Preferred Provider - Prescription Drugs The Board shall provide, through the Xxxxx County Council of Governments, a preferred provider drug program that, if the employee chooses to utilize, will include the following:
Required Provisions (a) The Bank may terminate Executive’s employment at any time, but any termination by the Board other than termination for Cause shall not prejudice Executive’s right to compensation or other benefits under this Agreement. Executive shall have no right to receive compensation or other benefits for any period after termination for Cause.
Excluded Providers 6.4.1 Definition of Excluded Providers In accordance with 42 CFR 438.214(d), the Contractor may not employ or contract with Providers who are Excluded from participation in Federal Health Care Programs under either Section 1128 or 1128(A) of the Social Security Act.
Loop Provisioning Involving Integrated Digital Loop Carriers 2.6.1 Where Xxxx Communications has requested an Unbundled Loop and BellSouth uses Integrated Digital Loop Carrier (IDLC) systems to provide the local service to the end user and BellSouth has a suitable alternate facility available, BellSouth will make such alternative facilities available to Xxxx Communications. If a suitable alternative facility is not available, then to the extent it is technically feasible, BellSouth will make alternative arrangements available to Xxxx Communications (e.g. hairpinning).
SPECIALIZED JOB CLASSES Where there is a particular specialized job class in which the pay rate is below the local market value assessment of that job class, the parties may use existing means under the collective agreement to adjust compensation for that job class.
CLAIM FILING AND PROVIDER PAYMENTS This section provides information regarding how a member may file a claim for a covered healthcare service and how we pay providers for a covered healthcare service. How to File a Claim Network providers file claims on your behalf. Non-network providers may or may not file claims on your behalf. If a non-network provider does not file a claim on your behalf, you will need to file it yourself. To file a claim, please send us the provider’s itemized bill, and include the following information: • your name; • your member ID number; • the name, address, and telephone number of the provider who performed the service; • date and description of the service; and • charge for that service. Please send your claim to the address listed in the Contact Information section. Claims must be filed within one calendar year of the date you receive a covered healthcare service. Claims submitted after this deadline are not eligible for reimbursement. This timeframe does not apply if you are legally incapacitated. How Network Providers Are Paid We pay network providers directly for covered healthcare services. Network providers agree not to bill, charge, collect a deposit from, or seek reimbursement from you for a covered healthcare service, except for your share under the plan. When you see a network provider, you are responsible for a share of the cost of covered healthcare services. Your share includes the deductible, if one applies, and the copayment, as listed in the Summary of Medical Benefits. The covered healthcare service may also have a benefit limit, which caps the amount we will reimburse the provider for that service. You will be responsible for any amount over the benefit limit, up to the allowance. Your provider may request these payments at the time of service, or may bill you after the service. If you do not pay your provider, the provider may decline to provide current or future services or may pursue payment from you, such as beginning collection proceedings. Some of our agreements with network providers include alternative payment methods such as incentives, risk-sharing, care coordination, value-based, capitation or similar payment methods. Your copayments are determined based on our allowance at the date the service is rendered. Your copayment may be more or less than the amount the network provider receives under these alternative payment methods. Your copayment will not be adjusted based on these alternative payment methods, or for any payment that is not calculated on an individual claim basis. Our contracts with providers may establish a payment allowance for multiple covered healthcare services, and we may apply a single copayment based on these arrangements. In these cases, you will typically be responsible for fewer copayments than if your share of the cost had been determined on a per service basis.
Contract Database Metadata Elements Title: Manchester-Shortsville Central School District and Manchester-Shortsville Employees Unit, CSEA, Local 1000 AFSCME, AFL-CIO, Ontario County Local 835 (2007) Employer Name: Manchester-Shortsville Central School District Union: Manchester-Shortsville Employees Unit, CSEA, AFSCME, AFL-CIO Local: 1000, Ontario County Local 835 Effective Date: 07/01/07 Expiration Date: 06/30/11 PERB ID Number: 8608 Unit Size: Number of Pages: 33 For additional research information and assistance, please visit the Research page of the Catherwood website - xxxx://xxx.xxx.xxxxxxx.xxx/library/research/ For additional information on the ILR School - xxxx://xxx.xxx.xxxxxxx.xxx/ Gen/8608 Agreement by and between the RED JACKET CENTRAL SCHOOL DISTRICT SUPERINTENDENT and the CIVIL SERVICE EMPLOYEES ASSOCIATION, INC. Manchester-Shortsville Employees Unit Ontario County Local 835 Local 1000 AFSCME, AFL-CIO 🙞🙜 7/1/2007 – 6/30/2011 Received 12/11/08 Table of Contents Article Page II Union Rights 3 III Job Duties 4 IV Probationary Period …………………………………………………… 5 V Work Day/Work Week 5 VI Payroll Time Sheets 6 VII Seniority 6 IX Long Term Leave Of Absence Without Pay 6 X Sick Bank 7 XI Promotions 8 XII NYS Employees Retirement Program 9 XIII Physical Examinations 9 XV Evaluations 9 XVI Wages & Merit Increases 9 XVII Eligibility For Chaperoning 13 XVIII Labor-Management Meeting 13 XIX Temporary Adjustments In A Job Assignment ……………………….. 13 XX Leave 14 XXI Payroll Deposit, Payroll Deductions ………………………………….. 15 XXII Replacement Of Damaged Items 16 XXIII Accidents & Worker’s Compensation 16 XXIV Snow Days 16 XXVI Twelve Month Employees Work Schedule & Benefits 21 XXVII Ten Month Employees Work Schedule & Benefits 22 XXVIII Eleven Month Employees Work Schedule & Benefits 22 XXX Bus Drivers 23 XXXI Grievance Procedures 24 XXXII Uniforms 27 XXXIII Discipline & Discharge 27 XXXIV Management Rights, Duration, Signatures 27
Preferred Pricing The Contractor guarantees that the pricing indicated in this Contract is a maximum price. Additionally, Contractor’s pricing will not exceed the pricing offered under comparable contracts. Comparable contracts are those that are similar in size, scope, and terms. In compliance with section 216.0113, F.S., Contractor must annually submit an affidavit from the Contractor’s authorized representative attesting that the Contract complies with this clause.
Data shared with Subcontractors If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval.
