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HomeMy WebLinkAboutResolutions - 2013.10.17 - 21079MISCELLANEOUS RESOLUTION #13275 October 17,2013 BY; Human Resources Committee, John Scott, ChairpersonIN RE: HUMAN RESOURCES DEPARTMENT- FISCAL YEAR 2014- FISCAL YEAR 2016 COLLECTIVE BARGAINING AGREEMENT FOR EMPLOYEES REPRESENTED BY THE MICHIGAN NURSES ASSOCIATION (MNA) To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS the County of Oakland, the Oakland County Health Department and the Michigan NursesAssociation (MNA) have been negotiating a Collective Bargaining Agreement covering approximately 91 Public Health Nurses; andWHEREAS a three year Collective Bargaining Agreement has been reached forthe period October 1,2013 through September 30, 2016; andWHEREAS the parties have agreed to a 2% wage increase for Fiscal Year 2014, to be effective with the first full pay period of Fiscal Year 2014; and WHEREAS the parties have agreed to a 1% wage increase for Fiscal Year 2015 or "Me Too" with the general, non-represented employees if a greater increase were approved; and WHEREAS the parties have agreed to a "Me Too" with the general, non-represented employees if a wage increase were approved for Fiscal Year 2016; and WHEREAS this agreement provides that any benefit modifications implemented on a countywide basis to general, non-represented employees that take effect during the duration of this Collective Bargaining Agreement shall be applied to employees represented by this bargaining unit at the same time and in the same manner; and WHEREAS this agreement has been reviewed by your Human Resources Committee, which recommends approval of the agreement.NOW THEREFORE BE IT RESOLVED that the Board of Commissioners approves the proposed Collective Bargaining Agreement between the County of Oakland, the Oakland County Health Department and the Michigan Nurses Association covering the period of October 1, 2013, through September 30,2016, and that the Board Chairperson, on behalf of the County of Oakland, is authorized to execute said agreement as attached, Chairperson, on behalf of the Human Resources Committee, I move the adoption of the foregoing resolution. HUMAN RESOURCES COMMITTEE HUMAN RESOURCES COMMITTEE Motion carried unanimously on a roll call vote. THE COUNTY OF OAKLAND AND MICHIGAN NURSES ASSOCIATION Collective Bargaining Agreement October I, 2013 — September 30,2016 AGREEMENT This agreement is made and entered into on this day of October, A.D., 2013, by and between the County of Oaldand and the Oakland County Health Department, hereinafter referred to collectively as the Employer" and the Michigan Nurses Association, hereinafter referred to as the"Association" and the Association's affiliate the Professional Registered Nurses of Oakland County Health Division, hereinafter referred to as the "Association Council". It is the desire of both parties to this agreement to continue to work harmoniously and to promote and maintain high standards, between the Employer and employees, which will best serve the citizens of Oakland County. All references to the feminine in this agreement shall apply equally to the masculine and vice versa. I RECOGNITION The Employer recognizes the Association as the exclusive representative of the following employees, for the purposes of collective bargaining with respect to rates of pay, wages, hours of employment and other terms and conditions of employment, in the following bargaining unit for which they have been certified, and in which the Association is recognized as collective bargaining representative, subject to and in accordance with the provisions of Act 336 of the Public Acts of 1947, as amended. All full-time and regular eligible part-time Registered Public Health Nurses employed in the Health Division. Excluding all other employees, supervisors as defined by the Act, confidential, temporary, part-time non-eligible, and substitute employees, Registered Nurses working in the Jail Facility, and Health Educators. n MANAGEMENT RESPONSIBILITY The right to hire, promote, discharge or discipline for just cause, and to maintain discipline and efficiency of employees, is the sole responsibility of the Employer except that Association members shall not be discriminated against as such. In addition, the work schedules, methods and means of departmental operation are solely and exclusively the responsibility of the Employer, subject, however, to the provisions ofthis agreement. in DUES CHECK-OFF (a) The Employer agrees to deduct the Association membership initiation fee and dues, once each month, from the pay of those employees who individually authorize in writing that such deductions be made. All authorizations delivered to the Employer prior to the first day of the month shall become effective during that succeeding month. Check-off monies will be deducted from the 2 second paycheck of each month and shall be remitted together with an itemized statement to the Association at its offices located at 2310 Jolly Oak Road, Okemos, Michigan48864, withinfourteen (14) days after the deductions have been made. (b) An employee shall cease to be subj ect to check-off deductions beginning with the month immediately following the month he/she is no longer a member of the bargaining unit. Any employee may voluntarily cancel or revoke the Authorization for Check-off deduction upon written notice to the Employer and the Association, Such voluntary withdrawal from payroll deduction of Association dues may only occur during the period December 16 through 31 of any calendar year. (c) The Association will protect and save harmless the Employer from any and all claims, demands, suits and other forms of liability by reason of action taken by the Employer for the purpose of complying with this section. IV GRIEVANCE REPRESENTATIVES Section 1. There shall be one (1) grievance representative per work site (North, South, West). Additionally, there shall be one (1) alternate which may rotate among the work sites on an as needed basis. All grievance representatives must work out of the office they represent and only one (1) representative will be released to handle a specific grievance. Grievance representatives will be permitted to leave their work, after obtaining approval of their respective supervisors and recording their time, for the purpose of adjusting grievances in accordance with the grievance procedure. Permission for grievance representatives to leave work will not be unreasonably withheld. Grievance representatives will report their time to their supervisor upon returning from a grievance discussion. The privilege to leave their work during working hours, without loss of pay, is extended with the understanding that the time will be devoted to the prompt handling of grievances and will not be abused, and that they will continue to work at their assigned j obs at all times except when permitted to leave their work to handle grievances. Section 2. Should any grievance representative position become vacant the Association agrees to promptly fill the vacancy and then notify the Employer within five (5) worldng days. Section 3. Grievance representatives may receive but shall not solicit grievances (this is not to be construed as to prohibit grievance representatives from advising members related to contract interpretation). 