Benefits Document definition

Benefits Document means the written document(s) Account makes available to Members that describe and define the terms, benefits, and limitations of the Plan and may be titled Benefits Certificate, Coverage Manual, or something similar. Account may at its option incorporate the Benefits Document into its ERISA Summary Plan Description.
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Benefits Document means the document approved by the Florida Legislature in accordance with subsection 110.123(5), Florida Statutes, describing the scope of coverage, benefits available, limitations, restrictions and exclusions of the Plan, and the conditions under which Contractor will pay claims. The Benefits Document is subject to modification by the Florida Legislature and the Department at any time. The covered and excluded services in the Benefits Document will be equivalent to those set forth in the Benefits Document, together with any additional services expressly approved by the Department. The Benefits Document in effect as of the date of the ITN resulting in this Contract is included in ATTACHMENT D. The Department shall provide revisions, updates, and summaries of material modifications to the Benefits Document to the Contractor as soon as administratively possible following adoption.
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Benefits Document means the written document(s) that describe and define the terms, benefits, and limitations of the Plan and may be titled Benefits Certificate, Coverage Manual, or something similar. Account may at its option incorporate the Benefits Document into its ERISA Summary Plan Description (SPD).
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Examples of Benefits Document in a sentence

  • The Board reserves the right to make changes or modifications at any time to the benefits described in the Benefits Document.

  • Service Provider will not be entitled to an equitable adjustment or any additional compensation for any changes made to the Benefits Document, the Plan, statutes, or Chapter 60A-1 of the Florida Administrative Code, even if such Changes are attributable directly or indirectly to a state statute, law or other any action by Florida Legislature which is intended to modify the Plan, the Benefits Document, the State Group Insurance Program.

  • In case of direct conflict between any federal or state law or regulation and any specific provision of the Benefits Document, the law or regulation shall control.

  • Privileges include access to golf course with no additional fees for carts plus additional benefits listed in Member Benefits Document.

  • Contract Interpretation: In the event of conflict among contract documents, the order of precedence for the Contract will be as listed in the definition of the term “Contract.” If the Contract terms are inconsistent with the benefit and coverage provisions of the Benefits Document or statute, then the provisions of the Benefits Document or statute will prevail.

  • Wellmark shall make determinations that are not arbitrary or capricious and such determinations shall be final and conclusive to the extent permitted by this Agreement, the terms of the Benefits Document, and by law.

  • Specifications – see Appendix U-V (Summary of Plan Benefits Document).

  • As a secondary payer, the Awarded Respondent shall reimburse as specified in the Coordination of Benefits section of the Benefits Document.

  • At no additional cost, the Awarded Respondent shall administer appeals in accordance with the appeals process described in the Benefits Document and as otherwise specifically required by Department.

  • If the applicable Benefits Document provides benefits for Covered Services rendered by health care providers that have not contracted with Wellmark or another Blue Cross and Blue Shield Plan (“Non-Contracting Providers”), Members may be liable to Non-Contracting Providers for any difference between the Covered Charges and the Maximum Allowable Fee and Members are responsible for paying the provider in full, except to the extent prohibited by applicable law, including the federal No Surprises Act.


More Definitions of Benefits Document

Benefits Document means the document approved by the Florida Legislature in accordance with section 110.123(5), Florida Statutes, describing the scope of coverage, benefits available, limitations, restrictions and exclusions of the Plan, and the conditions under which Service Provider will pay claims. The Benefits Document is subject to modification by the Florida Legislature and the Department at any time. The covered and excluded services in the Benefits Document will be equivalent to those set forth in the Benefits Document, together with any additional services expressly approved by the Department. The Benefits Document in effect as of the date of this ITN is included in Appendices 6 and 7.
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Benefits Document means the document approved by the Florida Legislature in accordance with section 110.123(5), Florida Statutes, describing the scope of coverage, benefits available, limitations, restrictions and exclusions of the plan, and the conditions under which Service Provider will pay claims. The Benefits Document is subject to modification by the Florida Legislature and the Department at any time. The covered and excluded services in the Benefits Document will be equivalent to those set forth in the Benefits Document, together with any additional services expressly approved by the Department.
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Benefits Document means the document approved by the Florida Legislature in accordance with subsection 110.123(5), Florida Statutes, describing the scope of coverage, benefits available, limitations, restrictions and exclusions of the Plan, and the conditions under which Service Provider will pay claims. The Benefit Document is subject to modification by the Florida Legislature and the Department at any time. The covered and excluded services in the Benefits Document will be equivalent to those set forth in the schedule of minimum benefits, (see Attachment H, of the ITN), together with any additional services expressly approved by the Department. If there is a conflict between Attachment H and the Benefits Document, the Benefits Document controls.
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Related to Benefits Document

  • Plan Document means the retirement income fund agreement or declaration of trust that governs the RRIF;

  • RfS Document means the bidding document issued by MSEDCL including all attachments, clarifications and amendments thereof.

  • Plan Documents means the reports, proposals, preliminary plans, survey and basis of design data, general and detail construction plans, profiles, specifications and all other information pertaining to equipment.

  • Policy Document means this Policy wording the Schedule (which is attached to and forms part of this Policy and includes any Annexure or endorsement to it and, if more than one, then, the latest in time) and the Proposal Form.

  • Participant Documentation means the agreements (together with any applicable schedules, exhibits or appendices thereto required by BSEF) in form and substance acceptable to BSEF, that are required to be executed and delivered to BSEF before a Person may access the SEF operated by BSEF as a Participant. Participant Documentation shall not include DMA Customer Documentation.