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ARTICLE XII <br />12.0 EMPLOYEE INSURANCE <br />12.1 Health Insurance. The City shall contribute an allowance towards the employee's <br />Cafeteria Benefit plan for health insurance premiums for affected employees and their <br />dependents under The Public Employees' Medical & Hospital Care Act (PEMHCA) which <br />governs the California Public Employees' Retirement System (CalPERS) Health Insurance <br />Programs pursuant to the provisions below. <br />A. The City will provide a monthly contribution to health insurance premiums at the <br />following rates: <br />• Employee Only $654.00 <br />• Employee +1 $1,307.00 <br />• Employee + Family $1,700.00 <br />B. Any contribution necessary to maintain benefits under any health insurance program <br />provided by the City for its employees and their eligible dependents in excess of the <br />amount of the City contribution to the Cafeteria Benefit Plan specified above shall be <br />borne entirely by the employee. <br />C. For each such employee who is covered under a spouse's non -City sponsored health <br />plan, the City will pay the employee a cash -in -lieu payment (subject to taxation as <br />wages) each month in an amount equal to one hundred percent (100%) of the <br />monthly premium amount for the City's lowest "employee -only" coverage, if said <br />employee waives, in writing, City -paid coverage. If an employee waives City <br />provided coverage, said employee shall provide proof of medical insurance coverage <br />in a non -City -sponsored health plan. Said waiver shall include aprovision warning <br />such employee that reentry into any of the City -sponsored plans is allowed only at <br />open enrollment, unless there is a qualifying event, and may require proof of <br />insurability for such employee and/or family. <br />12.2 Dental Insurance. The City agrees to contribute towards the Cafeteria Benefit Plan the <br />payment of premiums for dental insurance plans provided by the City for employees covered <br />by this MOU and their eligible dependents on the following basis: <br />A. One hundred percent (100%) of the premium cost for "employee -only" coverage. <br />B. Up to one hundred ten dollars ($110) per month per employee for "family" coverage. <br />35 <br />#11140v2 <br />55F-43 <br />