselves and their eligible dependents at the retiree’s age 65, or later, if termination of employment occurs after age 65. Employees hired on or after January 1, 1985 who are eligible for employer-paid health care benefits as an active employee at the time of retirement and who are:  age 55 or older and have fifteen (15) or mor …

OFNHP – RN 2021-2025 16.D.3 Benefit Coverage An employee on layoff status may, at her/his option, retain any group coverages for health plan, dental plan and group life insurance programs by tendering premiums to the Employer in accordance with reasonable requirements, subject to any limitations imposed by its insurance carriers. 16.D.4 Severance Benefits a. Severance Allowance Eligibility Employees coded twenty (20) hours per week or more, whose positions are eliminated, and for whom no open position can be found as outlined in Article 14, who are terminated and have recall rights. Employee must have a minimum of six (6) months’ service to qualify under this article. b. Provisions The severance allowance will be determined by full years of service. Eligible employees will receive one (1) week severance allowance for each full year of service, but a minimum of one (1) week, maximum of fi …