Employment Contract C
EXHIBIT “C”
Kern Medical Center
Graduate Medical Education
Compensation and Benefits
January 1, 2004 - June 30, 2005
Eligibility for Benefits. Residents who are enrolled full time in a residency program (“Program”) are entitled to a full stipend and benefits. Residents employed at 0.5 FTE or greater are eligible for prorated stipend and benefits. Residents employed less than 0.5 FTE are not eligible for benefits. All requests for less than full time status must be approved by and are at the discretion of the Office of Graduate Medical Education upon recommendation of the Program director.
1. Stipend.
PGY Level Annual Biweekly
1 $36,565 $1,406.34
2 $39,125 $1,504.78
3 $41,863 $1,610.10
4 $44,794 $1,722.83
5 $47,929 $1,843.45
This shall be the sole source of compensation paid to a resident. A resident shall not accept from any other source a fee of any kind for services provided to patients as part of the Program.
2. Vacation.
A. During the first four years of consecutive service, each full time resident will be credited with 160 hours of vacation leave for each one-year term of service. Beginning with the fifth year of consecutive service, each full time resident will be credited with 176 hours of vacation leave for each one-year term of service. Vacation leave will accrue on July 1 and may be taken at any time thereafter.
B. Vacation is to be taken at the mutual convenience of the resident and the Program director. The standard vacation increment is a two-week block. (For the purpose of calculating vacation leave, a one-week block is defined as five days and includes Monday through Friday and contiguous weekend days preceding and following the five-day block.) This may vary from program to program. Increments less than one week will be approved only under exceptional circumstances. The maximum hours which may be accumulated for vacation leave for part-time residents is proportionate to the maximum accrual of full-time residents.
C. In general, vacation during the month of June will not be granted. Vacation during the month of June will be approved only under exceptional circumstances.
D. Vacation leave not taken at the expiration of each one-year term of service shall be credited to the next consecutive one-year term of service up to a maximum number of hours equal to three times the annual earning. No further vacation leave will be credited to a resident as long as the resident has the maximum hours credited.
E. A resident will be paid for accrued and unused vacation leave upon termination of employment, which will be prorated based upon the time a resident spends in training during the term of the Agreement.
F. All vacation leave must be approved in advance by the Program director.
3. Sick Leave.
A. Each full time resident will accrue sick leave credit at the rate of 2.46 hours per biweekly pay period, for a maximum accrual of 64 hours (eight days) per year. Total unused sick leave accumulated will not exceed a maximum of 1152 hours. No further sick leave credit will accrue so long as a resident has the maximum hours credited. The maximum hours which may be accumulated for sick leave for part-time residents is proportionate to the maximum accrual of full-time residents.
B. A resident may be granted sick leave with pay up to the maximum number of hours of sick leave accrued and under the terms and conditions set forth in the Kern County Administrative Procedures Manual.
C. Accrued sick leave hours remaining at the expiration of each one-year term of service will be credited to the next consecutive one-year term of service to a maximum of 1152 hours.
D. A resident will not be paid for accrued and unused sick leave upon termination of employment.
4. Holidays. Resident will be entitled to all paid holidays authorized as official holidays for County employees. If a resident is scheduled for and works on an official holiday, the resident will be granted an alternate day off. Resident will not be paid for accrued and unused holidays upon termination of employment.
5. Retirement. Each resident will participate in the County’s Part-time, Seasonal, and Temporary program (“PTST”). Participation in the PTST program permits the County to avoid payment of the employer’s portion of FICA 1 (Social Security) taxes (6.2 percent) as PTST is recognized as a meaningful retirement program for temporary employee participation. The PTST program requires the employee to pay 7.5 percent of his or her salary into a fund, which is an alternative retirement plan. Each resident must also pay his or her share of employment taxes related to Medicare (FICA 2).
6. Health Plan.
A. Residents are required to enroll in County health benefits unless they have other group health insurance and timely sign a declination form certifying that other coverage. All residents who enroll in health benefits must enroll in all three plan components – medical, dental and vision. Individual component participation is not allowed. The cost of health coverage depends on the dental plan chosen and the number of dependents. The employee share of cost for health benefits is 20 percent of the current biweekly premium.