3 Section 4. The Association will furnish the Employer with the names of its authorized representatives who are employed within the unit and such changes as may occur from time to time in such personnel so that the Employer may at all times be advised as to the authority of the individual representative of the Association with which it may be dealing. Section 5. The Chairperson of the Nurses Staff Council or Vice Chairperson shall be released for up to six hours each month to do Union business, including but not limited to local Union business and state association business. Release time not used may accumulate from month to month. In the event the Chairperson is unavailable to attend to Union business due to work commitments or absence, or both the Chairperson and Vice Chair need to attend a meeting, he/she may designate the Vice Chair to take his/her place or go with him/her. The Chairperson or Vice Chairperson will be permitted to leave work, after obtaining approval of their respective supervisors and recording their time, for die purpose of doing Union business. Permission to leave work will not be unreasonably withheld. The Chairperson or Vice Chairperson will report their time to their supervisor upon returning from doing Union work. V GRIEVANCE PROCEDURES The Employer and the Association support and subscribe to an orderly method of adjusting employee grievances. To this end, the Employer and the Association agree that an employee should first bring her problem or grievance to the attention of her immediate supervisor (or supervisor's designee), with or without her grievance representative within ten (10) working days of the occurrence. The immediate supervisor shall attempt to resolve the grievance informally. Dismissals, suspensions, demotions and disciplinary actions of any type shall only be subject for the grievance procedure. Step 1. If the grievance is not settled informally, it shall be discussed with the grievance representative and shall be reduced to writmg, signed by the grievant and submitted to her immediate supervisor within ten (10) working days of the informal discussion. Step 2. The written grievance may be discussed between the grievance representative and the immediate supervisor if so desired. If a discussion is held, the grievant may attend if she so desires. The supervisor will attempt to adjust the matter and will give a written decision within ten (10) working days of the receipt of the written grievance. Step 3. Any grievance not settled at Step 2 may be submitted to the next meeting of the Grievance Committee. The Grievance Committee shall consist of two (2) Association Grievance 4 Representatives and at least one Employer representative. This committee may be assisted by a representative of the Michigan Nurses Association. A grievant may be present during all or a portion of a Grievance Committee meeting by mutual agreement of the parties. Any grievance not submitted to the next grievance meeting, by written notification to the Employer within ten (10) working days of the immediate supervisor's written decision, shall be considered dropped. The Employer will give a written decision within fifteen (15) worldng days of such meeting. Step 4. Any matter not settled in Step 3 of the grievance procedure may be submitted to final and binding arbitration. The request for arbitration must be submitted to the Employer within ten (10) working days of the Employer's written response to the Grievance Committee meeting. The grievance upon which arbitration has been demanded shall be referred to one of the following Arbitrators in accordance with the date of the written grievance, the oldest grievance being referred first: 1. John Coyle 2. Barry Brown 3. BenWolkinson A grievance shall be referred to the listed Arbitrators in the order in which they appear. Once a grievance has been referred to an Arbitrator, a subsequent grievance shall be referred to the next Arbitrator on the list. After a grievance has been referred to the last Arbitrator listed, the cycle shall repeat, beginning with the first Arbitrator. The Arbitrator may interpret and apply the provisions of this Agreement to determine the grievance before the Arbitrator. However, the Arbitrator shall have no power or authority, in any way, to alter, modify, amend, or add to any provisions of this Agreement, or set a wage rate. ITie Arbitrator shall be bound by the express provisions of this Agreement. Expenses for arbitration shall be borne equally by both parties. Any grievance not appealed, from a decision in one of the steps of the grievance procedure, to the next step as prescribed, shall be considered dropped and the last decision final and binding, except that time limits may be extended by mutual agreement of the parties. In the event that the Employer shall fail to supply the Association with its answer to the particular step within the specified time limits/the grievance shall be deemed automatically positioned for appeal at the next step with the time limit for exercising said appeal commencing with the expiration of the grace period for answering. VI SENIORITY New employees may acquire seniority by working six (6) continuous months, in which event the employee's seniority will date back to the date of hire into the division. When the employee acquires seniority, his/her name shall be placed on the seniority list, in the order of his/her seniority date. An up-to-date seniority list shall be furnished to the Association every six (6) months. An employee shall lose his/her seniority for the following reasons: 5 (a) If the employee resigns or retires; (b) If