Scale of Benefits definition

Scale of Benefits means a tariff of fees, recommended or preferential tariff or other benefit structure, recommended by NAMAF, as a guide for medical aid funds to determine Benefit levels;
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Scale of Benefits means the scale of benefits in respect of relevant health services determined and published by BHF from
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Examples of Scale of Benefits in a sentence

  • The total amount payable under the Permanent Partial Disablement Scale of Benefits shall not exceed the amount shown under the sum insured shown in the Schedule.

  • Catalyst fines arecollected in the FCC off-gas air pollution control devices (which may include dry systems such as cyclones andelectrostatic precipitators or wet scrubbers).

  • Removal by surgical operation of lower jaw30%If an Insured Person sustains disablement, which is not shown in the Permanent Partial Disablement Scale of Benefits, the benefit payable shall be calculated by assessing the degree of disability relative to the Scale of Benefits, without reference to the occupation of the Insured Person.

  • The total sum payable in respect of any one or more claims in respect of any one Member shall not exceed in all the largest Benefit amount contained in the Scale of Benefits.

  • If cover is granted under Item 5 of the Scale of Benefits below this Policy extends to include Sickness as defined.

  • Koyuncu LO, Canbulat N, Seyahi A, Uzun A, Güzelocak E, Demirhan M.

  • Cover is extended to pay you compensation in accordance with the Scale of Benefits for death or bodily injury sustained by any Official due to assault (including robbery or hold-up) or any attempt thereat whilst in charge of your Money.

  • SECTION 1.1 – DEATH DUE TO ACCIDENT (a) In the event of an Accident while on a Journey/Trip during the Period of Insurance causing an Injury resulting in Your death within three hundred sixty-five (365) days from the date of such Accident, We will pay the death benefit according to the percentage of the Principal Sum Insured as stated in the Scale of Benefits.

  • If the Assured Person suffers Injury, or loss of or damage to clothing and personal effects during the Period of Insurance as a direct result of robbery or attempted robbery in the course of the Business We agree to pay You the appropriate benefit as set out in the Scale of Benefits.

  • If during the Period of Insurance an Accident occurs during a Journey and causes Bodily Injury to an Insured Person ACE will pay the Benefit Amount shown in the Schedule of Benefits for: • Death • Permanent Total Disablement • Permanent Disabling Injuries ACE will pay a percentage of the amount shown in the Schedule of Benefits relative to the degree of disability as shown in the following Scale of Benefits which prescribes the maximum percentage payable for a range of Permanent Disabling Injuries.

Related to Scale of Benefits

  • Schedule of Benefits means the section of this policy which shows, among other things, the Eligibility Requirements, Eligibility Waiting Period, Elimination Period, Amount of Insurance, Minimum Benefit, and Maximum Benefit Period.

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

  • Assignment of Benefits means an arrangement whereby the Plan Participant assigns their right to seek and receive payment of eligible Plan benefits, in strict accordance with the terms of this Plan Document, to a Provider. If a provider accepts said arrangement, Providers’ rights to receive Plan benefits are equal to those of a Plan Participant, and are limited by the terms of this Plan Document. A Provider that accepts this arrangement indicates acceptance of an “Assignment of Benefits” as consideration in full for services, supplies, and/or treatment rendered.

  • Separation Benefits has the meaning accorded such term in Section 3.04.

  • Termination Benefits means the benefits described in Section 4.1(b).

  • extended reduction (qualifying contributory benefits means a reduction under this scheme for which a person is eligible in accordance with paragraph 88 or 95;

  • Severance Compensation means the compensation set forth in (i), (ii), and (iv) above.

  • Social Security Benefits means any social insurance, pension insurance benefits, medical insurance benefits, work-related injury insurance benefits, maternity insurance benefits, unemployment insurance benefits and public housing reserve fund benefits or similar benefits, in each case as required by any applicable Law or contractual arrangements.

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • Retirement Benefits means benefits paid by reference to reaching, or the expectation of reaching, retirement or, where they are supplementary to those benefits and provided on an ancillary basis, in the form of payments on death, disability, or cessation of employment or in the form of support payments or services in case of sickness, indigence or death. In order to facilitate financial security in retirement, these benefits may take the form of payments for life, payments made for a temporary period, a lump sum, or any combination thereof;

  • Disability benefits means any cash payments which are payable to a covered individual for all or part of a period of disability pursuant to P.L.1948, c.110 (C.43:21-25 et al.).

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Claim for Benefits means a request for a Plan benefit or benefits made by a Member in accordance with the Plan’s Appeals Procedures, including any Pre-Service Claims (requests for Prior Authorization) and Post-Service Claims (requests for benefit payment).

  • Death Benefit means the insurance amount payable under the Certificate at death of the Insured, subject to all Certificate provisions dealing with changes in the amount of insurance and reductions or termination for age or retirement. It does not include any amount that is only payable in the event of Accidental Death.

  • Severance Benefits mean the payment of severance compensation as provided in Section 2.3 herein.

  • Change in Control Benefits means the following benefits:

  • Additional gap medical benefits means the benefits (if any) payable in respect of medical expenses that are more than the schedule fee and which otherwise meet the requirements of the fund’s no or known gap policy, provided always that the medical expenses relate to a professional service that:

  • Regular benefits ’ means benefits payable to an individual under this act or under any other state law, including benefits payable to federal civilian employees and to ex-servicemen pursuant to 5 U.S.C. chapter 85, other than extended benefits.

  • Net death benefit means the amount of the life insurance policy or certificate to be settled less any outstanding debts or liens.

  • Employment benefits means all benefits provided or made

  • Additional Benefits means those benefits in addition to the rights and remedies available under the Australian Consumer Law.

  • Compensation and Benefits Programs means all compensation and benefit plans, policies, and programs of the Debtors, and all amendments and modifications thereto, applicable to the Debtors’ employees, former employees, retirees, and non-employee directors and the employees, former employees and retirees of their subsidiaries, including all savings plans, retirement plans, health care plans, disability plans, and incentive plans, deferred compensation plans, and life, accidental death, and dismemberment insurance plans.

  • Health benefits plan means a benefits plan which pays or

  • Public benefit means making capital available, or facilitating the availability of capital, to businesses in this state that have 750 or fewer employees, the intent of which is to create or retain employment opportunities for residents of this state, stabilize or increase the tax base of this state, or support the redevelopment of facilities for use by small businesses.

  • Pharmacy benefits manager means a person that performs pharmacy benefits management.

  • Severance Pay means any amount that is payable in cash and is identified by a Participating Company as severance pay, or any amount which is payable on account of periods beginning after the last date on which an employee (or former employee) is required to report for work for a Participating Company.