Contract

Between CCFT & the Cabrillo Community College District
July 1, 2010 through June 30, 2013

Side Letter of Agreement SL-2011-12.1
Medical Plans and District Benefits Stipend Allotment for 2011-12

• Effective October 1, 2011, the parties agree:
  

  1. 1. That the District will continue to provide the same medical plans listed in 14.3.1.
     
  2. 2. The following changes will be made to prescription drug coverage:
     
  1. a. Prescription drug coverage for the following plans shall be provided through Medco:
  1. i. Blue Shield PPO High Option Plan
  2. ii. Blue Shield PPO Medium Option Plan
  3. iii. Blue Shield HMO High Option Plan 
  4. iv. Blue Shield HMO Low Option Plan 

  Note: Generic drugs for all of these plans will be free at Costco (no membership required to participate).

  1. b. Prescription drug coverage for the Blue Shield PPO Low Option Plan shall continue to be provided by Blue Shield in accordance with the plan design.
     
  2. c. Co-payments for prescription drug coverage for the Blue Shield HMO Plans will change as follows:
  1. i. Blue Shield HMO Low Option Plan:
  1. 1. 30-day supply
     Current: $10/$20/$35 for Generic/Brand/Non-Formulary
     Renewal: $9/$35 for Generic/Brand
  2. 2. 90-day mail-in supply
     Current: $20/$40/$70 for Generic/Brand/Non-Formulary
     Renewal: $18/$90 for Generic/Brand
     
  2. ii. Blue Shield HMO High Option Plan:
  1. 1. 30-day supply
     Current: $5/$10/$25 for Generic/Brand/Non-Formulary
     Renewal: $5/$ 10  for Generic/Brand
  2. 2. 90-day mail-in supply
     Current: $10/$20/$50 for Generic/Brand/Non-Formulary
     Renewal: $10/$ 20 for Generic/Brand
  • 3. The benefit stipend amounts set forth in section 14.2  shall be adjusted to reflect the applicable new rates as follows:
  • a. 14.2.1 Medical Coverage for Employee Only:
    The District shall provide full-time regular and contract unit members with medical coverage for employee only, a benefits stipend for medical, dental, life insurance and disability insurance, up to $9,018.84 per year, calculated based on their assignment status.
  • b. 14.2.2 Medical Coverage for Employee Plus One Dependent:
    The District shall provide full-time regular and contract unit members with employee plus one dependent in medical coverage, a benefits stipend for medical, dental, life insurance and disability insurance, up to $17,516.16 per year, calculated based on their assignment status.
  • c. 14.2.3 Medical Coverage for Employee Plus Two Dependents:
    The District shall provide full-time regular and contract unit members with employee plus two dependents in medical coverage a benefits stipend for medical, dental, life insurance and disability insurance up to $24,136.44 per year, calculated based on their assignment status.
  1. Date: __________ For the Cabrillo Community College District By: __________
  2. Date: __________ For the Cabrillo College Federation of Teachers By: __________

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