Church plan Sample Clauses

Church plan. A church plan as described in Code §414(e) and ERISA §3(33) but which is not maintained by a church or church controlled organization under Code §3121(w)(3).

Church plan. A plan qualifying under Code §414(e) or ERISA section 3(33).

Church plan. Yes No In order to provide an ACA-MLR rebate to a policyholder the MLR regulations require that an insurer obtain a written assurance from the policyholder that any rebate will be used for the benefit of enrollees as described in MLR regulations (45 C.F.R. 158.242). If the written assurance is not provided, the MLR regulations require that an insurer distribute any rebate directly to certain subscribers of the plan (rather than to the policyholder). Does the policyholder listed sponsor a church plan* in connection with the policyholder’s BCBSIL coverage? □ □ No, the group health plan is NOT a church plan. Yes, the group health plan is a church plan. If yes, check one of the following: □ The policyholder WILL use any rebate for the benefit of enrollees as described above. □ The policyholder WILL NOT use any rebate for the benefit of enrollees as described above. I understand that, if this box is checked, BCBSIL may distribute any rebate directly to certain subscribers of the plan. * ”Church plan” has the meaning given the term in Internal Revenue Code Section 414(e). If you have any general questions about this request, please contact our Medical Loss Ratio Hotline at 000-000-0000, 8 a.m. to 6 p.m. CT, Monday through Friday. Should the employer’s or plan’s status change, please contact your account representative. I, the undersigned, a duly authorized representative of policyholder represent and warrant that the information contained in this Section D is true, correct and complete to the best of my knowledge and belief. Employer or Authorized Purchaser Signature and Title Date INSTRUCTIONS – COMPLETING THE ANNUAL MSP EMPLOYER ACKNOWLEDGEMENT IMPORTANT NOTE Under federal law, it is the employer’s responsibility to annually inform its insurer or third-party administrator, such as Blue Cross and Blue Shield of Illinois (BCBSIL), of proper employee counts for the purpose of determining payment priority between Medicare and another insurer. In the absence of employer-provided employee counts, CMS requires that the employer’s group health plan coverage be considered primary to Medicare.

Church plan. Church Plan means a plan described in Code §414(e).