the employee is discharged, and not reinstated; (c) If the employee is absent from work for three (3) working days, without properly notifying the Employer, unless a satisfactory reason is given; (d) If the employee does not return to work at the end of an approved leave; (e) If the employee does not return to work when recalled from a layoff. vn LAYOFF AND RECALL If and when it becomes necessary for the Employer to reduce the number of employees in the work force, the employees will be laid off in seniority order, based on capability of performing available jobs, and shall be recalled in Hie inverse order. (Refer to Rule #9, Oakland County Merit System Handbook.) All employees so laid off shall be offered the opportunity of recall for a period equal to their length of service, but not to exceed three (3) years, prior to the hiring of any new employees. An employee being recalled to work shall have at least three (3) working days written notice before the employee must report to work. A certified letter sent to the employee's last known address shall constitute proper notice. Vffl PROMOTIONS AND FILLING OF VACANCIES Section 1. (a) Promotions made within the bargaining unit shall be carried out in a manner consistent with the provisions of the Oakland County Merit System. (b) The Employer will post on the bulletin board notice of new positions or vacancies in existing positions in or out of the bargaining unit, for a period of ten (10) days, Saturdays, Sundays, and holidays excluded. The posting will include the location and assignment with a written stipulation that the location and assignment may be subject to change. In addition, the posting will list the criteria the Employer will be considering in filling the position. The Employer will forward a copy of any Public Health Nurse posting to the Chairperson of the Nurse's Staff Council at the. time it is posted. (c) Employees who wish to be considered for the position shall submit a letter of interest to the chief of the appropriate service or his/her designated representative prior to or during the posting period. The letter should state the employee's qualifications and other factors the employee wishes to be considered. (d) Employees who are interested in a specific assignment or location may make such a request by submitting a letter of interest at any time to the appropriate chief or designee. These requests/letters of interest must be renewed in January of each year and will be considered along with the letters of interest filed during the posting period. (e) The Employer will determine who is best qualified to fill the position after considering . 6 the criteria identified in the posting. If two or more applicants are considered equal, seniority will be the determining factor in making the selection. Upon request, the Employer agrees to meet with the employee to discuss the selection decision. Section 2. A full-time Public Health Nurse II will move into a promotional track after no more than two (2) years of full-time service as a Public Health Nurse II in the Oakland County Health Department unless the nurse exhibits demonstrated deficiencies in his/her performance which prohibits the promotional track from commencing. The Employer will meet with the nurse to discuss those areas in need of improvement The Public Health Nurse n shall submit a memo to his/her supervisor, Chief of S ervices and PPHS Administrator, stating the date and name of the supervisor who received the Public Health Nurse's performance plan final draft. Once the promotional track is successfully completed and a final draft, mutually agreed on by the supervisor and the Public Health Nurse, is submitted by the nurse, the supervisor will notify the Chief of Services in writing within thirty (30) days recommending promotion of the nurse. If conflict occurs related to the timely processing of the final draft of the promotional packet, the Public Health Nurse II shall request in writing a three-way conference with the supervisor and the Chief. If conflicts remain unresolved, the Public Health Nurse II may request a meeting with the PPHS Administrator. A nurse may request to be accompanied by another member of the staff council during such meetings. The effective date of promotion will be the beginning of the pay period following the official supervisory memo recommending promotion to the Chief, contingent upon final approval of the Health Division Manager. The promotional track from Public Health Nurse II to Public Health Nurse IH for those full- time Public Health Nurses shall not exceed three (3) years except by mutual written consent of the Employer and employee. The Employer may decide to promote an employee to a Public Health Nurse III anytime while the employee is on the promotional track. However, a Public Health Nurse 11 shall be promoted to a Public Health Nurse IH following the satisfactory completion of the promotional track. Failure to be considered for promotion or failure to be promoted, following the completion of the process, shall not be a matter for the grievance procedure. Nurses not considered for promotion or failing to be promoted following the completion of the process may elect to have the decision reviewed by the review committee. The review committee shall consist of the Manager of Health Division, the Chief of Health Division Medical Services, the Director of Human Resources, or designee. Section 3. PPHS staff employed by Oakland County may be transferred out of their district to meet community and program needs, but before such a transfer, the supervisor Shall meet with the nurse to discuss the transfer. 