The following list summarizes the various benefit programs in effect as of the writing of this MOU:
MEDICAL (Active):
The County and covered employees share in the cost of health care premiums. The County will pay eighty-five percent (85%) of the total premium for the Kaiser HMO, Blue Shield HMO, Kaiser High Deductible Health Plan or Blue Shield High Deductible Plan, and covered employees will pay fifteen percent (15%) of the total plan premium.
Alternatively, the County will pay seventy-five percent (75%) of the total premium for the Blue Shield POS Plan, and covered employees will pay twenty-five percent (25%) of the total premium for the Blue Shield POS Plan. Effective with the January 1, 2016 plan year, the Blue Shield POS (Point-of-Service) plan was replaced with the Blue Shield (Preferred Provider Organization) plan.
MEDICAL (Retiree):
See Section 17.4
DENTAL:
All employees must participate in a plan.
County Plan: County pays 90% of premium
1st year: $100 cap on deductible
60% UCR paid to dentists
2nd year: No deductible
85% UCR paid to dentists
Annual maximum of $2500/person
If recommended by dentist and approved by plan, cleanings may be more frequent than every six (6) months; employees may appeal plan rejections – see Plan Description Booklet.
Delta Dental PMI: See brochure.
Effective January 1, 2007, the County Plan will offer a tooth replacement implant benefit:
- Replacement of any missing single tooth in the esthetic region of the upper teeth.
- Annual maximum of $1,000.00/person
- Paid at 85% of the billed amount, subject to the $1,000.00 annual maximum benefit.
VISION
VSP: San Mateo County Plan B with $10.00 co-pay each on examination and materials for employees and dependents. Premiums paid by County.
* Domestic partners and young adult dependents are included in the above plans. Children and young adult dependents of domestic partners are included.
* Grandchildren of custodial grandparents will be considered eligible dependents on all health, dental and vision plans provided there is documentation of primary responsibility and approval by the affected benefit plan. This will occur with or without formal adoption.
LIFE INSURANCE
See Section 21 of the MOU.
LONG TERM DISABILITY
See section 22 of the MOU.
This is a summary of various benefit programs in effect for eligible employees as of May, 2013. The descriptions are very general and are not intended to provide complete details about any or all plans. Exact specification for all plans are provided in the official Plan Documents, copies of which are available from Payroll Specialists or the Human Resources Department, Benefits Division. Where there is a difference between the description on these pages and the Plan Documents, the Plan Documents prevail. Please note that benefits are subject to change by the Plans and there is no guarantee that these benefits will be continued indefinitely. However, the County agrees to continue negotiated coverage as it currently exists unless such coverage is no longer offered by the plans.