Plan Design Document definition
Examples of Plan Design Document in a sentence
Client will provide a Plan Design Document for the EGWP plan administered by Administrator in sufficient detail to permit Administrator to perform its duties and obligations under this EGWP Addendum.
Participating Group will provide a Plan Design Document for each plan administered by PBM in sufficient detail to permit PBM to perform its duties and obligations under this Agreement.
Client shall communicate annually with Participating Group about timing of changes to Plan Design Document.
Any changes to the Plan Design Document will be submitted by Participating Group to PBM through a revised Plan Design Document no less than thirty (30) days prior to the intended implementation by Participating Group to permit timely implementation and minimal disruption of claims processing for those Members.
Any changes to the Plan Design Document will be submitted by Client to Administrator through a revised Plan Design Document no less than one hundred twenty (120) days prior to the intended implementation by Client to permit a timely implementation and minimal disruption of services to Eligible Participants.
Prior to providing an Eligible Member any of the Covered Prescription Drug Services to which the Eligible Member is entitled under the Plan Design Document, PBM will require the Participating Pharmacy to collect any Cost Sharing from the Eligible Member.
PBM shall implement Plan Design Document changes and/or updates within five (5) business days of receiving complete documentation when system coding changes are not required.
Any changes to the Plan Design Document will be submitted by Participating Group to PBM through a revised Plan Design Document no less than thirty (30) days prior to their intended implementation by Participating Group to permit timely implementation and minimal disruption of Claims Processing Services for those Eligible Members.