Coverage Levels Sample Clauses

Coverage Levels. Status quo shall continue for employees desiring coverage under the County medical insurance plans. Employees may elect coverage under one (1) of the following levels:
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Coverage Levels. Employees may elect coverage under one (1) of the following levels:
Coverage Levels. 70% of the Probable Yield. Notwithstanding Section 17(3) and 17(10) of the regulations, the insured may elect 80% coverage if three or more years of field data have been provided and accepted by the Corporation.
Coverage Levels. A. NMFS will determine trip coverage levels necessary to meet its program goals
Coverage Levels. Full Service with Parts (FSWP) - Full Service No Parts (FSNP) - Planned Maintenance with Planned Parts (PMWP) - Planned Maintenance No Parts (PMNP) - Electrical Safety No Parts (includes inventory tracking) (ESNP) Coverage Level Matrix (see below):
Coverage Levels. In network - Eligible services are covered in full, less any applicable co-payments, when you use PPO Network providers. Members will not be billed for charges beyond the plan allowance. Out of network - Members may also choose to receive treatment outside the Network and still receive coverage at 80% of our allowance, less any deductibles and/or co-payments as noted below. Outpatient mental health and substance abuse services are covered at 50% of our allowance. Participating Provider Network Within the Network, the member’s health insurance card is recognized at any participating PPO provider nationwide. In most cases, claims are filed by the provider and paid based on the local plan's allowance; members will not be balance billed beyond applicable co-payments. Pre-authorization Authorization is obtained by providers who participate directly with the provider Network. Members are responsible for obtaining pre-authorization when using non-network providers. Benefits subject to pre-authorization are identified by an asterisk (*). Annual Deductibles No deductibles in network. Out of network - $200 annual deductible per person (3 per family). Out-of-pocket maximum Out of network benefit increased to full coverage after maximum annual expense of $3,000 per individual (3 per family). (The out-of-network deductible, mental health/substance abuse co-payments and office visits co-payments are not applicable to the out of pocket maximum.) Lifetime maximums Unlimited.
Coverage Levels. The Sector and the Provider(s) will work to ensure that the required 21 coverage level is met (currently 17% ASM). There will be a quarterly check, done by the 22 Sector Manager, to ensure that this level of coverage is being met. If for some reason the 23 provider is falling short of their target the Sector and Sector Members are not to be held 24 liable if the Provider is found to be at fault. 26 • To the extent possible, the Sector and the Provider(s) will work to manage coverage on 27 the Xxxxxx Xxxxxx xxxxx. 00 Operational Standards 30 ASM programs developed as part of a sector operations plan must meet to following operational 31 standards, in addition to the monitoring provider standards (see § 648.87(b)(6)): To be included 32 by the Approved Monitoring Vendor in the final Contract.
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Coverage Levels a) 70% or 80% of the Probable Yield;

Related to Coverage Levels

  • Coverage i) It is expected that both job sharers will cover each other's incidental illnesses. If, because of unavoidable circumstances, one cannot cover the other, the unit supervisor must be notified to book coverage. Job sharers are not required to cover for their partner in the case of prolonged or extended absences.

  • Service Levels Annex 1 to this Part A of this Contract Schedule 6 sets out the Service Levels the performance of which the Parties have agreed to measure. The Supplier shall monitor its performance of this Contract by reference to the relevant performance criteria for achieving the Service Levels shown in Annex 1 to this Part A of this Contract Schedule 6 (the “Service Level Performance Criteria”) and shall send the Customer a Performance Monitoring Report detailing the level of service which was achieved in accordance with the provisions of Part B (Performance Monitoring) of this Contract Schedule 6. The Supplier shall, at all times, provide the Goods and/or Services in such a manner that the Service Levels Performance Measures are achieved. If the level of performance of the Supplier of any element of the provision by it of the Goods and/or Services during the Contract Period: is likely to or fails to meet any Service Level Performance Measure or is likely to cause or causes a Critical Service Failure to occur, the Supplier shall immediately notify the Customer in writing and the Customer, in its absolute discretion and without prejudice to any other of its rights howsoever arising including under Clause 13 of this Contract (Service Levels and Service Credits), may: require the Supplier to immediately take all remedial action that is reasonable to mitigate the impact on the Customer and to rectify or prevent a Service Level Failure or Critical Service Level Failure from taking place or recurring; and if the action taken under paragraph (a) above has not already prevented or remedied the Service Level Failure or Critical Service Level Failure, the Customer shall be entitled to instruct the Supplier to comply with the Rectification Plan Process; or if a Service Level Failure has occurred, deduct from the Contract Charges the applicable Service Level Credits payable by the Supplier to the Customer in accordance with the calculation formula set out in Annex 1 of this Part A of this Contract Schedule 6; or if a Critical Service Level Failure has occurred, exercise its right to Compensation for Critical Service Level Failure in accordance with Clause 14 of this Contract (Critical Service Level Failure) (including subject, for the avoidance of doubt, the proviso in Clause 14.2.2 of this Contract in relation to Material Breach). Approval and implementation by the Customer of any Rectification Plan shall not relieve the Supplier of any continuing responsibility to achieve the Service Levels, or remedy any failure to do so, and no estoppels or waiver shall arise from any such Approval and/or implementation by the Customer. SERVICE CREDITS Annex 1 to this Part A of this Contract Schedule 6 sets out the formula used to calculate a Service Credit payable to the Customer as a result of a Service Level Failure in a given service period which, for the purpose of this Contract Schedule 6, shall be a recurrent period of [one Month] during the Contract Period (the “Service Period”). Annex 1 to this Part A of this Contract Schedule 6 includes details of each Service Credit available to each Service Level Performance Criterion if the applicable Service Level Performance Measure is not met by the Supplier. The Customer shall use the Performance Monitoring Reports supplied by the Supplier under Part B (Performance Monitoring) of this Contract Schedule 6 to verify the calculation and accuracy of the Service Credits, if any, applicable to each relevant Service Period. Service Credits are a reduction of the amounts payable in respect of the Goods and/or Services and do not include VAT. The Supplier shall set-off the value of any Service Credits against the appropriate invoice in accordance with calculation formula in Annex 1 of Part A of this Contract Schedule 6.

  • Medical Coverage The Executive shall be entitled to such continuation of health care coverage as is required under, and in accordance with, applicable law or otherwise provided in accordance with the Company’s policies. The Executive shall be notified in writing of the Executive’s rights to continue such coverage after the termination of the Executive’s employment pursuant to this Section 3(d)(iv), provided that the Executive timely complies with the conditions to continue such coverage. The Executive understands and acknowledges that the Executive is responsible to make all payments required for any such continued health care coverage that the Executive may choose to receive.

  • Service Level In the event that League InfoSight discovers or is notified by you of the existence of Non-Scheduled Downtime, we will use commercially reasonable efforts to determine the source of the problem and attempt to resolve it as quickly as possible.

  • Performance Requirements 1. Neither Party may impose or enforce any of the following requirements, or enforce any commitment or undertaking, in connection with the establishment, acquisition, expansion, management, conduct or operation of an investment of an investor of a Party or of a non-Party in its territory:

  • Service Requirement Except as otherwise provided in Section 6(e) of the Plan or Section 2 of this Agreement, this Option may be exercised only while you continue to provide Service to the Company or any Affiliate, and only if you have continuously provided such Service since the Grant Date of this Option.

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