7 IX GENERAL CONDITIONS Section 1, The Association Labor Relations Representative and Staff Council Chaiaperson shall be notified in writing in advance of anticipated permanent major changes in working conditions and discussions shall be held thereon. In addition the Association Labor Relations Representative and Staff Council Chairperson or Vice Chairperson, if designated, shall, on a monthly basis, be notified in writing of outside hires, including their name, date of hire into the bargaining unit, and work location. Section 2. Employees elected to any permanent full time Association office or selected by the Association to do work which takes them from their employment with the County, shall at the written request of the Association be granted a leave of absence without pay. The leave of absence shall not exceed two (2) years, but it may be renewed or extended for a similar period at any time upon the written request of the Association. In the event an employee requiring such leave is determined by the Employer to be involved in work of a specialized nature which cannot be readily interrupted, the leave may be delayed for up to 60 days. Section 3. When any position not listed on the wage schedule is filled or established, the County shall designate a job classification and rate structure for the position. In the event that the Association does not agree that the classification is proper, it shall have the right to submit the issue as a grievance through the grievance procedure within a three (3) month period. Section 4. Special conferences for important matters may be arranged at a mutually convenient time between the MNA representative and the Employer or its designated representative upon the request of either party. Such meetings shall be between at least two (2) representatives of the Employer and no more than two (2) Association council representatives of the Association and the MNA representative, if so desired. Arrangements for such special conferences shall be made in advance and an agenda of the matters to be taken up at the meeting shall be presented at the time the conference is requested. A special conference shall be scheduled within ten (10) working days after the request is made to be held at a future date mutually agreed upon. Matters taken up in special conferences shall be confined to those included in the agenda. The members of the Association shall not lose time or pay for time spent in such special conferences. The Employer shall respond in writing to the Union within fifteen (15) working days following the special conference. 8 Section 5. The Employer may in its sole judgment and discretion decide to permit early merit increases ahead of the schedule provided in this Agreement. Such early merit increases shall be recommended by the department head and be subject to approval by the Employee Relations Division of the Personnel Department. Approval of an early merit increase in one case shall not create a precedent for granting an early merit increase in any other. Section 6. When Health Division Administration determines the need to establish committees or similar groups which requires PHN involvement, a notice will be sent to the Nursing Supervisors and Public Health Program Coordinators of vacancies on such committees or groups. A copy of this notice will also be forwarded to the Association Council Chairperson for information purposes. The Nursing Supervisors and Public Health Program Coordinators will discuss these vacancies with staff and make recommendations regarding participants to Administration. Section 7. When requested in advance, the Employer will allow use of available rooms for Association and/or Association Council meetings during non-working hours. Section 8. The Employer shall assign space on bulletin boards which shall be used by the Association for posting notices bearing the written approval of any elected officer of the Association Council, which shall be restricted to: (a.) Notices of Association meetings (b.) Notices of Association elections (c.) Notices of results of Association elections and Association appointments (d.) Notice of Association recreational and social affairs (e.) Other notices of bonafide Association affairs, which are not political or libelous in nature. Section 9. All Public Health Nurses will be provided with identification (neon green visor tags) to place in their automobiles while on duty. Said identification will state that they are Oakland County Health Division employees and are on duty. Section 10. 1. Notice to Employer. At least two (2) weeks written notice of termination of employment shall be given to the Employer by an employee. However, if due to extenuating 9 2. 3. cmstmces, the employee is unable to give two (2) weeks notice, the Employer may elect to waive the two (2) weeks notice requirement in the payment of termination benefits. If the required notice is not given or there is no waiver thereof by the Employer, then no termination benefits are payable. (To include Annual Leave Reimbursement and/or Sick Leave Reimbursement.) Notice to Employee. At least two (2) weeks written notice of termination of employment or pay m lieu thereof shall be given to an employee, unless the termination is a discharge for cause. Return of Employers Property. All employees are required to return to the department any property issued to them by the County during their term of employment. Failure to return all property will exempt the Employer for responsibility for payment of termination benefits (i o mclude Annual Leave and/or Sick Leave.) Section 11. Public Health Nurses shall be paid overtime at a rate of time and one half (1 1/2) the reeular hourly rate for all hours worked in excess of their normal work day (e.g., 8 hours) and all hours in excess of forty (40) hours in a work week. Any employee required to work overtime which is not contiguous to the employee's regular work schedule shall be entitled to a minimum of two (2) hours of work or pay at the time and one Section 12. The Employer will encourage attendance at professional and occupational meetings spons ored or co-sponsored by the Association of other professional associations or institutions where attendance is likely to increase the competency of a nurse. Preference will be given to those programs which have been approved by the Continuing Education Approval and Recognition Program (CEARP). Nurses desiring to attend such professional meetings shall notify the Chief or his/her designee, who shall respond within one (1) week to advise the nurse if he/she may attend. Section 13. Up0n Written rec2uest> UP t0 f'our (4) bargaining unit nurses shall each receive twenty-four (24) hours off, using either leave without pay or accrued leave banks! to attend the Association's annual convention provided the nurse obtains supervisory approval. Approval for this leave shall not be unreasonably withheld. The Association shall provide the County with at least thirty (30) days notice in advance of the convention. 10 Section 14. 