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Issue link: https://digital.hrreporter.com/i/1372609
"mandatory generic drug substi-
tution (unless the physician
directs that a generic substitute
is not allowed for a valid medical
reasons)." The collective agreement
also allows the city to "change the
carrier of any benefit plan provided
that it is at least equivalent to the
present benefits provided in the
collective agreement."
In 2005, the city changed its
benefits provider from Canada
Life to Sun Life. The contract
with Sun Life included a generic
limit provision that stated any
charges that were "in excess of the
lowest priced equivalent generic
product are not covered unless
the doctor specifies in writing
that no substitution for the
prescribed drug may be made."
The city covered brand-name
prescription drugs when a physi-
cian simply wrote "no substitu-
tion" on the prescription. On Dec.
30, 2014, the city informed the
union that it planned to change
this practice and generic substitu-
tion of drugs would be mandatory
unless the physician specifically
directed that a generic substi-
tute was not allowed for valid
medical reasons. However, the
city continued to pay the full cost
of brand-name drugs if the physi-
cian only wrote "no substitution."
Nearly two years later, the city
once again expressed its inten-
tion to change the practice, but it
didn't follow through as it would
require issuing a drug card to all
employees for the purposes of
direct billing.
Another two years passed and
in November 2018, the city sent a
memorandum to all members of
the bargaining unit that manda-
tory generic substitution would
be implemented for all prescribed
drugs "unless your doctor directs
that a generic drug substitution
is not allowed for valid medical
reasons" as of Jan. 1, 2019. If an
employee's doctor made such
a direction, they would have to
complete a drug exemption applica-
tion form and submit it to Sun Life.
The union filed a grievance
claiming that the city unilater-
ally changed its longstanding
practice of mandatory generic
drug substitution and violated
the collective agreement's right
to physician authorization of
brand-name drugs. It also argued
that the change allowed the third-
party insurer, not the physician,
to decide if a generic substitution
was appropriate.
On Jan. 1, 2020, the city
once again changed its benefits
provider to Green Shield, which
also required a drug exemption
application form for brand-name
prescription drugs.
The arbitrator noted that the
acceptance of a simple "no substi-
tutions" note on an employee's
prescription was accepted as
valid medical reasons for 15 years
and through multiple rounds
of collective bargaining before
the city first raised any concerns
about it.
The arbitrator found that the
city's change essentially replaced
"straight-forward, front-end
physician approval for a generic
drug exception" with "downstream
review and the opportunity for
rejection by a benefit provider"
and agreed with the union that
this transferred the decision on
whether a generic drug substitu-
tion would be permitted from the
physician to the insurer.
In addition, the drug exemp-
tion application form required
detailed medical information that
hadn't been required previously
and added cost to employees
who had to pay for their doctor
to complete the form. These
changes were substantive and
required discussion with the
union, not unilateral implemen-
tation, the arbitrator said.
The arbitrator also found that
the substantive change violated
the collective agreement's require-
ment that any change in insurance
providers must be "at least equiva-
lent to the present benefits." The
grievance was allowed.
Reference: Barrie (City) and Barrie Professional Fire Fighters Assn., IAFF, Local 1753. James Hayes — arbitrator.
Stephanie Jeronimo for employer. Mark Wright, Ella Bedard for employee. Jan. 5, 2021. 147 C.L.A.S. 109
stealing cleaning products. The
university put a hidden camera
in the custodians' cubby closet,
where supplies were kept.
On Jan. 17, 2019, the camera
recorded Jumalon bringing a lunch
bag into the cubby, placing it on a
shelf out of view, and appearing to
place something into the bag. The
camera was adjusted for a better
view and, four days later, Jumalon
was recorded taking five cleaning
cloths from the shelf and putting
them in his lunch bag.
A third recording from Feb. 6
showed Jumalon folding another
five cleaning cloths and putting
them into his lunch bag. The
camera didn't catch Jumalon
bringing the lunch bag into the
cubby on any other occasion over a
one-month period.
Management held an investiga-
tion meeting, although Jumalon
wasn't told why. They told Jumalon
that they had received a tip about
misconduct at the library and
Jumalon didn't seem to know to
what they were referring.
Management asked again
and Jumalon still said there was
nothing else. They told him about
the phone call and asked if he
had taken any cleaning supplies.
Jumalon denied doing so or
bringing any personal items such
as his lunch bag into the cubby.
Management showed him
photos taken from the surveillance
footage and he initially said he didn't
remember the incidents. He then
said he sometimes used the cloths
to wipe his car's windshield and
mirrors in the winter. He apolo-
gized "from the bottom of my heart"
and said he wouldn't do it again.
Management determined
that Jumalon hadn't been honest
and forthright in answering their
questions and his apology after
being shown the pictures was a
confession. Jumalon sent a letter
to management on March 1 apol-
ogizing for his "terrible mistake"
and promising that he wouldn't
do it again, but the university
terminated his employment three
days later. The union grieved the
termination as excessive and
contrary to the progressive disci-
pline set out in the collective
agreement.
The arbitrator found that the
university had proof of misconduct
with the surveillance video. The
fact that Jumalon brought his lunch
bag into the cubby showed that the
misconduct was pre-meditated and
he knew it was wrong, said the arbi-
trator, adding that it was "a funda-
mental common-sense principle"
that employee theft was wrong and
could lead to termination, regard-
less of any workplace policies.
However, the arbitrator noted
that the cloths were worth about
$0.50 each, bringing the total value
of the theft on the two recorded
incidents to $5. Jumalon's eight
years of discipline-free service and
his expressions of remorse were
significant mitigating factors, the
arbitrator said.
The arbitrator also found that
management didn't make direct
allegations in the early part of the
investigative interview, when they
considered Jumalon to be dishonest
and evasive. Jumalon had no idea
what the meeting was about and
there may have been a language
barrier that affected his answers.
The arbitrator determined that
Jumalon's misconduct was serious
but the employment relationship
wasn't irreparably damaged. The
university was ordered to reinstate
with a six-month suspension.
Reference: University of Saskatchewan and CUPE, Local 1975. Daniel Ish — arbitrator. Kit McGuinness, Stephanie
Nemeth for employer. Ann Iwanchuk, Leanne Ooms for employee. Dec. 15, 2020. 2020 CarswellSask 632
Theft serious but worker apologetic; no prior discipline
Unilateral change shifted decision on brand-name drugs