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HomeMy WebLinkAboutMINUTES - 12161997 - C47 i4 .w. THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Resolution on December 16, 1997 , by the following vote: AYES: Supervisors Rogers, Uilkema, Gerber, Canciamilla, and DeSaulnier NOES: None ABSENT: None ABSTAIN: None Subject: Approval of the 1996-1998 Memorandum of ) Understanding with Physicians' & Dentists' ) Organization of Contra Costa (PDOCC) ) Res. No. 97/ 679 The Contra Costa Board of Supervisors RESOLVES THAT: 1. On August 12, 1997 the Labor Relations Manager submitted a Letter of Understanding dated August 5, 1997 which reflected negotiated agreements reached between the parties on terms and conditions of employment affecting employees represented by PDOCC. 2. The Memorandum of Understanding with PDOCC incorporating the agreed-upon terms and conditions mentioned above is attached. 3. This Board having considered said Memorandum of Understanding, the same is approved. 4. If an Ordinance(s) is required to implement any of the foregoing provisions, the Board of Supervisors will adopt said Ordinance(s). 5. This Resolution is effective as of January 1, 1996. I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. ATTESTED December 19, 1997 Phil Batchelor,Clerk of the Board of Supervisors and County Administrator By / Deputy Orig. Dept: Human Resources Department (Kathy Ito at 5-1785) cc: Labor Relations Unit Auditor-Controller's Office County Counsel Health Services Department PDOCC ( MEMORANDUM OF UNDERSTANDING BETWEEN , Y-7 CONTRA COSTA COUNTY AND PHYSICIANS' AND DENTISTS' ORGANIZATION OF CONTRA COSTA This Memorandum of Understanding (MOU) is entered into pursuant to the authority contained in Division 34 of Board of Supervisors' Resolution 81/1165 and has been jointly prepared by the parties. The Employee Relations Officer (County Administrator) is the representative of Contra Costa County in employer- employee relations matters as provided in Board of Supervisors' Resolution 81/1165. The parties have met and conferred in good faith regarding wages, hours and other terms and conditions of employment for the employees in units in which the Physicians' and Dentists' Organization of Contra Costa (PDOCC) is the recognized representative, have freely exchanged information, opinions and proposals and have endeavored to reach agreement on all matters relating to the employment conditions and employer-employee relations covering such employees. This MOU shall be presented to the Contra Costa County Board of Supervisors, as the governing board of the County and appropriate fire districts, as the joint recommendations of the undersigned for salary and employee benefit adjustments for the period commencing January 1 , 1996 and ending December 31 , 1998. PDOCC - 1 - 1996-98 MOU DEFINITIONS: Appointing Authority: The Health Services Director unless otherwise provided by statute or ordinance. Class: A group of positions sufficiently similar with respect to the duties and responsibilities that similar selection procedures and qualifications may apply and that the same descriptive title may be used to designate each position allocated to the group. Class Title: The designation given to a class, to each position allocated to the class, and to the employees allocated to the class. Count Contra Costa County. Department Head: An assignment in which an Exempt Medical Staff Member plans, organizes and directs the medical practice of a particular medical service, program or clinic. Director of Human Resources: The person designated by the County Administrator to serve as the Assistant County Administrator-Director of Human Resources. Employee: A person who is an incumbent of a position or who is on leave of absence in accordance with provisions of this MOU and whose position is held pending his return. Exem t: Any position which is exempt from the Merit System. PDOCC - 2 - 1996-98 MOU Permanent-Intermittent Potion Any position which requires the services of an incumbent for an indefinite period but on an intermittent basis, as needed, paid on an hourly basis. Permanent Part-Time Position: Any position which will require the services of an incumbent for an indefinite period but on a regularly scheduled less than full time basis. Permanent Position: Any position which has required, or which will require the services of an incumbent without interruption, for an indefinite period. Position: The assigned duties and responsibilities calling for the regular full time, part-time or intermittent employment of a person. Resignation: The voluntary termination of permanent employment with the County. Temporary: Any employment which will require the services of an incumbent for a limited period of time, paid on an hourly basis, not in an allocated positions or in permanent status. SECTION 1 - ORGANIZATION RECOGNITION PDOCC is the formally recognized employee organization for the representation unit listed below, and such organization has been certified as such pursuant to the Board Order dated December 19, 1995. Contra Costa Physicians' and Dentists' Unit PDOCC - 3 - 1996-98 MOU SECTION 2 - ORGANIZATION SECURITY Dues Deduction. Pursuant to Board of Supervisors' Resolution 81/1165, only a majority representative may have dues deduction and as such PDOCC has the exclusive privilege of dues deduction or agency fee deduction for all employees in its units. 2.2 Agency Shop. A. Organization Responsibility. PDOCC agrees that it has a duty to provide fair and non-discriminatory representation to all employees in all classes represented by PDOCC regardless of whether they are members of PDOCC. B. Enrollment of New Employees. The County Human Resources Department shall monthly furnish a list of all new hires to PDOCC. All new employees represented by PDOCC on or after the effective date of this MOU and continuing until the termination of the MOU, shall as a condition of employment either: 1 . Become and remain a member of PDOCC or; 2. pay to PDOCC, an agency shop fee in an amount which does not exceed an amount which may be lawfully collected under applicable constitutional, statutory, and case law, and which shall not exceed the monthly dues, initiation fees and general assessments made during the duration of this MOU. It shall be the sole responsibility of PDOCC to PDOCC - 4 - 1996-98 MOU determine an agency shop fee which meets the above criterie or 3. do both of the following: a. Execute a written declaration under penalty of perjury under the laws of the State of California that the new employee is a member of a bona fide religion, body or sect which has historically held a conscientious objection to joining or financially supporting any public employee organization as a condition of employment, or that the new employee has a bona fide religious conscientious objection to joining or financially supporting a public employee organization; and b. pay a sum equal to the agency shop fee described in Section 2.2.B.2 to a non- religious, non-labor, charitable fund chosen by the employee from the following charities: Family and Children's Trust Fund, Child Abuse Prevention Council and Battered Women's Alternative. C. Options for Current Employees. All current employees represented by PDOCC on or after the effective date of this MOU and continuing until the termination of the MOU, shall as a condition of employment either: 1 . remain a member of PDOCC or; PDOCC - 5 - 1996-98 MOU 2. complete a new payroll deduction form and pay to PDOCC, an agency shop fee in an amount which does not exceed an amount which may be lawfully collected under applicable constitutional, statutory, and case law, and which shall not exceed the monthly dues, initiation fees and general assessments made during the duration of this MOU. It shall be the sole responsibility of PDOCC to determine an agency shop fee which meets the above criteria; or 3. complete a new payroll deduction form which includes a written declaration inclusive of the written declaration under penalty of perjury under the laws of the State of California that the new employee is a member of a bona fide religion, body or sect which has historically held a conscientious objection to joining or financially supporting any public employee organization or,that the employee now has a bona fide religious conscientious objection to financially supporting a public employee organization and pay a sum equal to the agency shop fee described in Section 2.2.13.2 to a non-religious, non-labor, charitable fund chosen by the employee from the following charities: Family and Children's Trust Fund, Child Abuse Prevention Council and Battered Women's Alternative. D. Hudson Procedure. PDOCC shall provide the County with a copy of PDOCC's Hudson Procedure for the determination and protest of its agency shop fees. PDOCC shall provide a copy of said PDOCC - 6 - 1996-98 MOU Hudson Procedure. to eery fee payor covered by this MOU within ore month from the date it is approved and anrnrually thereafter, and as a condition to any change in the agency shop fee. Failure by a fee payor to invoke PDOCC's Hudson Procedure within one month after actual notice of the Hudson Procedure shall be a waiver by the employee of his or her right to contest the amount of the agency shop fee. E. Periods of Separation. The provisions of Section 2.2.13.2 shall not apply during periods that an employee is separated from the Physicians and Dentists Unit but shall be reinstated upon the return of the employee to the representation unit. Separation as defined herein includes transfer out of the unit, layoff, and leave of absence with a duration of more than thirty (30) days. F. Compliance. 1 . An employee employed in or hired into a job class represented by PDOCC shall be provided with an Employee Authorization for Payroll Deduction form by the Human Resources Department. 2. If the form authorizing payroll deduction is not returned within thirty (30) calendar days after notice of this agency shop fee provision and PDOCC dues, agency shop fee, initiation fee or charitable contribution required under Section 2.2.13.3 are not received, PDOCC may, in writing, direct that the County withhold the agency shop fee and the initiation fee from PDOCC - 7 - 1996-98 MOU the employee's salary, in which case the employee's monthly salary shall be reduced by an amount equal to the agency shop fee and the County shall pay an equal amount to PDOCC. 3. If an employee who is a dues-paying PDOCC member or an agency shop fee-payor executes a payroll deduction form to change status to that of conscientious objector and PDOCC contests '' the validity of the conscientious objections, PDOCC may request in writing to the Labor Relations Manager that the County hold the deduction in trust for the designated charity pending a successful challenge by PDOCC in a court of competent jurisdiction, provided however, such funds shall be held in trust without interest for no more than one year after the Auditor-Controller receives notices of the challenge, or Iuntil a court decision is rendered, whichever is later. If PDOCC's challenge is not upheld, the funds held in trust shall be distributed to the designated charity. PDOCC may only make one such challenge to any one employee during the term of a MOU. 4. PDOCC shall indemnify, defend, and save the County harmless against any and all claims, demands, suits, orders, or judgments, or other forms of liability that arise out of or by reason of this PDOCC Security Section (2), or action taken or not taken by the County under this Section (2.2). This includes, but is not limited to, the County's Attorneys' fees and costs. PDOCC - 8 - 1996-98 MOU The provisions of.this section (2.2) shall not be subject to the grievance procedure following the adoption of:this MOU by the County Board of Supervisors. G. Recision of Aqency Shop. 1 . Conditions. In the event that employees represented by PDOCC vote to rescind Agency Shop, the provisions of Section G.2, and G.3 shall apply to dues-paying members of PDOCC. 2. Maintenance of Membership. All employees in units represented by PDOCC who are currently paying dues to PDOCC and all employees in such unit who hereafter become members .of PDOCC shall as a condition of continued employment pay dues to PDOCC for the duration of this MOU and each year thereafter so long as PDOCC continues to represent the position to which the employee is assigned, unless the employee has exercised the option to cease paying dues in accordance with Sections G.3 and G.4. 3. Withdrawal of Membership. When agency shop has been rescinded, by notifying the Auditor-Controller's Department in writing, beginning for a period of thirty (30) days on the first day of the month following the vote for recision, any employee may withdraw from PDOCC membership and discontinue paying dues as of the payroll period commencing on the first day of the succeeding month. PDOCC - 9 - 1996-98 MOU Immediately upon close of the above mentioned thirty (30) day period the Auditor- Controller shall submit to PDOCC a list of the employees who have rescinded their authorization for dues deduction. 4. New Hires. Employees hired after recision of agency shop in classifications assigned to units represented by PDO.CC shall, as a condition of employment, complete a dues authorization form provided by PDOCC and shall have deducted from their paychecks the membership dues of PDOCC. An employee hired into the Physicians and Dentists Unit shall have thirty (30) days from the date of hire to decide if he or she does not want to become a member of PDOCC. Such decision not to become a.member of PDOCC must be made in writing to the Auditor-Controller with a copy to the Labor Relations Division. If the employee decides not to become a member of PDOCC, any PDOCC dues previously deducted from the employee's paycheck shall be returned to the employee and said amount shall be deducted from the next dues deduction check sent to PDOCC. If the employee does not notify the County in writing of the decision not to become a member within the thirty (30) day period, he or she shall be deemed to have voluntarily agreed to pay the dues of PDOCC. Each such dues authorization form referenced above shall include a statement that PDOCC and the County have entered into a MOU, that PDOCC - 10 - 1996-98 MOU the employee is, :required to authorize payroll deductions of PDOCC dues as a condition of employment, and that such authorization may be revoked within the first thirty (30) days of employment upon proper written notice by the employee within said thirty (30) day period as set forth above. Each such employee shall, upon completion of the authorization form, receive a copy of said authorization form which shall be deemed proper notice of his or her right to revoke said authorization. 2.3 Communicating With Employees. PDOCC shall be allowed to use designated portions of bulletin boards or display areas in public portions of County buildings or in public portions of offices in which there are employees represented by PDOCC, provided the communications displayed have to do with official organization business such as times and places of meetings and further provided that the employee organization appropriately posts and removes the information. The department head reserves the right to remove objectionable materials after notification to and discussion with PDOCC. Representatives of PDOCC, not on County time, shall be permitted to place a supply of employee literature at specific locations in County buildings if arranged through the Appointing Authority or designated representative; said representatives may distribute employee organization literature in work areas (except work areas not open to the public) if the nature of the literature and the proposed method of distribution are compatible with the work environment and work in progress. PDOCC - 11 - 1996-98 MOU Such placement and/or distribution shall not be performed by on duty employees. PDOCC shall be allowed access to work locations in which it represents employees for the following purposes: a. To post literature on bulletin boards; b. to arrange for use of a meeting room; C. to leave and/or distribute a supply of literature as indicated above; d. to represent an employee on a grievance, and/or to contact a PDOCC officer on a matter within the scope of representation; e. to ascertain whether the terms and conditions of the MOU are being complied with. In the application of this provision, it is agreed and understood that in each such instance advance arrangements, including disclosure of which of the above purposes is the reason for the visit, will be made with the departmental representative in charge of the work area, and the visit will not interfere with County services. 2.4 Use of County Buildings. PDOCC shall be allowed the use of areas normally used for meeting purposes for meetings of County employees except during the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday when: a. Such space is available; PDOCC - 12 - 1996-98 MOU b. there is no additional, cost to the County; C. it does not interfere with normal County operations, nor interfere with employee's work responsibility. d. the meetings are on matters within the scope of representation. The administrative official responsible for the space shall establish and maintain scheduling of such uses. PDOCC shall maintain proper order at the meeting, and see that the space is left in a clean and orderly condition. The use of County equipment (other than items normally used in the conduct of business meetings, such as desks, chairs, ashtrays, and blackboards) is strictly prohibited, even though it may be present in the meeting area. 2.5 Advance Notice. PDOCC shall, except in cases of emergency, have the right to reasonable notice of any ordinance, rule, resolution or regulation directly relating to matters within the scope of representation proposed to be adopted by the Board, or boards and commissions appointed by the Board, and to meet with the body considering the matter. The listing of an item on a public agenda, or the mailing of a copy of a proposal at least seventy-two (72) hours before the item will be heard, or the delivery of a copy of the proposal at least twenty-four (24) hours before the item will be heard, shall constitute notice. In cases of emergency when the Board, or boards and commissions appointed by the Board, determines it must act immediately without such notice or meeting, it shall give PDOCC - 13 - 1996-98 MOU notice and opportunity to meet as soon as practical after its action. 2.6 Written Statement for New Employees. The County will provide a written statement to each new employee hired into a classification represented by PDOCC, that the employee's classification is represented by PDOCC and the name of a representative of PDOCC. The County will provide the employee with a packet of information which has been supplied by PDOCC and approved by the County. 