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MSU Human Resources >> Contracts >> MSU/Coalition Health Care Agreement Changes


MSU/Coalition health care agreement changes

Below you will find the changes between the MSU/Coalition Health Care Agreement (CLO) that ends December 31, 2025 and the new agreement that begins January 1, 2026. Review the full CLO and all contracts on the HR website's Union Contracts page.

CLO Updates by Page or Article

CLO Jan. 1, 2022 - Dec. 31, 2025

CLO Jan. 1, 2026 - Dec. 31, 2029

Up to 34-day /90-day

  • Generic $10 /$20
  • Preferred $30 /$60
  • Non-Preferred $60 /$120
  • Specialty $75/ NA

Up to 34-day /90-day

  • Generic $15 /$30
  • Preferred $30 /$60
  • Non-Preferred $75 /$150
  • Specialty $100/ NA

CLO Jan. 1, 2022 - Dec. 31, 2025

CLO Jan. 1, 2026 - Dec. 31, 2029

Article G
Effective July 1, 2010, copay amounts for office visits and osteopathic manipulative treatments shall be $20; however, if an osteopathic manipulative treatment is received during an office visit the total copay shall be $20.

Effective January 1, 2026, copay amounts for office visits and osteopathic manipulative treatments shall be $25; however, if an osteopathic manipulative treatment is received during an office visit the total copay shall be $25.

Article H

Effective January 1, 2018, copay amounts for treatment at an urgent care facility shall be $25.

Effective January 1, 2026, copay amounts for treatment at an urgent care facility shall be $30.

Article K

Effective January 1, 2010, employees shall be subject to the following annual health plan deductibles:

  1. $100 single
  2. $200 family

Effective January 1, 2026, employees shall be subject to the following annual health plan deductibles:

  1. $175 single
  2. $350 family

CLO Jan. 1, 2022 - Dec. 31, 2025

CLO Jan. 1, 2026 - Dec. 31, 2029

Beginning in 2021, spouses or OEIs of MSU employees working for an employer other than MSU who have health care coverage available for which they are not required to pay premiums costing more than $1,500 per year are only eligible to be covered under MSU’s health care plan if they are enrolled in their employer’s health care plan.

Effective January 1, 2026, spouses or OEIs of MSU employees working for an employer other than MSU who have health care coverage available for which they are not required to pay premiums costing more than $1,850 per year are only eligible to be covered under MSU’s health care plan if they are enrolled in their employer’s health care plan. 

CLO Jan. 1, 2022 - Dec. 31, 2025

CLO Jan. 1, 2026 - Dec. 31, 2029

For collective bargaining agreements effective between July 1,2022 and October 1, 2023 (the 2022 cycle), it is agreed that the funds available for base wage average increases for each bargaining unit shall be a one (1.00%) percent increase to base.

This statement was removed entirely from the CLO. 

N/A

NEW B.1: For collective bargaining agreements effective between July 1, 2026, and October 1, 2027 (the 2026 cycle), it is agreed that the Base Wage/Lump Sum Factor Average increases for each bargaining unit for 2026-2029 shall be determined as follows:  

New B. 1. a: The cost to MSU of health care plans per benefits eligible member represented by bargaining agents subject to this agreement will be computed annually for the periods July 1, 2026, through June 30, 2030.  

New B. 1. b: The per eligible Coalition member cost computation for the period July 1, 2024, through June 30, 2025 (the initial comparison period), will be compared to the per eligible Coalition member cost computation for the period July 1, 2025 – June 30, 2026 (the ending comparison period) in order to yield a percent increase (or decrease) in Health Care Cost Experience. The subsequent years applicable initial, and ending, comparison periods are outlined below in C.

2023 Matrix - Shown in the following chart for the 2023 cycle: 

Health Care Cost Experience (%)
Increase to Base Wage (%)
Lump-Sum (%)*
0.0 - 1.0 2.00 0.00
1.01 - 2.0 1.75 0.00
2.01 - 3.0 1.50 0.00
3.01 - 4.0 1.25 0.00
4.01 - 5.0 1.00 0.00
5.01 - 6.0 1.00 0.00
6.01 - 7.0 0.00 1.00
7.01 - 8.0 0.00 1.00
8.01 - 9.0 0.00 1.00
9.01 - 10.0 0.00 0.50
10.01 and above* 0.00 0.50


2024 and 2025 Matrix - Shown in the following chart for 2024 and 2025 cycles: 

Health Care Cost Experience (%)
Increase to Base Wage (%)
Lump-Sum (%)*
0.0 - 1.0 2.50 0.00
1.01 - 2.0 2.40 0.00
2.01 - 3.0 2.30 0.00
3.01 - 4.0 2.20 0.00
4.01 - 5.0 2.10 0.00
5.01 - 6.0 2.00 0.00
6.01 - 7.0 1.90 0.00
7.01 - 8.0 1.80 0.00
8.01 - 9.0 1.60 0.00
9.01 - 10.0 1.50 0.00
10.01 and above* 0.00 1.00

*Active employees shall receive a one-time lump sum payment of 1% calculated on the annual base salary if the increase in health care cost experience is 10.01% or greater. 

