Benefit Coordination. The function of coordinating benefit payments from other payers, for services delivered to an Enrollee, when such Enrollee is covered by another coverage source.
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 -
Benefit Coordination. It is agreed the Company will provide an additional 6 months maximum (month of layoff + 5 additional months) of benefit coverage per Article 20 (Life, Major Medical, Drug, and Dental only) of the Collective Bargaining Agreement. It is agreed that no benefits under this provision will continue beyond the date a new employer’s benefits, of equal or greater coverage, commence. The parties, each by its duly authorized officials and representatives hereby accepts this agreement and each and all terms and conditions thereof International Association of Machinist ArvinMeritor And Aerospace Workers and its local 1295 Xxxx Xxxxxxxx Xxxx Xxxxxx I.A.M. Business Agent Director, Human Resource In WITNESS WHEREOF the parties have caused this agreement to be executed by their duly authorized officers and representatives. FOR THE COMPANY FOR THE UNION Xxxxxx Xxxxxxxxx Alex Gal Site Manager President of Local 1295 Xxxxxxxx Xxxxx Xxxx Xxxxxxxx Human Resources Manager I.A.M. Business Representative Xxxx Xxxxxx Xxxxxxxx Xxxxxxx Director, Human Resources Committee Member Xxxxx Xxxxxxx Committee Member Xxxxx Xxxxxxxx Committee Member Xxxxxx Xxxx Committee Member Xxxxxxxx Xxxxxxxxx Committee Member
Benefit Coordination the function of coordinating benefit payments from other payers, for services delivered to an Enrollee, when such Enrollee is covered by another insurer. Board of Hearings (BOH) – the Board of Hearings within the Executive Office of Health and Human Services’ Office of Medicaid. BOH Appeal – a written request to the BOH, made by an Enrollee or Appeal Representative to review the correctness of a Final Internal Appeal decision by the Contractor. Bureau of Special Investigations (BSI) – a bureau within the Office of the State Auditor that is charged with the responsibility of investigating Member fraud within the Commonwealth’s public assistance programs, principally those administered by the Department of Transitional Assistance (DTA), the EOHHS Office of Medicaid and the Department of Children and Families (DCF). Business Associate – a person, organization or entity meeting the definition of a “business associate” for purposes of the Privacy and Security Rules (45 CFR §160.103). CANS IT System – a web-based application accessible through the EOHHS Virtual Gateway into which Behavioral Health Providers serving Members under the age of 21 will input: (1) the information gathered using the CANS Tool; and (2) the determination whether the assessed Member has a Serious Emotional Disturbance. Care Coordinator – a provider-based clinician or other trained individual who is employed or contracted by the Contractor or an Enrollee’s PCP. The Care Coordinator is accountable for providing care coordination activities, which include assuring appropriate referrals and timely two-way transmission of useful patient information; obtaining reliable and timely information about services other than those provided by the PCP; participating in the Enrollee’s Comprehensive Assessment, if any; and supporting safe transitions in care for Enrollees moving between settings in accordance with the Contractor’s Transitional Care Management program. The Care Coordinator may serve on one or more care teams, coordinates and facilitates meetings and other activities of those care teams. Care Management – the provision of person-centered, coordinated activities to support Enrollees’ goals as described in Section 2.5.E of this Contract:
Benefit Coordination. Where an employee covered by this Agreement and their spouse are both employed by the Board, the employee and/or their eligible dependents who are enrolled in any health or medical insurance coverage shall not be concurrently eligible for health plan premium contributions by the Board, as set forth in ¶B of this Article, but shall instead elect the optional benefits specified in ¶G of this Article. In the event an employee retires from Bay-Arenac ISD, is eligible to receive pension benefits from MPSERS, and applies to receive benefits at the time of his/her resignation from BAISD, the Board shall make the Board's portion of the premium payments on behalf of the employee, spouse, and dependent children for July and August.
Benefit Coordination. For those employees who retire on or after February 25, 2000, any payments under the pension plan shall be coordinated pursuant to MCL 418.354 of the Workers’ Disability Compensation Act, except that an employee who is receiving a duty disability benefit and has not reached age 50 shall have any Workers’ Compensation benefit coordinated so that the combination of retirement benefit and Workers’ Compensation benefit is equal to 100% of the employee’s net (take home) salary or wage at the time of retirement.
Benefit Coordination the function of coordinating benefit payments from other payers, for services delivered to an Enrollee, when such Enrollee is covered by another insurer. B xxx Xxxxx Blue Shield’s Alternative Quality Contract – Blue Cross Blue Shield of Massachusetts’ global payment model Board of Hearings (BOH) – the Board of Hearings within the Executive Office of Health and Human Services’ Office of Medicaid.
Benefit Coordination. With respect to the payment for fringe benefits, job sharing terms and conditions of employment specified in Section C, 3 shall take precedence over Article XXXIV, Section B.
