Optional Dental Sample Clauses

Optional Dental. Orthodontia (Available to groups of 10+): q q q Dental 750 Dental 1000 Yes q q q Dental 1500 Dental 2000 No q q Dental 2500 Decline Vision – VSP Vision Care, Inc. Vision: q Exam Plus q Basic q Preferred q Enhanced q EasyOptions q Decline Life and Disability Coverage – Metropolitan Life Insurance Company Basic Life/AD&D (Life plan required with all medical plans): 100% employee participation q Plan A ($25,000) q Plan B ($50,000) q Plan C ($100,000) q Plan D ($250,000) Supplemental Life and AD&D: q Yes q No (No minimum employee participation requirement) Short Term Disability: q Yes (salary info required) q 26-week duration q 13-week duration q No 100% employee participation: 60% of weekly salary. All plans Non-Contributory. q STD Plan 1: $2500 wkly benefit; 0/7 Day Elimination Period q STD Plan 2: $2000 wkly benefit; 7/7 Day Elimination Period q STD Plan 3: $ 1750 wkly benefit; 7/7 Day Elimination Period q STD Plan 4: $1250 wkly benefit; 14/14 Day Elimination Period Long Term Disability: q Yes (salary information required) q 180-day EP q 90-day EP q No 100% employee participation: 60% of weekly salary; 180-day EP, 90-day EP Option if Stand-alone. All plans Non-Contributory. q LTD Plan 1: $10,000 max; Benefit to SSNRA q LTD Plan 2: $8,000 max; Benefit to SSNRA q LTD Plan 3: $6,000 max; Benefit to SSNRA q LTD Plan 4: $5,000 max; 5-Year Benefit Duration EAP Plan – Wellspring Family Services 3 visits included in medical plan WTIA Membership A membership fee, in an amount determined by the WTIA, is required to obtain coverage through WTIA Employee Benefit Trust. Your membership fee will appear as a line item on your first bill. Paid membership must be maintained to continue coverage under the plan. Membership fees are not used to provide plan benefits and are not considered plan assets. Any membership fees received by the WTIA Employee Benefit Trust will be forwarded to the WTIA. Late Fee Policy – Premiums are due by the 1st day of the coverage month. Late payments will be assessed a late fee of 5% of the amount owed. The fee will be added to the next month’s billing statement. Unpaid balances may be referred to collections. The employer will be responsible for any fees, attorney fees or other fees, associated with the collections process. Payment Options: q Electronic Funds Transfer (EFT) (You must fill out the EFT form) q Online q Check NEW GROUPS – A binder check is not required for groups that elect EFT for payment. Binder checks are required for online and ...
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Optional Dental. ❑ Dental 750 ❑ Dental 1000 ❑ Dental 1500 ❑ Dental 2000 ❑ Dental 2500 ❑ Decline Orthodontia (Available to groups of 10+): ❑ Yes ❑ No When selecting a Premera plan, coverage for Temporomandibular Joint Disorder (TMJ) will be offered under the medical plan or stand-alone dental plan. Please see your plan benefit for specific TMJ benefit coverage. Vision – VSP Vision Care, Inc. Vision: ❑ Exam Plus ❑ Basic ❑ Preferred ❑ Enhanced ❑ EasyOptions ❑ Decline Life and Disability Coverage – Metropolitan Life Insurance Company Basic Life/AD&D (Life plan required with all medical plans): 100% employee participation ❑ Plan A ($25,000) ❑ Plan B ($50,000) ❑ Plan C ($100,000) ❑ Plan D ($250,000)
Sample 1