NEW c. (single matrix table replaces two tables) The funds available for Base Wage/Lump Sum Factor Average increases shall be based on the percentage increase (or decrease) per eligible Coalition member in Health Care Cost Experience as shown:

Health Care Cost
Experience (%)
Increase to
Base Wage (%)
Lump-
Sum (%)*
0.0 - 1.0 2.75 0.00
1.01 - 2.0 2.65 0.00
2.01 - 3.0 2.50 0.00
3.01 - 4.0 2.35 0.00
4.01 - 5.0 2.20 0.00
5.01 - 6.0 2.00 0.00
6.01 - 7.0 1.80 0.00
7.01 - 8.0 1.60 0.00
8.01 - 9.0 1.40 0.00
9.01 - 10.0 1.30 0.00
10.01 - 11.0 1.25 0.00
11.01 and above* 0.00 1.25

*Active employees shall receive a one-time lump sum payment of 1.25%, calculated on the annual base salary if the increase in health care cost experience is 11.01% or greater.

CLO Jan. 1, 2022 - Dec. 31, 2025

CLO Jan. 1, 2026 - Dec. 31, 2029

For collective bargaining agreements effective between July 1,2022 and October 1, 2023 (the 2022 cycle), it is agreed that the funds available for base wage average increases for each bargaining unit shall be a one (1.00%) percent increase to base.

This statement was removed entirely from the CLO. 

N/A

NEW B.1: For collective bargaining agreements effective between July 1, 2026, and October 1, 2027 (the 2026 cycle), it is agreed that the Base Wage/Lump Sum Factor Average increases for each bargaining unit for 2026-2029 shall be determined as follows:  

New B. 1. a: The cost to MSU of health care plans per benefits eligible member represented by bargaining agents subject to this agreement will be computed annually for the periods July 1, 2026, through June 30, 2030.  

New B. 1. b: The per eligible Coalition member cost computation for the period July 1, 2024, through June 30, 2025 (the initial comparison period), will be compared to the per eligible Coalition member cost computation for the period July 1, 2025 – June 30, 2026 (the ending comparison period) in order to yield a percent increase (or decrease) in Health Care Cost Experience. The subsequent years applicable initial, and ending, comparison periods are outlined below in C.

D. Comparison period date range table

Effective Dates of Agreements
Initial Comparison Period
Ending Comparison Period

Jul. 1, '22 - Oct. 1, '23
(2022 cycle) 

7/1/20 - 6/30/21  7/1/21 - 6/30/22 
 Jul. 1 '23 - Oct. 1 '24
(2023 cycle)
7/1/21 - 6/30/22   7/1/22 - 6/30/23
Jul. 1 '24 - Oct. 1 '25
(2024 cycle) 
7/1/22 - 6/30/23  7/1/23 - 6/30/24 
Jul. 1 '25 - Oct. 1 '26 
(2025 cycle)
7/1/23 - 6/30/24  7/1/24 - 6/30/25 

 

NOW C. Comparison period date range table

Effective Dates of
Agreements
Initial Comparison
Period
Ending Comparison
Period
Jul. 1, '26 - Oct. 1, '27
(2026 cycle)
7/1/24 - 6/30/25 7/1/25 - 6/30/26
Jul. 1, '27 - Oct. 1, '28
(2027 cycle)
7/1/25 - 6/30/26 7/1/26 - 6/30/27
Jul. 1 '28 - Oct. 1 '29
(2028 cycle)
7/1/26 - 6/30/26 7/1/27 - 6/30/28
Jul. 1 '28 - Oct. 1 '30
(2029 cycle)
7/1/27 - 6/30/28 7/1/28 - 6/30-29

 

D. 2. 
For 2023, the applicable Base Wage/Lump Sum Factor Average for that cycle shall be that set forth in the table in 4.C.1.c. above for the applicable Health Care Cost Experience.

This statement was removed entirely from the CLO. 

C. 1.
The determination of funds available for Base Wage Factor Average increases for the 2023, 2024, and 2025 cycles shall be based on the percentage increase (or decrease) in Health Care Cost Experience as determined by using the methodology in 4.C.

C. 1.
The determination of funds available for Base Wage Factor Average increases for the 2026, 2027, 2028 and 2029 cycles shall be based on the percentage increase (or decrease) in Health Care Cost Experience as determined by using the methodology in 4.B.

C. 3.
For 2024, and 2025, the applicable Base Wage Factor Average for that cycle shall be that set forth in the table in 4.C.2. above for the applicable Health Care Cost Experience.

NOW C. 2.
For 2026-2029, the applicable Base Wage/Lump Sum Factor Average for that cycle shall be that set forth in the table in 4.C. above for the applicable Health Care Cost Experience.

E. 2. 

Except as provided herein for labor agreements effective on and after July 1, 2022, at no time during the life of this Agreement may the University or any agent of the Coalition bargaining units make any proposals regarding the health care plan and/or any direct increase or decrease to base wage during their separate collective bargaining negotiations.