1. Schedule Changes ^ (a.) Except in exigent circumstances, an employee shall be give fifteen (15) working days notice prior to changing a start time by thirty (30) minutes or the employee's normal working days. (b.) If not all employees are affected and schedule changes are necessary, the Employer will meet with the potentially affected employees to get their input in order to develop a resolution. Example resolutions could include seeking volunteers first, assigning employees on a rotating basis or assigning the least senior employee. X ADOPTION BY REFERENCE OF RELEVANT RESOLUTIONS AND PERSONNEL POLICIES ^ All Resolutions of the Oakland County Board of Commissioners, as amended or changed, from time to time, relating to the working conditions and compensation of the employees covered by this agreement, and all other benefits and policies provided for in the Oakland County Merit System which incorporates the Oaldand County Employee's Handbook, except those excluded by this agreement, are incorporated herein by reference and made apart hereof to the same extent as if they were specifically set forth. XI MAINTENANCE OF CONDITIONS Wages, hours and conditions of employment legally in effect at the execution of this agreement shall, except as modified herein, be maintained during the term of this agreement. xn ¦ ECONOMIC MATTERS' The Agreement between the parties on economic matters are set forth in the Appendices attached hereto and are incorporated into this Collective Bargaining Agreement, subject to the terms and conditions thereof. xm NO STRIKE - NO LOCKOUT Under no circumstances will the Association cause or authorize or permit its members to cause, nor will any member of the bargaining unit take part in, any strike, sit-down, stay-in or slowdown or any violation of any State law. In the event of a work stoppage or other curtailment, the Association shall immediately instruct the involved employees in writing, that their conduct is in violation of the contract and that all such persons shall immediately cease the offending conduct. 11 The Employer will not lockout any employees of the bargaining unit during the term of this XIV DURATION This Agreement shall remain in full force and effect until midnight, September 30,2016. The Agreement shall be automatically renewed from year to year thereafter unless either party shall notify the other in writing, sixty (60) days prior to September 3 0S 2016, that it desires to modify the Agreement. In the event that such notice is given, negotiations shall begin within a reasonable penod of time. This Agreement shall .remain in full force and be effective during the period of negotiations and until notice of termination of this agreement is provided to the other party in the manner set forth in the following paragraph. In the event that either party desires to terminate this Agreement, written notice must be given to the other party no less then ten (10) days prior to the desired termination date which shall not be before the anniversary date set forth in the preceding paragraph. It is agreed and understood that the provisions contained herein shall remain in full force and effect so tong as they are not in violation of applicable statutes and ordinances and remain within the jurisdiction of the County of Oakland for continued application. 12 EMERGENCY MANAGER CLAUSE This agreement provides that an Emergency Manager appointed under the Local Government and School District Fiscal Accountability Act may reject, modify or terminate the collective bargaining agreement as provided within the Local Government and School District Fiscal Accountability Act. The parties agree that in the event this law is repealed-within the life of this collective bargaining agreement this language shall be considered void and voluntary withdrawn by both parties. MICHIGAN NURSES ASSOCIATION OAKLAND COUNTY, a Michigan . Constitutional Corporation By: Michael J. Gingell, Chairperson Board of Commissioners : - OAKLAND COUNTY EXECUTIVE By: L. Brooks Patterson 13 MICHIGAN NURSES ASSOCIATION APPENDIX A Classification Base 1 Year 2 Year 3 Year 4 Year 5 Year Public Health Nurse I FY2014 1392.22 1476.10 1560.06 1643.87 1727.85 1811.94 FY 2015* 1406.14 1490.86 1575.66 1660.31 1745.13 1830.06 Public Health Nurse H FY 2014 1540.40 1633.19 1726.01 1819.02 1911.84 2021.13 FY 2015* 1555.80 1649.52 1743.27 1837.21 1930.96 2041.34 Public Health Nurse HI FY 2014 1840.88 1951.65 2062.66 2173.37 2284.25 2395.15 FY 2015* 1859.29 1971.17 2083.29 2195.10 2307.09 2419.10 *Fiscal Year 2015 - Should a general wage increase greater than 1% be provided to the general, non¬ represented employee groups then this bargaining unit would be entitled to the same increase at the same time and in the same manner. Fiscal Year 2016 -Should a general wage increase be provided to the general, non- represented employee groups then this bargaining unit would be entitled to the same increase at the same time and in the same manner. 14 MICHIGAN NURSES ASSOCIATION APPENDIX B I For the following fringe benefits refer to the Oakland County Employee's Handbook: 1. Injury on the Job 2. Holidays 3. Leave of Absence 4. Death Benefits 5. Longevity 6. Medical Coverage 7. Sick Leave *8. Retirement 9. Annual Leave 10. Income Continuation Coverage 11. Dental Coverage 12. Tuition Reimbursement Employees hired on or after January 1, 1989 will not be eligible for County reimbursement of Medicare-Part B coverage. Effective January 1 s 1993, employees represented by this bargaining unit will not be entitled to include overtime compensation as part of FAC for retirement calculations. Effective September 13, 1993, employees represented by this bargaining unit will be included under the "Retirement Incentive" resolution passed by the Board of Commissioners on August 26,1993. Retirement Health Care Benefits for employees hired on or after January 1, 1997, shall be consistent with the provisions of Miscellaneous Resolution #94292 (percentage formula for retiree health care coverage). 