Care Coverage. The Contractor shall cover and pay for Emergency Services regardless of whether the provider that furnishes the services has a contract with the Contractor, as provided for in Section 2.9.2.3.4. The Contractor shall not deny payment for treatment for an Emergency Condition, pursuant to 42 C.F.R. § 438.114, and as provided for in Section 2.9.2.3.4, above. The Contractor shall not deny payment for Emergency Services if a representative of the Contractor instructed the Enrollee to seek Emergency Services. The Contractor shall not limit what constitutes an Emergency Condition on the basis of lists of diagnoses or symptoms. The Contractor shall require providers to notify the Enrollee’s PCP of an Enrollee’s screening and treatment, but may not refuse to cover Emergency Services based on their failure to do so. The attending emergency physician, or the provider actually treating the Enrollee, is responsible for determining when the Enrollee is sufficiently stabilized for transfer or discharge. The Contractor shall cover and pay for Post‑stabilization Care Services in accordance with 42 C.F.R. § 438.114(e), 42 C.F.R. § 422.113(c), and M.G.L. c. 118E, § 17A.
Care Coverage. Provided the Executive and his or her spouse and eligible dependents elect to continue medical care coverage under the Company’s group health care plans pursuant to the applicable COBRA provisions, the Company shall provide continued medical care coverage for the Executive, his or her spouse and eligible dependents until the earlier of (i) the expiration of the six (6)-month period measured from the first day of the calendar month following the calendar month in which the Executive’s Involuntary Termination occurs or (ii) the first date on which the Executive and the Executive’s eligible dependents are covered under another employer’s health benefit program without exclusion for any pre-existing medical condition. Any additional medical care coverage to which the Executive and the Executive’s spouse and dependents may be entitled under COBRA following the period of such Company-paid coverage shall be at the Executive’s sole cost and expense. During the period the Company-provided medical care coverage remains in effect hereunder, the following provisions shall govern the arrangement: (a) the amount of such benefits in any one calendar year of such coverage shall not affect the amount of benefits in any other calendar year for which such benefits are to be provided hereunder and (b) the Executive’s right to the benefits cannot be liquidated or exchanged for any other benefit.
Care Coverage. Immediately prior to the Closing, each of Ronco, Popeil Inc. and RP will terminate (a) the employment of all employees of Ronco, Popeil Inc. and/or RP whose names are listed on Schedule 6.5(B), and (b) all employment agreements and other arrangements with such employees. As of the Closing, Ronco, Popeil Inc. or RP (as appropriate) shall pay to their employees whose names are listed on Schedule 6.5(B) any and all liabilities relating to or arising out of their employment or termination of employment by Ronco, Popeil Inc. and RP, including any payments and benefits due to such employees pursuant to accrued wages, salary, bonus, commission or other forms of compensation. Purchaser will provide continuation health care coverage to all Transferred Employees and their qualified beneficiaries who incur a qualifying event after the Closing Date in accordance with and to the extent required under the continuation health care coverage requirements of Code Section 4980B, as amended, and Sections 601 through 608 of ERISA ("COBRA").
Care Coverage. The Company will pay the premium cost of the Major Medical coverage with a deductible of $25 single / $50 family per calendar year and a Prescription Drug Plan with a deductible of $10 single / $20 family per calendar year. Effective November 16, 2003, the Company will pay the premium cost of a Semi-Private Hospital plan with a maximum daily benefit of $155.00. Effective the month following ratification, the vision care benefit (inclusive of safety glasses) will be increased to $135 per covered person per 24-month period. The vision plan will include eyeglass frames and lenses, safety glasses, dispensing fees and contact lenses. The vision benefit will remain at $135 per covered person per 24-month period. In addition, effective August 15, 2005, the Company will pay the cost (up to $60.00) for one eye examination per covered person per 24 month period. Effective April 1, 2006, the maximum benefit per eye exam will be increased to $65.00. Effective August 15, 2005, the Company will pay the cost of a chiropractic benefit of $16.00 per visit effective the first appointment to a maximum of $300 per covered person per calendar year. Effective April 1, 2006, the benefit will increase to $20.00 per visit. The current massage therapy coverage will remain the same at $13.00 per visit per covered person to a maximum of $300.00 per calendar year.
Care Coverage. The Company will pay the premium cost of the Major Medical coverage with a deductible of $25 single / $50 family per calendar year and a Prescription Drug Plan with a deductible of $10single / $20 family per calendar year. Effective June 1, 1999, the booklet will read: Maximum $25,000 per covered person in a period of three (3) consecutive calendar years. The Company will pay the premium cost of a Semi-Private Hospital plan. Effective June 1, 2005 the current maximum daily benefit of $130 will be increased to $150. Effective November 1, 2005, the vision care benefit will be increased to $135 per covered person per 24-month period. Effective November 1, 2002, increase the maximum benefit for Orthotics from $200.00 to $250.00 per calendar year for employees actively at work at the time. Dental Coverage The Company will pay the premium cost of a Dental Coverage plan. Effective June 1, 2005 the 2002 ODA Schedule will be improved to 2004 for employees actively at work. The annual maximum for basic services pursuant to the policy will be increased from $1,000 per covered person to $1,250 per covered person.
