Plan Specifications definition

Plan Specifications means the section of this plan which shows, among other things, the Eligibility Requirements, Eligibility Waiting Period, Elimination Period, Amount of Benefits, Minimum Benefit, and Maximum Benefit Period.

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Plan Specifications means the RHFP® Plan Specifications document attached hereto and incorporated herein by reference, by which the Employer/Sponsoring Entity establishes or by which an Adopting Employer/Sponsoring Entity adopts a welfare benefit plan pursuant to the terms of this Plan for the benefit of its Eligible Employees.

Plan Specifications means in relation to each Member the details of the following matters determined in accordance with Clause 2.1:

Examples of Plan Specifications in a sentence

Subscription: Customer agrees to subscribe to the Wireless Plan Specifications above and to pay OptConnect the monthly Wireless Service Charge as stated above.
United may add new Pharmacy Plan Specifications or amend, revise, or terminate existing Pharmacy Plan Specifications upon ninety (90) days prior written notice to Administrator, unless a Governmental Authority requires that such amendment, revision or termination occur in a shorter period of time.
Customer enters into this Agreement with OptConnect and agrees to rent the equipment described above, to subscribe to the Wireless Plan Specifications above and to be bound by and subject to the following terms and conditions: Equipment: OptConnect may fill Customer's order with new or refurbished equipment as described above.
The Amount of Benefits and the Maximum Benefit Period are shown in the Plan Specifications.
The Premises shall be constructed in accordance with the Base Plan Specifications and Option Addendum as approved by the Buyer and Seller, attached hereto as Exhibits A & B.
Administrator will provide Covered Prescription Services to Members as described in the applicable Pharmacy Plan Specifications and in accordance with applicable Laws and Regulations, this Agreement, and any other applicable documents as provided by United.
The relevant characteristics of the Plan that will govern the administration of the Plan are documented within the Plan Specifications section of this Agreement.
Administrator agrees to perform (i) the Prescription Drug Benefit Services set forth on Exhibit C and (ii) the Mail Order Pharmacy Services set forth on Exhibit D to support the Benefit Plans offered by United, all in accordance with the terms and conditions of this Agreement, the Pharmacy Plan Specifications and all applicable Laws and Regulations (the “Services”).
Administrator shall reimburse Members for out-of-network claims in accordance with the Pharmacy Plan Specifications.
United shall provide Administrator with the technical assistance and information Administrator reasonably needs to perform the Services under this Agreement, including, without limitation, information regarding Members, the Benefit Plans, and the Pharmacy Plan Specifications.

More Definitions of Plan Specifications

Plan Specifications means a description of CLIENT’s Plan related to Prescription Drug benefits and coverage limitations, including the framework of policies, interpretations, rules, practices and procedures applicable to such benefits, required by CLIENT and set forth in a mutually agreed upon document.

Plan Specifications means the information made available by PBF to Participating Pharmacy describing, among other things, the applicable processes and Covered Services under a particular Sponsor’s health benefit plan and all related amendments, provided by PBF to Participating Pharmacy in accordance with this Agreement. This information may include the amounts to be reimbursed to Participating Pharmacy for Covered Services; excluded items; Cost Sharing Amounts; benefit maximums; coverage or payment limitations; and other items, all subject to the actual requirements of that Sponsor’s health benefit plan.

Plan Specifications. – means a description of CLIENT’s Plan related to Prescription Drug benefits and coverage limitations, including the framework of policies, interpretations, rules, practices and procedures applicable to such benefits, required by CLIENT and set forth in a mutually agreed upon document.