2.7 Assignment of Classes to Bargaining Units. The County shall assign new classes in accordance with the following procedure: a. Initial Determination. When a new class title is established, the Labor Relations Manager shall review the composition of existing representation units to determine the appropriateness of including some or all of the employees in the new class in one or more existing representation units, and within a reasonable period of time shall notify all recognized employee organizations of his determination. b. Final Determination. His determination is final unless within ten (10) days after notification a recognized employee organization requests in writing to meet and confer thereon. C. Meet and Confer and Other Steps. He shall meet and confer with such requesting organizations (and with other recognized employee organizations where appropriate) to seek agreement on this matter within sixty (60) days after the ten (10) day PDOCC - 14 - 1996-98 MOU period in Subsection b, unless otherwise mutually agreed. Thereafter, the procedures in cases of disagreement, arbitration referral and expenses, and criteria for determination shall conform to Board of Supervisors' Resolution 81/1165. SECTION 3 - NO DISCRIMINATION There shall be no discrimination because of sex, race, creed, color, national origin, sexual orientation or union activities against any employee or applicant for employment by the County or by anyone employed by the County; and to the extent prohibited by applicable State and Federal law there shall be no discrimination because of age. There shall be no discrimination against any disabled person solely because of such disability unless that disability prevents the person from carrying out the essential functions of the position safely. SECTION 4 - SHOP STEWARDS AND OFFICIAL REPRESENTATIVES 4.1 Attendance at Meetings. Employees designated as shop stewards or official representatives of PDOCC shall be allowed to attend meetings held by County agencies during regular working hours on County time as follows: a. If their attendance is required by the County at a specific meeting, including meetings of the Board of Supervisors; PDOCC - 15 - 1996-98 MOU b. if their attendance is sought by a hearing body or presentation of testimony or other reasons; C. if their attendance is required for a meeting necessary for settlement of grievances filed pursuant to Section 15 - Grievance Procedure of this MOU and scheduled at reasonable times agreeable to all parties; d. if they are designated as a shop steward, in which case they may utilize a reasonable time at each level of the proceedings to assist an employee to present a grievance provided the meetings are scheduled at reasonable times agreeable to all parties, e. if they are designated as spokesperson or representative of PDOCC and as such make representations or presentations at meetings or hearings on wages, salaries and working conditions; provided in each case advance arrangements for time away from the employee's work station or assignment are made with the appropriate department head, and the County agency calling the meeting is responsible for determining that the attendance of the particular employee(s) is required, including meetings of the Board of Supervisors and Retirement Board where items which are within the scope of representation and involving PDOCC are to be discussed. 4.2 PDOCC Representatives. Official representatives of PDOCC shall be allowed time off on County time for meetings during regular working hours when formally meeting and conferring in good faith or consulting with the PDOCC - 16 - 1996-98 MOU Labor Relations Manager. or other management representatives on matters within the scope of representation, provided that the number of such representatives shall not exceed two (2) without prior approval of the Labor Relations Manager, and that advance arrangements for the time away from the work station or assignment are made with the appointing authority or designee. SECTION 5 - SALARIES 5.1 General Waqe Increases. A. Effective July 1 , 1996 each represented classification shall receive a general wage increase of three percent (3%) on the County Salary Schedule. B. Effective October 1 , 1997 each represented classification shall receive a general wage increase of two percent (2%) on the County Salary Schedule plus Tier III, or three percent (3%) on the County Salary Schedule. C. Effective October 1 , 1998 each represented classification shall receive a general wage increase of three and one-half percent (3.5%) on the County Salary Schedule. D. Lump Sum Payment. The July 1 , 1996 increase will be paid in a Lump Sum Payment to each employee for the months of July, August, September, October, November and December 1996, and for PDOCC - 17 - 1996-98 MOU the months of January, February, March, April, May, June, July, and August 1997, without interest, computed as follows: Employee regular pay, overtime pay and specific other earnings ordinarily computed as a percentage of base pay will be added together for each applicable pay period to determine the appropriate pay base. This base will then be multiplied by 3% to arrive at the employee's lump sum payment. The payment amount thus computed will be added to the employee's September 10, 1997 paycheck where it will be listed separately as a "Lump Sum Payment" and will be subject to normal tax withholding and retirement deduction requirements. For purposes of this lump sum payment, employee regular pay shall include the Emergency Room Bonus. Any employee believing there is an underpayment resulting from this methodology exceeding $100 may contact the Human Resources Department. The Human Resources Department and the Auditor's Office will investigate and issue the additional pay, if owed, as soon as possible. All provisions regarding lump sum payment in lieu of retroactive pay shall be applicable to any and all employees who retired during the period July 1 , 1996 through August 31 , 1997. 5.2 Appointment. Exempt Medical Staff Members shall be employed only in classes for which they are qualified by virtue of their education, experience and professional license, and shall be paid at a rate established for their PDOCC - 18 - 1996-98 MOv classification. For classifcations for which a range of steps have been established, Exempt Medical Staff Members shall be appointed at the step of the salary range for their class which is appropriate to their particular qualifications and the position to be filled giving due consideration to the experience, responsibility and competence of the appointee. The determination of an Exempt Medical Staff Member's qualifications and designation of the appropriate step of the salary range shall be by the appointing authority or designee and shall be final. The appointing authority or designee will notify PDOCC of any appointments above Step 6 in the applicable salary range and will include a justification for the appointment. 5.3 Reappointment. Exempt Medical Staff Members who terminate their services with the County and are subsequently reemployed in the same medical staff classification within two (2) years from the date of termination may be appointed at the step of the salary range at which they were employed at the time of termination. 5.4 Merit Adjustment. Each Exempt Medical Staff Member shall be eligible for a merit review one year after the date of his/her original appointment and annually thereafter until the top step of the range is reached. Based upon review of each Exempt Medical Staff Member's duties and performance, the appointing authority or designee may authorize an advancement to the next higher step in the salary range, or deny the adjustment with or without one additional review at some specified date before the next anniversary. Merit increase shall be awarded for satisfactory performance and there shall be no limit to the number of employees receiving a merit increment in any given year. The decision to approve or deny the Exempt Medical Staff Member's merit adjustment will be supported by a written PDOCC - 19 - 1996-98 MOU evaluation of the member's performance. Performance evaluations will be completed by the appropriate Department Head, who may confer with other medical staff members and will be subject to review and approval by the appointing authority's designee. The written performance evaluation system will be implemented within six (6) months of the adoption of this MOU. No salary adjustment shall be made unless a recommendation to do so is made by the appointing authority, or designee, and no provision of this section shall be construed to make the adjustment of salaries mandatory on the County. 5.5 Frequency. An Exempt Medical Staff Member shall be eligible for a salary review one year after the date of his original appointment and annually thereafter. At that time, the appointing authority or designee may authorize a salary adjustment, deny the adjustment unconditionally or deny the adjustment subject to review at some specified date before the next anniversary. Under special circumstances, the appointing authority or designee may make a one-step adjustment in advance of the date on which an Exempt Medical Staff Member becomes eligible for the adjustment. When such an advance adjustment is made, however, the Exempt Medical Staff Member may not receive another adjustment until the date of eligibility following that for which the adjustment was authorized in advance. 5.6 Effective Date. Adjustments to Exempt Medical Staff Members' salaries shall be effective on the first day of the month following the month in which the adjustment is authorized by the appointing authority or designee. If an operating department verifies in writing that an administrative or clerical error was made in failing to submit the documents needed to advance an employee to the next salary step on the first of the month when eligible, said PDOCC - 20 - 1996-98 MOU advancement shall be r�tede�tettoactive to the first of the month when eligible. 5:7 Pam. On the tenth (10th) day of each month, the Auditor will draw a warrant upon the Treasurer in favor of each employee for the amount of salary due the employee for the preceding month; provided, however, that each employee (except those paid on an hourly rate) may choose to receive an advance on the employee's monthly salary, in which case the Auditor shall, on the twenty-fifth (25th) day of each month, draw his/her warrant upon the Treasurer in favor of such employee. The advance shall be in an amount equal to one-third (1/3) or less (at the option of the employee) of the employee's basic salary of the previous month except that it shall not exceed the amount of the previous month's basic salary less all requested or required deductions. The election to receive the advance shall be made on the prescribed form (form M-208, revised 5/81 ) and submitted by the 15th of the month to the department payroll clerk who will forward the card with the Salary Advance Transmittal/Deviation Report to the Auditor-Controller payroll section. Such an election would be effective in the month of the submission and would remain effective until revoked. In the case of an election made pursuant to this Section 5.7 all required or requested deductions from salary shall be taken from the second installment, which is payable on the tenth (10th) day of the following month. PDOCC - 21 - 1996-98 MOU 5.8 Part-Time Compensation. An Exempt Medical Staff Member working part-time shall be paid a monthly salary in the same ratio to the full time monthly rate to which he would be entitled as an Exempt Medical Staff Member working full time as the number of hours per week in his part-time work schedule bears to the number of hours in the regular full time schedule. Other benefits to which the employee is entitled under the provisions of this division may be assigned on the same pro rata basis. If the employment is periodic and irregular, depending on departmental requirements, payment for hours worked shall be made at the hourly rate established for the salary step to which the Exempt Medical. Staff Member would be assigned if he were working permanent full time or part-time. 5.9 Compensation for Portion of Month. Any Exempt Medical Staff Member who works less than any full calendar month, except when on earned vacation or authorized sick leave, shall receive as compensation for his services an amount which in the same ratio to the established monthly rate as the number of days worked is to the actual working days in such Exempt Medical Staff Member's normal work schedule for the particular month; but if the employment is intermittent, compensation shall be on an hourly basis. 5.10 Reclassification of Position. The salary of an employee whose position is reclassified from a class on the basic or exempt salary schedule to an Exempt Medical Staff classification shall be established in accordance with Section 5.2. PDOCC - 22 - 1996-98 MOU 5.11 Salary on Change of Assignment. A. If a significant change is made in the duties, responsibilities, work schedule or work location assigned to an Exempt Medical Staff Member, the appointing authority or designee may review the changes to determine if they are of such a magnitude to warrant an adjustment in the salary level of the Exempt Medical Staff Member. If it is determined that an adjustment is appropriate, the appointing authority or designee may adjust the salary upward. If such an assignment is temporary (typically not exceeding one year duration), the Exempt Medical Staff Member shall return at the termination of the assignment to the step of the range he/she would have received had he/she remained in his/her regular assignment. B. Effective Date. Salary adjustments reflecting changes in assignment of an Exempt Medical Staff Member shall be effective on the first day of the month following the month in which the adjustment is made by the appointing authority or designee. 5.12 Salary on Promotion - Exempt Medical Staff Resident Physicians. Exempt Medical Staff Resident Physicians are expected to spend approximately one year in each of the three classifications. However, the duration of an employee's training at one of the levels may be extended at the discretion of the appointing authority or designee. Exempt Medical Staff Resident Physicians advancing to a next higher resident physician classification shall be paid at the monthly rate for that classification. PDOCC - 23 - 1996-98 MOU 5.13 Reassi nment. An Exempt Medical Staff Member who is reassigned from one position to another position within the same classification shall be compensated at the same step in the salary range as he/she was previously. Eligibility for stipends as described in Section 5.14 will be reevaluated at the time of reassignment and may result in the commencement or discontinuing of a stipend or stipends as appropriate. 5.14 Stipends. Exempt Medical Staff Members are eligible for the following additional compensation. An employee may be eligible for and receive stipends in more than one category. The stipends for Registrar and Ambulatory recognition are based on continuous service. Neither periods of voluntary separation nor periods of involuntary separation exceeding two years, will be bridged. A. The President of the Medical Staff will receive $500 per month. B. The Department Heads for Ambulatory Family Medicine, Anesthesia, Dental (excluding the classification Chief of Dental Service), Diagnostic Imaging, Emergency Medicine, Internal Medicine, Geriatrics, Obstetrics and Gynecology, Pathology, Pediatrics, Psychiatry, Rehabilitation and Surgery, and other comparable assignments deemed appropriate by the appointing authority or designee will receive $500 per month. C. The Residency Director and the Director of Quality Management will receive $500 per month: D. The Chairpersons of the Medical Staff committees charged with considerable responsibility, such as PDOCC - 24 - 1996-98 MOU Credentials, Medical Ouality Assurance, Utilization Review, , and other comparable assignments deemed appropriate by the appointing authority or designee will receive $500 per month. E. The Division Heads (e.g. Nursery, Ambulatory Medicine, and Out Patient Psychiatry, and Detention), the Assistant Residency Director, the Assistant Surgical Registrar Chief, the Assistant Surgical Chief and other comparable assignments deemed appropriate by the appointing authority or designee will receive $250 per month. F. A registrar stipend of $175 will be awarded as follows: 1 . A registrar assigned to a position of 32 hours or more in the system will be eligible for half of the total stipend after completing the first three years as a registrar and be eligible for the full stipend after completing a sixth year as a registrar. 2. A registrar assigned to a position of 20 to 31 hours in the system will be eligible for one- quarter of the full stipend after three years and a maximum of one-half of the full stipend after six years. 3. A registrar in the system assigned to a position of less than 20 hours will not be eligible for a registrar stipend. A registrar is defined as a physician designated by the appointing authority and assigned to the PDOCC - 25 - 1996-98 MOU Emergency Room or assigned significant teaching and inpatient care responsibilities and who possesses expertise in a given field and acts as a resource to his/her colleagues. An additional stipend of $75 per month will be awarded to all registrars who are required to be "at risk" to fill in for absences as described in Section 6. 1 - Days and Hours of Work. This additional stipend will be awarded in accordance with Section 5.14.F. 11 2, and 3 above. G. An Ambulatory Recognition stipend of $250 per month will be awarded to Physicians assigned to the Ambulatory System, and to Psychiatrists and Dentists as follows: 1 . An . employee assigned to a position of 32 hours or more will be eligible for one-half of the full stipend after three years, and be eligible for the full stipend after six years. The full stipend will be the same as the full registrar stipend. 2. An employee assigned to a position of 20 to 31 hours will be eligible for one-quarter of the full stipend after three years, and a maximum one-half after six years. 