(a)The Commission shall determine the percentage of the premium for individual, two-person, parent-child, and family coverage under a health benefit plan that shall be borne by each school employer and the percentage that shall be borne by participating employees.
(1)The premium responsibility percentages shall remain in effect for the entire plan year.
(2)Each school employer shall be responsible for paying, on behalf of all of its participating employees, the applicable percentages of premium costs as determined by the Commission.
(b)(1) The Commission shall determine the amount of participating employees’ calendar year out-of-pocket expenses for which the school employer and the participating employees shall be responsible, and whether school employers shall establish
Free access — add to your briefcase to read the full text and ask questions with AI
(a) The Commission shall determine the percentage of the premium for individual, two-person, parent-child, and family coverage under a health benefit plan that shall be borne by each school employer and the percentage that shall be borne by participating employees.
(1) The premium responsibility percentages shall remain in effect for the entire plan year.
(2) Each school employer shall be responsible for paying, on behalf of all of its participating employees, the applicable percentages of premium costs as determined by the Commission.
(3) [Repealed.]
(b)(1) The Commission shall determine the amount of participating employees’ calendar year out-of-pocket expenses for which the school employer and the participating employees shall be responsible, and whether school employers shall establish a health reimbursement arrangement, a health savings account, both, or neither, for their participating employees.
(2) The Commission also shall determine the extent to which the employer or employee shall bear first dollar responsibility for out-of-pocket expenses if using a health reimbursement arrangement and whether the balance in a participating employee’s health reimbursement arrangement shall roll over from year to year.
(3) [Repealed.]
(c) The Commission may make recommendations regarding health benefit plan design to any intermunicipal insurance association that offers health benefit plans to entities providing educational services pursuant to 24 V.S.A. chapter 121, subchapter 6.
(d) The Commission shall not make any determinations regarding school employer or participating employee responsibilities with respect to stand-alone vision or dental benefits.
(e) The Commission may negotiate a statewide grievance procedure for disputes concerning public school employee health benefits.
(f) In no case shall a school employee receive cash in lieu of receipt of health care benefits from one school employer while simultaneously receiving health care benefits from the same or another school employer.
(g) Accommodations shall be made for school employees whose workload is shared between more than one school employer, and who may not otherwise qualify for health care benefits from only one school employer. The affected school employers shall determine the proportionate portion of the shared costs of the health benefits. (Added 2018, No. 11 (Sp. Sess.), § H.18; amended 2021, No. 7, § 4, eff. April 8, 2021.)