General (Teamsters) MBO

The Modified Benefit Option (MBO) provides the following:

$3.75 hourly rate of pay increase for Supervising Attorney

$2.00 hourly rate of pay increase for Nurse Supervisory and Management Unit

$1.75 hourly rate of pay increase for General – All Other

Which will be considered as part of the base hourly rate when calculating:

• Overtime
• Retirement Benefit Amount
• County contribution to the Retirement Medical Trust (RMT)*
• Sick leave cash-outs pursuant to RMT Article and leave cash-outs

Flexible Paid Time Off (PTO) in lieu of separate use-specific leave accruals

The additional choice of the following medical plan options:

• Electing the lower-premium, higher deductible Blue Shield PPO Bronze Plan (Bronze Plan) OR
• Maintaining current medical plan, while receiving a lower Medical Premium Subsidy (MPS)

Eligible for a Flexible Spending Account (FSA) County match of up to $20.00 per pay period:

• If enrolled in the Bronze Plan AND
• Enrolled in FSA.

*Except for those who are enrolled in the Bronze Plan and FSA, and who receive the County match for FSA.

Step 1

Complete the Modified Benefit Option (MBO) Election Form:

• Teamsters – Except Nurse Supervisory & Mgmt (to be used for all MBO eligible classifications except those in the Supervisory Nurses & Mgmt Unit)
• Nurse Supervisory & Management (to be used by employees in the Supervisory Nurses & Mgmt Unit)
• Supervising Attorney (to be used by Supervising Attorneys)

Existing Employee – Qualifying Event- If you are satisfied with your current plan, no other forms are needed other than the MBO Election form. If you want to make changes to your medical plan elections you will need to complete the following forms (as applicable).

New Employee – Decide which plans you wish to enroll in.

Premium Deduction Election Form – Required if you choose to enroll in the MBO and wish to enroll in a medical and/or dental insurance plan.

Medical Plan Enrollment/Change Form – Required if you choose to enroll in any medical insurance plan, except Blue Shield Bronze PPO plan.

Dental Plan Enrollment/Change Form – Required if you choose to enroll in a dental insurance plan.

Essential Health Plan Coverage Enrollment/ Change Form – (AKA Blue Shield Bronze PPO Plan) Required if you choose to enroll in the MBO and enroll in the Blue Shield Bronze PPO Plan.

FSA Enrollment Form – Required if you choose the Blue Shield Bronze PPO plan and wish to enroll in the FSA plan to receive your County match.

Life Insurance and AD&D Enrollment Form– Required if you wish to enroll your Spouse/Domestic Partner, dependent children or yourself in Supplemental Life and/or Accidental Death & Dismemberment Insurance.