Administration of Benefits. The City will provide the medical, dental, vision and/or prescription drug benefits as set forth in this agreement through a properly licensed insurance company in the state of Connecticut, or through an alternative self-insured arrangement. If benefits are self- insured by the City, employees shall have all claims adjudicated in conformance with applicable confidentiality standards, along with the same internal rights of appeal extended by the service provider as if the benefits were insured. In no event shall, the coverages and benefits provided through an alternative insurance carrier, managed care vendor, either self-insured or self-administered will be less than the benefits and coverages as set forth in Exhibit I. The size and scope of a preferred provider network of physicians, hospitals, dentists, optometrists, etc. shall not be a factor in determining the duplication of benefits by an insurance carrier or managed care vendor. It is agreed that an alternative insurance carrier or managed care vendor can be selected by the City provided that the new insurance carrier or managed care vendor network includes seventy (70%) percent of the hospitals and physicians in Fairfield County of the original preferred provider network of hospitals and physicians. The City retains the sole and exclusive right to select and/or change insurance carriers or managed care vendors. The City shall review any proposed changes with the Union prior to implementation, and if there is a disagreement on the level of benefits, coverages or services provided with the proposed insurance carrier and/or managed care provider, the Union may submit the issue to binding arbitration.
Administration of Benefits. The administration of all Health and Welfare Benefits and the management of all Health and Welfare Benefits contracts is the sole responsibility of the Board or its designated representative. It is understood any changes in the Health and Welfare package as to coverage or insurance shall be subject to thirty (30) days' notice and negotiations that the parties hereto at that time mutually agree upon.
Administration of Benefits. 38.01 The Parties agree that the Benefit Plans as contained in the Memorandum of Understanding dated January 1, 2006-December 31, 2008 shall remain in full force and effect up to and including June 30, 2009.
Administration of Benefits. The Parties recognize the importance of benefits to employees and their families, and that employees are entitled to know the benefits for which they qualify, the processes involved in making claims for benefits, and to fair treatment in relation to the administration of benefits plans. In recognition of these principles, the parties agree as follows:
Administration of Benefits. The services necessary to administer the benefits under this Agreement will be provided in accordance with Our standard administrative procedures, or those standard administrative procedures of Our designee. If the Group requests that such administrative services be provided in a manner other than in accordance with these standard procedures, including requests for non-standard reports, the Group shall pay the applicable reasonable charges for such services or reports.
Administration of Benefits. NCPA shall pay directly to CalPERS the lesser of (1) the retiree’s actual insurance cost or
Administration of Benefits. The Town will provide covered employees and eligible dependents as defined in the plan medical, dental, vision and/or prescription drug benefits as set forth in this agreement through a properly licensed insurance company or third party administration in the State of Connecticut. If benefits are self-funded by the Town, employees shall have all claims adjudicated in conformance with applicable confidentiality standards, along with the same internal rights of appeal extended by the service provider as if the benefits were insured. In no event shall, the coverages and benefits provided through an alternative insurance carrier, managed care vendor, or third party administrator either self-funded or self-administered be less than the coverages and benefits as set forth in Appendix B in accordance with the SPD on file with the Town. The Town may reopen this bargaining agreement once during the term of this bargaining agreement upon written notice for the purpose of negotiating the size and scope of the health provider network. The Town retains the sole and exclusive right to select and/or change insurance carriers, managed care vendors, or third party administrators. The Town shall review any proposed changes with the Union prior to implementation, and if there is a disagreement on the level of benefits, coverages or services provided with the proposed insurance carrier, managed care provider, and/or third party administrator the Union may submit this issue to binding arbitration.
Administration of Benefits to Terminated Vested Participants Who Terminated Prior to September 1, 2023; Insufficient Information Relating to Calculation of Benefits under Prior Plan. Recognizing that documentation by previous plan administrators of the accrued benefits of Participants who Terminated prior to September 1, 2023, may not provide adequate information relating to the computation of Retirement benefits under the Plan for GMEBS to accurately determine a Participant’s Vested status, eligibility for benefits, or the amount of a Participant’s monthly Retirement benefit, as applicable, the following provisions shall govern the administration of Retirement benefits with respect to a Participant who Terminated employment with the City prior to September 1, 2023 (i.e., the effective date of the City’s first GMEBS Plan) and who applies for Retirement benefits on or after such date.
Administration of Benefits. 23 ARTICLE 17
Administration of Benefits. Benefits are administered by each state and upon the state’s written agreement with the Secretary of Labor to provide the specific benefits. States that enter into such an agreement with the Secretary of Labor will be reimbursed in whole or in part for the cost of the benefits plus administrative expenses.