3. An employee assigned to a positions of less. than 20 hours per week of will not be eligible for the ambulatory recognition stipend. The above stipends will become effective on the first of the month following the employee's appointment unless the PDOCC - 26 - 1996-98 MOU appointment is effective on the first of the month, in which case the stipend will commence immediately: SECTION 6 - DAYS AND HOURS OF WORK 6.1 Days and Hours of Work. The normal work week for employees, except Residents, shall consist of five eight- hour days or a total of forty hours, 12:01 a.m. Sunday to 12:00 midnight Saturday; however, where operational requirements require deviations from the usual pattern of five eight-hour days per work week, an employee may be scheduled to meet these requirements. With the exception of Emergency Room assignments there shall be no split shifts without the employee's consent. The appointing authority or designee shall prepare written schedules in advance to encompass the complete operational cycle contemplated. The employee's preferences as well as Department's operational requirements will be considered in preparing the schedule. The basic physician and dental schedule, excluding Registrars, for a 40 hour position will consist of 36 hours of direct patient care, and 4 hours of administrative time. This administrative time shall be prorated for all employees working in a 20 hour or greater position according to the following schedule. The nature of the administrative time shall be decided by the appropriate Department Head. Administrative time shall be in blocks of four hours. PDOCC - 27 - 1996-98 MOU Total Hours per Week Averaqe Admin. Hours per Week 36 - 40 4 28 - 35 3 20 - 27 2 Twenty percent (20%) of the administrative time per ten week cycle will be "at risk" to fill in for unscheduled absences and/or for any absences for short notice clinics, small clinics with two or fewer providers, the detention facilities, or at the discretion of the Department Head, to other clinics as necessary to allow for maximum latitude in approving leave requests. In addition, all Registrars with appropriate medical skills, the Department Head and Division Heads of the Department of Family Medicine, and the Residency Director, shall be "at risk" for six four-hour blocks of time per calendar year to fill in for absences as described in this paragraph. Registrar eligibility and scheduling shall be coordinated between the head of the appropriate department and the head of the Department of Family Medicine. The decision of the appointing authority or designee regarding eligibility and scheduling of "at risk" blocks shall be final. Sixteen consecutive hours per week on call time (paid 1 :4) may be scheduled instead of 4 hours of "direct patient care" with the employee's approval. Sixteen consecutive hours per week of telephone advice nurse backup on-call time (paid 1 :8) may be scheduled instead of two hours of "direct patient care" at the discretion of the appointing authority or designee. Individual employees with regular evening or Saturday clinic, or regular on-call assignments are exempt from this on-call provision, unless agreed to by the employee. "Direct patient care" is any time in which the employee's primary responsibility is delivering health care directly to PDOCC - 28 - 1996-98 MOU patients, including clinics, emergency room, procedures, diagnostic tests, and surgery. Employees regularly scheduled to work 16 hours per week or more of Family Practice Clinics and who have majority of their position hours assigned to Family Practice and Urgent Care Clinics shall be eligible for staff development time. The nature of the staff development time shall be decided by the appropriate Department Head and could include such responsibilities as specialty clinic assignments, or activities which contribute to patients' health, system efficiency or quality care. Employees may apply to use such time by submitting a proposal describing the goals and process of their work to the appointing authority or designee for approval. Employees will be notified in writing of the decision regarding their proposal. Approval of the use of staff development time shall be for a specific period of,time and may be discontinued at any time with a written explanation, at the discretion of the appointing authority or designee. Employees involved in such work shall be required to submit periodic progress reports as determined by the appointing authority or designee. Those employees in 40-hour positions will be assigned four (4) hours of staff development time per week. This staff development time shall be prorated for those qualifying employees working in a 24-hour or greater position according to the following schedule: Total Hours per Week Staff Development Hrs per Week 36 - 40 4 28 - 35 3 24 - 27 2 PDOCC - 29 - 1996-98 MOU All physicians except those assigned to positions in the Emergency Department will be scheduled to work between the hours of 6:00 a.m. and 5:30 p.m., (normally between 8:00 a.m. and 5:00 p.m.) Monday through Friday. The schedule for any physician working at least 20 hours per week may include one four-hour evening clinic per week and/or one 4, 6, or 8 hour weekend clinic every eight weeks, at the discretion of the appointing authority or designee. Physicians with regular weekend direct patient care responsibilities are exempt from weekend clinic assignments. Such clinics will be compensated at the physician's base rate plus $10 per hour. Except for those physicians assigned to positions in the Emergency Department, additional evening or weekend work will be by mutual agreement. Such work will be compensated as described in Section 6.6 - Emergency Room Pay. This additional compensation applies only to the scheduled time and does not include unscheduled work required for patient care needs or inpatient morning rounds. The normal work week for residents shall be determined by the Residency Program Director. Schedules reflecting the administrative hours and staff development hours will be implemented 90 days after the adoption of this MOU. 6.2 Physician Call. The basic call obligation for physicians is defined in Section 6.1 above and is compensated as part of the employee's base monthly rate. Physicians who take additional on-call obligations will be paid on the following schedule: PDOCC - 30 - 1996-98 MOU a. one hour of straightlime pay for each four hours of call (1 :4) for Anesthesia, Orthopedics, Surgery, Medicine, Pediatrics; OB Joint Venture Health Plan or Advice first call and other comparable assignments deemed appropriate by the appointing authority. b. one hour of straight time pay for each eight hours of call (1 :8) for Pathology, GI, Opthamology, Health Officer, Plastic Surgery, Hand Surgery, Detention, Psychiatry, Health Plan or advice backup, and other comparable assignments deemed appropriate by the appointing authority. Pathology will be paid at the rate of 1 :4 until such time as a classification and pay range for specialists is developed and approved by the Board. Call pay does not continue during the time the physician is called back. 6.3 Obstetrics - Gynecology Call. In lieu of the on- call rates described in Section 6.2, Physicians assigned to OB-GYN will share a total of $10,710 per month to cover all after hours services required for good patient care. This amount will be increased to $11 ,500 effective 1/1/95. After hours delivery by physicians not on call for OB shall be paid at the base hourly rate with a three hour minimum and a six hour maximum. 6.4 Call Back Pay. A physician who is called back to duty will be paid at the straight time hourly rate for the actual time worked plus a differential of $30 per hour, with a minimum of three hours pay for each call back. PDOCC - 31 - 1996-98 MOU 6.5 Pay for Weekend and Holiday Rounds. A physician whose assignment requires rounding on weekends and holidays will be paid at the straight time hourly rate for the time spent rounding plus a differential of $30 per hour, with a minimum of three hours pay. Only one three hour minimum will be paid per each twenty-four (24) hour period. 6.6 Emergency Room Pay. A physician working in the Emergency Room will be paid the following differentials in addition to his/her regular base pay: Monday - Thursday 7:00 a.m. - 11 :00 p.m. $10 per hour Friday 7:00 a.m. - 7:00 p.m. $10 per hour Monday - Thursday 11 :00 p.m. - 7:00 a.m. $30 per hour Fri., Sat., Sun. 7:00 p.m. - 7:00 a.m. $40 per hour Saturday, Sunday 7:00 a.m. - 7:00 p.m. $20 per hour Holidays will be paid as weekends. Urgent Care in the evenings and . on weekends will be compensated as emergency room pay. New Year's Eve and Christmas Eve will be paid as week-ends, beginning at 7:00 p.m. A physician working in the Emergency Room in addition to his/her regular basic schedule, will be paid at the hourly equivalent of his/her base pay plus the appropriate differential. SECTION 7 - HOLIDAYS 7.1 Holidays Observed. The County will observe the following holidays: a. January 1 st, known as New Year's Day PDOCC - 32 - 1996-98 MOU Third Monday in January known as Dr. Martin Luther King, Jr. Day Third Monday in February, known as Presidents Day The last Monday in May, known as Memorial Day July 4th, known as Independence Day First Monday in September, known as Labor Day November 11 th, known as Veterans Day Fourth Thursday in November, known as Thanksgiving Day The day after Thanksgiving December 25th, known as Christmas Day Such other days as the Board of Supervisors may by resolution designate as holidays. b. Each employee shall accrue two (2) hours of personal holiday credit per month. Such personal holiday time may be taken in increments of one- tenth (1/10) hour, and preference of personal holidays shall be given to employees according to their seniority in their department as reasonably as possible. No employee may accrue more than forty (40) hours of personal holiday credit. On separation from County service, an employee shall be paid for any unused personal holiday credits at the employee's then current pay rate. 7.2 Application of Holiday Credit. The following provisions indicate how holiday credit is to be applied: a. Employees on the five (5) day forty (40) hour Monday through Friday work schedule shall be entitled to a holiday whenever a holiday is observed pursuant to the schedule cited above. b. Employees on a work schedule other than Monday through Friday shall be entitled to credit for any holiday, whether worked or not, observed by PDOCC - 33 - 1996-98 MOU employees on the regular schedule; conversely, such employees will not receive credit for any holiday not observed by employees on the regular schedule even though they work the holiday. C. Employees will be paid their basic salary rate for holidays actually worked in addition to regular pay for the holiday. If a holiday falls on the days off of an employee on a schedule other than Monday through Friday, the employee shall be given credit for their basic salary rate or granted time off on the employee's next scheduled work day. If any holiday listed above falls on a Saturday, it shall be celebrated on the preceding Friday. If any holiday listed in Section 7.1 falls on a Sunday, it shall be celebrated on the following Monday. 7.3 Holiday Credit for Part-Time Employees. Permanent part-time employees shall receive holiday credit in the same ratio to the holiday credit given full time employees as the number of hours per week in the part-time employee's schedule bear to the number of hours in the regular full time schedule, regardless of whether the holiday falls on the part-time employee's regular work day. SECTION 8 - VACATION LEAVE 8.1 Vacation Allowance. A. Exempt Medical Staff members in permanent positions are entitled to vacations with pay which PDOCC - 34 - 1996-98 MOU accrue according to and may be cumulated to maximums set fort-,to', in the table below. Accrual is by hours of working time per calendar month of service and begins on the date of appointment to a permanent position, except that increased accruals granted in recognition of long service being on the first of the month following the month in which the Exempt Medical Staff Member accrues the time set forth in Subsection (b), and except that accrual for portions of a month shall be in minimum amounts of one-tenth hour calculated on the same basis as for partial month compensation pursuant to Section 5.9. Vacation credits may be used only after completion of six months service in a permanent position but may be used by Exempt Medical Staff Members to supplement exhausted sick leave in cases of absence during the first six months, and in addition, by Exempt Medical Staff Resident Physicians in order to reconcile vacation schedules to training needs. An Exempt Medical Staff Resident Physician who is required by the Department to schedule his/her vacation at the sole convenience of the Department in order to accommodate training needs shall have the equivalent of one (1 ) year's accrual of vacation credited at the beginning of each fiscal year's training program to accommodate Departmental vacation scheduling prior to regular accruals on a monthly basis. Exempt Medical Staff Resident Physicians may utilize this vacation account credit in advance of the date the vacation is regularly accrued under the provisions applying to all Exempt Medical Staff Physicians. PDOCC - 35 - 1996-98 MOU However, Resident Physicians who terminate before the end of a fiscal year's training program shall have their vacation credit account adjusted downward to equal the pro rata vacation they would have accrued on the regular accrual plan. If a Resident Physician uses vacation accruals in excess of the adjusted entitlement computed effective on his/her separation, the Resident shall reimburse the County for the excess vacation accruals taken at his/her then current pay rate. No vacation shall be allowed in excess of actual accrual at the time vacation is taken. On separation from County service Exempt Medical Staff Members shall be paid for any unused vacation credits at their then current pay rate. B. The rates at which vacation credits accrue, and the maximum cumulation thereof, are as follows: Monthly Maximum Accrual Cumulative Length of Service Hours Hours Under 15 years 10 240 15 through 19 years 13-1/3 320 20 through 24 years 16-2/3 400 25 through 29 years 20 480 30 years and up 23-1/3 560 8.2 Accrual During Leave Without Pay. No employee who has been granted a leave without pay or unpaid military leave shall accrue any vacation credit during the time of such leave, nor shall an employee who is absent without pay accrue vacation credit during. the absence. PDOCC - 36 - 1996-98 MOU 8.3 Vacation Allowance: for Separated Employees. On separation from County service, an employee shall be paid for any unused vacation credits at the employee's then current pay rate. 8.4 Vacation Preference. Vacation requests for Exempt Medical Staff Physicians in the Hospital and Clinics which are received in the Medical Staff Office at least thirty- five days in advance will be responded to within ten days of receipt of the request and will be approved or denied based on the overall staffing considerations for the time requested. Vacation requests which are received less than thirty-five days in advance will also be considered but preference will be given to those requests submitted with more than thirty- five days advance notice. Approved vacations will not be canceled except under extreme circumstances. SECTION 9 - SICK LEAVE 9.1 Purpose of Sick Leave. The primary purpose of paid sick leave is to ensure employees against loss of pay for temporary absences from work due to illness or injury. It is a benefit extended by the County and may be used only as authorized; it is not paid time off which employees may use for personal activities. 9.2 Credits to and Charges Against Sick Leave. Sick leave credits accrue at the rate of eight (8) working hours credit for each completed month of service, as prescribed by County Salary Regulations and Memoranda of Understanding. Employees who work a portion of a month are entitled to a pro rata share of the monthly sick PDOCC - 37 - 1996-98 MOU leave credit computed on the same basis as is partial month compensation. Credits to and charges against sick leave are made in minimum amounts of one-tenth hour (6 minutes) increments. Unused sick leave credits accumulate from year to year. When an employee is separated other than through retirement, accumulated sick leave credits shall be cancelled unless separation is involuntary and related to budget reductions, in which case the employee may petition the County to restore accumulated credits if that employee is reemployed within two years. As of the date of retirement, an employee's accumulated sick leave is converted to retirement on the basis of one day of retirement service credit for each day of accumulated sick leave credit. 9.3 Policies Governing the Use of Paid Sick Leave. As indicated above, the primary purpose of paid sick leave is to ensure employees against loss of pay for temporary absences from work due to illness or injury. The following definitions apply: Immediate Family means and includes only the spouse, son, stepson, daughter, stepdaughter, father, stepfather, mother, stepmother, brother, sister, grandparent, grandchild, father- in-law, mother-in-law, daughter-in-law, son-in-law, brother- in-law, sister-in-law, foster children, aunt, uncle, niece, nephew, cousin, stepbrother, or stepsister of an employee and/or includes any other person for whom the employee is the legal guardian or conservator, or any person who is PDOCC - 38 - 1996-98 MOU claimed as a "dependent" f6r`)R8' reporting purposes by the employee. Employ means any person employed by Contra Costa County in an allocated position in the County service. Paid Sick Leave Credits means those sick leave credits provided for by County Salary Regulations and memoranda of understanding. Condition/Reason: With respect to necessary verbal contacts and confirmations which occur between the department and the employee when sick leave is requested or verified, a brief statement in non-technical terms from the employee regarding inability to work due to injury or .illness is sufficient. Accumulated paid sick leave credits may be used, subject to appointing authority approval, by an employee in pay status, but only in the following instances: a. Temporary Illness or Injury of an Employ. Paid sick leave credits may be used when the employee is off work because of a temporary illness or injury. b. Permanent Disability Sick Leave. Permanent disability means the employee suffers from a disabling physical injury or illness and is thereby prevented from engaging in any County occupation for which the employee is qualified by reason of education, training or experience. Sick leave may be used by permanently disabled employees until all accruals of the employee have been exhausted or until the employee is retired by the Retirement Board, subject to the following conditions: PDOCC - 39 - 1996-98 MOU 1 . An application for retirement due to disability has been filed with the Retirement Board. 2. Satisfactory medical evidence of such disability is received by the appointing authority within thirty (30) days of the start of use of sick leave for permanent disability. 