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Town of Wawayanda, NY
Orange County
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Table of Contents
Table of Contents
Code
New Laws (4) Index
[Added 10-6-2011]
A. 
Coverage. The Town makes available medical insurance, including a prescription drug plan, to each full-time employee and to the Town Supervisor, the Town Clerk and the Superintendent of Highways. Such individuals may enroll their eligible family members. In no event shall the Town be required or obligated to pay or reimburse any portion of any doctor's bill, hospital bill, prescription bill, x-ray bill, laboratory bill, procedure bill, or any other medical bill or expense that is not covered or reimbursed by the insurance plan.
B. 
Date coverage begins. Coverage begins on the first day of the month following the first day of active employment, provided all eligibility requirements of the plan are met and the requisite forms have been completed. Eligible employees, eligible elected officials, and their respective dependents may also enroll in the medical insurance plan during the annual open enrollment period or at the time of a qualified change in employment or family status, as defined by the insurance carrier.
C. 
Change in insurance plans. The Town Board may, at its sole discretion, change the medical insurance plan and/or prescription drug plan at any time, including, but not limited to plan carrier; plan design; copayments and deductibles; and eligibility.
D. 
Premium payments. The Town Board will determine the amount the Town will contribute each month towards the premium for individual, two-person, or family medical insurance coverage. The employee or elected official is responsible for the remaining portion of the insurance premium.
E. 
Premium contributions. For an employee hired (or an elected official who was in office) before October 6, 2011, a single plan will be $12.50 per week and a multiple plan $17.50 per week. The employee contribution will be deducted from the employee's (or elected official's) regular paycheck. The employee (or elected official) may elect to have such deduction made on a pretax basis in accordance with the Internal Revenue Code.[1]
[Amended 10-21-2014]
[1]
Editor's Note: As adopted 11-7-2013, the Town will consider the employee portion of the deductible as part of the premium contribution.
F. 
Premium contributions (hired on or after October 6, 2011): for an employee hired (or an elected official) on or after October 6, 2011, to a contribution of 25% of the cost of the monthly premium for an individual medical insurance plan, two-person plan, or family plan, as the case may be. The employee contribution will be deducted from the employee's (or elected official's) regular paycheck. The employee (or elected official) may elect to have such deduction made on a pretax basis in accordance with the Internal Revenue Code.[2]
[Amended 10-21-2014]
[2]
Editor's Note: As adopted 11-7-2013, the Town will consider the employee portion of the deductible as part of the premium contribution.
[Amended 12-6-2012]
A. 
Eligibility. A full-time employee who is eligible for the medical insurance coverage made available through the Town may receive a cash buyout in lieu of receiving medical insurance benefits. To be eligible for the medical insurance buyout, the employee must provide a verification letter from his/her insurance company of comparable medical insurance coverage in a manner and form to be determined by the Town and sign an appropriate waiver of medical insurance and waiver of liability to the Town. In the event two employees are married, they must enroll in the same plan (two-person or family) and will not be eligible for the buyout.
B. 
Amount of buyout and method of payment. Each year, an eligible employee will receive $5,000 cash buyout in lieu of receiving medical insurance benefits. The buyout is subject to applicable taxes. Partial payment of the buyout will be made in the employee's regular paycheck for each pay period the employee is eligible for the buyout. In the event an eligible employee receives a buyout for a partial year, the buyout will be prorated.
A. 
Coverage. The Town makes available a dental plan to each full-time employee and to the Town Supervisor, the Town Clerk, the Superintendent of Highways and members of the Town Board. Such individuals may enroll their eligible family members. In no event shall the Town be required or obligated to pay or reimburse any portion of any dental bill or expense that is not covered or reimbursed by the plan.
B. 
Date coverage begins. Coverage begins on the first day of the month following the first day of active employment, provided all eligibility requirements of the plan are met and the requisite forms have been completed.
C. 
Change in insurance plans. The Town Board may, at its sole discretion, change the dental plan at any time, including, but not limited to plan carrier; plan design; copayments and deductibles; and eligibility.
D. 
Premium payments. The Town Board will determine the amount the Town will contribute each month towards the premium for individual, two-person, or family coverage. The employee or elected official is responsible for the remaining portion of the premium.
E. 
Premium contributions (hired before October 6, 2011): For an employee hired (or an elected official who was in office) before October 6, 2011, the Town will pay 100% of the cost of the monthly premium for an individual plan, two-person plan, or family plan, as the case may be.
F. 
