Benefits Under the Plan Sample Clauses

Benefits Under the Plan. You shall receive such benefits as are provided under the Supplemental Pension Plan as amended and restated effective as of February 12, 2003 (the Plan”), and as of the Retirement Date, will be deemed to have satisfied all of the conditions necessary to receive a Termination Benefit pursuant to paragraph (2) of the Plan.
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Benefits Under the Plan. Benefits apply when Covered Services are provided by the Member’s Primary Care Physician or obtained from other Plan Providers with prior authorization by the Primary Care Physician. Except for Emergency Services, Urgent Care Services, OB/GYN visits or for a referral to a Specialist or Non−physician Specialist who is not a Plan Provider, services must be provided or arranged by the Member's Primary Care Physician and obtained from a Plan Provider. Benefit payments are based on the Allowed Benefit as determined by the Plan for various types of services and providers. Allowed Benefit is used as a basis of payment for services and supplies provided and billed by providers. For a Plan Physician or Plan Provider, the Allowed Benefit for a Covered Service is the lesser of, a) the provider’s actual charge which, in some cases, will be a rate set by a regulatory agency; or b) the benefit amount, according to the Evergreen rate schedule, for the Covered Service that applies on the date that the service is rendered. The benefit payment is made directly to the Plan Physician or Plan Provider and is accepted as payment in full, except for any applicable Deductible, Copayment or Coinsurance amounts stated in the Schedule of Benefits. The Member is responsible for any applicable Deductible, Copayment or Coinsurance and the Plan Physician or Plan Provider may xxxx the Member directly for such amounts. This Agreement does not provide benefits for services provided by Non−Plan Providers except for Emergency Services and Urgent Care Services as set forth in this Agreement. However, if the Member has obtained a referral from a Plan Provider to obtain services from a Non−Plan Provider, for example, if a Plan Provider is not available to provide the service, payment will be issued in accordance with Section 19−710.1 of the Health General Article. The payment will be issued to either the Member or the Non−Plan Provider and is considered to be payment in full, except for any applicable Deductible, Copayment or Coinsurance amounts stated in the Schedule of Benefits.
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Benefits Under the Plan 
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Related to Benefits Under the Plan

  • How We Calculate Benefits Under These Rules When this plan is secondary, it may reduce its benefits so that the total benefits paid or provided by all plans are not more than the total allowable expenses. In determining the amount to be paid for any claim, the secondary plan will calculate the benefits it would have paid in the absence of other healthcare coverage and apply that calculated amount to any allowable expense under its plan that is unpaid by the primary plan. The secondary plan may then reduce its payment by the amount so that, when combined with the amount paid by the primary plan, the total benefits paid or provided by all plans for the claim do not exceed the total allowable expense for that claim. In addition, the secondary plan shall credit to its plan deductible any amounts it would have credited to its deductible in the absence of other healthcare coverage.

  • Plan Terminations Under Section 409A Notwithstanding anything to the contrary in Section 7.2, if this Agreement terminates in the following circumstances:

  • Actions Taken Under the Program The actions taken by the Recipient under the Program include the following:

  • Eligibility for Severance Benefits The Corporation or its successor shall pay or provide to the Executive the Severance Benefits if the Executive’s employment is terminated voluntarily or involuntarily during the term of this Agreement, either:

  • Eligibility for Benefits A member will not be eligible to receive Long Term Disability benefits until their Income Protection benefits have expired.

  • Change in Control Severance Benefits If there is a Change in Control, and within one (1) year of such Change in Control, the Executive’s employment is terminated under the circumstances described in Sections 4(a) through 4(f) above, the Executive shall be entitled to the following: (I) if such termination is a termination by the Company without Cause pursuant to Section 4(a) or the Executive resigns for Good Reason pursuant to Section 4(b), the Company shall pay the Executive the Accrued Obligations and the Pro Rata Bonus and, in addition, subject to the provisions of Section 19, (A) an amount equal to twenty-four (24) months of the Executive’s Base Salary at the rate in effect on the date of termination or resignation, payable in a lump sum within sixty (60) calendar days of the date of termination or resignation; and (B) provided the Executive timely elects continuation coverage under COBRA, the Company shall also pay, on the Executive’s behalf, the portion of monthly premiums for the Executive’s group health insurance, including coverage for the Executive’s dependents, that the Company paid immediately prior to the date of termination or resignation, during the eighteen (18) month period following the date of termination or resignation, subject to the Executive’s continued eligibility for COBRA coverage. The Company will pay for such COBRA coverage for eligible dependents only for those dependents who were enrolled immediately prior to the date of termination or resignation. The Executive will continue to be required to pay that portion of the premium for the Executive’s health coverage, including coverage for the Executive’s eligible dependents, that the Executive was required to pay as an active employee immediately prior to the date of termination or resignation. Notwithstanding the foregoing, in the event that under applicable guidance the reimbursement of COBRA premiums causes the Company’s group health plan to violate any applicable nondiscrimination rule, the parties agree to negotiate in good faith a mutually agreeable alternative arrangement; and (II) if such termination is a termination or resignation under the circumstances described in Sections 4(c), 4(d), 4(e) or 4(f), the Executive shall be entitled to the compensation and benefits for which the Executive is eligible under such sections.

  • Change in Control Benefits Agreement shall mean any separate agreement between Participant and the Corporation which provides Participant with special vesting acceleration and/or other special benefits with respect to one or more awards of restricted stock units made to Participant for shares of Common Stock, including (to the extent applicable) the restricted stock units evidenced by this Agreement, in the event of a change in control or ownership of the Corporation (whether or not constituting a Change in Control hereunder).

  • Compensation Following Termination In the event that Executive’s employment hereunder is terminated, Executive shall be entitled only to the following compensation and benefits upon such termination:

  • Severance Plan The term “Severance Plan” shall mean the Assured Guaranty Ltd. Executive Severance Plan.

  • IMPLICATIONS UNDER THE LISTING RULES As the relevant percentage ratios (as defined under the Listing Rules) in respect of the maximum amount of financial assistance granted to the Borrowers or their associates pursuant to the Loan Facility under the Loan Agreement exceed 5% but are under 25%, the transaction contemplated under the Loan Agreement constitutes a discloseable transaction of the Company and is therefore subject to the announcement requirement but exempt from Shareholders’ approval requirement under the Listing Rules.

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