Examples of Benefits Paid in a sentence
Provided that treatment by a qualified, licensed Physician begins within 60 days from the date of Injury, benefits will be paid for Covered Medical Expenses incurred within 52 weeks from the date of Injury up to the Maximum Benefit per service as shown below.SCHEDULE OF BENEFITS: Maximum Benefits Paid As Specified Below.
Failure of a Participant to comply with the requirements of this section may result in the pending of the payment of Benefits.1. Right to Recover Benefits Paid in ErrorIf the Plan makes a payment in error on behalf of a Participant or an assignee of a Participant to which the Participant is not entitled, or if the Plan pays a claim that is not covered, the Plan has the right to recover the payment from the person paid or anyone else who benefited from the payment.
The benefits that are payable under this provision are subject to HNL’s right to recovery as described in “Recovery of Benefits Paid by HNL Under A Surrogate Parenting Agreement” in the "Specific Provisions" section of this Policy.
Refund of Benefits Paid by Third-PartiesIf the Company pays benefits for expenses incurred on account of a Covered Person, the Subscriber or any other person or organization that was paid must make a refund to the Company if all or some of the expenses were recovered from or paid by a source other than the Policy as a result of claims against a third party for negligence, wrongful acts or omissions.
Unspecified Benefits is the small plan Benefits Paid (line 2e)—Schedule I does not specify any benefit payment detail.
How Are Benefits Paid When This Plan is Secondary to Medicare?If This Plan is secondary to Medicare, then Benefits payable under This Plan will be based on Medicare's reduced benefits.
Overtime Calculation with Fringe Benefits Paid to Bona Fide PlansFor overtime purposes, an employer paying higher fringe benefits to a bona fide plan and paying a lower hourly rate MUST calculate the overtime on the higher hourly rate as stated in the contract’s wage decision.
Data on the total Social Security beneficiary and retired-worker populations used in these calculations are from SSA, OCACT, “ Benefits Paid By Type Of Beneficiary,” https://www.ssa.gov/oact/ProgData/icp.html.
Benefits Paid Without Cost-Sharing Requirements for Certain Insureds Who Are IndiansThe Deductible, Coinsurance, Annual Out-of-Pocket Maximum, and any applicableCopayments will not apply to an Insured who is an Indian, as defined in this Group Policy, and who:1.
Any attempted assignment or transfer will not be binding on Delta Dental or the Plan, except that the Plan shall pay amounts due under the Plan directly to a provider upon a member’s written request.Recovery of Benefits Paid by MistakeIf the Plan makes a payment for a member to which the member is not entitled or pays a person who is not eligible for payments at all, the Plan has the right to initiate recovery of the payment from the person paid or anyone else who benefited from it, including a provider.