PLAN PROVIDERS Sample Clauses

PLAN PROVIDERS. 2.1 All references to Plan Providers, Plan Medical Groups, Plan Hospitals, and Plan Physicians refer to providers and facilities in the selected Plan Network(s), as identified on the Execution Page of this Agreement.
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PLAN PROVIDERS. A list of the names and locations of Plan Providers in the selected Plan Network is contained in the Provider Directory, which may be obtained by calling Plan at ▇▇▇-▇▇▇-▇▇▇▇ or ▇-▇▇▇-▇▇▇-▇▇▇▇.
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PLAN PROVIDERS. Except for Emergency Services and Out-of-Area Urgent Care Services, each Member must receive Benefits from Plan Providers affiliated with the PMG selected by or for the Member. In the event Benefits are not available from such Plan Providers, the Member will be referred to another Plan Provider to receive such Benefits. If services for the medically necessary treatment of a mental health or substance use disorder are not available in network within the geographic and timely access standards set by law or regulation, the health care service plan shall arrange coverage to ensure the delivery of medically necessary out-of-network services and any medically necessary follow-up services that, to the maximum extent possible, meet those geographic and timely access standards. As used in this subdivision, to “arrange coverage to ensure the delivery of medically necessary out-of-network services” includes, but is not limited to, providing services to secure medically necessary out-of-network options that are available to the enrollee within geographic and timely access standards. The enrollee shall pay no more than the same cost sharing that the enrollee would pay for the same covered services received from an in-network provider.
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PLAN PROVIDERS. Except for Emergency Services and Out-of-Area Urgent Care Services, each Member must receive Benefits from Plan Providers affiliated with the Plan Medical Group selected by or for the Member. In the event Benefits are not available from such Plan Providers, the Member will be referred to another Plan Provider to receive such Benefits.
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PLAN PROVIDERS. B.1.1 The parties agree that contracts issued by Program Providers are a part of the “terms and conditions” of staff employment and are enforceable by the Union through Article 15 of this agreement. B.1.2 After ratification of this agreement, or when signed by the provider whichever occurs last, PCC will provide a copy of the signed contracts between PCC and the provider to the Union upon request.
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PLAN PROVIDERS. The parties agree that contracts issued by Program Providers are a part of the “terms and conditions” of staff employment and are enforceable by the Union through Article 15 of this agreement.
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PLAN PROVIDERS. A list of the names and locations of Plan Providers in the selected Plan Network is contained in the provider directory which may be obtained by calling the Plan at 858-499-8300 or ▇-▇▇▇-▇▇▇-▇▇▇▇.
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PLAN PROVIDERS. B.1.1 The parties agree that contracts issued by Program Providers are a part of the “terms and conditions” of staff employment and are enforceable by the Union through Article 15 of this agreement. B.1.2 After ratification of this agreement, or when signed by the provider whichever occurs last, PCC will provide a copy of the signed contracts between PCC and the provider to the Union upon request. B.2 DELI-HELPER CLERKS CASHIERING Deli-Helper Clerks (DHC) covered by this Agreement may perform incidental checking within the Deli departments (including Juice/Espresso Bars) for items from the Deli Department and such incidental products (e.g. candy bar, luncheon snack) as a customer may bring to a Deli register in conjunction with a Deli purchase. DHC’s may not check out baskets of items from other (non-Deli) departments and may not check at any time outside the Deli Department. {Note: PCC has agreed to review with the Union the duties of DHC} B.3 EMPLOYEES WHOSE HOURS ARE LIMITED BY LAW When PCC cannot lawfully offer 4 hours of work to minor employees whose hours are limited by State Law, Section 5.6.4 shall be amended for such employee such that PCC does not incur a liability when it complies with the limit on hours in the State Law. B.4 HEALTH CARE PLANS Beginning with January 2018, PCC will offer two Plans, one is called our Base Plan and one is called a Buy Up. Deductible (In/Out) $250/$500 (2x fam) $150/$300 (2x fam) OOP Max incl. Deductible (In/Out) $1,000/$2,000 (2x fam) $650/$1,300 (2x fam) Copays Apply to OOP Max? Yes Yes Coinsurance (In/Out) 85/50% 85/60% Office Visit $25 copay (dw) $20 copay (dw) Prescription Drug Copay $10/$20/$40 $10/$20/$40 Chiropractic / Spinal Manip. $25 copay (dw), 20 visits $20 copay (dw), 20 visits Acupuncture $25 copay (dw), no limit $20 copay (dw), no limit Naturopathic Services $25 copay (dw), no limit $20 copay (dw), no limit Vision Exam $25 copay (dw)/12 mos $20 copay (dw)/12 mos Vision Hardware Allowance $200/12 mos $200/12 mos Employee 25.00 30.00 Employee + Spouse 55.00 60.00 Employee + Child(ren) 35.00 45.00 Employee + Spouse & Child(ren) 60.00 70.00 Employee 40.00 55.00 Employee + Spouse 90.00 105.00 Employee + Child(ren) 70.00 85.00 Employee + Spouse & Child(ren) 115.00 130.00 Spousal Surcharge for Spouse with access to coverage elsewhere 250.00 250.00 MEMORANDUM OF UNDERSTANDING #1‌ 1. MANUFACTURER'S REPRESENTATIVES, BOOK OR ADVANCE SALESPEOPLE "Manufacturer's Representatives" and "Book or Advance Salespeople" w...
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PLAN PROVIDERS. B.1.1 The parties agree that contracts issued by Program Providers are a part of the “terms and conditions” of staff employment and are enforceable by the Union through Article 15 of this agreement. B.1.2 After ratification of this agreement, or when signed by the provider whichever occurs last, PCC will provide a copy of the signed contracts between PCC and the provider to the Union upon request. B.2 DELI-HELPER CLERKS CASHIERING Deli-Helper Clerks (DHC) covered by this Agreement may perform incidental checking within the Deli departments (including Juice/Espresso Bars) for items from the Deli Department and such incidental products (e.g. candy bar, luncheon snack) as a customer may bring to a Deli register in conjunction with a Deli purchase. DHC’s may not check out baskets of items from other (non-Deli) departments and may not check at any time outside the Deli Department. {Note: PCC has agreed to review with the Union the duties of DHC} B.3 EMPLOYEES WHOSE HOURS ARE LIMITED BY LAW When PCC cannot lawfully offer 4 hours of work to minor employees whose hours are limited by State Law, Section 5.6.4 shall be amended for such employee such that PCC does not incur a liability when it complies with the limit on hours in the State Law. B.4 HEALTH CARE PLANS Beginning with January 2018, PCC will offer two Plans, one is called our Base Plan and one is called a Buy Up. Deductible (In/Out) $250/$500 (2x fam) $150/$300 (2x fam) OOP Max incl. Deductible (In/Out) $1,000/$2,000 (2x fam) $650/$1,300 (2x fam) Copays Apply to OOP Max? Yes Yes Coinsurance (In/Out) 85/50% 85/60% Office Visit $25 copay (dw) $20 copay (dw) Prescription Drug Copay $10/$20/$40 $10/$20/$40 Chiropractic / Spinal Manip. $25 copay (dw), 20 visits $20 copay (dw), 20 visits Acupuncture $25 copay (dw), no limit $20 copay (dw), no limit Naturopathic Services $25 copay (dw), no limit $20 copay (dw), no limit Vision Exam $25 copay (dw)/12 mos $20 copay (dw)/12 mos Vision Hardware Allowance $200/12 mos $200/12 mos Employee 25.00 30.00 Employee + Spouse 55.00 60.00 Employee + Child(ren) 35.00 45.00 Employee + Spouse & Child(ren) 60.00 70.00 Employee 40.00 55.00 Employee + Spouse 90.00 105.00 Employee + Child(ren) 70.00 85.00 Employee + Spouse & Child(ren) 115.00 130.00 Spousal Surcharge for Spouse with access to coverage elsewhere 250.00 250.00 MEMORANDUM OF UNDERSTANDING #1‌ 1. MANUFACTURER'S REPRESENTATIVES, BOOK OR ADVANCE SALESPEOPLE "Manufacturer's Representatives" and "Book or Advance Salespeople" w...
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Related to PLAN PROVIDERS

