Opt-Out of Medical Plan Benefits Sample Clauses

Opt-Out of Medical Plan Benefits. 30 1. Employees may elect to Opt Out of coverage in the County’s medical 31 benefit plan by making that election on their Benefit Enrollment form. Employees making 32 such election must provide proof of other employer sponsored group medical benefit plan 33 coverage, not including Medicare, in order to make the Opt Out election. Employees will not 34 be eligible to change their election until the County’s official annual open enrollment period, 1 unless the employee experiences an IRS recognized family status change event that would 2 allow a mid-year health plan election change.
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Opt-Out of Medical Plan Benefits. 25 1. Employees may elect to Opt Out of the County’s medical benefit 26 plan coverage by making that election through the applicable Benefit Enrollment 27 process. Employees making such election must provide annually, an affidavit or other 28 qualifying proof of other qualifying group medical benefit plan coverage covering all 29 tax dependents, other than Medicare, in order to make the Opt Out election. 30 Employees will not be eligible to change their election until the County’s official 31 annual open enrollment period, unless the employee experiences an IRS recognized 1 family status change event that would allow a mid-year health plan election change 2 or qualifies for Special Enrollment under HIPAA.
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Opt-Out of Medical Plan Benefits a. Employees may elect to Opt Out of coverage in the County’s medical benefit plan by making that election on their Benefit Enrollment form. Employees making such election must provide proof of other group medical benefit plan coverage in order to make the Opt Out election. Employees will not be eligible to change their election until the County’s official annual open enrollment period, unless the employee experiences an IRS recognized family status change event that would allow a mid-year health plan election change or qualifies for Special Enrollment under HIPPA.
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Opt-Out of Medical Plan Benefits. 6 1. Employees may elect to Opt Out of the County’s medical 7 benefit plan coverage by making that election on their Benefit Enrollment form. 8 Employees making such election must provide proof of other group medical benefit plan 9 coverage, other than Medicare, in order to make the Opt Out election. Employees will not 10 be eligible to change their election until the County’s official annual open enrollment 11 period, unless the employee experiences an IRS recognized family status change event 12 that would allow a mid-year health plan election change or qualifies for Special Enrollment 13 under HIPAA.
Sample 1
Opt-Out of Medical Plan Benefits. 25 1. Employees may elect to Opt Out of the County’s medical benefit plan 26 coverage by making that election during the benefit enrollment process. Employees making 27 such an election must provide annually, an affidavit or other qualifying proof of other group 28 medical benefit plan coverage covering tax dependents, in order to continue to Opt Out. 29 Employees will not be eligible to change their election until the County’s official annual open 30 enrollment period, unless the employee experiences an IRS recognized family status change 31 event that would allow a mid-year health plan election change or qualifies for Special 32 Enrollment under HIPAA. 45
Sample 1
Opt-Out of Medical Plan Benefits. 1. Employees may elect to Opt-Out of the County’s medical benefit plan coverage by making that election during the Benefit Enrollment process. Employees making such an election must provide annually, an affidavit, or other qualifying proof of other group medical benefit plan coverage covering all tax dependents in order to continue to opt-out. Employees will not be eligible to change their election until the County’s official annual open enrollment period, unless the employee experiences an IRS recognized family status change event that would allow a mid-year health plan election change or qualifies for Special Enrollment under HIPAA.
Sample 1
Opt-Out of Medical Plan Benefits 
Sample 1
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Related to Opt-Out of Medical Plan Benefits

  • Medical Plan ‌ Eligible employees and dependants shall be covered by the British Columbia Medical Services Plan or carrier approved by the British Columbia Medical Services Commission. The Employer shall pay one hundred percent (100%) of the premium. An eligible employee who wishes to have coverage for other than dependants may do so provided the Medical Plan is agreeable and the extra premium is paid by the employee through payroll deduction. Membership shall be a condition of employment for eligible employees who shall be enrolled for coverage following the completion of three (3) months’ employment or upon the initial date of employment for those employees with portable service as outlined in Article 14.12.