B. The County offers one health plan: County of Kern Employee Medical Benefit Plan. The plan is a self-funded group health plan, available to eligible employees of the County and their eligible dependents. The plan is designed and sponsored by the County. The claim administrator for the plan is Schaller Anderson of California, LLC, doing business as Schaller Anderson of California Administrators.
C. The plan is a PPO plan with both in-network and out-of-network benefits. Enrolled members who receive medical services from providers in the Schaller Anderson of California Provider Network are eligible to receive in-network benefits. Members who receive services from non-participating providers will receive out-of-network benefits. Enrolled members who receive services outside Kern County can access the CCN National Provider Network provider to receive in-network benefits.
- In-Network: When an enrolled member receives services from the Schaller Anderson of California Provider Network (within Kern County) or the CCN National Provider Network (outside Kern County), the County pays in-network level of benefits which offer a higher level of reimbursement from the plan and a lower cost to the member (no deductible, $10 co-pay for office visits and 100 percent coverage for most services).
- Out-of-Network: When an enrolled member receives services from a non-participating provider, the County pays the out-of-network level of benefits that offer a reduced reimbursement from the plan and a higher cost to the member (after the deductible has been met).
This is only a summary of certain benefits and services. Please see the Summary Plan Description for a complete explanation of benefits, limitations and exclusions.
D. Residents are eligible for coverage the first day of the bi-weekly period coincident with or following the day they complete one month of continuous service.
7. Prescription Drugs. Residents and eligible dependents enrolled in the medical plan are also enrolled in the prescription drug program administered by CatalystRx. Covered prescriptions may be purchased at reduced rates ($5 for generic drugs, $8 for preferred drugs, and $11 for non-preferred drugs) from pharmacies that are members of the CatalystRx network. Covered prescriptions may also be purchased by mail order.
8. Dental Plan.
A. The County offers two dental plans: National Pacific Dental Plan (“NPD”), a self-funded program, and Pacific Union Dental (“PUD”). NPD is a comprehensive dental plan that allows an employee to choose his or her own dentist and level of benefit. There is a $50 deductible per individual, per calendar year, up to a maximum of three deductibles per family. The plan pays 90 percent of the contracted rate to a contracted dentist, and 70 percent of “usual and customary” for covered services provided by a non-contracted dentist. The yearly maximum benefit is $1,500 per family member. There is no benefit for orthodontia related services. PUD provides comprehensive dental coverage through participating dentists. The employee must select one of the participating dentists to provide all care for the employee and eligible dependents. There is no deductible and no annual amount of care. There are some co-payments for major dental work. There is an orthodontia discount available for all covered persons.
B. Benefits become effective on the first day of the biweekly pay period following thirty (30) consecutive calendar days of employment.
9. Vision Plan.
A. The County has a self-funded vision plan administered by Vision Service Plan. The plan provides for lenses and frames every 24 months and an exam every 12 months. There is a $20 deductible for the exam and $20 for the frame and lenses. Most frames and lenses are paid at 100 percent after the deductible is met. There are limitations on contact lenses.
B. Benefits become effective on the first day of the biweekly pay period following thirty (30) consecutive calendar days of employment.
10. Workers’ Compensation: The County provides workers’ compensation coverage as required by law to protect employees who are injured on the job. This coverage provides payment for medical expenses and temporary disability (in lieu of lost earnings) for workers who are injured in the course of their employment. Temporary disability payments begin on the first day of hospitalization or after the third day following a lost time injury if an employee is not hospitalized. The County finances and administers this coverage under a state approved self-funded program.
11. Long Term Disability Insurance: Long Term Disability Insurance coverage may be purchased from Chimienti & Associates through payroll deduction.
12. Short Term Disability Insurance: Short Term Disability Insurance and accident policies may be purchased from Chimienti & Associates through payroll deduction.