Optional Dental. ❑ Dental 750 ❑ Dental 1500 ❑ Dental 2500 ❑ Dental 1000 ❑ Dental 2000 ❑ Decline Orthodontia (Available to groups of 10+): ❑ Yes ❑ No Vision – VSP Vision Care, Inc. Vision: ❑ Exam Plus ❑ Basic ❑ Preferred ❑ Enhanced ❑ EasyOptions ❑ Decline Life and Disability Coverage – Metropolitan Life Insurance Company
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Optional Dental. ❑ Plan 1 ❑ Plan 2 ❑ Plan 3 ❑ Plan 4 ❑ Decline Orthodontia (Available to groups of 10+): ❑ Yes ❑ No Vision – VSP Vision Care, Inc. Vision: ❑ Exam Plus ❑ Basic ❑ Preferred ❑ Enhanced ❑ Decline
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Optional Dental. ☐ DHMO High ☐ PPO 50-1500 A2 Optimum ☐ PPO 50-1500 P290 O ☐ PPO 50-1000 A Value ☐ PPO 25-2000 A2 Optimum ☐ PPO 50-1000 A90 V ☐ PPO 50-1500 A Value w/ 1500 Adult and Child Ortho ☐ Decline Groups of 10 or more enrolled employees may select up to 2 dental plans, one of which must be the DHMO High plan option. Vision – VSP Vision Care, Inc. Vision: ☐ Exam Plus ☐ Basic ☐ Preferred ☐ Enhanced CVC ☐ EasyOptions ☐ Decline Life and Disability Coverage – Metropolitan Life Insurance Company Basic Life/AD&D (Life plan required with all medical plans): ☐ Plan A($25,000) ☐ Plan B($50,000) ☐ Plan C($100,000) ☐ Plan D($250,000) Supplemental Life and AD&D: ☐Yes ☐No (Nominimumemployee participationrequirement) Short Term Disability: ☐ Yes(salaryinforequired) ☐ 26-weekduration ☐ 13-weekduration ☐ No 100% employeeparticipation: 60% of weeklysalary. Allplans Non-Contributory. ☐ STD Plan 1: $2500 wkly benefit; 0/7 Day Elimination Period ☐ STD Plan 2: $2000 wkly benefit; 7/7 Day Elimination Period ☐ STD Plan 3: $ 1750 wkly benefit; 7/7 Day Elimination Period ☐ STD Plan 4: $1250 wkly benefit; 14/14 Day Elimination Period Long Term Disability: ☐ Yes (salary information required) ☐ 180-day EP ☐ 90-day EP ☐ No 100% employee participation: 60% of weekly salary; 180-day EP, 90-day EP Option if Stand-alone. All plans Non-Contributory. ☐ LTD Plan 1: $10,000 max; Benefit to SSNRA ☐ LTD Plan 2: $8,000 max; Benefit to SSNRA ☐ LTD Plan 3: $6,000 max; Benefit to SSNRA ☐ LTD Plan 4: $5,000 max; 5-Year Benefit Duration EAP Plan – Wellspring Family Services AZTC Membership A membership with AZTC is required to obtain coverage through AZTC Employee Benefit Trust. Please submit the AZTC Membership Application along with dues payment. Membership must be maintained to continue coverage under the plan. Membership fees are not used to provide plan benefits and are not considered plan assets. Any membership fees received by the AZTC Employee Benefit Trust will be forwarded to the AZTC. AZTC does not condition membership in the Association or participation in the Trust on any health status-related factor relating to an individual. Current Member: ☐ Yes ☐ No Late Fee Policy – Premiums are due by the 1st day of the coverage month. Late payments will be assessed a late fee of 2% of the amount owed. The fee will be added to the next month’s billing statement. Unpaid balances may be referred to collections. The employer will be responsible for any fees, attorney fees or other fees, associated with the colle...
Sample 1
Optional Dental. ❑ Dental 750 ❑ Dental 1000 ❑ Dental 1500 ❑ Dental 2000 ❑ Dental 2500 ❑ Decline Orthodontia (Available to groups of 10+): ❑ Yes ❑ No Vision – VSP Vision Care, Inc. Vision: ❑ Exam Plus ❑ Basic ❑ Preferred ❑ Enhanced ❑ EasyOptions ❑ Decline Life and Disability Coverage – Metropolitan Life Insurance Company Basic Life/AD&D (Life plan required with all medical plans): ❑ Plan A ($25,000) ❑ Plan B ($50,000) ❑ Plan C ($100,000) ❑ Plan D ($250,000)
Sample 1

