DENTAL PLAN(S) ADMINISTRATION Sample Clauses

DENTAL PLAN(S) ADMINISTRATION. Contractor agrees to maintain sufficient administrative staff and organizational components to comply with all program standards described within this Agreement. At a minimum, Contractor agrees to include each of the functions noted in Sections 2.3.A and 2.3.B below. Contractor agrees to staff qualified persons in numbers appropriate to its size of enrollment. Contractor shall be required to have In-State presence to conduct outreach, approved marketing efforts, and attend or preside at meetings with stakeholders at community agencies throughout the State at health fairs and in other health related events. Contractor may combine functions or split the responsibility for a function across multiple departments, as long as it can demonstrate that the duties of the function are being carried out. Similarly, Contractor may contract with a third-party (subcontractor) to perform one or more of these functions, subject to the subcontractor conditions described in Section 3.5.D. of the Agreement.
Sample 1
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Related to DENTAL PLAN(S) ADMINISTRATION

  • Dental Plan (a) The Employer shall pay the monthly premium for employees entitled to coverage under a mutually acceptable plan which provides:

  • Dental Plans The dental plans offered shall be those approved by the City's JLMBC and administered by the Personnel Department in accordance with LAAC Section 4.

  • Group Dental Plan Upon proper application, Benefit Eligible Employees will be enrolled, along with their eligible dependents, in the Employer's group dental plan and will be provided with the coverages specified therein. The Employer will pay the required premiums for the plan on a single/family composite basis.

  • Dental Program The State will provide a dental plan for the employees and their family. The coverage shall be $1,200 under the dental program to be effective upon the expiration of the current dental program. Effective January 1, 2009, the following dental change shall be in effect: Dental plan crown coverage shall be changed to 80%.

  • Medical Benefits - Prescription Drugs Administered by a Provider (other than a pharmacist) This plan covers prescription drugs as a medical benefit, referred to as “medical prescription drugs”, when the prescription drug requires administration (or the FDA approved recommendation is administration) by a licensed healthcare provider (other than a pharmacist). Please note: Specialty prescription drugs meeting these requirements or recommendations are covered as a pharmacy benefit and not a medical benefit. These medical prescription drugs include, but are not limited to, medications administered by infusion, injection, or inhalation, as well as nasal, topical or transdermal administered medications. For some of these medical prescription drugs, the cost of the prescription drug is included in the allowance for the medical service being provided, and is not separately reimbursed.

  • Claims Administration An employee will be required to comply with any and all rules and regulations and/or limitations established by the carrier or applicable third party administrator and contained in the policy, and employees and their dependents shall look solely to such carrier or third party administration for the adjudication of the payment of any and all benefits claims.

  • Medical and Dental Plans A. MEDICAL PLAN COVERAGE

  • Coverage Under the State Dental Plan The State Dental Plan will provide the following coverage:

  • RECORDS ADMINISTRATION Contractor shall maintain or supervise the maintenance of all records necessary to properly account for Contractor’s performance and the payments made by the State Entity to Contractor under this Contract. These records shall be retained by Contractor for at least six (6) years after final payment, or until all audits initiated within the six (6) years have been completed, whichever is later. Contractor agrees to allow, at no additional cost, State of Utah and federal auditors, and State Entity staff, access to all such records.

  • Vacation and Sick Leave Administration (a) for the purposes of administration of clauses 34.11 and 34.12, where an employee does not work the same number of hours each week, the normal workweek shall be the weekly average calculated on a monthly basis.

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