RI Hospital UNAP Contract Summary

July 1, 2011

Health Insurance

  1. Employee contribution rates shall remain unchanged for the life of the Agreement.
  2. Effective January 1, 2012, prescription co-pays shall be increased as follows:
  3. Retail: $7/$25/$40/$50 (Not to exceed $50/month for specialty drugs)
  4. Mail order (90-day supply): $10.50/$25/$60

(There is not a mail-order option for specialty drugs.)

  1. ER visit co-pay as of January 1, 2013: $75
  2. The following co-pays shall be required for services at non-Lifespan facilities:

Effective January 1, 2012

  1. In-patient admission: $350
  2. Hospital out-patient services and ambulatory surgery centers: $250
  3. Colonoscopy: $150
  4. Lab: $25
  5. Durable Medical Equipment: $25

Effective January 1, 2013

  1. Physical / occupational therapy: $100 per diagnosis
  2. Oncology treatments/infusion
  3. Dana-Farber Cancer Institute (450 Brookline Ave, Boston): No co-pay
  4. All others: $100 per protocol
  5. Diagnostic Imaging:
  6. RI Medical Imaging: $25
  7. All others: $50
  8. Ob-Gyn
  9. W&I Ob/Gyn: No co-pay
  10. All others pay out-of-network co-payments

IMPORTANT: There are NO co-pays for using a Lifespan facility (other than ER visits) and there are NO change in co-pays for physician office visits and NO change in physician network.

  1. The out-of-network co-pays shall not apply to the following:
  2. Services received at other hospitals that are not available at a Lifespan facility.
  3. Services provided in a physician’s office incidental to a scheduled annual exam or sick visit.
  4. Emergency services (including, but not limited to, hospitalization)
  5. Services provided to a covered employee (or a dependent living with the covered employee) who resides more than 50 miles from a Lifespan facility.
  6. Services provided to dependents who are students and who reside more than 50 miles from a Lifespan facility.
  7. Services provided through a home care service.
  8. Non-elective services provided at a non-Lifespan facility because such services could not be provided by a Lifespan facility within a medically necessary timeframe
  1. A labor-management health plan advisory committee will meet monthly to address issues related to the preferred network, wellness incentives, future plan design, and other issues.

Dental Insurance

Plan A: increase annual maximum from $1,000 to $1,200/year

increase periodontal maximum from $400 to $800/year

Plan B: increase annual maximum from $1,200 to $1,350/year

Tuition Assistance

- $2,000/year (pro-rated for part-timers)

- Eliminate separate CEU bank

- Expand tuition assistance to pay for CEUs and recertification fees

- Clarify that courses must be related to a clinical position at RI Hospital

Service Credits

Effective January 1, 2012: Eliminate service credits and replace with the following:

-Health Risk Assessment / Biometric Screening: $200/yr for employees in the health plan; $100/yr for employees not in the health plan

-Other wellness incentives to be developed by Health Plan Advisory Council

Vacation
Effective September 1, 2012: maximum accumulation is 1.5 times annual accrual

Effective September 1, 2013: maximum accumulation is 1.0 times annual accrual

Clarification: Summer vacation period will start with the week that includes June 1 and shall run through the week that includes September 30.

Assistant Clinical Managers

ACMs shall not be placed on the schedule to do bargaining unit work until bargaining unit employees on the applicable unit have had the opportunity to sign up for the hours at straight time. Bargaining unit employees will not be floated off their unit when the ACM is taking a patient assignment on their unit.

Safety & Quality/Labor-Management Forum

- Safety & quality will be a standing agenda item at monthly Labor-Management Forum (LMF).

- Chief Medical Officer, Chief Nsg Officer and/or Chief Quality Officer will attend all LMF meetings

- MERS reports shall be reviewed at all LMF meetings

- Union shall have access to unit-specific MERS data

- Union and Hospital will alternate chairing the LMF meetings

Postings and Transfers

The six-month requirement for bidding shall not apply to transfers within the employee’s own unit.

Floating

A labor-management working group will be formed to discuss the issue of floating from step-down units to floors.

Per Diems

A per diem employee may not be called off less than one hour prior to the start of their shift. Any per diem called off with less than one hour shall be paid four hours of straight time pay.

Double Time

Eliminate double time for voluntary on-call. Keep all other double time.

Baylor MOU

No elimination of Baylor positions

Add: Baylor employees shall not be paid more than 48 hours of sick time in a calendar year. Any accrued, unused sick time in excess of 48 hours per year may be sold at straight time per Article 23, Section 9. Baylor employees who call out more than four weekend shifts in two consecutive years may be removed from their Baylor position.

Retirement

No change in grandfather rights of employees hired before 1994.

Fidelity match continues as a discretionary match under same terms as all Lifespan employees.

Job Security

No layoff of employees with more than 5 years of service at the time of layoff.

Wages

- No wage freeze; No lump sums

- All employees on the scales continue to receive their anniversary raises every year.

- Hiring scales (Steps 0-10) remain as is for the life of the contract.

- Employees at Step 10 and above, per diem rates, and all longevity steps shall be increased as follows:

January 1, 20121%

January 1, 20132%

April 1, 20142%

Expiration

June 30, 2015