  • Participating Providers To find out if a Provider is a Participating Provider: • Check Our Provider directory, available at Your request; • Call the number on Your ID card; or • Visit our website at ▇▇▇.▇▇▇▇▇▇.▇▇▇. The Provider directory will give You the following information about Our Participating Providers: • Name, address, and telephone number; • Specialty; • Board certification (if applicable); • Languages spoken; and • Whether the Participating Provider is accepting new patients.

  • Coordination, Oversight and Monitoring of Service Providers As set forth in the Administrative Services Agreement between the Fund and CRMC, CRMC shall coordinate, monitor and oversee the activities performed by the Service Providers with which AFS contracts. AFS shall monitor Service Providers’ provision of services including the delivery of Customer account statements and all Fund-related material, including summary prospectuses and/or prospectuses, shareholder reports, and proxies.

  • Service Providers Provider shall enter into written agreements with all Service Providers performing functions pursuant to this Agreement, whereby the Service Providers agree to protect Student Data in manner no less stringent than the terms of this DPA. The list of Provider’s current Service Providers can be accessed through the Provider’s Privacy Policy (which may be updated from time to time).

  • Agreements with Employees and Subcontractors Grantee shall have written, binding agreements with its employees and subcontractors that include provisions sufficient to give effect to and enable Grantee’s compliance with Grantee’s obligations under this Article VI, Intellectual Property.

  • Passwords and Employee Access Provider shall secure usernames, passwords, and any other means of gaining access to the Services or to Student Data, at a level suggested by Article 4.3 of NIST 800-63-3. Provider shall only provide access to Student Data to employees or contractors that are performing the Services. Employees with access to Student Data shall have signed confidentiality agreements regarding said Student Data. All employees with access to Student Records shall pass criminal background checks.