The University and each bargaining unit shall be free to negotiate on all other matters for their respective union contracts effective on and after July 1, 2022. Failure to reach agreement on an individual union contract shall not invalidate the provisions of this Agreement for its term.

NOW D. 2.

Except as provided herein for labor agreements effective on and after July 1, 2026, at no time during the life of this Agreement may the University or any agent of the Coalition bargaining units make any proposals regarding the health care plan and/or any direct increase or decrease to base wage during their separate collective bargaining negotiations.

The University and each bargaining unit shall be free to negotiate on all other matters for their respective union contracts effective on and after July 1, 2026. Failure to reach agreement on an individual union contract shall not invalidate the provisions of this Agreement for its term.

 

CLO Jan. 1, 2022 - Dec. 31, 2025

CLO Jan. 1, 2026 - Dec. 31, 2029

...The first contract cycle, the 2022 cycle,…

  • AFSCME Local 1585: August 1, 2022 through July 31, 2023
  • IATSE Local 274: September 1, 2022 through August 31, 2023
  • Clerical-Technical Union: April 1, 2023 through March 31, 2024
  • Administrative Professional Association: October 1, 2023 through September 30, 2024
  • Administrative Professional Supervisors Association: October 1, 2023 through September 30, 2024

...The first contract cycle, the 2026 cycle,…

  • Spartan Skilled Trades Union: July 1, 2026 through June 30, 2027
  • AFSCME Local 1585: August 1, 2026 through July 31, 2027
  • IATSE Local 274:  September 1, 2026 through August 31, 2027
  • IUOE Local 324: December 16, 2026 through December 15, 2027
  • Clerical-Technical Union:  April 1, 2027 through March 31, 2028
  • Administrative Professional Association: October 1, 2027 through September 30, 2028
  • Administrative Professional Supervisors Association: October 1, 2027 through September 30, 2028
 

CLO Jan. 1, 2022 - Dec. 31, 2025

CLO Jan. 1, 2026 - Dec. 31, 2029

During the period of this Agreement, from January 1, 2022, until December 31, 2025,…

  1. Pursue strategies to enhance compliance for certain therapeutic drugs and evidence-based medical protocols
  2. Mandatory step therapy for specialty drugs
  3. Continue to look at other vendors and pricing structures
  4. Require an up to 34-day trial (no initial 90-day supply) for new maintenance prescription drugs
  5. Mandatory mail order
  6. Network discounting by restricting retail networks
  7. A lower cost health plan. (Which may include a High Deductible Health Plan with a Health Savings Account)
  8. Alternative criteria for determining the lowest cost (base) plan
  9. Mandatory consultation with Best Doctors prior to identified procedures
  10. Copay amounts for emergency room visits
  11. Spouse/OEI coverage through another employer
  12. Mental health coverage and providers
  13. Hearing aid coverage
  14. Transparency tools for medical procedures
  15. Vendor savings opportunities per presentations
  16. Physical therapy co-pays
  17. Other “centers of excellence” that offer lower costs but still preserve quality
  18. Infusion Therapy
  19. Incentivize use of MSU Health Care Inc. Radiology services
  20. Continue exploration/discussion of Omada diabetes prevention program
  21. Transgender health care coverage\

  22. Infertility coverage
  23. Incorporating the dental program in the CLO health care cost experience 

During the period of this Agreement, from January 1, 2026, until December 31, 2029...

  1. Pursue strategies to enhance compliance for certain therapeutic drugs and evidence-based medical protocols
  2. Mandatory step therapy for specialty drugs
  3. Continue to look at other vendors and pricing structures
    DELETED Require an up to 34-day trial (no initial 90-day supply) for new maintenance prescription drugs 
  4. Mandatory mail order
  5. Network discounting by restricting retail networks
  6. A lower cost health plan. (Which may include a High Deductible Health Plan with a Health Savings Account)
  7. Alternative criteria for determining the lowest cost (base) plan
  8. Mandatory consultation with Best Doctors prior to identified procedures
  9. Copay amounts for emergency room visits
  10. Spouse/OEI coverage through another employer
  11. Mental health coverage and providers
  12. Hearing aid coverage
  13. Transparency tools for medical procedures
  14. Vendor selections and savings opportunities per presentations
  15. Physical therapy co-pays
  16. Other “centers of excellence” that offer lower costs but still preserve quality
  17. Infusion Therapy
  18. Incentivize use of MSU Health Care Inc. Radiology services
  19. Continue exploration/discussion of diabetes prevention program(s) and other chronic disease prevention programs
  20. Transgender health care coverage
  21. Infertility coverage
  22. (NEW) Dependent auditing process
  23. (NEW) Promote University programs and ensure consistent availability for all groups across campus
  24. (NEW) Explore nutrition, additional general wellness programs and other health options
  25. (NEW) Explore 340B plans and their possible impact on health care costs
  26. (NEW) Continue to explore other dental options
 

S Signature lines were updated in the current CLO. 

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