Premium contributions (hired on or after October 6, 2011): For an employee hired (or an elected official who took office for the first time) on or after October 6, 2011, the Town will pay 70% of the cost of the monthly premium for an individual plan, two-person plan, or family plan, as the case may be. The employee contribution will be deducted from the employee's (or elected official's) regular paycheck. The employee (or elected official) may elect to have such deduction made on a pretax basis in accordance with the Internal Revenue Code.
[Amended 12-6-2012]
A. 
Coverage (retiree).
(1) 
The Town offers medical insurance and prescription drug coverage to eligible full-time employees who were hired before October 6, 2011, after such employee retires from the Town employment and is receiving retirement benefits under the New York State Retirement System. Primary medical insurance and prescription drug coverage stops when the retiree becomes eligible for Medicare.
(2) 
The Town offers medical insurance and prescription drug coverage to Town Clerks and Superintendents of Highways, who were elected before January 1, 2011, after such elected officials retire from the Town employment and are receiving retirement benefits under the New York State Retirement System. Primary medical insurance and prescription drug coverage stops when the retiree becomes eligible for Medicare.
B. 
Coverage (retiree's spouse).
(1) 
Coverage is also available for the retiree's eligible spouse if the spouse was eligible for coverage under the Town's medical insurance plan on the retiree's last date of employment with the Town and the spouse is not eligible to receive comparable medical insurance coverage under a new plan. Primary medical insurance and prescription drug coverage stops when the retiree's spouse becomes eligible for Medicare.
(2) 
In the event the retiree predeceases the retiree's eligible spouse, the spouse may continue medical insurance and prescription drug coverage, provided the spouse pays the full cost of the premiums. In the event of legal separation or divorce, the retiree's spouse shall not be eligible for coverage except as provided under COBRA.
C. 
Eligibility.
(1) 
To be eligible for coverage, the retiree must be at least age 55 and have at least 25 years of continuous service with the Town. In addition, the employee or elected official must have retired directly from the Town and have applied for and been granted a bona fide retirement benefit from the New York State Employees' Retirement System.
(2) 
Notwithstanding the above, an employee who leaves employment due to disciplinary action is not eligible for medical insurance or prescription drug coverage for retirees.
D. 
Insurance plan.
(1) 
The Town will make available the same or substantially equivalent, medical insurance plan and prescription drug plan as it makes for active employees and eligible elected officials, as if the retiree were still actively serving as an employee of the Town or elected official, as the case may be. When an eligible retiree and eligible retiree's spouse become eligible for Medicare, the Town will offer a supplemental medical insurance plan.
(2) 
It is understood that the Town Board may, at any time and at its sole discretion, change the medical insurance or prescription drug plan, including, but not limited to plan carrier; plan design; copayments and deductibles; and eligibility.
E. 
Premiums. For an eligible retiree who has at least 25 years of continuous full-time service and retires at the age of 55 or older, the Town will pay 85% of the premium of the medical insurance and prescription drug plan for the retired employee and 85% of the retired employee's dependent coverage.
F. 
Premiums for retirees eligible for Medicare. For an eligible retiree who has at least 25 years of continuous full-time service and retires at the age of 55 or older, the Town will pay 85% of the premium of the supplemental medical insurance plan for the retired employee and 85% of the retired employee's dependent coverage.
G. 
Premiums for retirees hired after October 6, 2011. For an eligible retiree who has at least 25 years of continuous full-time service and retires at the age of 55 or older, the Town will pay 70% of the premium of the medical insurance and prescription drug plan or supplemental medical insurance, as the case may be, for the retired employee and 70% of the retired employee's eligible dependent coverage.
H. 
Sunset of Medicare Part B premium reimbursements.
(1) 
The Town will reimburse current retirees as of November 3, 2011, and their qualified spouses 100% for the Medicare Part B premium in 2012, seventy-five-percent reimbursement for 2013, fifty-percent reimbursement for 2014 and twenty-five-percent reimbursement for 2015. Beginning in 2016 the Town will no longer reimburse retirees as of November 3, 2011, for this expense from then on.
(2) 
Additionally, the Town will not reimburse any employees who retire after November 3, 2011, for the Medicare Part B premium.
A. 
All regular full-time employees shall receive 10 paid sick days per year. Said days are cumulative from year to year up to 30 days. Unused sick time shall not be compensated.
B. 
Three-quarter-time employees shall receive five paid sick days of five hours per day each year. Said days are cumulative from year to year up to 30 days. Unused sick time shall not be compensated.