3. The appointing authority may review medical evidence and order further examination as deemed necessary, and may terminate use of sick leave when such further examination demonstrates that the employee is not disabled, or when the appointing authority determines that the medical evidence submitted by the employee is insufficient, or where the above conditions have not been met. C. Communicable Disease. An employee may use paid sick leave credits when under a physician's order to remain secluded due to exposure to a communicable disease. d. Sick Leave Utilization for Pregnancy Disability. Employees whose disability is caused or contributed to by pregnancy, miscarriage, abortion, childbirth, or recovery therefrom, shall be allowed to utilize sick leave credit to the maximum accrued by such employee during the period of such disability under the conditions set forth below: 1 . Application for such leave must be made by the employee to the appointing authority accompanied by a written statement of PDOCC - 40 - 1996-98 MOv disability ffom., the employee's attending physician. The statement must address itself to the employee is general physical condition having considered the nature of the work performed by the employee, and it must indicate the date of the commencement of the disability as well as the date the physician anticipates the disability to terminate. 2. If an employee does not apply for leave and the appointing authority believes that the employee is not able to properly perform her work or that her general health is impaired due to disability caused or contributed to by pregnancy, miscarriage, abortion, childbirth or recovery therefrom the employee shall be required to undergo a physical examination by a physician selected by the County. Should the medical report so recommend, a mandatory leave shall be imposed upon the employee for the duration of the disability. 3. Sick leave may not be utilized after the employee has been released from the hospital unless the employee has provided the County with a written statement from her attending physician stating that her disability continues and the projected dates of the employee's recovery from such disability. e. Medical and Dental Appointments. An employee may use paid sick leave credits: PDOCC - 41 - 1996-98 MOU 1 . For working time used in keeping medical and dental appointments for the employee's own care; and 2. For working time used by an employee for prescheduled medical and dental appointments for an immediate family member. f. Emergency Care of Family. An employee may use paid sick leave credits for working time used in cases of illness or injury to an immediate family member. g. Death of Family Member. An employee may use paid sick leave credits for working time used because of a death in the employee's immediate family or of the employee's domestic partner, but this shall not exceed three working days, plus up to two days of work time for necessary travel. Use of additional accruals including sick leave when appropriate may be authorized in conjunction with the bereavement leave at the discretion of the appointing authority. h. Legal Adoption of a Child. Paid sick leave credits may be used by an employee upon adoption of the child. I. Accumulated paid sick leave credits may not be used in the following situations: 1 . Vacation. Paid sick. leave credits may not be used for an employee's illness or injury which occurs while he/she is on vacation but the PDOCC - 42 - 1996-98 MOv County Administrator may authorize it when extenuating circumstances exist and the appointing authority approves. 2. Not in Pay Status. Paid sick leave credits may not be used when the employee would otherwise be eligible to use paid sick leave credits but is not in pay status. 9.4 Administration of Sick Leave. The proper administration of sick leave is a responsibility of the employee and the department head. Unless otherwise provided in the supplemental sections of this MOU, the following procedures apply: a. Employee Responsibilities 1 . Employees are responsible for notifying their department of an absence prior to the commencement of their work shift or as soon thereafter as possible. Notification shall include the reason and possible duration of the absence. 2. Employees are responsible for keeping their department informed on a continuing basis of their condition and probable date of return to work. 3. Employees are responsible for obtaining advance approval from their supervisor for the scheduled time of pre-arranged personal or family medical and dental appointment. PDOCC - 43 - 1996-98 MOU 4. Employees are encouraged to keep the department advised of (1) a current telephone number to which sick leave related inquiries may be directed, and (2) any condition(s) and/or restriction(s) that may reasonably be imposed regarding specific locations and/or persons the department may contact to verify the employee's sick leave. b. Department Responsibilities. The use of sick leave may properly be denied if these procedures are not followed. Abuse of sick leave on the part of the employee is cause for disciplinary action. Departmental approval of sick leave is a certification of the legitimacy of the sick leave claim. The department head or designee may make reasonable inquiries about employee absences. The department may require medical verification for an absence of three (3) or more working days. ' The department may also require medical verification for absences of less than three (3) working days for probable cause if the employee had been notified in advance in writing that such verification was necessary. Inquiries may be made in the following ways: 1 . Calling the employee's residence telephone number or other contact telephone number provided by the employee if telephone notification was not made in accordance with departmental sick leave call-in guidelines. These inquiries shall be subject to any restrictions imposed by the employee. PDOCC - 44 - 1996-98 MOU 2. Obtaining the . employee's signature on the Absence/Overtime Record, or on another form established fore that purpose, as employee certification of the legitimacy of the claim. 3. Obtaining the employee's written statement of explanation regarding the sick leave claim. 4. Requiring the employee to obtain a physician's certificate or verification of the employee's illness, date(s) the employee was incapacitated, and the employee's ability to return to work, as specified above. 5. In absences of an extended nature, requiring the employee to obtain from their physician a statement of progress and anticipated date on which the employee will be able to return to work, as specified above. Department heads are responsible for establishing timekeeping procedures which will insure the submission of a time card covering each employee absence and for operating their respective offices in accordance with these policies and with clarifying regulations issued by the Office of the County Administrator. To help assure uniform policy application, the Human Resources Director or designated management staff of the County Human Resources Department should be contacted with respect to sick leave determinations about which the department is in doubt. PDOCC - 45 - 1996-98 MOU 9.5 Disabili A. An employee physically or mentally incapacitated for the performance of duty is subject to dismissal, suspension or demotion, subject to the County Employees Retirement Law of 1937. An appointing authority after giving notice may place an employee on leave if the appointing authority has filed an application for disability retirement for the employee, or whom the appointing authority believes to be temporarily or permanently physically or mentally incapacitated for the performance of the employees duties. B. An appointing authority who has reasonable cause to believe that there are physical or mental health conditions present in an employee which endanger the health or safety of the employee, other employees, or the public, or which impair the employee's performance of duty, may order the employee to undergo at County expense and on the employees paid time a physical, medical and/or psychiatric examination by a licensed physician and receive a report of the findings on such examination. If the examining physician recommends that treatment for physical or mental health problems, including leave, are in the best interests of the employee or the County in relation to the employee overcoming any disability and/or performing his or her duties the appointing authority may direct the employee to take such leave and/or undergo such treatment. PDOCC - 46 - 1996-98 MOU C. Leave due to tem'Oorary or permanent disability shall be without prejudice to the employee's right to use sick leave, vad tion, or any other benefit to which the employee is entitled other than regular salary. The Human .Resources Director may order lost pay restored for good cause and subject to the employee's duty to mitigate damages. D. Before an employee returns to work from any absence for illness or injury, other leave of absence or disability leave, exceeding two weeks in duration, the appointing authority may order the employee to undergo at County expense a physical, medical, and/or psychiatric examination by a licensed physician, and may consider a report of the findings on such examination. If the report shows that such employee is physically or mentally incapacitated for the performance of duty, the appointing authority may take such action as he/she deems necessary in accordance with appropriate provisions of this MOU. 9.6 Workers' Compensation. A permanent non-safety employee shall receive 88% of regular monthly salary during any period of compensable temporary disability absence not to exceed one year. For all accepted claims filed with the County on or after January 1 , 1997, the percentage of pay for employees entitled to Workers' Compensation shall be decreased from 88% to 87%. All savings generated will be used toward offsetting chargeable increases in County subvention of premiums for health and dental plans. If Workers' Compensation becomes taxable, the County agrees to restore the former benefit level (100% of monthly salary) and the parties shall meet and confer with respect to funding the increased cost. PDOCC - 47 - 1996-98 MOU A. Employees who leave work as a result of an on- the-job injury will have the balance of that day charged to sick leave and/or vacation accruals. This will be considered as the last day worked for purposes of determining Workers' Compensation benefits. B. Three (3) consecutive calendar days following the last day worked constitutes a waiting period before Workers' Compensation starts. The time the employee is scheduled to work during this waiting period will be charged to the employee's sick leave and/or vacation accruals. In order to qualify for Workers' Compensation the employee must be under the care of a physician. Temporary compensation is payable on the first three (3) days of disability when the injury necessitates hospitalization, or, when the disability exceeds fourteen (14) days. A permanent employee shall receive regular salary during any period of compensable temporary disability absence. "Compensable temporary disability absence" for the purpose of this Section, is any absence due to work connected disability which qualifies for temporary disability compensation under Workers' Compensation Law set forth in Division 4 of the California Labor Code. When any disability becomes permanent, the salary provided in this Section shall terminate. The employee shall return to the County all temporary disability payments received by him/her from any County funded wage replacement program. No charge shall be made against sick leave or vacation for these salary payments. Sick leave and PDOCC - 48 - 1996-98 MOU vacation rights shat "not accrue for those periods during which salary payments are made. The maximum period for the described salary continuation for any one injury or illness shall be one year from the date of temporary disability. C. Continuing pay begins at the same time that temporary Workers' Compensation starts and continues until the temporary disability ends, -or until one (1) year from the date of injury, whichever comes first. All continuing pay under the Workers' Compensation Program will be cleared through the County Administrator's Office, Risk Management Division. Whenever an employee who has been injured on the job and has returned to work is required by an attending physician to leave work for treatment during working hours the employee * shall be allowed time off up to three (3) hours for such treatment without loss of pay or benefits. This provision applies only to injuries that have been accepted by the County as a job connected injury. D. If an injured employee remains eligible for temporary disability beyond one year, applicable salary will continue by integrating sick leave and/or vacation accruals with workers' compensation benefits (vacation charges to be approved by the department and the employee). If salary integra- tion is no longer available, workers' compensation benefits will be paid directly to the employee as prescribed by workers' compensation laws. PDOCC - 49 - 1996-98 MOU E. Rehabilitation Integration. An injured employee who is eligible for workers' compensation rehabilitation temporary disability benefits and whose disability is medically permanent and stationary will continue to receive full salary by integrating sick leave and/or vacation accruals with workers' compensation rehabilitation temporary disability benefits until those accruals are exhausted. Thereafter, the rehabilitation temporary disability benefits will be paid directly to the employee. F. Health Insurance. The County contribution to the employee's group insurance plan(s) continues during the continuing pay period and during integration of sick leave or vacation with workers' compensation benefits. G. Method of Inte_ ration. An employee's sick leave and/or vacation charges shall be calculated as follows: C = 8 [1 - (W=S)] C = Sick leave or vacation charge per day (in hours) W = Statutory Workers' Compensation for a month S = Monthly salary For example: W = $960.00/mo. Workers' Compensation S = $1667.00 per month salary 8 = 8 hours C = Hours to be charged to Sick Leave C = 8 1 - ($960 = $1 ,667) C = 8 1 - (.5758) C = 8 (.4242) C = 3.39 3 hours chargeable to sick leave 5 hours chargeable to Workers' Comp. PDOCC - 50 - 1996-98 MOU 9.7 Accrual During Leave Without Pay. No employee who has been granted a leave without pay or an unpaid military leave shall accrue any sick leave credits during the time of such leave nor shall an employee who is absent without pay accrue sick leave credits during the absence. SECTION 10 - LEAVE OF ABSENCE 10.1 Leave Without Pay. Any employee who has permanent status may be granted a leave of absence without pay upon written request, approved by the appointing authority; provided, however, that leaves for pregnancy, pregnancy disability, serious health conditions, and family care shall be granted in accordance with applicable state and federal law. 10.2 General Administration - Leaves of Absence. Requests for leave of absence without pay shall be made upon forms prescribed by the Director of Human Resources and shall state specifically the reason for the request, the date when it is desired to begin the leave, and the probable date of return. Insofar as pregnancy disability leave is used under Section 9.3.d, that time will not be considered a part of the eighteen (18) week family leave period. Additionally, an employee may choose to remain in a pay status by using available sick leave (under conditions specified in Section 9.3 - Policies Governing the Use of Paid Sick Leave), vacation, floating holiday or compensatory time off entitlements during the eighteen (18) week family leave; however, use of accruals must be on a continuous basis from the beginning of the family leave period and may not be broken into segments PDOCC - 51 - 1996-98 MOU used on a monthly basis. Family leave must be requested at least thirty (30) days prior to the scheduled leave commencement date unless an exigency arises. A. Leave without pay may be granted for any of the following reasons: 1 . illness, disability, or serious health condition; 2. pregnancy or pregnancy disability; 3. family care; 4. to take a course of study such as will increase the employee's usefulness on return to the position; 5. for other reasons or circumstances acceptable to the appointing authority. B. An employee must request family care leave at least thirty (30) days before the leave is to begin if the need for the leave is foreseeable. If the need is not foreseeable, the employee must provide written notice to the employer within five (5) days of learning of the event by which the need for family care leave arises. C. A leave without pay may be for period not to exceed one (1 ) year, provided the appointing authority may extend such leave for additional periods. Procedure in granting extensions shall be the same as that in granting the original leave, provided that the request for extension must be PDOCC - 52 - 1996-98 MOU made not later than thirty (30) calendar days before the expiration of the original leave. D. Nevertheless, a leave of absence for the employee's serious health condition or for family care shall be granted to an employee who so requests it for up to eighteen (18) weeks in each calendar year period in accord with Section 10.4 - Family Care Leave or Medical Leave, below. E. Whenever an employee who has been granted a leave without pay desires to return before the expiration of such leave, the employee shall submit a request to the appointing authority in writing at least fifteen (15) days in advance of the proposed return. Early return is subject to prior approval by the appointing authority. The Human Resources Department shall be notified promptly of such return. F. Except in the case of leave of absence due to family care, pregnancy, pregnancy disability, illness, disability, or serious health condition, the decision of the appointing authority on granting or denying leave or early return from leave shall be subject to appeal to the Human Resources Director and not subject to appeal through the grievance procedure set forth in this MOU. 10.3 Military Leave. Any employee who is ordered to serve as a member of the State Militia or the United States Army, Navy, Air Force, Marine Corps, Coast Guard or any division thereof shall be granted a military leave for the period of such service, plus ninety (90) days. Additionally, any employee who volunteers for service during a PDOCC - 53 - 1996-98 MOU mobilization under Executive Order of the President or Congress of the United States and/or the State Governor in time of emergency, shall be granted a leave of absence in accordance with applicable federal or state laws. Upon the termination of such service or upon honorable discharge, the employee shall be entitled to return to his/her position in the classified service provided such still exists and the employee is otherwise qualified, without any loss of standing of any kind whatsoever. An employee who has been granted a military leave shall not, by reason of such absence, suffer any loss of vacation, holiday, or sick leave privileges which may be accrued at the time of such leave, nor shall the employee be prejudiced thereby with reference to salary adjustments or continuation of employment. For purposes of determining eligibility for salary adjustments, time on military leave shall be considered as time in County service. Any employee who has been granted a military leave, may upon return, be required to furnish such evidence of performance of military service or of honorable discharge as the Director of Human Resources may deem necessary. 