AFSCME Local 328
4006 Barbur Blvd, Portland, OR 97239
APPENDIX C Employee Benefits Council
Employee Benefits Council
Section 1 – Purpose
The Employer, the Union and the Oregon Nurses Association (ONA) have become partners in the determination of plan design and types of benefits to be provided to OHSU employees. This partnership is known as the Employee Benefits Council (hereinafter referred to as the Council) which includes the following purposes, subject to the provisions of Sections 3 and 5 herein:
Determine the plan design and types of benefits (Medical, Dental, Disability, Life and Health Promotion) to be offered to OHSU employees and early retirees, including the coordination of insurance benefits and cash back opportunities;
Develop and approve rules governing enrollment and eligibility;
Develop an appeals process for individuals covered by these benefits, including criteria to be used when evaluating such appeals (which shall be the sole dispute resolution process for any individual disputing a claim for benefits or any other decision made by the Council);
Participate in the development of communication plan(s) designed to provide covered individuals with information concerning their benefit(s);
Determine what types of health promotion/disease management programs will be offered to employees and dependents;
Participate in the development of any Requests for Proposals (RFP) and Requests for Information (RFI);
Make all decisions concerning the selection of facilitators and other resource individuals who shall report to the Council.
Be informed on the process leading to the selection of potential providers.
Section 2 – Membership
Membership of the Council shall be structured as follows: Four (4) representatives appointed by the Union, two (2) representatives appointed by the ONA, and six (6) representatives appointed by the Employer.
Section 3 – Decision Making
Every reasonable attempt will be made to make consensus based decisions utilizing evaluative criteria developed by the Council. If consensus fails, the matter(s) will be voted by the parties collectively (e.g., ONA one (1) vote, AFSCME two (2) votes, and the Employer three (3) votes). If the Council is still unable to reach a decision, the matter(s) in dispute shall be referred to the OSHU President or his/her designee, whose decision shall be final and binding on the Council, the Employer, the Union and the ONA. Two (2) Union, one (1) ONA and three (3) Employer Council members shall constitute a quorum.
Evaluative criteria, which the Council may modify at any time, shall be as follows:
Does the decision lead to a responsible cost benefit relationship?
To what extent will participants in the plans be satisfied with the decision?
Does the decision enhance the Employer’s long term viability?
Are the current and potential economic fluctuations of the industry fully recognized?
Will participants be able to understand the benefit structure that will result from the decision made?
Is the decision made of the highest ethical quality, so that full disclosure of the results can be made?
Does the decision lead to administrative procedures that assure a fast response to participants’ problems?
Section 4 - Meetings
Regular meetings of the Council shall be held at least monthly, at times and locations determined by the Council. Union employees shall receive paid release time for all Council activities. The Employer agrees to release employees from work duties except in the case of an emergency. A person designated by the Employer will take notes and distribute them to Council members within 30 days of each meeting. These notes will be approved by consensus of the Council members at the following meeting.
Section 5 - Impact on Collective Bargaining Agreements
The Council has no authority to make decisions or promulgate rules that in any way conflict with the provisions of the parties’ Agreement. The Council may make modifications to Sections 1 through 4 of this appendix utilizing the decision making process described in Section 3.
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