Notification of Non Covered Benefit Sample Clauses

Notification of Non Covered Benefit. In accordance with Article XI, Section D.1., the MCO shall provide a Notification of Non Covered Benefit (xxxxx://xxx.xxx.xxxxxxxxx.xxx/forms/f0/f01283.doc) to the member when a decision is made to:
AutoNDA by SimpleDocs
Notification of Non Covered Benefit. In accordance with Article XI, Section D.1, the PO shall provide a Notification of Non Covered Benefit (xxxxx://xxx.xxx.xxxxxxxxx.xxx/forms/f00950a.docx)to the member when a decision is made to: Deny a member’s request for an excluded service; or Deny a member's request for payment of an excluded service. Services During Periods of Temporary Absence
Notification of Non Covered Benefit. In accordance with Article X, Section D.1., the IHCP shall provide a Notification of Non Covered Benefit (xxxxx://xxx.xxx.xxxxxxxxx.xxx/forms/f0/f01283.doc) to the member when a decision is made to:
Notification of Non Covered Benefit. In accordance with Article X.D.1., the IHCP shall provide a Notification of Non Covered Benefit (xxxxx://xxx.xxx.xxxxxxxxx.xxx/forms/f0/f01283.docx) to the member when a decision is made to: Deny a member’s request for a service outside the benefit package; or Deny a member's request for payment of a service outside of the benefit package. IHCP Responsibilities When a Member Changes County of Residence Definition Geographic Service Region (GSR) means a county or group of counties for which the MCO has applied and been certified by the Department to provide the Family Care benefit.

Related to Notification of Non Covered Benefit

  • Covered Benefits Benefits for Bone Mass Measurement for the prevention, diagnosis, and treatment of osteoporosis are covered when requested by a Health Care Provider for a Qualified Individual.

  • Post-Retirement Benefits The present value of the expected cost of post-retirement medical and insurance benefits payable by the Borrower and its Subsidiaries to its employees and former employees, as estimated by the Borrower in accordance with procedures and assumptions deemed reasonable by the Required Lenders is zero.

  • Termination of Benefits Except as provided in Section 2 above or as may be required by law, Executive’s participation in all employee benefit (pension and welfare) and compensation plans of the Company shall cease as of the Termination Date. Nothing contained herein shall limit or otherwise impair Executive’s right to receive pension or similar benefit payments that are vested as of the Termination Date under any applicable tax-qualified pension or other plans, pursuant to the terms of the applicable plan.

  • Determination of Service for Sick Leave with Pay Actual time worked and all leave with pay, except for educational leave, shall be included in determining the pro rata accrual of sick leave credits each month, provided that the employee works thirty-two (32) hours or more in that month.

  • Life Insurance Upon Retirement 34.1 An employee who retires from the service of the Corporation subsequent to August 1, 2001, will, provided he is 55 years of age or over and has not less than 10 years' cumulative compensated service, be entitled to the sum of $8,000.00, payable to his estate upon his death.

  • Transition to Retirement 24.1 An Employee may advise their Employer in writing of their intention to retire within the next five years and participate in a retirement transition arrangement.

  • Insured Benefits A transferring employee will be covered by the benefit plans at the designated Employer. There will be no break in coverage and/or no waiting period prior to being able to receive benefits so long as the waiting period has already been served, subject to the requirements of the carrier.

  • Retirement Benefit Should the Director still be in the Directorship ------------------ of the Association upon attainment of his 70th birthday, the Association will commence to pay him $590 per month for a continuous period of 120 months. In the event that the Director should die after becoming entitled to receive said monthly installments but before any or all of said installments have been paid, the Association will pay or will continue to pay said installments to such beneficiary or beneficiaries as the Director has directed by filing with the Association a notice in writing. In the event of the death of the last named beneficiary before all the unpaid payments have been made, the balance of any amount which remains unpaid at said death shall be commuted on the basis of 6 percent per annum compound interest and shall be paid in a single sum to the executor or administrator of the estate of the last named beneficiary to die. In the absence of any such beneficiary designation, any amount remaining unpaid at the Director's death shall be commuted on the basis of 6 percent per annum compound interest and shall be paid in a single sum to the executor or administrator of the Director's estate.

  • Accrual of Benefits An employee may accrue benefits for thirty (30) days during a leave of absence.

  • Long Term Disability Benefit In the event an employee, while covered under this plan, becomes totally disabled as a result of an accident or a sickness, then, after the employee has been totally disabled for seven (7) months, including periods approved in Section 1.3(a) and (c), he/she shall be eligible to receive a monthly benefit as follows:

Time is Money Join Law Insider Premium to draft better contracts faster.