10.4 Family Care Leave or Medical Leave. Upon request to the appointing authority, in each calendar year any employee who has permanent status shall be entitled to at least eighteen (18) weeks (less if so requested by the employee) leave for: a. Medical leave of absence for the employee's own serious health condition which makes the employee unable to perform the functions of the employee's position; or PDOCC - 54 - 1996-98 MOU b. family care leave of absence without pay for reason of the birth of a child of the employee, the placement of. a child with an employee in connection with the adoption or foster care of the child by the employee, or the serious illness or health condition of a child, parent, spouse, or domestic partner of the employee. The employee may be asked to provide certification of the need for family care leave or medical leave. Additional period(s) of family care or medical leave may be granted by the appointing authority. The eighteen (18) weeks' entitlement may be in broken periods, intermittently on a regular or irregular basis, or may include reduced work schedules depending on the specific circumstances and situations surrounding the request for leave. The eighteen (18) weeks may include use of appropriate available paid leave accruals when accruals are used to maintain pay status, but use of such accruals is not required beyond that specified in Section 10.8 - Leave Without Pay - Use of Accruals, below. When paid leave accruals are used for a medical or family care leave, such time shall be counted as part of the eighteen (18) week entitlement. In the situation where husband and wife are both employed by the County, the family care or medical leave entitlement based on the birth, adoption or foster care of a child is limited to an aggregate for both employees together of eighteen (18) weeks during each calendar year period. Employees requesting family care leave are required to advise their appointing authority(ies) when their spouse is also employed by the County. PDOCC - 55 - 1996-98 MOU For medical and family care leaves of absence under this section, the following definitions apply: Child: A biological, adopted, or foster child, stepchild, 'legal ward, conservatee or a child who is under eighteen (18) years of age for whom an employee stands in loco parentis or for whom the employee is the guardian or conservator or an adult dependent child of the employee. Parent: A biological, foster, or adoptive parent, a stepparent, legal guardian, conservator, or other person standing in loco parentis to a child. Spouse: A partner in marriage as defined in California Civil Code Section 4100. Domestic Partner: An unmarried person, eighteen (18) years or older, to whom the employee is not related. and with whom the employee resides and shares the common necessities of life. Serious Health Condition: An illness, injury, impairment, or physical or mental condition which warrants the participation of a family member to provide care during a period of treatment or supervision and involves either inpatient care in a hospital, hospice or residential health care facility or continuing treatment or continuing supervision by a health care provider (eg. physician or surgeon) as defined by state and federal law. Certification for Family Care Leave: A written communication to the employer from a health care provider of a person for whose care the leave is being taken which need not identify the serious health condition involved, but shall contain: PDOCC - 56 - 1996-98 MOU 1 . the date, if known, on which the serious health condition commenced, 2. the probable duration of the condition; 3. an estimate of the amount of time which the employee needs to render care or supervision; 4. a statement that the serious health condition warrants the participation of a family member to provide care during a period of treatment, or supervision; 5. if for intermittent leave or a reduced work schedule leave, the certification should indicate that the intermittent leave or reduced leave schedule is necessary for the care of the individual or will assist in their recovery, and its expected duration. Certification for Medical Leave: A written communication from a health care provider of an employee with a serious health condition or illness, to the employer, which need not identify the serious health condition involved, but shall contain: 1 . the date, if known, on which the serious health condition commenced; 2. the probable duration of the condition; 3. a statement that the employee is unable to perform the functions of the employee's job; 5. if for intermittent leave or a reduced work schedule leave, the certification should indicate the medical PDOCC - 57 - 1996-98 MOU necessity for the intermittent leave or reduced leave schedule and its expected duration. Comparable Position: A position with the same or similar duties and pay which can be performed at the same or similar geographic location as the positions held prior to the leave. Ordinarily, the job assignment will be the same duties in the same program area located in the same city, although specific clients, caseload, co-workers, supervisor(s), or other staffing may have changed during an employee's leave. 10.5 Pregnancy Disability Leave. Insofar as pregnancy disability leave is used under Section 9.3.d - Sick Leave Utilization for Pregnancy Disability, that time will not be considered a part of the eighteen (18) week family care leave period. 10.6 Group Health Plan Coverage. Employees who were members of one of the group health plans prior to commencement of their leave of absence can maintain their health plan coverage with the County contribution by maintaining their employment in pay status as described in Section 10.8 - Leave Without Pay-Use of Accruals, below. During the eighteen (18) weeks of an approved medical or family care leave under Section 10.4 - family Care Leave or Medical Leave, above the County will continue its contribution for such health plan coverage even if accruals are not available for use to maintain pay status as required under Section 10.8. In order to maintain such coverage, employees are required to pay timely the full employee contribution to maintain their group health plan coverage, either through payroll deduction or by paying the County directly. PDOCC - 58 - 1996-98 MOU 10.7 Unauthorized Absence. An unauthorized absence from the work site or failure to report for duty after a leave request has been disapproved; revoked, or cancelled by the appointing authority, or at the expiration of a leave, shall be without pay. Such absence may also be grounds for disciplinary action. 10.8 Leave Without Pay - Use of Accruals. A. All Leaves of Absence. During the first twelve (12) month period of any leave of absence without pay, an employee may elect to maintain pay status each month by using available sick leave (if so entitled under Section 9.3 - Policies Governing the Use of Paid Sick Leave), vacation, floating holiday, compensatory time off or other accruals or entitlements; in other words, during the first twelve (12) months, a leave of absence without pay may be "broken" into segments and accruals used on a monthly basis at the employee's discretion. After the first twelve (12) months, the leave period may not be "broken" into segments and accruals may not be used, except when required by LTD Benefit Coordination or as provided in the sections below. B. Family Care or Medical Leave. During the eighteen (18) weeks of an approved medical or family care leave, if a portion of that leave will be on a leave of absence without pay, the employee will be required to use at least 0.1 hour of sick leave (if so entitled under Section 9.3 - Policies Governing the Use of Paid Sick Leave), vacation, floating holiday, compensatory time off or other accruals or entitlements if such are available, although use of PDOCC - 59 - 1996-98 MOU additional accruals is permitted under, subsection A above. C. Leave of Absence/Long Term Disability (LTD) Benefit Coordination. An eligible employee who files an LTD claim and concurrently takes a leave of absence without pay will be required to use accruals as provided in Section B herein during the eighteen (18) week entitlement period of a medical leave specified in Section 10.4 - Family Care Leave or Medical Leave above. If an eligible employee continues beyond the eighteen (18) week entitlement period on a concurrent leave of absence/LTD claim, the employee may choose to maintain further pay status only as allowed under subsection A herein. D. Sick leave accruals may not be used during any leave of absence, except as allowed under Section 9.3 - Policies Governing the Use of Paid Sick Leave. 10.9 Leave of Absence Replacement and Reinstatement. Any permanent employee who requests reinstatement to the classification held by the employee in the same department at the time the employee was granted a leave of absence, shall be reinstated to a position in that classification and department. 10.10 Reinstatement from Family Care Medical Leave. In the case of a family care or medical leave, an employee on a 5/40 schedule shall be reinstated to the same or comparable position if the return to work is after no more than 90 work days of leave from the initial date of a continuous leave, including use of accruals, or within the PDOCC - 60 - 1996-98 MOU equivalent on an alternate ...work schedule. A full time employee taking an intermittent or reduced work schedule leave shall be reinstated to the same or comparable position if the return to work on a full schedule is after no more than 720 hours, including use of accruals, of intermittent or reduced schedule leave. At the time the original leave is approved, the appointing authority shall notify the employee in writing of the final date to return to work, or the maximum number of hours of leave, in order to guarantee reinstatement to the same or comparable position. An employee on a schedule other than 5/40 shall have the time frame for reinstatement to the same or comparable position adjusted on a pro rata basis. 10.11 Salary Review While on Leave of Absence. The salary of an employee who is on leave of absence from a County position on any anniversary date and who has not been absent from the position on leave without pay more than six (6) months during the preceding year shall be reviewed on the anniversary date. Employees on military leave shall receive salary increments that may accrue to them during the period of military leave. 10.12 Furlough Days .Without Pay. Subject to the prior written approval of the appointing authority, employees may elect to take furlough days or hours without pay (pre- authorized absence without pay), up to a maximum of 15 calendar days for any one period. Longer pre-authorized absences without pay are considered leaves of absence without pay. Employees who take furlough time shall have their compensation for the portion of the month worked computed in accord with Section 5.9 - Compensation for Portion of Month of this MOU. Full time and part time employees who take furlough time shall have their vacation, sick leave, floating holiday and any other payroll-computed PDOCC - 61 - 1996-98 MOU accruals computed as though they had worked the furlough time. When computing vacation, sick leave, floating holiday and other accrual credits for employees taking furlough time, this provision shall supersede Section 7 - Holidays, Subsection 7.1 .b, Section 8 - Vacation Allowance, and Section 9 - Sick Leave, of this MOU regarding the computation of vacation, sick leave, floating holiday and other accrual credits as regards furlough time only. For payroll purposes, furlough time (absence without pay with prior authorization of the appointing authority) shall be reported separately from other absences without pay to the Auditor-Controller. The existing VTO program shall be continued for the life of the contract. SECTION 11 - JURY DUTY AND WITNESS DUTY A. Jury Duty. For purposes of this Section, jury duty shall be defined as any time an employee is obligated to report to the court. 1 . When called for jury duty, County employees, like other citizens, are expected to discharge their jury duty responsibilities. 2. Employees shall advise their department as soon as possible if scheduled to appear for jury duty. 3. If summoned for jury duty in a Municipal, Superior, or Federal Court, or for a Coroner's jury, employees may remain in their regular pay status, or they may take paid leave (vacation, floating holiday, etc.) or leave PDOCC - 62 - 1996-98 MOU without pay and retain all fees and expenses paid to them. 4. When an employee is summoned for jury duty selection or is selected as a juror in a Municipal, Superior or Federal Court, employees may remain in a regular pay status if they waive all fees (other than mileage), regardless of shift assignment and the following shall apply: a. If an employee elects to remain in a regular pay status and waive or surrender all fees (other than mileage allowances), the employee shall obtain from the Clerk or Jury Commissioner a certificate indicating the days attended and noting that fees other than mileage are waived or surrendered. The employee shall furnish the court certificate to his/her department where it shall be retained as a department record . No "Absence/Overtime Record" must be submitted to the department payroll clerk. b. An employee who elects to retain all fees must take leave (vacation, floating holiday, etc.) or leave without pay. No court certificate is required but an "Absence/Overtime Record" must be submitted to the department payroll clerk. 5. Employees are not permitted to engage in any employment regardless of shift assignment or occupation before or after daily jury service PDOCC - 63 - 1996-98 MOU that would effect their ability to properly serve as jurors. 6. An employee on short notice standby to report to court, whose job duties make short notice response impossible or impractical, shall be given alternate work assignments for those days to enable them to respond to the court on short notice. 7. When an employee is required to serve on jury duty, the County will adjust that employee's work schedule to coincide with a Monday to Friday schedule for the remainder of their service, unless the employee requests otherwise. Participants in 9/80 or 4/10 work schedules will not receive overtime or compensatory time credit for jury duty on their scheduled days off. 8. Permanent-intermittent employees are entitled to paid jury duty leave only for those days on which they were previously scheduled to work. B. Witness Duty. Employees called upon as a witness or an expert witness in a case arising in the course of their work or the work of another department may remain in their regular pay status and turn over to the County all fees and expenses paid to them other than mileage allowance or they may take vacation leave or leave without pay and retain all fees and expenses. Part-time employees who give depositions on a regular day off will be paid at the straight time* rate. Scheduling of depositions PDOCC - 64 - 1996-98 MOU which would incur premium pay shall be at the discretion of the appointing authority or designee. Employees called to serve as witnesses in private cases or personal matters (e.g., accident suits and family relations) shall take vacation leave or leave without pay and retain all witness fees paid to them. Retention or waiver of fees shall be governed by the same provisions as apply to jury duty as set forth above. Employees shall advise their department as soon as possible if scheduled to appear for witness duty. Permanent-intermittent employees are entitled to paid witness duty only for those days on which they were previously scheduled to work. SECTION 12 - HEALTH & WELFARE, LIFE & DENTAL CARE 12.1 County Programs. The County will continue the existing County Group Health Plan program of medical, dental and life insurance coverage through Delta Dental Plan, Safeguard Dental Plan, Aetna Life Insurance and the medical insurance options of Kaiser-Permanente Foundation Health Plan, Qualmed Health Plan, and the Contra Costa County Health Plan, to all permanent full time and part-time employees regularly scheduled to work twenty (20) or more hours per week. During the term of this MOU, all conditions and agreements regarding health, dental and related benefits contained in the January 13, 1994 Agreement (attached as Exhibit C) between the County and the Labor Coalition shall be in effect. PDOCC - 65 - 1996-98 MOU \7 12.2 Rate Information. The County Benefits Division will make health and dental plan rate information available upon request to employees and departments. In addition, the County Benefits Division will publish and distribute to employees and departments information about rate changes as they occur during the year. 12.3 Medicare Rates. Corresponding Medicare rates for employees covered under this MOU shall be as follows: for Employee Only on Medicare by taking the Employee Only rate for the option selected and subtracting the monthly Part B Medicare premium withheld from Social Security payments for one enrollee; for Employee and Dependent(s) with one member on Medicare by taking the Employee and Dependent(s) rate for the option selected and subtracting the monthly Part B Medicare premium withheld from Social Security payments for one enrollee; for Employee and Dependent(s) with two members on Medicare by taking the Employee and Dependent(s) rate for the option selected and subtracting the monthly Part B Medicare premium withheld from Social Security payments for two enrollees. 12.4 Partial Month. The County's contribution to the health plan premium is payable for any month in which the employee is paid. If an employee is not paid enough compensation in a month to pay the employee share of the premium, the employee must make up the difference by remitting the amount delinquent to the Auditor-Controller. The responsibility for this payment rests with the employee. If payment is not made, the employee shall be dropped from the health plan. An employee is thus covered by-the health plan for the month in which compensation is paid. PDOCC - 66 - 1996-98 MOv 12.5 Coverage During Absences. An employee who is on approved leave of absence may convert to individual health plan coverage within thirty (30) days of the commencement of leave. Employees shall be allowed to maintain their health plan coverage at the County group rate for twelve (12) months if on approved leave of absence provided that the employee shall pay the entire premium (i.e. both employer and employee share) for the health plan during said leave. Said payment shall be made by the employee at a time and place specified by the County. Late payment shall result in cancellation of health plan coverage. An employee on leave in excess of twelve (12) months may continue health plan coverage by converting to an individual health plan option (if available) or continuing group coverage subject to the provisions of the Consolidated Omnibus Budget Reduction Act (COBRA) provided the employee pays the entire cost of coverage, plus any administrative fees, for the option selected. The entire cost of coverage shall be paid at a place and time specified by the County. Late payment may result in cancellation of health plan coverage with no reinstatement allowed. 