UPP

Obsolete Policy

 

1010 Program Benefits

Effective:  December 15, 2009 - March 31, 2011

Previous Policy

 

Procedure Payment Calculation Worksheet

 

This program provides a reimbursement for all or part of the insurance premium paid by an employee for an employer-sponsored health insurance plan or COBRA that covers the employee, his spouse and/or children.

  1. The reimbursement for each person will not exceed the actual monthly cost of coverage for that person. 

  2. Each child will receive a dental benefit through CHIP dental plan C or receive a $20 reimbursement to purchase their available employer or COBRA dental plan.   

  3. The amount paid for an eligible person will be:

    1. Up to $150 per month for each adult's portion of the premium.

    2. Up to $120 per month for each child's portion of the premium and an additional $20 if they enroll in the employer's dental plan.

  4. A check for the amount of the reimbursement will be sent to the household within 2 weeks of the first of the month.  If more than one person is eligible, only one check will be sent for the combined amount.