PPO. Employees may enroll in the PPO program (or its successor), subject to the enrollment rules of the carrier but provided there shall be no pre-existing condition limitation. The annual date for rate changes is October 1. Those individual/small group instruction teachers who elect coverage shall be provided the benefit level that is in effect at the time of their election. The benefits shall be as follows: Office co-pay: $15.00 – network $15.00–70% out of network Emergency room co-pay: $ 50.00 Deductible – Network: $150.00 – Single $300.00 – Family Non Network: $150.00 – Single $300.00 – Family Co-insurance – Network: $150.00 Single $300.00 Family Non-network: $2,000.00–Single $4,000.00 – Family
PPO. The City shall provide hospitalization and major PPO medical coverage with a deductible of $250.00 per person to a maximum of $500.00 per family. Out of network deductibles shall be $500.00 single/$1000.00 family. Office visit co-pay of $20.00 for in network and paid at 70% for out of network. Healthcare expenses will be paid at 90% in network with a maximum out of pocket at $750 single/$1500 family per year. Out of network expenses will be paid at 70% up to a maximum out of pocket expense of $1500 single/$3,000 family per year. Prescription drug plan available at $10.00 for generic drug, $30.00 brand formulary and $50.00 brand non-formulary. Mail in drug plan, cost for a 90 day supply at the same rate as that of the 30 day prescription. The City shall continue to provide the AFSCME, Ohio Council 8 Health and Welfare Plan. The City shall pay the cost of such coverage not to exceed $47.50 per employee. In patient hospital in network paid at 90% after deductible and out of network hospital paid at 70% after deductible, until maximum out of pocket expense is made. Emergency room co-pay of $50.00 in network and 70% for out of network after deductible. Urgent Care co-pay of $25.00 in network and 70% out of network after deductible.
PPO. 38.021 The Board shall provide PPO insurance coverage which meets or exceeds the specifications below for each teacher in the bargaining unit, now or hereinafter employed, and his or her eligible dependents. Eighty-eight (88) percent of the cost of the premium shall be paid by the Board. Twelve (12) percent of the cost of the premium shall be paid by the employee. The employee’s share of the premium shall be paid through a Section 125 plan. Effective August 1, 2018 Eighty-seven (87) percent of the cost of the premium shall be paid by the Board. Thirteen (13) percent of the cost of the premium shall be paid by the employee. The employee’s share of the premium shall be paid through a Section 125 plan. Effective August 1, 2019 Eighty-six (86) percent of the cost of the premium shall be paid by the Board. Fourteen (14) percent of the cost of the premium shall be paid by the employee. The employee’s share of the premium shall be paid through a Section 125 plan. Effective August 1, 2020 Eighty-five (85) percent of the cost of the premium shall be paid by the Board. Fifteen (15) percent of the cost of the premium shall be paid by the employee. The employee’s share of the premium shall be paid through a Section 125 plan. Employees who work less than full-time shall contribute fifty (50) percent of the cost of the premium (for .5 teacher) or twenty-five (25) percent of the cost of the premium (for .75 teacher).
PPO. Simultaneously with payment for and delivery of the Debentures at each Closing, the Company shall: (A) pay to the Placement Agent a placement fee equal to 10% of the aggregate purchase price of the Debentures sold; and (B) issue to the Placement Agent or its designees, consistent with meeting the requirements of an exemption from registration under the 1933 Act (i) ten-year warrants in the form attached hereto as Appendix A to purchase that number of shares of Common Stock of the Company is equal to 15,457.48 warrants per $10,000 of gross proceeds from the sale of the Debentures (the “Agent’s Warrants”), up to a maximum of 6,182,992 Agent’s Warrants and (ii) 50,000 shares of Common Stock of the Company (the “Agent’s Shares”). The Company shall, upon demand, reimburse the Placement Agent for its accountable expenses incurred in connection with the PPO and pay all expenses in connection with the qualification of the Underlying Shares under the securities or Blue Sky laws of the states which the Placement Agent shall designate, including legal fees and filing fees. It is anticipated that the Placement Agent’s reimbursable expenses in connection with the Placement will not exceed $180,000. The Placement Agent will promptly notify the Company in the event its accountable expenses will materially exceed $180,000 and the Placement Agent and Company shall mutually agree to any such greater amount.