12.6 Retirement Coverage. Upon retirement, employees may remain in the same County group medical plan if immediately before their retirement they are either active subscribers to one of the County Health Plans or if on authorized leave of absence without pay they have retained individual conversion membership from the County plan. 12.7 Deferred Retirement. Effective January 1 , 1997, employees who resign and file for a deferred retirement may PDOCC - 67 - 1996-98 MOU continue in their County group health and dental plan; the following conditions and limitations apply: a. Life insurance coverage is not included. b. To be eligible to continue health and dental coverage, the employee must: 1 . be qualified for a deferred retirement under the 1937 Retirement Act provisions. 2. be an active member of a County group health and/or dental plan at the time of filing their deferred retirement application and elect to continue health benefits. 3. be eligible for a monthly allowance from the Retirement System and direct receipt of a monthly allowance within twenty-four (24) months of their application for deferred retirement. 4. file an election to defer retirement and to continue health benefits hereunder with the County Benefits Division within thirty (30) days before their separation from county service. C. Deferred retirees who elect continued health benefits hereunder may maintain continuous membership in their County health and/or dental plan group during the period of deferred retirement at their full personal expense, by paying the full premium for their health and dental coverage on or before the 11 th of each month to the Auditor- Controller. When they begin to receive retirement PDOCC - 68 - 1996-98 MOU benefits, they will qualify for the same health and/or dental plan coverage and county subvention to which retirees who did not defer retirement are entitled. d. Deferred retirees who elect continued health benefits hereunder may elect not to maintain participation in their county health and/or dental plan during their deferred retirement period; and may instead qualify for the same coverage and county subvention in any County health and/or dental plan when they begin to receive retirement benefits as retirees who did not defer retirement are entitled; provided reinstatement to a County group health and/or dental plan with county subvention occurs no sooner than the first of the month following a full three (3) calendar month waiting period after the commencement of their monthly allowance. e. Eligibility for County subvention will not exist hereunder unless and until the member draws a monthly retirement allowance within not more than twenty-four (24) months after separation from County service. f. Deferred retirees are required to meet the same eligibility provisions for health/dental plans as active/retired employees. 12.8 Dual Coverage. If a husband and wife both work for the County and one of them is laid off, the remaining eligible shall be allowed to enroll or transfer into the health coverage combination of his/her choice. PDOCC - 69 - 1996-98 MOU An eligible employee who is no longer covered for medical or dental coverage through a spouse's coverage shall be allowed to enroll or transfer into the health coverage combination of his/her choice within thirty (30) days of the date coverage is no longer afforded under the spouse's plan. 12.9 Health Care Spending Account. Effective January 11 1997, the County will offer regular full-time and part-time (20/40 or greater) County employees the option to participate in a Health Care Spending Account (HCSA) Program designed to qualify for tax savings under Section 125 of the Internal Revenue Code, but such savings are not guaranteed. The HCSA Program allows employees to set aside a pre-determined amount of money from their paycheck, not to exceed $2400 per year, for health care expenses not reimbursed by any other health benefits plan with before-tax dollars. HCSA dollars can be expended on any eligible medical expenses allowed by Internal Revenue Code Section 125. Any unused balance cannot be recovered by the employee. 12.10 Wellness Incentive Program. A broad-based pilot Wellness Incentive Program will be developed with input from the joint Labor/Management Wellness Committee. The purpose of this program will be to reward County employees with incentives for participating in Wellness Program activities and encourage them to live healthier lifestyles. The Wellness Committee will work closely with the Human Resources Department on program design and implementation. A. Program Design. The Wellness Incentive Program design will include the development of additional PDOCC - 70 - 1996-98 MOU wellness activities to 'compliment the current Employee Wellness Program schedule and collaboration with health plan carriers to develop special programs and activities for County employees and to encourage participating in their established wellness activities. Special emphasis will be placed on supporting major programs such as Smoking Cessation, Nutrition/Weight Loss, Brown Bag Seminars, Health Screenings, and Health Fairs. B. Format. A point value system for program participation will be developed wherein each wellness activity and program will be assigned a point value. Points will accumulate and incentive prizes will be awarded to employees upon realizing certain point levels. The value of the prizes will increase with higher point values and one (1 ) grand prize will be awarded each year to the employee with the highest number of points. C. Incentives. A series of incentive prizes will be assigned to certain point values. In addition, recognition for employee and department participation will be an important aspect of the Wellness Incentive Program. D. Referral. The parties agree to refer the Wellness Incentive Program to the Wellness Committee for its consideration. 12.11 Child Care. The County will continue to support the concept of non-profit child care facilities similar to the "Kids at Work" program established in the Public Works Department. PDOCC - 71 - 1996-98 MOU 12.12 Confidentiality of Information/Records. Any use of employee medical records will be governed by the Confidentiality of Medical Information Act (Civil Code Sections 56 to 56.26). 12.13 PERS Long Term Care. The County proposes to deduct and remit monthly premium and eligible lists to the PERS Long Term Care Administrator, at no County administrative cost, for County employees who are eligible and voluntarily elect to purchase long term care through the PERS Long Term Care Program. The County further agrees that County employees interested in purchasing PERS Long Term Care may participate in meetings scheduled by PERS Long Term Care in County facilities during non-work hours (i.e. coffee breaks, lunch hour). SECTION 13 - RESIGNATIONS An employee's voluntary termination of service is a resignation. Written resignations shall be forwarded to the Human Resources Department by the appointing authority immediately on receipt, and shall indicate the effective date of termination. Oral resignation shall be immediately confirmed by the appointing authority in writing to the employee and to the Human Resources Department and shall indicate the effective date of termination. 13.1 Resignation in Good Standing. A resignation giving the appointing authority written notice at least two (2) weeks in advance of the last date of service (unless the appointing authority requires a longer period of notice, or PDOCC - 72 - 1996-98 MOU consents to the employee's terminating on shorter notice) is a resignation in good standing. 13.2 Constructive Resignation. A constructive resignation occurs and is effective when: a. An employee has been absent from duty for five (5) consecutive working days without leave; and b. five (5) more consecutive work days have elapsed without response by the employee after the mailing of a notice of resignation by certified mail by the appointing authority to the employee at the employee's last known address. 13.3 Expressed Resignation. A resignation is effective when delivered or spoken to the appointing authority, operative either on that date or another date specified. 13.4 - Revocation. A resignation that is effective is revocable only by written concurrence of the employee and the appointing authority. 13.5 Coerced Resignations. A. Time Limit. A resignation which the employee believes has been coerced by the appointing authority may be revoked within seven (7) calendar days after its expression, by serving written notice on the Director of Human Resources and a copy to the appointing authority. B. Reinstatement. If the appointing authority acknowledges that the employee could have PDOCC - 73 - 1996-98 MOU believed that the resignation was coerced, it shall be revoked and the employee returned to duty effective on the day following the appointing authority's acknowledgement. C. Contest. Unless, within seven (7) days of the receipt of the notice, the appointing authority acknowledges that the resignation could have been believed to be coerced, this question should be handled as an appeal to the Director of Human Resources. D. Disposition. If the Director of Human Resources determines that the resignation was coerced, the resignation shall be deemed revoked and the employee returned to duty effective on the day following the decision but without loss of pay, subject to the employee's duty to mitigate damages. SECTION 14 - DISMISSAL, SUSPENSION, DEMOTION OR REDUCTION IN PAY 14.1 Sufficient Cause for Action. The appointing authority may dismiss, suspend, temporarily reduce the pay of, or demote any employee for cause. The reduction in pay may not exceed five percent (5%) for a three month period. The following are sufficient causes for such action; the list is indicative rather than inclusive of restrictions and dismissal, suspension or demotion may be based on reasons other than those specifically mentioned: a. absence without leave, PDOCC - 74 - 1996-98 MOU b. conviction of any criminal act involving moral turpitude, C. conduct tending to bring the County into disrepute, d. disorderly or immoral conduct, e. inefficiency, f. insubordination, g. being at work under the influence of liquor or drugs, carrying onto the premises liquor or drugs or consuming or using liquor or drugs during work hours and/or on County premises, h. neglect of duty (i.e. non-performance of assigned responsibilities), I. negligent or willful damage to public property or waste of public supplies or equipment, j. violation of any lawful or reasonable regulation or order given by a supervisor or Department Head, k. willful violation of any of the provisions of the County's ordinance, I. material and intentional misrepresentation or concealment of any fact in connection with obtaining employment, M. misappropriation of County funds or property, PDOCC - 75 - 1996-98 MOU n. unreasonable failure or refusal to undergo any physical, medical and/or psychiatric exam and/or treatment authorized by this MOU, o. dishonesty or theft, P. excessive or unexcused absenteeism and/or tardiness, q. sexual harassment, including but not limited to unwelcome sexual advances, requests for sexual favors, and other verbal, or physical conduct of a sexual nature, when such conduct has the purpose or effect of affecting employment decisions concerning an individual, or unreasonably interfering with an individual's work performance, or creating an intimidating and hostile working environment, r. restriction or revocation of medical staff privileges. 14.2 Notice of Proposed Action. Before taking a disciplinary action to dismiss, suspend, for more than five (5) work days, temporarily reduce the pay of, or demote an employee, the appointing authority shall cause to be served personally or by certified mail, on the employee, a Notice of Proposed Action, which shall contain the following: a. A statement of the action proposed to be taken. b. A copy of the charges; including the acts or omissions and grounds upon which the action is based. PDOCC - 76 - 1996-98 MOU C. If it is claimed that the employee has violated a rule or regulation of the County, department or district, a copy of said rule shall be included with the notice. d. A statement that the employee may review and request copies of materials upon which the proposed action is based. e. A statement that the employee has seven (7) calendar days to respond to the appointing authority either orally or in writing. 14.3 Employee Response. The employee upon whom a Notice of Proposed Action has been served shall have seven (7) calendar days to respond to the appointing authority either orally or in writing before the proposed action may be taken. Upon request of the employee and for good cause, the appointing authority may extend in writing the period to respond. If the employee's response 'is not filed within seven (7) days or during an extension, the right to respond is lost. 14.4 Leave Pending Employee Response. Pending response to a Notice of Proposed Action within the first seven (7) days or extension thereof, the appointing authority for cause specified in writing may place the employee on temporary leave of absence, with pay. 14.5 Length of Suspension. Suspensions without pay shall not exceed thirty (30) days unless ordered by an arbitrator or an adjustment board. PDOCC - 77 - 1996-98 MOU 14.6 Procedure on Dismissal, Suspension, Disciplinary Demotion, or Reduction in Pay. A. In any disciplinary action to dismiss, suspend, temporarily reduce the pay of, or demote a permanent employee after having complied with the requirements of Section 14.2 where applicable, the appointing authority shall make an order in writing stating specifically the causes for the action. B. Service of Order. Said order of dismissal, suspension, temporary reduction in pay, or demotion shall be filed with the Director of Human Resources, showing by whom and the date a copy was served upon the employee to be dismissed, suspended, temporarily reduced in pay, or demoted, either personally or by certified mail to the employee's last known mailing address. The order shall be effective either upon personal service or deposit in the U. S. Postal Service. C. Employee Appeals from Order. The employee may appeal an order of dismissal, suspension, temporary reduction in pay, or demotion through the procedures of Section 15 - Grievance Procedure, of this MOU provided that such appeal is filed in writing with the Human Resources Director within ten (10) calendar days after service of said order. 14.7 Employee Representation Rights. The County recognizes an employee's right to representation during any disciplinary interview or meeting which . may result in PDOCC - 78 - 1996-98 MOU discipline. The County will not interfere with the representative's right to assist an employee to clarify the facts during the interview. SECTION 15 - GRIEVANCE PROCEDURE 15.1 Definition and Procedural Steps. A grievance is any dispute which involves the interpretation or application of any provision of this MOU excluding, however, those provisions of this MOU which specifically provide that the decision of any County official shall be final, the interpretation or application of those provisions not being subject to the grievance procedure. PDOCC may represent the employee at any stage of the process. Grievances must be filed within thirty (30) days of the incident or occurrence about which the employee claims to have a grievance, and shall be processed in the following manner: Step 1 . Any employee, group of employees, or employee organization who believes that a provision of this MOU has been misinterpreted or misapplied to his or her detriment shall discuss the complaint with the employee's immediate supervisor, who shall meet with the employee within five (5) days of receipt of a written request to hold such meeting. Step 2. If a grievance is not satisfactorily resolved in Step 1 above, the grievant may submit the grievance in writing within ten (10) work days to such management official as the Department Head may designate. This formal written grievance shall state which provision of the MOU has been misinterpreted or misapplied, how misapplication or misinterpretation has affected the grievant to the grievant's detriment, and the redress the grievant seeks. A copy of PDOCC - 79 - 1996-98 MOU each written communication on a grievance shall be filed with the Director of Human Resources. The Department Head or his or her designee shall have ten (10) work days in which to respond to the grievance in writing. Step 3. If a grievance is not satisfactorily resolved in Step 2 above, the employee may appeal in writing within ten (10) work days to the Human Resources Director. The Human Resources Director or his/her designee shall have twenty (20) work days in which to investigate the merit of the complaint, and to meet with the Department Head and the grievant and attempt to settle the grievance and respond in writing. Step 4. No grievance may be processed under this Section which has not first been filed and investigated in accordance with Step 3 above, and filed within ten (10) work days of the written response of the Human Resources Director or designee. If the parties are unable to reach a mutually satis- factory accord on any grievance which arises and is presented during the term of this MOU, such grievance shall be submitted to an Adjustment Board comprised of three (3) PDOCC representatives, no more than two (2) of whom shall be either an employee of the County or an elected or appointed official of PDOCC presenting this grievance, and three (3) representatives of the County, no more than two (2) of whom shall be either an employee of the County or a member of the staff of an organization employed to represent the County in the meeting and conferring process. The Adjustment Board shall meet within twenty (20) work days of receipt of the written request and render a decision. If the County fails to meet the time limits specified in Step 4 and the grievant demands in' writing that an Adjustment Board be convened, the County will convene an Adjustment PDOCC - 80 - 1996-98 MOU Board within ten (10) work days or the grievance will move to arbitration upon demand., Step 5. If an Adjustment Board is unable to arrive at a majority decision, either the grievant or the County may require that the grievance be referred to an impartial arbitrator who shall be designated by mutual agreement bet- ween the employee and the Human Resources Director. Such request shall be submitted within twenty (20) work days of the rendering of the Adjustment Board decision. Within twenty (20) work days of the request for arbitration, the parties shall mutually select an arbitrator who shall render a decision within thirty (30) work days from the date of final submission of the grievance including receipt of the court reporter's transcript and post hearing briefs, if any. The fees and expenses of the arbitrator and of the Court Reporter shall be shared equally by the employee and the County. Each party, however, shall bear the costs of its own presentation, including preparation and post hearing briefs, if any. 15.2 Scope of Adjustment Board and Arbitration Decisions. A. Decisions of Adjustment Boards and arbitrators on matters properly before them shall be final and binding on the parties hereto, to the extent permitted by law. B. No Adjustment Board and. no arbitrator shall entertain, hear, decide or make recommendations on any dispute unless such dispute involves a position in a unit represented by PDOCC which has been certified as the recognized employee organization for such unit and unless such dispute PDOCC _ 81 - 1996-98 MOU falls within the definition of a grievance as set forth in Subsection 15.1 above. C. Proposals to add to or change this MOU or to change written agreements supplementary hereto shall not be arbitrable and no proposal to modify, amend or terminate this MOU, nor any matter or subject arising out of or in connection with such proposals, may be referred to arbitration under this Section. Neither any Adjustment Board nor any arbitrator shall have the power to amend or modify this MOU or written agreements supplementary hereto or to establish any new terms or conditions of employment. D. If the Human Resources Director, in pursuance of the procedures outlined in Step 3 above, or the Adjustment Board in pursuance of the provisions of Step 4 above, resolve a grievance which involves suspension or discharge, they may agree to payment for lost time or to reinstatement with or without payment for lost time. E. No change in this MOU or interpretations thereof (except interpretations resulting from Adjustment Board or arbitration proceedings hereunder) will be recognized unless agreed to by the County and PDOCC. 