15 n MILEAGE Employees required to drive their personal vehicle on official County business shall be reimbursed for miles traveled at the rate equivalent to the IRS mileage rate. in In the event that any other represented unit other than a unit containing employees eligible for Act 312 Police/Fire Compulsoiy arbitration or employees whose designated Employer is other than the County Executive, negotiates improvements in their retirement benefits, the same improvements shall automatically be provided employees covered by this agreement. IV HEALTH BENEFITS All Health Care Benefits set forth herein are subject to the employee contribution where applicable and to the terms and conditions of the plan. The Employer has the right to select and change any and all plans/policies, insurance benefits, plan providers or third party administrators provided the benefits stated herein remain substantially the same. All benefits set forth apply to active employees and their dependents only. (a) For the duration of the 2013 calendar year, employees in this bargaining unit will continue the Medical Care coverage currently in effect through December 31, 2013 (subject to paragraph B.) (b) Effective January 1,2014, (or as soon as administratively practical) employees in this bargaining unit with coverage shall be covered under one of the Medical Care plans as described in Appendix C. (c) Employees in this bargaining unit shall make Medical Care contributions (contributions are bi-weekly and pre-tax) in accordance with the Medical Care plan they select. (d) Healthcare 2014, 2015 and 2016: Any benefit modifications implemented on a County wide basis to general, non-represented employees to take effect during the calendar years 2014, 2015 and 2016 shall be applied to employees represented in this bargaining unit at the same time and in the same manner. 16 APPENDIX C Attached hereto is the Medical Options Comparison chart for 2014. 17 MEDICAL OPTIONS COMPARISON /m J. jL^MJLSJLIV V- Important Note: The information contained on this comparison is intended to be an easy to read summary to help you and your family make choices among the different options available to you. Be sure to carefully study each option before making your choice. This comparison summarizes some of the provisions and certain features of each plan. It cannot modify or affect the coverage or benefits provided in any way. No right will accrue to you and/or your eligible dependents because of any statement, error or omission from this comparison. Its provisions do not constitute amendments, modifications or changes in any existing contract. AVAILABLE TO ALLEMPLOYEES PPOX AVAILABLE TO ALLEMPLOYEES PP02 AVAILABLE TO ALLEMPLOYEES PP03 AVAILABLE TO AT J,EMPLOYEES HMO ONLY AVATTiABLE TO EMPLOYEESCURRENTLY ENROLLEDTRAD BENEFITS ASR Blue Cross/Blue Shield PPO Community Blue Plan ASR Health Alliance Plan(HAP)Blue Cross/Blue Shield Traditional Plan (BC/BS) www.asrhealthbenefits.com www.BCBSM.com www.asrhealthbenefits.com www.HAP.ors www. BCBSM.co m Employee Bi-Weekly Contributions $32/$65/$75 $42 / $70 / $85 $16/$35/$45 $32 / $65 / $75 $52/$89/$94 Network(s)Physicians Care/HAPCIGNA Multiplan Blue Cross/Blue Shield Physicians Care/HAPCIGNA Multiplan Health Alliance Plan Blue Cross/Blue Shield General Conditions Semi-Private Drugs Intensive Care Unit Meais Hospital Equipment Special Diets Nursing Care 100%90% after deductible 80% after deductible 100%100% Emergency Room Care Accidental Injuries Medical Emergencies $100 co-pay Co-pay waived for accidental injury or if admitted $100 co-pay Co-pay waived for accidental injuiy or if admitted $100 co-pay, deductible and coinsurance may also apply for some services. Co-pay waived for accidental injury or if admitted $100 co-pay Co-pay waived if admitted $100 co-pay Co-pay waived for accidental injury or if admitted Physical Therapy 100%90% after deductible 80% after deductible 100%90% after deductible1 KM M ( \\{\ Urgent Care Visits $20 co-pay $20 co-pay $20 co-pay $20 co-pay 90% after deductible Routine Health Maintenance Exam - includes chest x-ray, EKG, cholesterol screening and other select lab procedures 100%100%100%100%100% Routine Physical 100%100%100%100%100%Routine Gynecological Exam 100%100%100%100%100% 18 x MUi. BENEFITS AVAILABLE TO ALLEMPLOYEES PPOl ASR www.asrhealthbenefits.com AVAILABLE TO ALLEMPLOYEES PP02 Blue Cross/Blue Shield PPO Community Blue Plan wwwJBCBSM.com AVAILABLE TO ALL EMPLOYEES PP03 ASR www.asrhealthbenefits.com AVAILABLE TO ALL EMPLOYEES HMO Health Alliance Plan (HAP) www.HAP.orp ONLY AVAILABLE TOEMPLOYEESCURRENTLY ENROLLEDTRAD Blue Cross/Blue Shield Traditional Plan (BC/BS) www.BCBSM.com Routine Pap Smear Screening- laboratory and . pathology services 100%100%100%100%100% Well-Baby Child Care Visits • 6 visits, birth through 12 months • 6 visits, 13 months through 23 months • 6 visits, 24 months through 35 months • 2 visits>36 months through 47 months • Visits beyond 47 months are limited to one per member per calendar year under the health maintenance exam benefit 100%100%100%100%100% Adult and Childhood Preventive Services and Immunizations as recommended by the USPSTF, ACIP, HRSA or other sources as recognizedby BCBSM, ASR and HAP that are in compliance with the provisions of the Patient Protection and Affordable Care Act 100%100%100%100%100% Routine Fecal Occult Blood Screening 100%100%100%100%100% Routine Flexible Sigmoidoscopy Exam 100%100%100%100%100% Routine Prostate SpecificAntigen (PSA) Screening 100%100%100%100%100% Routine Mammogram and Related. Reading 100%100% NOTE: Subsequent medically necessary mammograms performed during the same calendar year are subject to your deductible and percent co- 100% NOTE: Subsequent medically necessary mammograms performed during the same calendar year are subject to your deductible and percent co- 100%100% NOTE: Subsequent medically necessary mammograms performed during the same calendar year are subject to your deductible and percent 19 -rxj. X JLUl 1 JJ'JLrfc. Vx AVAILABLE TO ALL EMPLOYEES PPOl AVAILABLE TO ALLEMPLOYEES PPOl AVAILABLE TO ALLEMPLOYEES PP03 AVAILABLE TO ALLEMPLOYEES HMO ONLY AVAILABLE TOEMPLOYEESCURRENTLY ENROLLEDTRAD BENEFITS ASR Blue Cross/Blue Shield PPO Community Blue Plan ASR Health Alliance Plan (HAP)Blue Cross/Blue Shield Traditional Plan (BC/BS) www.asrhealthbenefits.com www.BCBSM.com www.asrhealthbenef1ts.com www.HAP.org www.BCBSM.coai insurance.insurance.co-insurance Colonoscopy - Routine or Medically Necessary 100%100% NOTE: Subsequent colonoscopies performed during the same calendar year are subject to your deductible and percent co-insurance. 100% NOTE: Subsequent colonoscopies performed during the same calendar year are subject to your deductible and percent co-insurance. 100%100% NOTE: Subsequent colonoscopies performed during the same calendar year are subject to your deductible and percent co-insurance. Inpatient Mental Health 100%90% after deductible 5U7o aiter aeaucuoie 100%100% Outpatient Mental HealthVisits $20 co-pay 90% after deductible Office Visits $20 co-pay $20 co-pay $20 co-pay 90% after deductible Inpatient Substance Abuse Care Chemical Dependency 100%90% after deductible 80% after deductible 100%120 days (combined with inpatient care days), 60 day renewal; (no MM benefits).Outpatient Substance Abuse Care Chemical Dependency $20 co-pay 90% after deductible Office visit $20 co-pay $20 co-pay $20 co-pay Covered 100% of approved amount no Master Medical.111:03i1jlg Hospice Care 100%100%80% after deductible Covered up to 210 days per lifetime. 