LEU MOU Section 21: Hospitalization and Medical Care

21.1     Me Too Agreement: Any agreements reached with the American Federation of State, County and Municipal Employees (AFSCME) regarding Hospitalization and Medical Care (Section 21), Dental Care (Section 22), and/or Vision Care (Section 23) shall be extended to this Memorandum of Understanding. The intent of this paragraph is to memorialize a “me-too” agreement regarding medical, dental and vision benefit changes entered into with AFSCME.

21.2     Medical Insurance:

  • The County pays seventy-five percent (75%) of the total premium for Blue Shield POS plan (employees pay twenty-five percent (25%) of the total premium).
  • Regular Employees Assigned to Work Eighty (80) Hours Per Pay Period: The County pays eighty-five percent (85%) of the total premium for Kaiser HMO, Blue Shield HMO or Kaiser High Deductible Health plans (employees pay fifteen percent (15%) of the total premium).
  • Regular Employees Assigned to Work Less Than Eighty (80) Hours Per Pay Period:  For employees occupying permanent part-time positions who work a minimum of 60 but less than 80 hours in a biweekly pay period, or qualify for health benefits under the Affordable Care Act (ACA), the County will pay eighty-five percent (85%) of the Kaiser High Deductible Health Plan (HDHP) or three-fourths of the hospital and medical care premiums described above.
  • For employees occupying permanent part-time positions, who work a minimum of 40, but less than 60 hours in a biweekly pay period, the County will pay one-half of the hospital and medical care premiums described above.
  • Cadillac Tax Reopener: After July 1, 2017, the County may reopen with the Association to meet and confer regarding payment of “the Cadillac Tax” as described in the Affordable Care Act.

21.3     Sick Leave Converted to Medical Insurance Premiums at Retirement:
Employees whose employment with the County is severed by reason of retirement during the term of this Memorandum of Understanding shall be reimbursed by the County for their unused accrued sick leave at time of retirement on the following basis:

  • Employees Hired Prior to July 10, 2011:
    • For employees who retire with twenty (20) or more years of service with the County of San Mateo, the conversion rate for each six (6) hours of sick leave will be five hundred thirty one dollars and forty-three cents ($531.43). This amount shall be increased annually on January 1st by four percent (4%). Such contribution shall not exceed ninety percent (90%) of the Kaiser Employee-only premium non-Medicare rate.
    • For employees who retire with at least fifteen(15) but less than twenty (20) years of service with the County of San Mateo, the conversion rate for each eight (8) hours of sick leave will be four hundred seventy two dollars and ninety-eight cents ($472.98). This amount will be increased annually on January 1st by two percent (2%). Such contribution shall not exceed ninety percent 90% of the Kaiser Employee-only premium non-Medicare rate.
    • For employees who retire with less than fifteen (15) years of service with the County of San Mateo, the conversion rate for each eight (8) hours of sick leave will be four hundred forty dollars ($440.00).
  • Employees Hired On or After July 10, 2011:
    • Payment of Difference in Premium Cost: The County provides a specified contribution to retirees who have unused sick leave at the time of retirement. For each unused six (6) or eight (8) hours of sick leave at time of retirement the County will make a specified contribution, as defined above, to the monthly premium for the retiree. If the cost of the premium is greater than the County’s contribution, the retiree pays the difference through their retirement pay warrant. If the cost of the premium is less than the County’s contribution, the County will apply the difference to the retiree’s Medicare Part B premium cost.
    • Additional Sick Leave Credit Upon Disability Retirement: The County will provide up to a maximum of two hundred eighty eight and six tenths (288.6) hours of sick leave (three (3) years of retiree health coverage) to employees who receive a disability retirement. For example, if an employee who receives a disability retirement has one hundred (100) hours of sick leave at the time of retirement, the County will add another one hundred eighty eight and six tenth (188.6) hours of sick leave to his/her balance.
  • For employees who retire from service with the County of San Mateo the conversion rate for each eight (8) hours of accrued sick leave will be four hundred dollars ($400). No inflation factor and no conversion at a lower number of hours based on years of service.

21.4     Survivor Benefit:

    1. Surviving Spouse of Retiree: Should a retired employee die while receiving benefits under this section, the employee’s spouse and eligible dependents shall continue to receive coverage to the limits provided above.
    2. Surviving Spouse of Active Employee: The surviving spouse of an active employee who dies may, if the spouse elects a retirement allowance, convert the employee’s accrued sick leave to the above specified limits providing that the employee was age fifty-five (55) or over with at least twenty (20) years of continuous service.

21.5     Additional Sick Leave Credit Upon Service Retirement: Employees who retire from the County of San Mateo via service retirement will, upon exhaustion of accrued sick leave, be credited with additional hours of sick leave as follows:

  • With at least ten (10) but less than fifteen (15) years of service with the County of San Mateo –    ninety-six (96) hours
  • With at least fifteen (15) but less than twenty (20) years of service with the County of San Mateo –   one hundred ninety-two (192) hours
  • With twenty (20) years or more of service with the County of San Mateo – two hundred eighty-eight (288) hours

The County and the Unions shall convene a special committee within the first twelve (12) months following adoption of this agreement, to discuss the concept of elimination of the Additional Sick Leave Credit Upon Service Retirement, and establishing a County contribution to a Health Reimbursement Account. No changes will be made during the term of this MOU without written mutual agreement between the County and Association. This special committee provision shall expire on December 31, 2015, unless the parties mutually agree to continue the committee past the expiration date.

21.6   Amount of Hours Converted Per Month: Employees may increase the number of hours per month to be converted up to a maximum of fourteen (14) hours of sick leave per month.  Such conversion may be in one (1) full hour increments above a minimum of six (6) or eight (8) hours.  The number of hours to be converted shall be set upon retirement and can be changed annually during open enrollment, or upon a change in family status that impacts the number of covered individuals (e.g., death of spouse, marriage and addition of spouse).

21.7 Out-of-Area Retirees

Retirees who live in areas where neither Kaiser nor Blue Shield coverage is available, and who are eligible for conversion of sick leave credits to a County contribution toward health plan premiums, may receive such contribution in cash while continuously enrolled in an alternate health plan in the area of residence. It is understood that such enrollment shall be the sole responsibility of the retiree.

This option must be selected either:

  1. At the time of retirement or
  2. During the annual open enrollment period for the County’s health plans, provided the retiree has been continuously enrolled in one of the County’s health plans at the time of the switch to this option.

Payment to the retiree will require the submission to the County of proof of continuous enrollment in the alternate health plan, which proof shall also entitle the retiree to retain the right to change back to any County-offered health plan during a subsequent open enrollment period.

An out-of-area retiree who has no available sick leave credits for conversion to County payment of health plan premiums may also select the option of enrollment in an alternate health plan in the area of residence, provided that no cash payment will be made to the retiree in this instance.  Should such retiree elect this option during an open enrollment period, rather than at the time of retirement, s/he must have had continuous enrollment in a County-offered health plan up to the time of this election. Continuous enrollment in the alternate plan will entitle the retiree to re‑enroll in a County-offered health plan during a subsequent open enrollment period.

 

21.8     Retiree Health Savings Plan: The County agrees to explore the feasibility of establishing a retiree health savings plan (Integral 115 Trust) in which the bargaining unit may elect to participate.  The terms under which the retiree health savings plan (Integral 115 Trust) will operate will be determined through the joint Labor/Management Committee process.