YOUR COVERAGE. Your coverage begins the day your payment is verified and will last until the end of the current school year. Students who enroll after September will be given a prorated amount. See the insurance agreement for guidelines.
YOUR COVERAGE. Your coverage begins the day your payment is verified and will last either one full school year, or until the end of the current school year, as long as the specified terms and agreements have not been violated. See the insuring agreement for guidelines.
YOUR COVERAGE. Pre-Existing Conditions Waived Medical conditions for which the advice or treatment was received prior to effective date of coverage are included. However, doctor−verified disabilities in effect prior to the effective date would be excluded. Yes Waiting Period Calendar Day (CD): The waiting period is based on actual calendar days. Work Day (WD): The waiting period is based on the consecutive number of contracted work days. Modified Fill (MF): Benefits begin on the latter of exhaustion of sick time/ bank or the specified number of calendar/work day waiting period. Straight Wait (SW): Benefits begin after the specified number of calendar/ work day waiting period. 90 CDMF Benefit Level Percent of covered salary. 60% Maximum Benefit Level Monthly benefit up to the maximum amount bargained. $5,000 Minimum Maximum Benefit There is a minimum monthly benefit of 5% of the gross monthly benefit or $50, whichever is greater, after all offsets are applied, not to exceed the maximum monthly benefit. 5% Offsets Benefits are reduced by any income the employee receives or is entitled to receive such as vacation pay, salary continuation, workers’ compensation, full auto wage loss benefit, any employer−paid group plan, retirement benefits you receive from your employer’s retirement or pension plan, including Michigan Public School Employees Retirement System (MPSERS), short−term disability, and others. Social Security Offsets Primary: Social security retirement and social security disability are offsets. Family: Any social security disability benefits received by the employee’s family due to the employee’s disability is an offset. Primary Freeze on Offsets Monthly disability benefits will not be reduced because of automatic, statutory or general cost of living increases in income from other sources after MESSA’s initial benefit determination for each specified offset has been made. The exception to this is an unsuccessful return to work with increased salary, social security and retirement cost of living. Yes COLA An employee’s benefit may be increased while on claim due to increase in the cost of living. The increase is based on changes in the Consumer Price Index as of January 1 each year and is payable on the anniversary of the commencement of benefit payment. There is a maximum annual increase of 3%. No Own Occupation Maximum Benefit Period Disability benefits may be payable during continuous disability. After the own occupation period, a member must be unable to perfor...
YOUR COVERAGE. The coverage You selected in Section 1, “Vehicle Service Contract Registration,” is detailed below. Included with Your selected coverage is the “Expense Reimbursement Package,” and when applicable, the “Sport Package” and “Propulsion Battery Coverage.” Your coverage will be valid for the Contract Term and subject to all terms, limitations and exclusions in this Contract.
YOUR COVERAGE. Your coverage begins the day your payment is verified and will last one full year, as long as the specified terms and agreements have not been violated. See the Insuring agreement for guidelines.
YOUR COVERAGE. We provide the benefits described in this booklet only for eligible Members. The health care services are subject to the limitations, exclusions, Copayments, Deductibles and percentage payable requirements specified in this booklet. Any Group Alliant Contract or Certificate which you received previously will be replaced by this Contract. Benefit payment for Covered Services or supplies will be made directly to In-Network Providers. A Member may assign benefits to a provider who is not an In-Network Provider, but it is not required. If a Member does not assign benefits to an Out-of-Network Provider, any payment will be sent to the Member. We do not supply you with a Hospital or Physician. In addition, we are not responsible for any Injuries or damages you may suffer due to actions of any Hospital, Physician or other person. In order to process your claims, we may request additional information about the medical treatment you received and/or other group health insurance you may have. This information will be treated confidentially. An oral explanation of your benefits by an Alliant employee is not legally binding. Any correspondence mailed to you will be sent to your most current address. You are responsible for notifying us of your new address. General Information Fraudulent statements on Subscriber application forms and/or claims for services or payment involving all media (paper or electronic) may invalidate any payment or claims for services and be grounds for voiding the Subscriber’s coverage. This includes fraudulent acts to obtain medical services and/or Prescription Drugs. Both parties to this Contract (the employer and Alliant) are relieved of their responsibilities without breach, if their duties become impossible to perform by acts of God, war, terrorism, fire, etc. We will adhere to the employer’s instructions and allow the employer to meet all of the employer’s responsibilities under applicable state and federal law. It is the employer’s responsibility to adhere to all applicable state and federal laws and we do not assume any responsibility for compliance. Acts Beyond Reasonable Control (Force Majeure) Should the performance of any act required by this coverage be prevented or delayed by reason of any act of God, strike, lock-out, labor troubles, restrictive government laws or regulations, or any other cause beyond a party’s control, the time for the performance of the act will be extended for a period equivalent to the period of delay and non-...