PPO. The penalty for failure to call for preadmission approval prior to an inpatient hospital stay under the PPO is $350.00. For employees in the PPO, the following will apply: • The annual deductible will be $350.00 per individual, the annual deductible for Employee + 1 will be $700.00 and the maximum annual deductible per family will be $1,050.00. • Coinsurance will be 85% of eligible charges after the annual deductible has been met. • A $100.00 co-payment for the emergency room per visit will be required. The co- payment is waived if the patient is admitted from the emergency room. • A Prescription Drug Step Therapy and Prior Authorization program will be utilized. • The annual out-of-pocket expense limit is $1,500.00 per individual, $3,000.00 for Employee + 1 and a maximum of $4,000.00 per family for in-network providers. The annual out-of-pocket expense limit is $3,000.00 per individual, $6,000.00 for Employee + 1 and a maximum of $9,000.00 per family for out-of-network providers. • Coverage for outpatient surgery will be as follows: In-network (PPO) 85% Out-of-network 70% of Usual and Customary The District offers a Wellness Benefit, including Preventative Care Services to all employees and eligible dependents enrolled in the Blue Cross Blue Shield Participating Provider Organization (PPO). This benefit will encourage employees and eligible dependents to seek the preventative care and diagnostic services identified below with the goal of providing for the early diagnosis of illness which can be beneficial in controlling long term health care costs. Wellness Benefit • Routine Lab Work • Routine X-rays • Hearing Screenings • Routine Sleep Study • Routine EKG • Routine Ovarian Cancer Lab/X-ray • Routine Colorectal Lab/X-ray The Wellness Benefit will be covered at 100% of the eligible charge and the annual deductible will not apply. Covered employees and dependents must use a Participating Provider to receive the maximum benefit coverage.
PPO. All teams must submit a team photo no later than 48hrs after their third game – failure to do so will result in a automatic league point deduction. PP1 All Team managers must commit to providing electronic player photographs of their players by a date defined by BBAXN League Administrators (minimum of 3 weeks notice will be given). This is used to facilitate thrown out players, Most Valuable Player and Top Point Scorer table.
PPO. This will join up the existing area based Prolific and Priority Offender work at county level and is designed to lead to more effective engagement with other relevant county wide bodies such as the Probation Service, the DAAT, the Youth Offending Service, Cumbria Constabulary and the Criminal Justice Board
PPO. Employees may enroll in the PPO program (or its successor), subject to the enrollment rules of the carrier but provided there shall be no pre-existing condition limitation. Employees shall pay 13% for such coverage, including prescription drug coverage and dental coverage, of the premium rates in effect in each benefit year. The employee contribution shall be 15% in the fall of 2015. The annual date for rate changes is October 1st. The benefits shall be as follows: Office co-pay: $15.00 – network $15.00 – 70% out of network Emergency room co-pay: $50.00 Deductible – Network: $150.00 – Single
PPO. Subject to the limitation set forth below, simultaneously with payment for and delivery of the Shares at Closing, the Company shall pay to ICP a placement agent fee equal to 10% of the raised proceeds, payment of which shall be conditional on the Closing of the PPO of at least the Minimum Offering Amount. Notwithstanding the foregoing, for sales made to investors identified for the Placement Agent by the Company (the “Company Directed Sales”), the Placement Agent shall not receive a 10% placement agent fee. In lieu thereof, the Placement Agent shall receive, as a placement administrator fee, a fee equal to 1% of the raised proceeds attributable to Company Directed Sales.