Important Exception Sample Clauses

Important Exception. For incoming first year students, the Housing and Dining Agreement is for two full academic years. If student begins first year in January this UMW Agreement is for three semesters. During the spring semester of their first year, students must submit an online Housing and Dining Agreement for the upcoming year so as to review any amendments to the agreement, complete a roommate matching profile, select and/or receive an assignment and select a meal plan option.

Important Exception. Article 9 does not apply to “an assignment of a deposit account in a consumer transaction.” Common law or extra-Article 9 statutory law controls whether consumers can grant security interests in deposit accounts as original collateral. Commercial tort claims: A claim arising in tort with respect to which the claimant is an organization (e.g., partnership or corporation), or where the claimant is an individual and the claim arose in the claimant’s business or profession and does not include damages for personal injury or the death of an individual. General intangibles: Any personal property not coming within the scope of the other definitions (e.g., software, patent and trademark rights, copyrights, goodwill). A general intangible under which the account Xxxxxx’s principal obligation is a monetary obligation is a payment intangible.

Important Exception when your plan pays all Your plan pays the entire expense for all eligible health services under the preventive care and wellness benefit.  When your plan requires precertification, your physician requested it, we refused it, and you get an eligible health service without precertification. See the Medical necessity, referral and precertification requirements section.  When your plan requires precertification, your physician requested it, we refused it, and you get an eligible health service without precertification. See the Medical necessity and precertification requirements section.  Usually, when you get an eligible health service from someone who is not a network provider. See the Who provides the care section. In all these cases, the provider may require you to pay the entire charge. And any amount you pay will not count towards your deductible or towards your maximum out-of-pocket limit. Special financial responsibility You are responsible for the entire expense of:  Cancelled or missed appointments Neither you nor we are responsible for:  Charges for which you have no legal obligation to pay  Charges that would not be made if you did not have coverage  Charges, expenses, or cost is in excess of the negotiated charge Where your schedule of benefits fits in How your copayment/coinsurance works Your copayment/coinsurance is the amount you pay for eligible health services. Your schedule of benefits shows you which copayments/coinsurance you need to pay for specific eligible health services. You will pay the PCP copayment/coinsurance when you select a PCP and get eligible health services from them. You will pay the specialist copayment/coinsurance when you get eligible health services from a network PCP that is not your PCP. If you did not select a PCP you will pay the specialist copayment/coinsurance for eligible health services from any network PCP or network specialist. How your maximum out-of-pocket limit works You will pay your deductible and copayments/coinsurance up to the maximum out-of-pocket limit for your plan. Your schedule of benefits shows the maximum out-of-pocket limits that apply to your plan. Once you reach your maximum out-of-pocket limit, your plan will pay for covered benefits for the remainder of that calendar year. Important note: See the schedule of benefits for any deductibles, copayments/coinsurance, maximum out-of-pocket limit and maximum age, visits, days, hours, admissions that may apply. When you disagree - claim decis...