Benefits Coverage. The Company shall continue to provide group health, vision, and dental plan benefits to the Executive for a period of nine (9) months from and after the date of termination, with the cost of all regular premiums for such benefits paid by the Company (or its successor).
Benefits Coverage. 1. The Company agrees to treat the first 30 calendar days of a lay-off as a leave of absence and to maintain the eligibility of a laid-off employee during that period to:
Benefits Coverage. Employees may continue all or portions of their insurance benefit programs via direct monthly payments to the District, if allowed by the insurance carrier(s). Employees going on such leaves must make written arrangements with Payroll Services. Arrangements are limited to a twelve (12) month leave period.
Benefits Coverage. 3. Teachers who move from full time employment to a part time assignment shall be considered to be on leave, for a period not to exceed thirty (30) months as per Article G.12.12, so that the teacher may, at her expense, purchase pensionable service to provide for a full year of pension credit.
Benefits Coverage a. All employees covered by this Agreement who are eligible shall participate in the Provincial Teachers' Medical Services Plan A beginning the first of the month following the date employment starts. The Board shall pay the full cost of the premiums.
Benefits Coverage a. The Board shall pay eighty per cent (80%) of the premium cost of the Medical Services Plan of B.C. (MSP) for each full and part-time continuing and temporary teacher employed by the Board.
Benefits Coverage a. Medical Services Plan: The Board shall pay one hundred per cent (100%) of the premium cost of the Medical Services plan of B.C. for each full and eligible part-time teacher employed by the Board.
Benefits Coverage. Minor treatment for tooth guidance appliances 50% of approved amount Minor treatment to control harmful habits 50% of approved amount Interceptive and comprehensive orthodontic treatment 50% of approved amount Post-treatment stabilization 50% of approved amount Cephalometric film (skull) and diagnostic photos 50% of approved amount Note: For non-urgent, complex or expensive dental treatment such as crowns, bridges or dentures, members should encourage their dentist to submit the claim to Blue Cross for predetermination before treatment begins. ADM PLANYR JUL;ASCMOD 7506 DEN;CDC-DC 26-ME;DO-PPO;DOGBC;PK689 Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association. Page 3 of 3 000006964662 ALPENA PUBLIC SCHOOLS 007015704-0022/0023/0024/0025/0026/0027 Vision Coverage Benefits-at-a-glance This is intended as an easy-to-read summary and provides only a general overview of your benefits. It is not a contract. Additional limitations and exclusions may apply. Payment amounts are based on BCBSM's approved amount, less any applicable deductible and/or copay. For a complete description of benefits please see the applicable BCBSM certificates and riders, if your group is underwritten. If your group is self-funded, please see any other plan documents your group uses. If there is a discrepancy between this Benefits-at-a-Glance and any applicable plan document, the plan document will control. Essential Vision benefits are provided by Heritage Vision Plans. Heritage Vision Plans is an independent company providing vision benefit services for Blues members. To find a Heritage Vision Plans network provider, call 0-000-000-0000 or visit Heritage Vision Plans online at xxxxxxxxxxxxxxxxxxx.xxx.
Benefits Coverage. (A) Upon the occurrence of a Qualifying Termination, the Company shall either (1) continue to provide the Employee and the Employee’s covered dependents with fully-insured health (including, medical, prescription and vision), dental, long-term and short-term disability, life and accidental death or dismemberment benefits coverages that are at least as favorable to the Employee and the Employee’s covered dependents (as determined on a coverage-by-coverage basis and taking into account all tax consequences to the Employee and the Employee’s covered dependents) as the coverages provided to the Employee and the Employee’s covered dependents immediately prior to the Qualifying Termination (or, if greater, immediately prior to the Announcement), or (2) provide the Employee with a different benefits arrangement that is substantially economically equivalent to the Employee, including on a coverage-by-coverage and after-tax basis. The Company shall continue to provide such coverage and benefits until the earlier of (1) the date that the Employee becomes covered by comparable coverage offered by another employer, or (2) the date that is 24 months after the Employee’s Qualifying Termination. All coverage and benefits provided pursuant to this Section 2(b)(iii) shall be pursuant to an arrangement that qualifies for an exception from, or complies with, the requirements of Section 409A of the Code (whether or not the Company elects to provide such fully-insured coverage and benefits or an arrangement that is substantially economically equivalent to the Employee). As a condition to providing the coverage and benefits described in this Section 2(b)(iii), the Company may require the Employee to pay the employee portion of the cost of such benefits (with such employee portion to be an amount not exceeding the rate charged to other active employees of the Company on the date of the Employee’s Qualifying Termination or, if less, immediately prior to the Announcement).
Benefits Coverage. Surgery-includes related surgical services and medically necessary facility services by a participating ambulatory surgery facility 90% after deductible Presurgical consultations • 100% (no deductible or copay/coinsurance) when obtained from a participating provider • 90% after deductible when obtained from a nonparticipating provider Voluntary sterilization for males Note: For voluntary sterilizations for females, see "Preventive care services." 90% after deductible Voluntary Abortions 90% after deductible Removal of impacted and partial bony impacted teeth - includes surgery and related anesthesia 90% after deductible Human organ transplants Benefits Coverage Specified human organ transplants-must be in a designated facility and coordinated through the BCBSM Human Organ Transplant Program (0-000-000-0000) 100% (no deductible or copay/coinsurance) Bone marrow transplants-must be coordinated through the BCBSM Human Organ Transplant Program (0-000-000-0000) 90% after deductible Specified oncology clinical trials Note: BCBSM covers clinical trials in compliance with PPACA. 90% after deductible Kidney, cornea and skin transplants 90% after deductible Mental health care and substance abuse treatment Benefits Coverage Inpatient mental health care and inpatient substance abuse treatment 90% after deductible, unlimited days Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association. Services from a provider for which there is no Michigan PPO network and services from an out-of-network provider in a geographic area of Michigan deemed a "low access area" by BCBSM for that particular provider specialty are covered at the in-network benefit level. Cost-sharing may differ when you obtain covered services outside of Michigan. If you receive care from a nonparticipating provider, even when referred, you may be billed for the difference between our approved amount and the provider's charge. Benefits Coverage Residential psychiatric treatment facility: • covered mental health services must be performed in a residential psychiatric treatment facility • treatment must be preauthorized • subject to medical criteria 90% after deductible Outpatient mental health care 90% after deductible Outpatient substance abuse treatment-in approved facilities only 90% after deductible Autism spectrum disorders, diagnoses and treatment Benefits Coverage Applied behavioral analysis (ABA) treatment - when rendered by an...