Related to Optional Dental

  • Optional Life Insurance The State shall make available optional term-life insurance to employees. The cost will be paid by the employee on a payroll deduction basis. The available coverage will be at least two (2) times the employee’s salary. No evidence of insurability will be required if an adequate number of employees participate. The State will explore smoker/non-smoker rates and spousal coverage.

  • Optional Life and Disability Coverages In order for coverage to become effective, the employee must be in active payroll status and not using sick leave on the first day following approval by the insurance company. If it is an open enrollment period, coverage may be applied for but will not become effective until the first day of the employee's return to work.

  • Continuation of Optional Coverages During Unpaid Leave or Layoff An employee who takes an unpaid leave of absence or who is laid off may discontinue premium payments on optional policies during the period of leave or layoff. If the employee returns within one (1) year, the employee shall be permitted to pick up all optionals held prior to the leave or layoff. For purposes of reinstating such optional coverages, the following limitations shall be applicable. For the first twenty-four (24) months of long-term disability coverage after such a period of leave or layoff during which long-term disability coverage was discontinued, any such disability coverage shall exclude coverage for pre-existing conditions. For disability purposes, a pre-existing condition is defined as any disability which is caused by, or results from, any injury, sickness or pregnancy which occurred, was diagnosed, or for which medical care was received during the period of leave or layoff. In addition, any pre-existing condition limitations that would have been in effect under the policy but for the discontinuance of coverage shall continue to apply as provided in the policy. The limitations set forth above do not apply to leaves that qualify under the Family Medical Leave Act (FMLA).

  • Optional Redemption Except as set forth below, the Issuer shall not be entitled to redeem the Securities. On and after May 15, 2017, the Issuer shall be entitled at its option to redeem all or a portion of the Securities upon not less than 30 nor more than 60 days’ notice, at the redemption prices (expressed in percentages of principal amount on the redemption date), plus accrued interest to the redemption date (subject to the right of Holders of record on the relevant record date to receive interest due on the relevant interest payment date), if redeemed during the 12-month period commencing on May 15 of the years set forth below: Period Redemption Price 2017 105.156 % 2018 103.438 % 2019 101.719 % 2020 and thereafter 100.000 % In addition, at any time prior to May 15, 2017, the Issuer shall be entitled at its option on one or more occasions to redeem Securities (which includes Additional Securities, if any) in an aggregate principal amount not to exceed 35% of the aggregate principal amount of the Securities (which includes Additional Securities, if any) issued prior to such date at a redemption price (expressed as a percentage of principal amount) of 106.875%, plus accrued and unpaid interest to the redemption date (subject to the right of Holders of record on the relevant record date to receive interest due on the relevant interest payment date), with an amount not to exceed the net cash proceeds from one or more Equity Offerings; provided, however, that (1) at least 65% of such aggregate principal amount of Securities (which includes Additional Securities, if any) remains outstanding immediately after the occurrence of each such redemption (with Securities held, directly or indirectly, by the Issuer or its Affiliates being deemed to be not outstanding for purposes of such calculation); and (2) notice of such redemption has been given within 90 days after the date of the related Equity Offering. Prior to May 15, 2017, the Issuer shall be entitled at its option to redeem all or a portion of the Securities at a redemption price equal to 100% of the principal amount of the Securities plus the Applicable Premium as of, and accrued and unpaid interest to, the redemption date (subject to the right of Holders of record on the relevant record date to receive interest due on the relevant interest payment date).

  • OPTIONAL TWELVE-MONTH PAY PLAN 1. Where the Previous Collective Agreement does not contain a provision that allows an employee the option of receiving partial payment of annual salary in July and August, the following shall become and remain part of the Collective Agreement.

  • Optional Purchases by the Corporation Subject to compliance with applicable securities legislation and approval of applicable regulatory authorities, if any, the Corporation may from time to time purchase by private contract or otherwise any of the Warrants. Any such purchase shall be made at the lowest price or prices at which, in the opinion of the directors of the Corporation, such Warrants are then obtainable, plus reasonable costs of purchase, and may be made in such manner, from such persons and on such other terms as the Corporation, in its sole discretion, may determine. In the case of Warrant Certificates, Warrant Certificates representing the Warrants purchased pursuant to this Section 5.1 shall forthwith be delivered to and cancelled by the Warrant Agent and reflected accordingly on the register of Warrants. In the case of Uncertificated Warrants, the Warrants purchased pursuant to this Section 5.1 shall be reflected accordingly on the register of Warrants and in accordance with procedures prescribed by the Depository under the book entry registration system. No Warrants shall be issued in replacement thereof.

  • Optional If Vendor would like to display any applicable certificates or licenses (including HUB certificates) for TIPS and TIPS Member Customer consideration, Vendor may upload those at this location. These supplemental documents shall not be considered part of the TIPS Contract. Rather, they are Vendor Supplemental Information for marketing and informational purposes only.

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