MEMORANDUM OF UNDERSTANDING BETWEEN CONTRA COSTA COUNTY AND PHYSICIANS’ AND DENTISTS’ ORGANIZATION OF CONTRA COSTA NOVEMBER 1, 2019 – OCTOBER 31, 2022 PHYSICIANS’ & DENTISTS’ ORGANIZATION OF CONTRA COSTA TABLE OF CONTENTS SECTION 1 ORGANIZATION RECOGNITION ................................................. 3 SECTION 2 ORGANIZATION SECURITY 2.1 Dues Deduction .............................................................................. 3 2.2 Communicating With Employees .................................................... 3 2.3 Use of County Buildings .................................................................. 4 2.4 Advance Notice ............................................................................... 4 2.5 Written Statement for New Employees ........................................... 5 2.6 Notification of Dues Deduction Changes ........................................ 5 2.7 Assignment of Classes to Bargaining Units .................................... 6 2.8 Release Time for Training .............................................................. 6 2.9 Physicians and Dentists as Employees or Contractors ................... 6 SECTION 3 NO DISCRIMINATION .................................................................... 8 SECTION 4 SHOP STEWARDS AND OFFICIAL REPRESENTATIVES 4.1 Attendance at Meetings .................................................................. 8 4.2 PDOCC Representatives ................................................................ 9 SECTION 5 SALARIES 5.1 General Wage Increases ................................................................ 9 5.2 Appointment or Change of Assignment ........................................ 10 5.3 Step Advancement ........................................................................ 10 5.4 Payment ........................................................................................ 10 5.5 Part-Time Compensation .............................................................. 11 5.6 Compensation for Portion of Month .............................................. 11 5.7 Salary on Promotion – Residents .................................................. 11 5.8 Stipends ........................................................................................ 11 5.9 Electronic Health Records Incentive Program............................... 12 SECTION 6 DAYS AND HOURS OF WORK 6.1 Work Week Defined ..................................................................... 12 6.2 Employee Schedules .................................................................... 12 6.3 Additional Duty Pay ....................................................................... 13 6.4 Clinical On-Call Pay ..................................................................... 13 6.5 Nocturnist Pay ............................................................................... 13 6.6 Schedule Preparation ................................................................... 13 6.7 Operational Adjustments .............................................................. 13 6.8 Direct Patient Care and Administrative Time ................................ 14 Ambulatory Care Provider – Exempt ............................................. 14 Dentist – Exempt ........................................................................... 16 Emergency Medicine – Exempt .................................................... 17 Hospitalist – Exempt ..................................................................... 18 i Obstetrics & Gynecology (OBGYN) – Full Spectrum – Exempt .... 19 Obstet & Gyn (OBGYN)-Fam Med w/Focus in Adv Obs-Exempt .. 20 Optometrist – Exempt ................................................................... 21 Oral Surgeon – Exempt................................................................. 21 Pathologist – Exempt .................................................................... 22 Pediatrician – Ambulatory – Exempt ............................................. 22 Pediatrician – Hospital – Exempt .................................................. 23 Primary Care Provider – Exempt................................................... 24 Primary Care Provider–Limited (Hired before 11/1/19)–Exempt ... 26 Psychiatrist – Adult – Exempt ....................................................... 28 Psychiatrist – Pediatric – Exempt .................................................. 29 Psychiatrist – PES/Detention – Exempt ........................................ 29 Resident ........................................................................................ 29 6.9 Increase in Hours .......................................................................... 29 6.10 Time Stamping .............................................................................. 30 6.11 Time Reporting and Pay Practices Waiver ................................... 30 SECTION 7 HOLIDAYS 7.1 Holidays Observed ........................................................................ 30 7.2 Holiday is NOT Worked/Hol Falls on Scheduled Work Day .......... 31 7.3 Holiday is NOT Worked/Hol Falls on Scheduled Day Off ............. 31 7.4 Holiday is WORKED/Hol Falls on Scheduled Work Day ............... 32 7.5 Holiday is WORKED/Hol Falls on Scheduled Day Off .................. 32 7.6 Permanent Intermittent Employee ................................................ 33 SECTION 8 VACATION LEAVE 8.1 Vacation Allowance ....................................................................... 33 8.2 Accrual During Leave Without Pay ............................................... 34 8.3 Vacation Allowance for Separated Employees ............................. 34 8.4 Vacation Preference ..................................................................... 34 SECTION 9 SICK LEAVE 9.1 Purpose of Sick Leave .................................................................. 34 9.2 Credits To and Charges Against Sick Leave ................................ 35 9.3 Policies Governing the Use of Paid Sick Leave ............................ 35 9.4 Administration of Sick Leave ......................................................... 37 9.5 Disability ........................................................................................ 39 9.6 Workers’ Compensation ................................................................ 39 9.7 Accrual During Leave Without Pay ............................................... 41 9.8 State Disability Insurance .............................................................. 41 SECTION 10 LEAVE OF ABSENCE 10.1 Leave Without Pay ........................................................................ 41 10.2 General Administration-Leaves of Absence .................................. 42 10.3 Military Leave ................................................................................ 43 10.4 Family Care Leave or Medical Leave ............................................ 43 10.5 Pregnancy Disability Leave ........................................................... 45 10.6 Group Health Plan Coverage ........................................................ 45 10.7 Unauthorized Absence .................................................................. 45 ii 10.8 Leave Without Pay - Use of Accruals ........................................... 46 10.9 Leave Replacement & Reinstatement........................................... 46 10.10 Reinstatement from Family Medical Leave ................................... 46 10.11 Salary Review While on Leave of Absence .................................. 47 10.12 Furlough Days Without Pay .......................................................... 47 10.13 Unpaid Sabbatical Leave .............................................................. 47 SECTION 11 JURY DUTY AND WITNESS DUTY 11.1 Jury Duty ....................................................................................... 47 11.2 Witness Duty ................................................................................. 48 SECTION 12 MEDICAL, DENTAL & LIFE INSURANCE 12.1 Health Plan Coverages ................................................................. 49 12.2 County Health and Dental Plan Monthly Premium Subsidy .......... 49 12.3 Retirement Coverage .................................................................... 51 12.4 Family Member Eligibility Criteria .................................................. 54 12.5 Dual Coverage .............................................................................. 55 12.6 Medical Plan Cost-Sharing with Active Ees on and after 1/1/18 ... 55 12.7 Life Insurance Benefit Under Health and Dental Plans ................. 58 12.8 Supplemental Life Insurance ........................................................ 58 12.9 Health Care Spending Account ..................................................... 58 12.10 PERS Long Term Care ................................................................. 59 12.11 Voluntary Vision Plan .................................................................... 59 12.12 Health Savings Account with High Deductible Health Plan ........... 59 12.13 Dependent Care Assistance Program ........................................... 59 12.14 Premium Conversion Plan ............................................................ 60 12.15 Prevailing Section ......................................................................... 60 12.16 Rate Information ........................................................................... 60 12.17 Coverage Upon Separation ........................................................... 60 12.18 Partial