Plan Coverage Clause Examples
The Plan Coverage clause defines the specific benefits, services, or protections that are included under an insurance policy, employee benefit plan, or similar agreement. It typically outlines what types of incidents, treatments, or situations are covered, any applicable limits or exclusions, and the conditions under which coverage applies. For example, it may specify that certain medical procedures are included while others are not, or set annual maximums for reimbursement. The core function of this clause is to clearly delineate the scope of protection provided, ensuring both parties understand what is and is not covered, thereby reducing disputes and misunderstandings.
Plan Coverage. The City will provide a medical/dental, vision, and prescription drug insurance plan for all eligible employees including all bargaining unit members and their eligible dependents.
Plan Coverage. Life insurance is provided through a $20,000 term policy on the employee only, together with a $10,000 term policy on an employee's spouse and $5,000 term policy on the employee's dependents. Employees have the option to purchase family coverage at the negotiated benefit rate which provides a $10,000 term policy on an employee’s spouse and/or $5,000 term policy on the employee’s eligible dependents.
Plan Coverage. The Employer shall provide a plan for coverage as outlined in 35.02, 35.03 and 35.04. Membership shall be optional for regular employees, who have completed probation and who are normally scheduled to work fifteen (15) or more hours per week. Eligible employees must opt to enrol for coverage on or before the next January 1st. Thereafter, they may change their option for coverage once per year, on January 1st. For other employees, coverage shall commence following the completion of probation, if before the 15th of the month; if after the 15th of the month, at the start of the next month. Employees who opt to receive dental plan coverage must also take extended health benefit coverage and vice versa.
Plan Coverage. EPET and the Board of Education agree to use EBC for insurance administration. Medical benefits and coverage for members shall remain at existing plan levels as previously provided by Blue Cross/Blue Shield during the 2019-2020 school year. Dental benefits and coverage will also be comparable to the coverage previously provided during the 2019-2020 school year.
Plan Coverage. A Nurse on pregnancy, parental, or adoption leave may continue to be covered under the Employer's group life insurance and medical plans, provided she pays her portion of the premium each month of her leave.
Plan Coverage. The Board shall provide hospital, drug, medical insurance, dental and vision plan coverage. The Board shall pay one hundred percent (100%) of the premium costs for all members including the member’s spouse and dependant children in accordance with the following policies:
a) Manulife Financial, or equivalent, semi-private
b) Manulife Financial, or equivalent, extended health care plan 10/20 and thirty-five ($0.35) cent prescription plan. A dispensing fee cap of ten ($10.00) dollars shall be introduced for all prescription drugs. This plan shall include Manulife Deluxe Pay Med benefit or equivalent and the following:
i) Chiropractic Services: $75.00 per visit, to a maximum of $1,000.00 annually to be used in conjunction with the member’s annual OHIP eligibility.
ii) Physiotherapy: maximum $75.00 per visit, to a maximum of $1,000.00 annually.
iii) Massage Therapy: maximum $75.00 per visit, to a maximum of $1,000.00 annually.
c) The Board will continue to remit the required payroll tax known as the Employer Health Tax.
d) Manulife Financial, or equivalent Dental Plan 15, at the current O.D.A. rates. Maximums of $3,000.00 for specialized services.
e) Manulife Financial, or equivalent, Vision Care, $385.00 every twenty-four (24) months. This benefit may also be used for laser eye correction procedures and eye examinations.
f) The Board will pay one hundred (100%) percent of the benefit premium costs for a), b) d) and e) for the spouse and dependent children of a member who has died prior to retirement, for a period of twenty-four (24) months from the date of the member’s death. Such coverage will terminate if the spouse turns sixty-five (65) years of age, remarries or is eligible for coverage through another employer.
x) Xxxxxx/Widowers and dependents of Police Officers killed in action while in the discharge of their duties or from injuries received in the service of the Board as a Police Officer, and in either case for which the compensation award is made by the Workplace Safety and Insurance Board, the Board will have the above named included in the benefit plans above (a, b, d and e). This provision will be provided to widows/widowers outlined
a. The Board will pay 100% of the premium cost of a), b), d) and e) and 100% of the premium cost for group life insurance of $25,000.00 for a Member retiring or a Member on disability pensions subject to the following:
i. To be eligible a Member must have attained fifty (50) years of age.
ii. The retiring or disabled m...
Plan Coverage. 1. Each employee is limited to $5,000 of educational assistance per year. The cost of tuition is not to exceed $700 per unit.
2. Books may be reimbursed at 100% of the purchase price.
Plan Coverage. Hwisel Service Plans include equipment warranty coverage and/or equipment maintenance for one year starting 30 days after this agreement is signed or from date you requested except as otherwise stated in the plan you selected. Coverage is for owned or rented residential property, not commercial property or premises converted into a business. You acknowledge receipt of a copy of this Agreement which outlines your equipment coverage under the Plan.
Plan Coverage. If you die from any cause, the Basic Plan will pay your employees and designated beneficiary a benefit. The amount depends upon whether you are currently a full- time employee or retired.
Plan Coverage. Smart Houzz Systems Service Plans include equipment warranty coverage and/or equipment maintenance for one year starting 30 days after this agreement is signed or from date you requested except as otherwise stated in the plan you selected. Coverage is for owned or rented residential property, not commercial property or premises converted into a business. You acknowledge receipt of a copy of this Agreement which outlines your equipment coverage under the Plan.