15.3 Time Limits. The time limits specified above may be waived by mutual agreement of the parties to the grievance. If the County fails to meet the time limits specified in Steps 1 through 3 above, the grievance will automatically move to the next step. If an employee fails to meet the time limits specified in Steps 1 through 5 above, PDOCC - 82 - 1996-98 MOU the grievance will be deemed to have been settled and withdrawn. 15.4 PDOCC Notification. An official with whom a formal grievance is filed by a grievant who is included in a unit represented by PDOCC, but is not represented by PDOCC in the grievance, shall give PDOCC a copy of the formal presentation. 15.5 Compensation Complaints. All complaints involving or concerning the payment of compensation shall be initially filed in writing with the Human Resources Director. Only complaints which allege that employees are not being compensated in accordance with the provisions of this MOU shall be considered as grievances. Any other matters of compensation are to be resolved in the meeting and conferring process, and if not detailed in the MOU which results from such meeting and conferring process shall be deemed withdrawn until the meeting and conferring process is next opened for such discussion. No adjustment shall be retroactive for more than two (2) years from the date upon which the complaint was filed. No change in this MOU or interpretations thereof (except interpretations resulting from Adjustment Board or arbitration proceedings hereunder) will be recognized unless agreed to by the County and PDOCC. 15.6 Strike/Work Stoppage. During the term of this MOU, PDOCC, its members and representatives, agree that it and they will not engage in, authorize, sanction or support any strike, slowdown, stoppage of work, sickout or refusal to perform customary duties. PDOCC - 83 - 1996-98 MOU In the case of a legally-declared lawful strike against a private or public sector employer which has been sanctioned and approved by the labor body or council having jurisdiction, an employee who is in danger of physical harm shall not be required to cross the picket line, provided the employee advises his or her supervisor as soon as possible, and provided further that an employee may be required to cross a picket line where the performance of his or her duties is of an emergency nature and/or failure to perform such duties might cause or aggravate a danger to public health or safety. 15.7 Filing by PDOCC. PDOCC may file a grievance at Step 3 on behalf of affected employees when action by the County Administrator or the Board of Supervisors violates a provision of this MOU. SECTION 16 - RETIREMENT 16.1 Contribution. Pursuant to Government Code Section 31581 .1 , the County will continue to pay fifty percent (50%) of the retirement contributions normally required of employees. Such payments shall continue for the duration of this MOU, and shall terminate thereafter. Employees shall be responsible for payment of the employees' contribution for the retirement cost of living program as determined by the Board of Retirement of the Contra Costa County Employees' Retirement Union without the County paying any part of the employees share. The County will pay the remaining one-half (1/2) of the retirement cost-of- living program contribution. PDOCC - 84 - '1996-98 MOU 16.2 Tier III Retirement Plan. Subject to the enactment of enabling legislation amending the 1937 Employees' Retirement Act to allow such election, the County will permit certain Tier II employees to elect a Tier III Retirement Plan under the following conditions: 1 . The County and the Labor Coalition must agree on the wording of the legislation and both parties must support the legislation. 2. Except for disability, all benefit rights, eligibility for and amounts of all other benefit entitlements for Tier III, from and after the date of implementation, shall be the same as Tier I. The disability benefits for Tier III shall be the same as the current Tier II disability provisions. 3. The amount of the employee's required retirement contribution shall be established by the County Employees' Retirement Association and shall be based on the employee's age at entry into the retirement system. 4. Employees represented by the Labor Coalition and its member employee organizations (herein referred to as `Labor Coalition'), enrolled in Tier II who have attained five (5) years of retirement credited service as of the effective date of the enabling legislation shall have a six (6) month period after such date to make a one time irrevocable election of the Tier III Retirement Plan expressed herein subject to action by the Board of Supervisors to implement the Plan. Thereafter, employees represented by the Labor Coalition enrolled in Tier II who have attained five (5) years PDOCC - 85 - 1996-98 MOU of retirement credited service shall have a ninety (90) day period to make a one time irrevocable election of the Tier III Retirement Plan expressed herein. 5. a. The County's employer contributions and subvention of employee contributions for Labor Coalition employees electing Tier III which exceed those which would be required for Tier II membership shall: 1 . be funded by reducing the general wage increase agreed upon to be effective October 1 , 1997, and the pay equity amounts attributable thereto, by a percentage sufficient to reduce the County's wage obligation by three ($3) million dollars per year; and the general wage increase of all employees represented by the Labor Coalition shall be reduced accordingly; and 2. in the event the County's costs attributable to the creation and operation of Tier III exceed $3 million per year or the County Employees' Retirement Association's actuaries determine in future years that the County's retirement costs have increased and that the increase is attributable to the creation of Tier III and/or the impact of Tier I I I on the County's retirement costs, such increase shall be funded by reducing the general wage increase(s) agreed upon in future years, and the pay equity amounts PDOCC - 86 - 1996-98 MOv attributable thereto, to the extent that future wage increases are granted; and the general wage increase(s) of all employees represented by the Labor Coalition shall be reduced accordingly; and, 3. in the event the County's costs attributable to the Tier III Retirement Plan are less than $3 million per year, the difference shall be divided by twelve and each twelfth shall be augmented by an amount equal to the County's common pooled fund interest which would have accrued if one twelfth had been invested in the first month of the past year, two twelfths in the second month of the past year and so forth; and, 4. any savings to the County resulting from the creation and operation of Tier III shall be used to offset future County retirement cost increases attributable to the creation and operation of Tier III; and 5. County savings shall be held in an account by the Auditor-Controller which is invested in the County's common pooled fund and will accrue interest accordingly. The County will report yearly to the Labor Coalition on a) the beginning account balance, b) the interest earned, c) expenditures from the account to cover increased costs resulting from the Tier III PDOCC - 87 - 1996-98 MOU Retirement Plan, and d) the ending account balance. b. Any increased costs to the County, due to Tier III participation by employees not represented by the Labor Coalition, shall not be funded by reduction of general wage increases otherwise due to the employees represented by the Labor Coalition. c. Subject to the provisions expressed above, any and all additional employer and County- paid employee contributions which exceed the sum of the County's legally required contributions under Tier II shall be recovered by reducing general wage increases to the employees represented by the Labor Coalition. d. -Any disputes regarding cost or savings shall be subject to binding arbitration upon demand of the Labor Coalition or the County. 6. a. The enabling legislation shall provide that the Tier III Retirement Plan may be implemented only by an ordinance enacted by the Board of Supervisors. b. Board of Supervisors' action to implement the Tier III Retirement Plan shall be taken not earlier than seven (7) months after the effective date of the legislation plus thirty (30) days after an actuarial report on the County cost of the Plan is received by the County, provided that before enactment of the PDOCC _ 88 - 1996-98 MOU ordinance, the Labor Coalition has not notified the County in writing that a one percent (1 %) wage increase shall be implemented by the County effective October 1 , 1997, without interest, in lieu of implementation of the Tier III Retirement Plan. 7. The establishment of the Tier III Retirement Plan pursuant to the terms of this Memorandum of Understanding shall be subject to approval by the Board of Retirement of the Contra Costa County Employees' Retirement Association. 8. In the event the County is prevented from implementing the Tier III Retirement Plan for any reason on or before the termination date of this MOU, the agreement of the parties regarding a Tier 111'Retirement Plan shall expire and a one percent (1 %) lump sum wage increase shall be implemented by the County within sixty (60) days after the determination that Tier III cannot be implemented or as soon thereafter as practicable for the period covering October 1 , 1997 through such termination date, without interest, in lieu of the Tier III Retirement Plan. SECTION 17 - EDUCATION REIMBURSEMENT Permanent full time employees in classifications subject to this MOU will be eligible for $500 each calendar year to be applied to reimbursement for continuing education courses and associated tests, medical books and journals, medical on-line computer services (e.g. Grateful Med), computer PDOCC - 89 - 1996-98 MOU hardware and software, from a standardized County- approved list or with appointing authority approval, provided each employee complies with the provisions of the Computer Use and Security Policy adopted by the Board of Supervisors. Unused reimbursement entitlements may be carried over to the next calendar year, but the maximum reimbursement available in any calendar year may not exceed twice the annual entitlement. Requests for reimbursement must be submitted within ninety (90) days of the date the expense was incurred. Permanent part-time Medical Staff members assigned to positions of at least twenty (20) hours per week shall be entitled to educational reimbursement on a prorated basis. SECTION 18 - PAID PERSONAL LEAVE/EDUCATIONAL LEAVE 18.1 Paid Personal Leave. In lieu of overtime or compensatory time off provisions, permanent full time employees with three (3) years of service in classes covered by this MOU, will be credited with five (5) days of paid personal leave. Incumbents of the Resident Physician classes are not eligible for paid personal leave but service in such classes will count towards the three (3) years credit to qualify for this benefit. Said leave will be pro-rated for permanent part-time employees, but will not be credited for permanent-intermittent (on-call) employees. This leave must be used during the calendar year in which credited and may not be carried forward. This paid personal leave is separate from paid vacation and will be accounted for accordingly. Upon separation from County service there shall be no pay off for unused personal leave credits. PDOCC _ 90 - 1996-98 MOU 18.2 Educational Leave:; Each permanent full time employee with one (1) or more years of service shall be entitled to five (5) days leave with pay each calendar year to attend courses, institutions, workshops or classes which meet requirements for American Medical Association Category One Continuing Medical Education or recognized by the National Specialty Organization appropriate to the area of the employee's practice. Courses must be approved in advance by the Department Head and the appointing authority or designee, and must be completed prior to or concurrent with the leave. Employees attending courses which are scheduled and reimbursed by the Department and attended during work hours shall not receive additional leave. Educational leave shall be scheduled in the same manner as vacation leave. It must be used in the same calendar year or the calendar year following the year the credit was awarded. An employee who attends an approved course on a date for which he/she is not regularly scheduled to work or who completes an approved home study course will be granted exchange time off or paid for the equivalent number of hours at his/her hourly base rate. The employee must indicate his/her preference for time off or pay in advance of taking the course. The final determination will be at the discretion of the Director of Medical Staff Affairs or designee. If the employee is granted exchange time off in lieu of pay, the employee will receive a voucher from the Director of Medical Staff Affairs or designee. An original copy of an educational leave voucher, signed by the appointing authority or designee may be required at the time the leave is scheduled. PDOCC - 91 - 1996-98 MOU Permanent part-time employees shall be entitled to educational leave on a pro-rated basis. 18.3 Other Leave. In recognition of the requirement to attend mandatory meetings during non-work time, permanent full time employees with six years of service will receive an additional five (5) days paid leave. This leave will be prorated for permanent part-time employees. This paid leave will be credited at the beginning of each calendar year and may not be carried forward. Upon separation from County service, there shall be no payoff for unused credits. Utilization of this leave shall be applied for and authorized in accordance with Section 8.4 Vacation Preference. SECTION 19 - MILEAGE The mileage allowance for use of personal vehicles on County business shall be paid according to the rates allowed by the Internal Revenue Service and shall be adjusted to reflect changes in this rate on the date it becomes effective or the first of the month following announcement of the changed rate by the Internal Revenue Service, whichever is later. SECTION 20 - PAY WARRANT ERRORS If an employee receives a pay warrant which has an error in the amount of compensation to be received and if this error occurred as a result of a mistake by the Auditor-Controller's Department, it is the policy of the Auditor-Controller's Department that the error will be corrected and a new warrant issued within forty-eight (48) hours, exclusive of PDOCC - 92 - 1996-98 MOU Saturdays, Sundays and holidays from the time the Department is made aware . of and verifies that the pay warrant is in error. If the pay warrant error has occurred as a result of a mistake by an employee (e.g. payroll clerk) other than the employee who is receiving the pay, the error will be corrected as soon as possible from the time the department is made aware that pay warrant is in error. Pay errors in employee pay shall be corrected as soon as possible as to current pay rate but that no recovery of either overpayments or underpayments to an employee shall be made retroactively except for the two (2) year period immediately preceding discovery of the pay error. This provision shall apply regardless of whether the error was made by the employee, the appointing authority or designee, the Director of Human Resources or designee, or the Auditor-Controller or designee. Recovery of fraudulently accrued over or underpayments are excluded from this section for both parties. When the County notifies an employee of an overpayment and proposed repayment schedule and the employee wishes to meet with the County, a meeting will be held at which time a repayment schedule shall be determined. If requested by the employee, a PDOCC representative may be present at a meeting with management to discuss a repayment schedule in the case of overpayments to the employee. SECTION 21 - SERVICE AWARDS The County shall continue its present policy with respect to service awards including time off provided, however, that the PDOCC - 93 - 1996-98 MOU type of award given shall be at the sole discretion of the County. SECTION 22 - UNFAIR LABOR PRACTICE Either the County or PDOCC may file an unfair labor practice as defined in Board of Supervisor's Resolution 81/1165 against the other. Allegations of an unfair labor practice, if not resolved in discussions between the parties within thirty (30) work days from the date of receipt, may be heard and decided by a mutually agreed upon impartial third party. SECTION 23 - INSURANCE 23.1 Malpractice. County medical personnel covered by this MOU are covered under the self-insurance trust funds while working within their course and scope of employment. The exception to coverage is fraud, corruption or malice as defined in Government Code 825. The Government Code confers appropriate authority on the Board of Supervisors to administer the self-insurance program. The Board approves all settlements over $20,000 and accepts or rejects the recommendations of the County's attorneys and the Office of Risk Management regarding the option of trial. Any issues or concerns, or request for information regarding the administration of this plan may be directed to the Appointing Authority or designee. 