HOSPITAL COVERAGE FOR EMPLOYEES AND COVERED DEPENDENTS Sample Clauses

HOSPITAL COVERAGE FOR EMPLOYEES AND COVERED DEPENDENTS. Medical/Surgical - Semi-Private accommodations including all hospital charges for intensive and coronary care. Length of Stay - Must be medically necessary. In Network and Out of Network require prior authorization. Mental Health and Substance Abuse benefit are only available from In Network providers. Services provided must be prior authorized. Mental Health Services - Maximum 30 days per year. Non-Hospital Residential Substance Abuse Services - Maximum 30 days per year and 90 days per lifetime. Inpatient Detoxification - Maximum 7 days per admission. Lifetime limit of four admissions. Skilled Nursing Facility of Rehabilitation Hospital - 60 days per condition per lifetime.
Sample 1
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HOSPITAL COVERAGE FOR EMPLOYEES AND COVERED DEPENDENTS. Medical/Surgical Semi-Private accommodations including all hospital charges for intensive and coronary care. Length of Stay Must be medically necessary. In Network and Out of Network require prior authorization. Mental Health and Substance Abuse benefit are only available from In Network providers. Services provided must be prior authorized. o Mental Health Services Maximum 30 days per year. o Non-Hospital Residential o Substance Abuse Services Maximum 30 days per year and 90 days per lifetime. o Inpatient Detoxification Maximum 7 days per admission. Lifetime limit of four admissions. Skilled Nursing Facility of Rehabilitation Hospital 60 days per condition per lifetime. Emergency Room If Medical Emergency $25 co-payment applies. Waived if admitted to the hospital. Outpatient Surgery Facility charge at a short procedure unit, outpatient clinic or other authorized outpatient facility. In Network 100% Out of Network 80% Coverage after Deductible
Sample 1
HOSPITAL COVERAGE FOR EMPLOYEES AND COVERED DEPENDENTS. Medical/Surgical Semi-Private accommodations including all hospital charges for intensive and coronary care.
Sample 1

Related to HOSPITAL COVERAGE FOR EMPLOYEES AND COVERED DEPENDENTS

  • Retirees The Parties and the Crown agree to meet for the purpose of transitioning retirees currently in board-run benefits plans into a segregated plan administered by the OECTA ELHT via an amendment to the Trust Agreement, based on the following:

  • Medical Coverage The Executive shall be entitled to such continuation of health care coverage as is required under, and in accordance with, applicable law or otherwise provided in accordance with the Company’s policies. The Executive shall be notified in writing of the Executive’s rights to continue such coverage after the termination of the Executive’s employment pursuant to this Section 3(d)(iv), provided that the Executive timely complies with the conditions to continue such coverage. The Executive understands and acknowledges that the Executive is responsible to make all payments required for any such continued health care coverage that the Executive may choose to receive.

  • Dependents Eligible dependents for the purposes of this Article are as follows:

  • Agreement with Respect to Continuation of Group Health Plan Coverage for Former Employees of the Failed Bank (a) The Assuming Institution agrees to assist the Receiver, as provided in this Section 4.12, in offering individuals who were employees or former employees of the Failed Bank, or any of its Subsidiaries, and who, immediately prior to Bank Closing, were receiving, or were eligible to receive, health insurance coverage or health insurance continuation coverage from the Failed Bank ("Eligible Individuals"), the opportunity to obtain health insurance coverage in the Corporation's FIA Continuation Coverage Plan which provides for health insurance continuation coverage to such Eligible Individuals who are qualified beneficiaries of the Failed Bank as defined in Section 607 of the Employee Retirement Income Security Act of 1974, as amended (respectively, "qualified beneficiaries" and "ERISA"). The Assuming Institution shall consult with the Receiver and not later than five (5) Business Days after Bank Closing shall provide written notice to the Receiver of the number (if available), identity (if available) and addresses (if available) of the Eligible Individuals who are qualified beneficiaries of the Failed Bank and for whom a "qualifying event" (as defined in Section 603 of ERISA) has occurred and with respect to whom the Failed Bank's obligations under Part 6 of Subtitle B of Title I of ERISA have not been satisfied in full, and such other information as the Receiver may reasonably require. The Receiver shall cooperate with the Assuming Institution in order to permit it to prepare such notice and shall provide to the Assuming Institution such data in its possession as may be reasonably required for purposes of preparing such notice.

  • Dependent Coverage For dependent dental coverage, the Employer contributes an amount equal to the lesser of fifty (50) percent of the dependent premium of the State Dental Plan, or the actual dependent premium of the dental plan chosen by the employee.

  • Long Term Disability Insurance Plan The Employer shall provide a mutually acceptable long-term disability insurance plan, a copy of which shall appear in Appendix “A” – Long-Term Disability Insurance Plan. The plan shall provide post-probationary regular employees with salary continuation as per Appendix “A” until age sixty-five (65) in the event of a disability. The cost of the plan shall be borne by the Employer.

  • Long Term Disability Insurance 250. The City, at its own cost, shall provide to employees a Long Term Disability (LTD) benefit that provides, after a one hundred and eighty (180) day elimination period, sixty percent salary (60%) (subject to integration) up to age sixty-five (65). Employees who are receiving or who are eligible to receive LTD shall be eligible to participate in the City's Catastrophic Illness Program as set forth in the ordinance governing such program.

  • SALARY DETERMINATION FOR EMPLOYEES IN ADULT EDUCATION PCA Article B.3 does not apply in School District No. 34 (Abbotsford).

  • Retirement, Welfare and Fringe Benefits During the Period of Employment, the Executive shall be entitled to participate in all employee pension and welfare benefit plans and programs, and fringe benefit plans and programs, made available by the Company to the Company’s employees generally, in accordance with the eligibility and participation provisions of such plans and as such plans or programs may be in effect from time to time.

  • Requiring Health Benefits for Covered Employees Contractor agrees to comply fully with and be bound by all of the provisions of the Health Care Accountability Ordinance (HCAO), as set forth in San Francisco Administrative Code Chapter 12Q, including the remedies provided, and implementing regulations, as the same may be amended from time to time. The provisions of section 12Q.5.1 of Chapter 12Q are incorporated by reference and made a part of this Agreement as though fully set forth herein. The text of the HCAO is available on the web at xxx.xxxxx.xxx/xxxx. Capitalized terms used in this Section and not defined in this Agreement shall have the meanings assigned to such terms in Chapter 12Q.

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