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Madison Metropolitan School District

Employee Handbook 2021-2022

15.3 Health Insurance

Compliance Authority: The District may, in its sole discretion, make changes to health insurance, including, but not limited to, health benefits, eligibility standards, coverages, and contribution levels in order to comply with the Patient Protection and Affordable Care Act (ACA) and applicable federal and state agency rules and regulations regarding the implementation of the ACA. Such actions may also be implemented in order for the District to comply with regulatory provisions of the Internal Revenue Service (IRS), e.g., nondiscrimination in benefits provisions [IRC 105(h), IRC 125], and to minimize tax liability for the district and/or the benefit recipient underneath such regulatory provisions.

Changes to health benefits, eligibility standards, coverages and contribution levels include, but are not limited to, changes in the sections addressing health insurance in the employee handbook.

Benefits: The Board will provide health insurance to eligible employees. The insurance carrier(s), program(s), and coverages will be selected and determined by the Board. Eligibility for, and payment toward coverage for individual employment groups are set forth in the applicable part of the Handbook covering such employees.

Open Enrollment: Each year, during the first semester of the school year prior to December 1, the District will hold an Open Enrollment Period. During this time, any eligible employee, who does not carry health insurance with the District, may enroll in one of the available District health plans with coverage beginning January 1 of the following year.

Commencement: Coverage for eligible employees shall be available the 1st day of the month following the commencement of employment.

Termination:

12 month employees - Benefits will cease at the end of the month the resignation/retirement/termination is effective.

10 month employees - If the resignation/termination has an effective date prior to the end of the school year, benefits will cease at the end of the month the resignation/retirement/termination is effective.

If the resignation/termination is effective at the conclusion of the school year, benefits will continue through the end of August.