23.2 Long Term Disability Insurance. In 1994, the County amended its existing long term disability income protection program adopted by Resolution 82/1334 to PDOCC - 94 - 1996-98 MOU include Residents and to provide for eighty-five percent (85%) replacement of basic monthly earnings, reduced by any deductible benefits. Basic monthly earnings include base salary step plus any stipend(s) computed as of the first day of the month in which the disability commences or other loss occurs. All other provisions of this plan remain unchanged. SECTION 24 - LENGTH OF SERVICE DEFINITION (For Service Awards and Accruals) The length of service credits of each employee of the County shall date from the beginning of the last period of continuous County employment (including temporary, provisional, and permanent status, and absences on approved leave of absence). When an employee separates from a permanent position in good standing and within two _ (2) years is reemployed in a permanent County position, service credits shall include all credits accumulated at time of separation, but shall not include the period of separation. The Human Resources Director shall determine these matters based on the employee status records in his department. SECTION 25 - PERMANENT PART-TIME EMPLOYEE BENEFITS Permanent part-time employees receive prorated vacation and sick leave benefits. They are eligible for health, dental and life insurance benefits at corresponding premium rates providing they work at least fifty percent (50%) of full time. PDOCC _ 95 - 1996-98 MOU If the employee works at least fifty percent (50%) of full time, County retirement participation is also included. SECTION 26 - PERMANENT-INTERMITTENT EMPLOYEE BENEFITS Permanent-intermittent employees are eligible for prorated vacation and sick leave benefits. SECTION 27 - PERMANENT-INTERMITTENT EMPLOYEE HEALTH PLAN A permanent-intermittent employee may participate in the County Group Health Plan if combined medical, dental and life insurance coverage is wholly at the employee's expense but at the group insurance rate. The County will not contribute to the employee's monthly premium. The employee will be responsible for paying the monthly premium appropriately and punctually. Failure to meet the premium deadline will mean automatic and immediate withdrawal from the County Group Health Plan and reinstatement may only be effectuated during the annual open enrollment period. SECTION 28 - REDUCTION IN FORCE It is understood between the parties that budget reductions and program changes may cause separations and/or reductions of hours affecting classes represented by PDOCC. To the extent possible, the County shall provide advance notice to PDOCC when represented positions are PDOCC - 96 - 1996-98 MOU affected by a reduction in force and, upon request of PDOCC, the County shall meet and confer upon the impact of any proposed reduction in force. The practice privileges of any represented physician or dentist shall not be affected by reduction in force. SECTION 29 - PROBATIONARY PERIOD Effective with Board of Supervisors' approval of the MOU, upon initial appointment employees in classifications subject to this MOU (excluding Exempt Medical Staff Resident Physicians) shall serve a six (6) month probationary period commencing on the date of appointment. The probationary period shall not include time served in temporary appointments or any period of continuous absence exceeding fifteen (15) calendar days. Employees will receive an evaluation during the probationary period. The regular appointment of a probationary employee shall begin on the day following the end of the probationary period, subject to the condition that the Director of Human Resources receive from the appointing authority a statement in writing that the services of the employee during the probationary period were satisfactory and that the employee is recommended for permanent appointment. If a clerical or administrative error delays a probationary report and it is determined that it was the intent of the appointing authority to retain the probationer, the employee affected will not suffer any loss of pay or benefits. Employees will serve a probationary period unless at the discretion of the appointing authority the probationary period is waived for employees who have previously served one (1) PDOCC - 97 - 1996-98 MOU year or more in a permanent position in good standing in this bargaining unit and who have not been separated from County service for a period of more than five (5) years. During the probationary period, employees are subject to termination by the appointing authority without cause and without right of appeal or compliance with Section 14 - Dismissal, Suspension, Reduction in Pay, and Demotion, or Section 15 - Grievance Procedure. SECTION 30 - WORK RESTRUCTURING The parties recognize that changes in federal and state health care policies and in the practices of other health care providers require that the County retain the capacity to plan and carry out changes in the means by which county health services are provided and in the work of represented employees. The parties also recognize that changes in federal, state and county health care policies may have significant impact on the working conditions, practices and careers of represented physicians and dentists. Upon ratification of this MOU, the parties agree to commence discussions regarding changes in employment relationships and compensation structures in order to provide cost reduction incentives. The changes to be discussed may include, but are not limited to, alternate staff compensation structures and the alteration of the employment relationship of staff to create independent physician associations. In the event of alternate compensation or employment structures, such alternate structures will have a target implementation date of January 1 , 1999. PDOCC - 98 - 1996-98 MOU The parties will meet and confer with respect to implementation of changes by which county health services are provided and with respect to the work and compensation of represented employees. The parties will also meet and confer with respect to terms and conditions of employment associated with any such restructuring, including, but not limited to job security and severance. SECTION 31 - SPECIAL STUDIES/OTHER ACTIONS Grievance Procedure. Representatives of the County shall meet and confer with representatives of the Labor Coalition in order to develop rules and guidelines governing the conduct and administration of Adjustment Boards. SECTION 32 - ADOPTION The provisions of this MOU shall be made applicable on the dates indicated and upon approval by the Board of Supervisors. Resolutions and Ordinances, where necessary, shall be prepared and adopted in order to implement these provisions. It is understood that where it is determined that an Ordinance is required to implement any of the foregoing provisions, said provisions shall become effective upon the first day of the month following thirty (30) days after such Ordinance is adopted. PDOCC - 99 - 1996-98 MOU SECTION 33 - SCOPE AGREEMENT AND SEPARABILITY OF PROVISION 33.1 Scope of Agreement. Except as otherwise specifically provided herein, this MOU fully and completely incorporates the understanding of the parties hereto and constitutes the sole and entire agreement between the parties in any and all matters subject to meet and .confer. Neither party shall, during the term of this MOU demand any change herein, provided that nothing herein shall prohibit the parties from changing the terms of this MOU by mutual agreement. 33.2 Separability of Provisions. Should any section, clause or provision of this MOU be declared illegal, unlawful or unenforceable, by final judgment of a court of competent jurisdiction, such invalidation of such section, clause or provision shall not invalidate the remaining portions hereof, and such remaining portions shall remain in full force and effect for the duration of this MOU. 33.3 Salary Ordinance. Where a specific provision contained in a section of this MOU conflicts with a specific provision contained in a section of the Master Salary Ordinance (Res. 83/1 ), the provision of this MOU shall prevail. Those provisions of the Master Salary Ordinances within the scope of representation which are not in conflict with the provisions of this MOU and those provisions of the Master Salary Ordinance which are not within the scope of representation shall be considered in full force and effect. 33.4 Duration of Agreement. This Agreement shall continue in full force and effect from January 1 , 1996 to and including December 31 , 1998. Said Agreement shall PDOCC _ 100 - 1996-98 MOU automatically renew from year to year thereafter unless either party gives written notice to the other prior to ninety (90) days from the aforesaid termination date of its intention to amend, modify or terminate the agreement. SECTION 34 - FAIR LABOR STANDARDS ACT PROVISIONS The Fair Labor Standards Act, as amended, may govern certain terms and conditions of the employment of employees covered by this MOU. It is anticipated that compliance with the Act may require changes in some of the County policies and practices currently in effect or agreed upon. If it is determined by the County that certain working conditions, including but not limited to work schedules, hours of work, method of computing overtime, overtime pay and compensatory time off entitlements or use, must be changed to conform with the Fair Labor Standards Act, such terms and conditions of employment shall not be controlled by this MOU but shall be subject to modification by the County to conform to the federal law, without further meeting and conferring. The County shall notify PDOCC and will meet and confer with said organization regarding the implementation of such modifications. PDOCC - 101 - 1996-98 MOU Date: 19 CONTRA COST COUNTY PDOCC 4 f-u,t: r L% PDOCC - 102 - 1996-98 MOU Exhibit A PHYSICIANS' & DENTISTS' ORGANIZATION OF CONTRA COSTA SALARIES EFFECTIVE JULY 1, 1996 CLASS TITLE SALARY RANGE VPD3 Chief of Dental Services $7,544 - $ 9,191 VPV7 Dental Specialist $7,034 - $ 9,938 VPWO Dentist $5,935 - $ 8,385 VPW9 Physician $7,188 - $10,156 VP71 Resident Physician I Flat - $ 21765 VP72 Resident Physician II Flat - $ 3,221 VP74 Resident Physician III Flat - $ 3,646 VP75 Resident Physician IV Flat - $ 4,128 SALARIES EFFECTIVE OCTOBER 1, 1997 CLASS TITLE SALARY RANGE VPD3 Chief of Dental Services $7,696 - $ 9,377 VPV7 Dental Specialist $7,176 - $10,139 VPWO Dentist $6,054 - $ 8,555 VPW9 Physician $7,333 - $10,361 VP71 Resident Physician I Flat - $ 2,820 VP72 Resident Physician II Flat - $ 3,286 VP74 Resident Physician III Flat - $ 3,720 VP75 Resident Physician IV Flat - $ 4,211 SALARIES EFFECTIVE OCTOBER 1, 1998 CLASS TITLE SALARY RANGE VPD3 Chief of Dental Services $7,970 - $ 9,711 VPV7 Dental Specialist $7,431 - $10,500 VPWO Dentist $6,270 - $ 8,859 VPW9 Physician $7,594 - $109730 VP71 Resident Physician I Flat - $ 2,921 VP72 Resident Physician II Flat - $ 39403 VP74 Resident Physician III Flat - $ 3,853 VP75 Resident Physician IV Flat - $ 4,361 ADDITIONAL DUTY PAY (ADP) FOR RESIDENT PHYSICIANS Effective July 1, 1996 Hourly ADP VP71 Resident Physician I (Not eligible for ADP) VP72 Resident Physician 11 $18.59 $39.52 VP74 Resident Physician 111 $21 .04 $40.50 VP75 Resident Physician IV $23.81 $41 .52 Effective October 1, 1997 Hourly ADP VP71 Resident Physician I (Not eligible for ADP) VP72 Resident Physcian II $18.96 $40.31 VP74 Resident Physician 111 $21 .46 $41 .32 VP75 Resident Physician IV $24.29 $42.36 Effective October 1, 1998 Hourly ADP VP71 Resident Physician I (Not eligible for ADP) VP72 Resident Physician 11 $19.64 $41 .72 VP74 Resident Physician 111 $22.23 $42.77 VP75 Resident Physician IV $25.16 $43.84 - 2 - EXHIBIT B Human Resources Contra Department Costa Count` , `• YThird Floor,Administration Bldg. ' � 4 `® 651 Pine Street •`� Martinez,California 94553-1292 (510)646-4064 Leslie T.Knight Director of Human Resources August 14, 1996 Stephen Daniels, M.D., President Physicians and Dentists Organization of Contra Costa P.O. Box 1803 Martinez, California 94553 RE: SIDE LETTER ON FALLBACK STAFFING FOR EXTRA-HOURS CLINICS Dear Dr. Daniels- This side letter to the MOU confirms an agreement between the Health Services Department (HSD) and the Physicians and Dentists Organization of Contra Costa County (PDOCC) regarding the scheduling of physicians to staff extended-hour clinics in the Patients Choice Program. This agreement shall be effective July 8, 1996 and will remain in effect concurrent with the MOU until the HSD exercises the right to reopen as described below in Section No. 7. 1. Fallback duty means the scheduling of one or more Physicians to an extended-hour clinic which has been scheduled to meet peak patient demands under the Patients Choice Program. Fallback clinics will be scheduled to last five (5) hours or less. 2. All fallback duty by Physicians shall be on a voluntary basis. 3. Physicians who work in an extended-hours clinic shall be compensated at the physician's base rate plus $30 per hour. 4. Physicians who work in an extended-hours clinic shall be guaranteed a minimum of two hours pay at the rate described in 3 above. This guarantee shall be in effect as soon as the volunteer physician is notified that her/his services will be needed for fallback for a specific date. 5. The Heath Services Department will establish an administrative procedure which will allow individual Physicians to voluntarily sign up for potential fallback duty in advance by designating those days on which they are available. To the extent possible, the HSD will schedule fallback clinics to qualified physicians from the voluntary sign up list in the order of sign up. The HSD will provide notice to physicians regarding the voluntary advance sign up procedure. y' 6. In addition, the HSD will encourage all eligible physician staff to otherwise keep the fallback scheduling office regularly informed as to their general availability for fallback duty. This information will not be held as a commitment of availability by the physician, but will comprise an initial "callup pool" of physicians to be contacted for voluntary service in the event that an extended-hours clinic must be staffed and no physicians have signed up for that date. The HSD may seek volunteers from among all qualified physicians. 7. At any time subsequent to the date of this agreement, the HSD may determine that the aforementioned voluntary fallback plan is unsatisfactory for meeting the staffing needs of extended-hours clinics and may reopen the subject of fallback clinic staffing with PDOCC. An unsatisfactory determination may be made if one or more extended-hour clinics must be cancelled due to lack of volunteers or administrative efforts required to obtain volunteers by calls to physicians are deemed excessive. If these terms and conditions conform to your understanding, please indicate your acceptance and agreement by signing in the spaces provided below: Dated: FOR PDOCC: FOR HEALTH SERVICES DEPT.: R CO COSTA COUNTY: r EXHIBIT C Human Resources Contra -.y. •-L � Costa -_ Department County " `F Third Floor, Administration Bldg." °;;� 651 Pine Street Martinez,California 94553-1292 (510)646-4064 Leslie T.Knight Director of Human Resources March 5, 1997 Stephen Daniels, MD., President Physicians & Dentists Organization of Contra Costa PO Box 1833 Martinez CA 94553 RE: INCREASE IN HOURS Dear Dr. Daniels: This is to confirm tentative agreement reached by Contra Costa County and Physicians & Dentists of Contra Costa regarding increase in hours for permanent- intermittent and permanent part-time employees- Permanent-intermittent and permanent part-time employees who wish to have the hours of their position increased, must make a written request to the appointing authority during the months of April and/or October for the duration of the new MDU. The Appointing Authority reviewing these requests will evaluate them within thirty (30) days of their receipt, considering among other matters the actual hours assigned to and worked by the employee during the previous 6 months, the anticipated continuing need for their assignment for additional hours and operational requirements. Those requests which are approved by the department for an increase in hours will be submitted for consideration by the County as a P-300 request within an additional sixty (60) days. The employee will be notified in writing with an explanation of requests not approved; PDOCC will be copied on all denials. If the above conforms with your understanding, please indicate agreement by affixing your signature in the space provided below. Sincerely, Kathy Ito Labor Relations Manager Confirmed: X zl�zz�_ / Steph n Daniels, MD., resident PDOCC cc.- 'Leslie Knight, Human Resources Director William Walker, MD., Health Services Director Ken Corcoran, Auditor-Controller r:Xri 1 IS 1'1 ll Contra -s----------p. Human Resources Costa ` h .;;. Department Count ,t Administration Bldg. � ;, -•;j 651 Pine Street,Third Floor '^---U."' Martinez,California 94553-1292 (510)335-1764 April 10, 1997 Leslie T.Knight Director of Human Resources Stephen Daniels, MD., President Physicians' & Dentists' Organization of Contra Costa PO Box 1803 Martinez CA 94553 RE; NOTIFICATION OF INVOLUNTARY PERMANENT CHANGE OF ASSIGNMENT Dear Dr. Daniels: This is to confirm tentative agreement reached by Contra Costa County and the Physicians' & Dentists' Organization of Contra Costa regarding notification of involuntary permanent change of assignment. Except in cases of emergency, a twenty-eight (28) day notice will be provided to any bargaining unit member prior to any involuntary permanent change in work hours, type of work, or work location. This provision shall not be applicable in disciplinary situations. If the above conforms with your understanding, please indicate agreement by affixing your signature in the space provided below. Sincerely, Kathy Labor Relations Manager Confir ed: �, L WZe,,,240 Step ' n Daniels, MD., President PDOCC cc: Leslie Knight, Human Resources Director William Walker, MD., Health Services Director