100% of approved amount Specified Human Organ Transplants 100%90% to 100% Covered according to plan guidelines. 80% after deductible Covered according to plan guidelines. 100% in approved facilities Surgery Technical Surgical Assist. Anesthesia 100% 100% 100% 90% after deductible 90% after deductible 90% after deductible 80% after deductible 80% after deductible 80% after deductible 100% Voluntary second surgical opinion; $20 co-pay.100% 100% 100% Voluntary second surgical opinion on certain surgeries.100% 100% Maternity Care Delivery Pre- and Post-Natal Care 100% 100% 90% after deductible 100% 80% after deductible 100% 100% 100% prenatal visits $20 co-pay post natal visits 100% 90% after deductible Inpatient Medical Care 100%90% after deductible 80% after deductible 100%General - Unlimited 20 AVAILABLE TO ALL EMPLOYEES PPOl AVAILABLE TO ALL EMPLOYEES PP02 AVAILABLE TO ALL EMPLOYEES PP03 AVAILABLE TO ALT.EMPLOYEES HMO ONLY AVAILABLE TOEMPLOYEESCURRENTLY ENROLLEDTRAD BENEFITS ASR Blue Cross/Blue Shield PPO Community Blue Plan ASR Health Alliance Plan (HAP)Blue Cross/Blue Shield Traditional Plan (BC/BS) www.asrbealthbenefits.com wwTV.BCBSM.com www.asrhealthbenejfits.com www.HAP.org www.BCBSM.coni Inpatient Consultations 100%90% after deductible 80% after deductible 100%100% Laboratory & Pathology 100%90% after deductible 80% after deductible 100%Covered - $5 or 10 % Co¬ insurance Diagnostic Services 100%90% after deductible 80% after deductible 100%Covered - $5 or 10 % Co¬ insurance Diagnostic and Therapeutic Radiology 100%90% after deductible 80% after deductible Covered Covered - $5 or 10% Co¬ insurance ArbDrilQNMBEr^ElTS mmmsmmmsmm Office Visits $20 co-pay $20 co-pay $20 co-pay $20 co-pay*90% after deductible Chiropractic Care $20 co-pay Limited to 38 visits per calendar year. $20 co-pay Limited to 24 visits per calendar year. $20 co-payLimited to 38 visits per calendar year. Not Covered 90% after deductible Allergy Testing 100%100%80% after deductible $20 co-pay*90% after deductible Allergy Therapy 100%100%80% after deductible 100%90% after deductible Ambulance Services 90% after deductible 90% after deductible 80% after deductible 100%90% after deductible Durable Medical Equipment 90% after deductible 90% after deductible 80% after deductible 100%90% after deductible Diabetic Supplies 90% No Annual Deductible 90% after deductible 80% after deductible 100%90% after deductible Private Duty Nursing 90% after deductible 50% after deductible 50% after deductible Not Covered 50% No Annual Deductible Skilled Nursing 100%90% after deductible 80% after deductible 100% Up to 730 days renewable after 60 days. 100% Assisted Reproductive Treatment Not Covered Not Covered Not Covered 100% One attempt of artificial insemination per lifetime. Not Covered Voluntary Sterilization and FDA Approved Contraceptive Methods for females. 100%100%100%100%100% Out of Network Services Plan pays 85% of approved amount less applicable co-pays. Plan pays 70% of approved amount, after out-of-network deductible, less applicable co- pays. Plan pays 65% of approved amount after deductible less applicable co-pays. *AI1 services performed during one visit will be a one-time $20 co-pay. 21 BENEFITS AVAILABLE TO ALLEMPLOYEES FPOl ASR www.asrheaithbenefits.com AVAILABLE TO ALL EMPLOYEES PP02 Blue Cross/Blue Shield PPO Community Blue Plan www.BCBSM.com AVAILABLE TO ALLEMPLOYEES PP03 ASR www.asrhealthbenerits.com AVAILABLE TO ALL EMPLOYEES HMO Health Alliance Plan (HAP) www.HAP.orp ONLY AVAILABLE TO EMPLOYEES CURRENTLY ENROLLF.n TRAD Blue Cross/Blue Shield Traditional Plan (BC/BS) www.BCBSiVI.rom Co-pays, Deductibles, Co¬ insurance, Annual Out-of- Pocket Maximums and Lifetime Maximum Dollar Limitations Co-oavs: $20 / $100 as noted. Deductibles: S200 oer oerson / $400 per family/per calendar year where noted. Co-insurance: In peneral. 0%: 10% after deductible as noted. Out-of-Pocket Coinsurance Maximum: $1,000 cer person/family per calendar year. Lifetime Maximum: None. Co-gays: $20 / $100 as noted. Deductibles: $100 oer nerson/ $200 per family/per calendar year. Co-insurance: 10% after deductible as noted. 50% for private duty nursing. Out-of-Pocket Coinsurance Maximum: $500 oer oerson. $1,000 per family per calendar year. Lifetime Maximum: None. Co-oavs: $20 / $100 as noted. Deductibles: $250 per person / $500 per family/per calendar year. Co-insurance: 20% after deductible as noted. 50% for private duty nursing. Out-of-Pocket Coinsurance Maximum: $1,000 oer person / $2,000 per family per calendar year. Lifetime Maximum: None Co-oavs: $20 as noted Co-oavs: $100 as noted. Deductibles: $200 perpersnn/ $400 per family/per calendar year. Co-insurance: 10% after deductible as noted. 50% for private duty nursing. Out-of-Pocket Coinsurance Maximum: $1 000 per family/per calendar year. Lifetime Maximum: None Payment of Covered Services Preferred (Network) Hosoitals: 100% of covered benefits. Non-Network Hosoitals: 85% of approved payment amount Preferred (Network"} Phvsicians - Outoatient 100% after $20 co-pay. Non-network Phvsicians - Outoatient 85% of approved payment amount after $20 co-pay. Preferred (Network") Hosoitals: 90% of covered benefits, after deductible. Non-Network Hosoitals: 70% of approved payment amount after out-of-netvvork deductible Preferred (Network) Phvsicians: 100% after $20 co-pay. Non-network Phvsicians: 70% of approved payment amount after out-of-network deductible and $20 co-pay. Preferred (Network) Hosoitals: 80% of covered benefits, less applicable deductible. Non-Network Hosoitals: 65% of approved payment amount, after deductible. Preferred (Network) Phvsicians - Outoatient 100% after $20 co-pay. Non-network Phvsicians - Outoatient 85% of approved payment amount after $20 co-pay. Co-pays as noted.Particioatinp- Hosm'tals: 100% of covered benefits Non-oartiripatinp 'Rn'jpitnk- Inpatient care in acute-care hospital-$70 a day. Inpatient care in other hospitals - $15 aday. Medicare Surpical: 100% ofBCBSM's approved amount 22 BENEFITS AVAILABLE TO ALLEMPLOYEES PPOl ASR www.asrhealthbenefits.com AVAILABLE TO ALLEMPLOYEES PP02 Blue Cross/Blue Shield PPO Community Blue Plan www.BCBSM.com AVAILABLE TO