  • Medical Benefits The Company shall reimburse the Employee for the cost of the Employee's group health, vision and dental plan coverage in effect until the end of the Termination Period. The Employee may use this payment, as well as any other payment made under this Section 6, for such continuation coverage or for any other purpose. To the extent the Employee pays the cost of such coverage, and the cost of such coverage is not deductible as a medical expense by the Employee, the Company shall "gross-up" the amount of such reimbursement for all taxes payable by the Employee on the amount of such reimbursement and the amount of such gross-up.

  • Covered Benefits and Services The Contractor shall provide to its Hoosier Healthwise members, at a minimum, all benefits and services deemed “medically reasonable and necessary” and covered by the IHCP, and included in the Indiana Administrative Code and under the Contract with the State. A covered service is considered medically necessary if it meets the definition as set forth in 405 IAC 5-2-17. The Contractor shall deliver covered services sufficient in amount, duration or scope to reasonably expect that provision of such services would achieve the purpose of the furnished services. Costs for these services are the basis of the Contractor’s capitation rate and are, therefore, the responsibility of the Contractor. Coverage may not be arbitrarily denied or reduced and is subject to certain limitations in accordance with CFR 438.210(a)(4), which specifies when Contractors may place appropriate limits on services:  On the basis of criteria applied under the State plan, such as medical necessity; or  For the purpose of utilization control, provided the services furnished are sufficient in amount, duration or scope to reasonably be expected to achieve the purpose for which the services are furnished.

  • Medical Plans The Employer will maintain the current health (including vision) and dental insurance programs and practices. The Employer shall contribute 80% of the premium charge for PPO plans, 83% of premium for the POS plan, 85% of premium for the HMO plan, 80% for the prescription drug plan and 50% for the dental plan. There shall be no change in the State’s premium subsidy for health benefits plans in Fiscal Year 2012.

  • Dependent Care Salary Reduction Plan The Employer agrees to maintain the current dependent care salary reduction plan that allows eligible employees, covered by this Agreement, the option to participate in a dependent care reimbursement program for work-related dependent care expenses on a pretax basis as permitted by federal tax law or regulation.

  • Program Benefits Under the Probation Status, the Participating Contractor will be eligible for all contractor incentives, its customers will have access to financing offered through the Program, and income- eligible households will be eligible to receive Program incentives.

  • Retiree Medical Benefits If Executive is or would become fifty-five (55) or older and Executive's age and service equal sixty-five (65) and Executive has at least five (5) years of service with the Company within two (2) years of Change in Control, Executive is eligible for retiree medical benefits (as such are determined immediately prior to Change in Control). Executive is eligible to commence receiving such retiree medical benefits based on the terms and conditions of the applicable plans in effect immediately prior to the Change in Control.

  • Physician Incentive Plans In the event Provider participates in a physician incentive plan (“PIP”) under the Agreement, Provider agrees that such PIPs must comply with 42 CFR 417.479, 42 CFR 438.3, 42 CFR 422.208, and 42 CFR 422.210, as may be amended from time to time. Neither United nor Provider may make a specific payment directly or indirectly under a PIP to a physician or physician group as an inducement to reduce or limit Medically Necessary services furnished to an individual Covered Person. PIPs must not contain provisions that provide incentives, monetary or otherwise, for the withholding of services that meet the definition of Medical Necessity.

  • Medical Benefits - Prescription Drugs Administered by a Provider (other than a pharmacist) This plan covers prescription drugs as a medical benefit, referred to as “medical prescription drugs”, when the prescription drug requires administration (or the FDA approved recommendation is administration) by a licensed healthcare provider (other than a pharmacist). Please note: Specialty prescription drugs meeting these requirements or recommendations are covered as a pharmacy benefit and not a medical benefit. These medical prescription drugs include, but are not limited to, medications administered by infusion, injection, or inhalation, as well as nasal, topical or transdermal administered medications. For some of these medical prescription drugs, the cost of the prescription drug is included in the allowance for the medical service being provided, and is not separately reimbursed.

  • Educational Benefits a. A full-time employee may enroll for credit at the University for a maximum of two courses, or six credit hours, whichever is greater, in any one academic term with exemption from the payment of tuition and fees.

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