Care Coverage. The Company will pay the premium cost of the Major Medical coverage with a deductible of $25 single / $50 family per calendar year and a Prescription Drug Plan with a deductible of $10 single / $20 family per calendar. Effective December 1, 2003, the Company will pay the premium cost of a Semi-Private Hospital plan with a maximum daily benefit of $150.00. Effective November 1, 2009, the maximum vision care benefit will be increased to $150.00 per covered person per 24-month period. Dental Coverage The Company will pay the premium cost of a Dental Coverage plan. Effective apply. January 1, 2009, the 2008 Ontario Dental Association schedule of fees will Effective apply. January 1, 2010, the 2009 Ontario Dental Association schedule of fees will Effective apply. January 1, 2011, the 2010 Ontario Dental Association schedule of fees will Effective apply. January 1, 2012, the 2011 Ontario Dental Association schedule of fees will Effective apply. January 1, 2013, the 2012 Ontario Dental Association schedule of fees will Long Term Disability Coverage The Company will pay the premium cost of a Long Term Disability Insurance Plan with a disability benefit of fifty-five percent (55%) of basic earnings, excluding overtime or other premium to a maximum of $1,500** per month . No benefits are payable for the first twenty-six weeks of disability. Canada Pension Plan, Workplace Safety and Insurance Act, and other legislated benefits shall be integrated with the long-term disability benefit. (**Note: Effective December 1, 2003, the maximum benefit will be increased from $1,500.00 to $1,600.00 per month. Effective September 1, 2004, the maximum benefit will be increased from $1,600.00 to $1,700.00 per month.) It is understood that payment of these insurance premiums by the Company is in lieu of any employee entitlement to a future premium reduction under the Employment Insurance Act. It is further understood that payment by the Company of group Weekly Indemnity, Employee Life Insurance, Extended Health Care, Dental Care and Long Term Disability benefit premiums, as described above, is conditional upon the employee performing work for the Company during the month in which the premiums fall due. Subject to the agreement of the group insurance company, benefit premiums will be paid by the Company for three months after the month the eligible employee last worked if their absence is due to accident or illness. If the insurer will not allow the 3-month extension, the Company will...
Care Coverage. The Company will pay the premium cost of the Major Medical coverage with a deductible of single family per calendar year and a Prescription Drug Plan with a deductible of single family per calendar. Effective December the Company will pay the premium cost of a Hospital plan with a maximum daily benefit of Effective September the Company will pay the premium cost of a Vision Care plan (inclusive of safety glasses) with a maximum benefit of per covered person per 24-month period.
Care Coverage. The Company will pay the premium cost of the Major Medical coverage with a deductible of $25 single / $50 family per calendar year and a Prescription Drug Plan with a deductible of $10 single / $20 family per calendar year. Effective June 1, 1999, the booklet will read: Maximum $25,000 per covered person in a period of three (3) consecutive calendar years. Effective November 1, 2002, increase the maximum benefit for Orthotics from $200 to $250 per calendar year for employees actively at work at the time. Effective March 1, 2002, the Company will pay the premium cost of a Semi-Private Hospital plan with a maximum daily benefit of $130. Effective June 1, 2 005, the maximum daily benefit will be increased to $150. Effective November 1, 2005, the vision care benefit will be increased to $135 per covered person per 24-month period.
Care Coverage. The Company offers comprehensive Group Medical and Group Dental plans for eligible associates and their dependents. If elected, coverage begins on the first day after thirty (30) days of continuous employment. The Open Access Plus, OAP (similar to a PPO), and the Network Plan, HMO, are the two healthcare plans offered at most locations through CIGNA Healthcare. Prescription Drugs and Dental coverage is also offered to all associates. Coverage may be elected for Executive or for Executive and eligible dependents. Associates who participate in these plans will share in the premium costs by payroll deductions.
Care Coverage. The Company will pay the premium cost of the Major Medical coverage with a deductible single per calendar year and a Prescription Drug Plan with a deductible of single family per calendar year, Effective November the Company will pay the premium cost of a Hospital plan with a maximum daily benefit of Effective the month following ratification, the vision care benefit (inclusive of safety glasses) will be increased to per covered person per 24-month period. The vision will include eyeglass frames and lenses, safety glasses, dispensing fees and contact lenses. The vision benefit will remain at per covered person per 24-month period. Effective November chiropractic and licensed massage therapist coverage shall be, subject to the provisions between the carrier and Provincial Health Care Plan, increased to per visit to a maximum of per calendar year for active employees. It is understood that the employee’s portion of the fee can be claimed prior exhausting benefits under the Provincial Health Care Plan.