ALLEMPLOYEES PP03 ASR AVAILABLE TO ALLEMPLOYEES HMO Health Alliance Plan (HAP) www.HAP.ore ONLY AVAILABLE TOEMPLOYEESCURRENTLY ENROLLED TRAD Blue Cross/Blue Shield Traditional Plan (BC/BS) ww.BCBSM.com v(M .11 \M NA VITUS (Except HAP, which have their own prescription, coverage). www.navitus.com NoviXus Pharmacy Services - Mail Order www.novixus.com Note: While in the hospital, drugs are covered under your health plan. NA VITUS ParticioatinF /Network Phairaacies: Covered, co-oavs. $5 Most Generics/Some Brands; $20 Preferred Brands/Some Generics; $40 Non-Preferred Brands. Select Birth Control pills covered $0 co-pay. Non-Particinating/Non-Network Pharmacies: Paid at 75% of allowed cost, less $5, $20 or $40 co-pay. NoviXus Also, available is the mail order program for drugs taken on a long-term basis. A three month supply can be ordered for a one month co-pay. Also, available for maintenance drugs taken on a long-term basis, a three-month supply can be obtained for a one month co-pay at your local pharmacy. NA VITUS ParticiDatine /Network Pharmacies: Covered co-oavs. $5 Most Generics/Some Brands; $20 Preferred Brands/Some Generics; $40 Non-Preferred Brands. Select Birth Control pills covered $0 co-pay. Non-ParticiDatine/Non- Network Pharmacies: Paid at 75% of allowed cost, less $5, $20 or $40 co-pay. NoviXus Also, available is the mail order program for drugs taken on a long-term basis. A three month supply can be ordered for a one month co-pay. Also, available for maintenance drugs taken on a long-term basis, a three-month supply can be obtained for a one month co- pay at your local pharmacy. NA VITUS Particioatine /Network Pharmacies: Covered, co-oavs. $5 Most Generics/Some Brands; $20 Preferred Brands/Some Generics; $40 Non-Preferred Brands. Select Birth Control pills covered $0 co-pay. Non-ParticiDatine/Non- Network Pharmacies: Paid at 75% of allowed cost less $5, $20 or $40 co-pay. NoviXus Also, available is the mail order program for drugs taken on a long-term basis. A three month supply can be ordered for a one month co-pay. Also, available for maintenance drugs taken on a long-term basis, a three-month supply can be obtained for a one month co- pay at your local pharmacy. HAP ParticiDatine /Network Pharmacies: ^Covered, co-pays $5 Most Generic; $20 Select Brand name; $40 Non-Preferred. Select Birth Control Pills covered $0 co- pay. Non-Network Pharmacies: Not Covered. If you request a prescription be filled with a brand name drug and there is a generic available, you will be responsible for the fiill cost differential between the cost of the brand and the co-pay of the generic drug. If your doctor makes the request, you will be responsible for the tier 3 co-payment Also, available for maintenance drugs taken on a long-term basis. A 35 day supply or 100 doses, whichever is greater, can also be obtained for a one month co-pay at your local pharmacy. A 90 day supply of maintenance drugs may be obtained through mail order. NA VITUS Particinatine- /Network Pharmacies: Covered, co- pays, $5 Most Generics/Some Brands; $20 Preferred Brands/Some Generics; $40 Non-Preferred Brands. Birth Control pills covered $0 co- pay. Non-ParticiDatine/Non- Network Pharmacies: Paid at 75% of allowed cost, less $5, $20 or $40 co-pay. NoviXus Also, available is the mail order program for drugs taken on a long-term basis. A three month supply can be ordered for a one month co-pay. Also, available for maintenance drugs taken on a long-term basis, a three-month supply can be obtained for a one month co-pay at your local pharmacy. NOTE: Hearing aids and services are not covered wider any Oakland County medical plaits. NOTE: At the time this booklet went to press, the impact of The Patient Protection and Affordable Care Act is still being evaluated and plan modifications may occur. Please refer to the www.ocbenefits. com website for the most up-to-date information. NOTE: Union represented employees' benefits may differ. 23 FISCAL NOTE (misc #13275) October 17, 2013BY: FINANCE COMMITTEE, TOM MIDDLETON, CHAIRPERSONIN RE: HUMAN RESOURCES DEPARTMENT - FISCAL YEAR 2014 - FISCAL YEAR 2016 COLLECTIVE BARGAINING AGREEMENT FOR EMPLOYEES REPRESENTED BY MICHIGANNURSES ASSOCIATION (MNA) TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Chairperson, Ladies and Gentlemen: Pursuant to Rule Xll-C of this Board, the Finance Committee has reviewed the above-referenced resolution and finds: 1. The County of Oakland and the Michigan Nurses Association (approximately 91 Public Health Nurses) have negotiated a three year agreement beginning October 1, 2013 through September 30, 2016. 2. This agreement provides for a 2% wage increase for Fiscal Year 2014, to be effective the first full pay period of Fiscal Year 2014. 3. The agreement also provides for a 1% wage increase for Fiscal Year 2015, which also includes the "Me Too" provision if a greater increase is approved. 4. Additionally, the agreement provides that all employees represented by this bargaining unit shall receive any general wage increase approved for the non-represented County employees under the "Me Too" provision for Fiscal Year 2016. 5. Furthermore, the agreement provides that for the duration of this Collective Bargaining Agreement all employees represented by this bargaining unit shall receive any healthcare benefit modification implemented on a countywide basis to general, non-represented employees at the same time and in the same manner. 6. Funding at the agreed upon wages and benefits is included in the FY 2014 Adopted Budget. Therefore, no amendment is required. FINANCE COMMITTEE FINANCE COMMITTEE: Motion carried unanimously on a roll call vote with Crawford absent. Resolution #13275 October 17, 2013 Moved by Hoffman supported by Queries the resolutions (with fiscal notes attached) on the Consent Agenda be adopted (with accompanying reports being accepted). AYES: Dwyer, Gershenson, Gingell, Gosselin, Hatchett, Hoffman, Jackson, Long, Matis, McGillivray, Middleton, Quarles, Runestad, Scott, Spisz, Taub, Weipert, Woodward, Zack, Bosnic, Crawford, (21) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent Agenda were adopted (with accompanying reports being accepted). STATE OF MICHIGAN)COUNTY OF OAKLAND) I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on October 17,2013, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac,Michigan this 17' day of October 2013. i HKRgBY APPROVE THIS RESOLUTION CHIEF DEPUTY COUNTY EXECUTIVE ACTING PURSUANT TO MCL 45.559A (7)