(a) Effective January 1, 2012, an employee's spouse who is enrolled for health care coverage with the Village and who has retired and has access to continuous group health insurance coverage pursuant to his/her retirement must enroll in the retirement system's insurance plan for at least single coverage.
(b) An employee's spouse who is enrolled for coverage with the Village must enroll in his/her employer's insurance plan for single coverage minimally if the employee's spouse:
(1) Works a minimum of twenty (20) hours per week; and
(2) Has access to continuous group health insurance, single coverage minimally, pursuant to his/her employment at a cost of not more than three hundred dollars ($300.00) per month.
(c) An employee's spouse is deemed to have access to continuous group health insurance coverage when:
(1) The spouse can enroll in his/her employer's health insurance plan, or:
(2) The spouse elects not to enroll in his/her employer's plan but receives a stipend or higher salary, or the spouse could have taken the health plan and not taken the stipend: or
(3) The spouse receives a cafeteria or similar plan benefit from the spouse's employer that allows the spouse the choice of health insurance, life insurance, annuity premiums or other benefits, or:
(4) The spouse is the owner, partner, or has a form of proprietary interest in an enterprise that provides no cost health benefits to its employees.
(d) Each employee who has enrolled in the Village family insurance plan must complete and provide to the Clerk/Treasurer a Coordination of Benefits (COB) form annually, on or before December 15 of each year.
(e) Change in Coverage Status: Effective the first day of the month following employee notification, an employee may change the coverage status (single or family) with the carrier when a change in the employee's coverage status is prompted by a loss of spouse's coverage, divorce, marriage, childbirth, adoption, assumption of a dependent, or death of a spouse.
(Ord. 4067. Passed 6-9-22.)