Special Cases. Value-Based Programs- BlueCard Program BCBSRI has included a factor for bulk distributions from Host Blues in GROUP’s monthly premium for Value- Based Programs when applicable under this Agreement. Additional information is available upon request. If BCBSRI has entered into a Negotiated Arrangement with a Host Blue to provide Value-Based Programs to Group’s Enrolled Members, BCBSRI will follow the same procedures for Value-Based Programs as noted above for the BlueCard Program.
Special Cases. In case of prolonged illness or accident, death in the family, or other circumstances that make it impractical to complete the program, the school shall make a settlement, which is reasonable and fair to both parties. STUDENT MUST READ AND UNDERSTAND BOTH PAGES BEFORE SIGNING THIS IS PAGE ONE OF A TWO PAGE DOCUMENT
Special Cases. Value-Based Programs Blue Shield has included a factor for bulk distributions from Host Blues in the premium for Value-Based Programs when applicable under this agreement. Non-Participating Providers Outside of California When Covered Services, other than Emergency Services, are received from non-participating providers outside of California, but within the BlueCard Service Area, the amount(s) a Member pays for such services will generally be based on the Host Blue’s non-participating provider local payment, the Allowable Amount Blue Shield pays a Non-Participating provider in California if the Host Blue has no non-participating provider allowance, or the pricing arrangements required by applicable state law. In these situations, the Member may be responsible for the difference between the amount that the non-participating provider bills and the payment Blue Shield will make for the Covered Services as set forth in this paragraph. Claims for covered Emergency Services are paid based on the Allowable Amount as defined in the EOC. Blue Shield Global Core If Members are outside the BlueCard Service Area, they may be able to take advantage of Blue Shield Global Core when accessing Out-of-Area Covered Health Care Services. Blue Shield Global Core is unlike the BlueCard Program available in the BlueCard Service Area. Although Blue Shield Global Core assists Members with accessing a network of inpatient, outpatient, and professional providers, the network is not served by a Host Blue plan. As such, when Members receive care from providers outside the BlueCard Service Area, Members will typically have to pay the providers and submit the claims themselves to obtain reimbursement for these services. Details for Blue Shield Global Core claim submission are provided in the Out-of-area services section of the EOC.
Special Cases. In case of prolonged illness or accident, death in the family, or other circumstances that make it impractical for the student to complete the program, PIHMA may make a settlement which is reasonable and fair.
Special Cases i. For teaching, curriculum development, or other special projects for which normal classroom contact hours are not applicable, salaries shall be determined by the appropriate vice president with timely notification to the Association prior to implementation of such salaries.
Special Cases. In case of prolonged illness or accident, death in the family, or other circumstances that make it impractical for the student to complete the program, the school may make a settlement which is reasonable and fair (this language optional).
Special Cases. 1. Member State may provisionally prohibit the marketing of a cosmetic product in its territory or subject it to special conditions, if the Member State finds out that on the basis of a substantiated justification, the cosmetic product, although complying with the requirements of the Directive, represents a hazard to health or for reasons specific to religious or cultural sensitivity. Certain product claims may be permitted or prohibited in accordance with national requirements. Furthermore, the Member State for reasons related to its local organization and laws, may designate a specific competent authority and subject to a different control, a specific cosmetic product which comply with the requirements of this Directive and Annexes thereto. It shall immediately inform the other Member States with a copy to the ASEAN Secretariat stating the grounds for its decision.
Special Cases. Section 1705.1.1: Special inspections and tests shall be in accordance with 1705.1.1 for proposed work that is, in the opinion of the Building Official, unusual in nature. 19 Structural Observations – Section 1704.6: Where required by the provisions of Section 1704.6.1 or 1704.6.2, the Owner or Owner’s Authorized Agent shall employ a registered design professional to perform structural observations. Structural observation does not include or waive the responsibility for the inspections in Section 110, special inspections in Section 1705, or other sections of the IBC.
Special Cases. In special or unusual cases the department head, with the approval of the Executive Director, may grant a family death leave to allow an employee to attend funeral or memorial services of someone other than those included within the definition of the immediate family under the provisions of this MOU. It is the intent of this provision to cover the kind of situation in which someone other than immediate kin has raised the employee, or due to unusual circumstances has a very close relationship with the employee. When such special case consideration is granted, the Union will be notified in writing.
Special Cases. If a major change occurs in a licensee’s personal or medical condition and this change is fully documented and deemed by the Assistant Xxxx of Student Affairs or designee to be an extreme hardship situation, Community Living and the Campus Card Office reserve the right to make appropriate adjustments to this license. Room Assignment Changes The Licensee agrees to strictly follow all procedures outlined in Rights and Responsibilities for room changes and room transfers.