13. Life Insurance: Eligible residents and their eligible dependents may purchase Voluntary/Supplemental Group Term Life Insurance coverage from Chimienti & Associates through payroll deduction.
14. State Disability Insurance. The County has an integrated disability plan with the state. The resident’s wages are integrated with the disability payments from the state, which enables the resident to extend his or her sick leave or vacation leave. The resident’s wages (sick leave and vacation leave used) are offset by disability payments and the corresponding sick leave and vacation time is restored to the resident’s sick leave and vacation balances.
15. Family Sick Leave: Residents are entitled to use accrued sick leave to take time off for the illness of an immediate family member up to a maximum of ten days per year.
16. Family Care Leave: Family and medical leaves of absence (including leave for the birth and care of a newborn, placement of a child with an employee for adoption or foster care, care of a spouse, child, or parent who has a serious health condition, or serious health condition of the employee) will comply with state and federal law.
17. Personal Leave: Residents may be granted, upon proper written request and approval of KMC, the Program director and the Director of Medical Education a leave of absence without pay not to exceed three months for personal reasons. Approval of such leave without pay under this section shall be conditioned on finding that: (i) the situation or condition necessitating leave is not remedial by other means; (ii) refusal to authorize leave will result in personal hardship or suffering for the Resident or his or her immediate family; and (iii) the absence of the resident will not substantially interfere with the service of the affected department. All vacation leave and holiday hours must be exhausted prior to the effective date of the leave of absence. Whenever a resident who has taken a personal leave desires to return before expiration of such leave, the resident shall notify KMC in writing as least five calendar days in advance of the return. The resident shall promptly notify the Program director and Director of Medical Education of his or her return.
18. Leave of Absence Without Pay.
A. If a resident is absent from duty due to illness or disability for a period exceeding accrued sick leave and vacation leave hours, the resident shall not be entitled to compensation for such absence. The resident may be placed on a “leave-without-pay” status during such absence.
B. If a resident is absent from duty for reasons other than illness or disability for a period in excess of accrued vacation leave or holiday hours, the resident will not be entitled to compensation for such absence. The resident may be placed on a “leave-without-pay” status during such absence. Extended leave for any reason may impact the successful or timely completion of the resident’s progress.
C. The leave of absence may not exceed six months in duration.
19. Bereavement Leave. A resident may be granted the use of up to 10 days of sick leave for the death and/or funeral of a member of his or her immediate family.
20. Military Leave. Military leave is granted in compliance with state and federal law.
21. Fellowship/Post-Residency Employment Interviews. During the final year of residency training, a resident may take up to five days of paid leave for interviews related to fellowship training or post-residency employment.
22. Miscellaneous.
A. Kern$Flex: Residents are eligible to participate in flexible spending plans to pay for dependent care, un-reimbursed medical expenses and certain insurance premiums on a pre-tax basis through payroll deduction. This is a voluntary benefit that is paid by the resident who participates in the plan. Enrollment in the plan is processed by Chimienti & Associates.
B. Direct Deposit: Direct deposit of net pay to any banking institution is available to all residents. Residents may contact their departmental payroll clerk to obtain an application.
C. On-Call Quarters: On-call quarters are provided for required hospital rotations.
D. Uniforms: Lab coats are provided upon entry into the Program. KMC will furnish three lab coats for categorical residents and two lab coats for preliminary and transitional year residents. Residents are responsible for maintenance of the lab coats.
E. Meal Allowance: Each resident, while on duty at KMC, will be permitted to take meals in the KMC employee cafeteria during regular business hours at no charge to the resident.
F. Counseling and Support Services: KMC will facilitate the resident’s access to appropriate and confidential medical and psychological support services. Through the Kern County Employee Assistance Program, there is no charge for the initial counseling costs, which includes up to three sessions or visits in a six-month period. This benefit is also available to an eligible spouse and dependents.
G. Parking: Resident parking is provided in designated areas.
The County reserves the right to modify or discontinue the plan of benefits set forth herein at any time on a prospective basis only.