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BP 4154 / 4254 / 4354

Health and Welfare Benefits

Section:
4000 - Personnel
Status:
Active
Adopted:
2019-04-23

BP 4154 / 4254 / 4354 — Health and Welfare Benefits

Section: 4000 - Personnel
Status: Active

Adopted: 2019-04-23

Policy text

HEALTH AND WELFARE BENEFITS

The Governing Board recognizes that health and welfare benefits are essential to promote employee health and productivity and are an important part of the compensation offered to employees. The district shall provide health and welfare benefits for employees in accordance with state and federal law and subject to negotiated employee agreements.

Certificated management, administrative, and supervisory employees who are not in bargaining units shall receive the same health and welfare benefits as those specified in the collective bargaining agreement for certificated employees. Classified management, administrative, and supervisory employees who are not in bargaining units shall receive the same health and welfare benefits as those specified in the collective bargaining agreement for classified employees.

For purposes of granting benefits, a registered domestic partner and their child shall have the same rights, protections, and benefits as a spouse and spouse’s child.

The district shall offer full-time employees who work an average of 30 hours or more per week and their dependents up to age 26 years a health insurance plan that includes coverage for essential health benefits, pays at least 60 percent of the medical expenses covered under the terms of the plan, and meets all other requirements of the federal Patient Protection and Affordable Care Act.

With respect to eligibility to participate in the health benefits plan or the level of health benefits provided, the district shall not discriminate in favor of employees who are among the highest paid 25 percent of all district employees.

Continuation of Coverage

Retired certificated employees, other employees who would otherwise lose coverage due to a qualifying event specified in law and administrative regulation, and their qualified beneficiaries may continue to participate in the district’s group health and welfare benefits in accordance with state and federal law.

Unless otherwise provided for in the applicable collective bargaining agreement, covered employees and their qualified beneficiaries may receive continuation coverage by paying the premiums, dues, and other charges, including any increases in premiums, dues, and costs incurred by the district in administering the program.

Confidentiality

The Superintendent or designee shall not use or disclose any employee’s medical information the district possesses without the employee’s authorization obtained in accordance with Civil Code 56.21, except for the purpose of administering and maintaining employee benefit plans and for other purposes specified in law.

(Replaces BP 4208 and BP 4405)

EDUCATION CODE - EDC

7000-7008 Health and welfare benefits, retired certificated employees

17566 Self-insurance fund

35208 Liability insurance

35214 Liability insurance (self-insurance)

44041-44042 Payroll deductions for collection of premiums

44986 Leave of absence, state disability benefits

45136 Benefits for classified employees

CIVIL CODE - CIV

56.10-56.16 Disclosure of information by medical providers

56.20-56.245 Use and disclosure of medical information by employers

FAMILY CODE - FAM

297-297.5 Rights, protections and benefits under law; registered domestic partners

300 Definition of marriage

GOVERNMENT CODE - GOV

12940 Discrimination in employment

53200-53210 Group insurance

CALIFORNIA CODE OF REGULATIONS

22750-22944 Public Employees’ Medical and Hospital Care Act

HEALTH AND SAFETY CODE - HSC

1366.20-1366.29 Cal-COBRA program, health insurance

1367.08 Disclosure of fees and commissions paid related to health care service plan

1373 Health services plan, coverage for dependent children who are full-time students

1373.621 Continuation coverage, age 60 or older after five years with district

1374.58 Coverage for registered domestic partners, health service plans and health insurers

INSURANCE CODE - INS

10116.5 Continuation coverage, age 60 or older after five years with district

10128.50-10128.59 Cal-COBRA program, disability insurance

UNEMPLOYMENT INSURANCE CODE - UIC

10277-10278 Group and individual health insurance, coverage for dependent children

10604.5 Annual disclosure of fees and commissions paid

12670-12692.5 Conversion coverage

LABOR CODE - LAB

2800.2 Notification of conversion and continuation coverage

4856 Health benefits for spouse of peace officer killed in performance of duties

UNEMPLOYMENT INSURANCE CODE - UIC

2613 Education program; notice of rights and benefits

https://www.law.cornell.edu/uscode/text/1/7

CODE OF FEDERAL REGULATIONS

1.105 Self-insured medical reimbursement plan; definition of highly compensated individual

4980B COBRA continuation coverage

4980H Penalty for noncompliance with employer-provided health care requirements

5000A Minimum essential coverage

6056 Report of health coverage provided to employees

54.4980B-1-54.4980B-10 COBRA continuation coverage

54.4980H-1-54.4980H-6 Patient Protection and Affordable Care Act

PUBLIC LAW

300gg-300gg95 Patient Protection and Affordable Care Act, especially:

UNITED STATES CODE

300gg-16 Group health plan; nondiscrimination in favor of highly compensated individuals

1395-1395g Medicare benefits

1.105-11 Self-insured medical reimbursement plan

GROUP HEALTH CARE PLAN CHANGE

1161-1168 COBRA continuation coverage

164.500-164.534 Health Insurance Portability and Accountability Act (HIPAA)

Referenced by (3)

  1. …permitted. The policy framework for those contributions is Board Policy 4154 (Health and Welfare Benefits). The total overpayment was qu…

  2. …ovision for LaBUFA members and sits within the framework of Board Policy 4154 (Health and Welfare Benefits). Per the later California Sta…

  3. …21-22 school year. The MOU operates within the framework of Board Policy 4154 (Health and Welfare Benefits). The MOU was co-signed by Ass…