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2. Section 19 Coalition Bargaining. The Law: Mass General Laws Chapter 32B Section 19Allows a city/town to negotiate with all of the town unions at one bargaining table over the issue of health insurance.. 3. Section 19: Coalition Bargaining. Coalition with union rep from each collective ba
                
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1. Bargaining Health Insurance A Union Overview of the 
Section 19, PEC, GIC Option
September 23, 2009 
2. 2 Section 19 Coalition Bargaining 	The Law: 
	Mass General Laws Chapter 32B Section 19
	
	Allows a city/town to negotiate with all of the town unions at one bargaining table over the issue of health insurance.
 
3. 3 Section 19: Coalition Bargaining Coalition with union rep from each collective bargaining unit and a retiree
Retiree has 10% vote
Remaining 90% vote weighted based on number of union employees eligible for health insurance 
4. 4 Section 19: Coalition Bargaining 
5. 5 Section 19: Coalition Bargaining 70% weighted vote approval needed for any agreement 
Agreements are binding on all active and retired employees
Premium contribution percentages must be the same for all subscribers within each plan
GIC Agreement must be ratified and submitted by December 1 
6. 6 Sample PEC Voting Structure 
7. 7 The Group Insurance Commission (GIC) 	What is the GIC?
	A state commission that purchases health insurance for approx. 300,000 mostly state employees and state retirees.
	The Commission: 
	* 	13 members appointed by Governor.
	* 	5 of the members are labor reps    	recommended by unions.   
8. 8 The Group Insurance Commission (GIC) 				GIC Plan Options		
				
		HMO:		Fallon; Health New England;
				Neighborhood Health Plan
		
		PPO*:	Harvard Pilgrim; Tufts	
	
		Indemnity:	Commonwealth Indemnity UniCare
		* Most municipal employees in Blue Cross, Harvard Pilgrim or 		   Tufts HMO plans select a GIC PPO plan 
9. 9 The Group Insurance Commission (GIC) Premium Savings
			Municipal	GIC						Network Blue	Harvard Pilgrim	Difference
Total:		$ 20,964	$15,285		$ 5,679
Employee 20%	$   4,193	$  3,057	$ 1,136 
10. Sample GIC FY 10 Plan Design 
11. 11 The GIC Option 
12. 12 Section 19 Coalition Bargaining 	
	How would Section 19 
	Coalition Bargaining work? 
13. 13 Pre-Bargaining 	
	1. 	Information Request to Town (see handout)
	2. 	Run the numbers (see handout)
	3.	Informational meetings re: GIC with 	members
	4.	Informational meetings re: GIC with other 	union leaders. 
14. 14 Pre-Bargaining (cont.) 	
	5.	Decide who will represent your union 
		(President, IAC rep, Negotiation Chair)
	6. 	Determine PEC primary spokesperson at table
 
15. 15 PEC Bargaining At Table 	
1. Start with language issues:
Hiatus period, flex spending, duration, binding arbitration
2. Propose model language (see handout)
3. Propose numbers  splits:
HMO split
PPO split
Indemnity split
Medicare Part B split
4. Use the clock  December 1 
17. 17 PEC Bargaining At Table 	
Be bold.