Benefit design definition

Benefit design means the health care benefits package provided through the Community Health Access Program.[PL 2001, c. 439, Pt. BBB, §1 (NEW); PL 2001, c. 439, Pt. BBB, §3 (AFF).]
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Benefit design means the cost sharing for covered benefits. (Health & Saf. Code § 1385.043(f)(2) & Ins. Code § 10181.46(f)(2).)
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Benefit design means selection of services, providers and bene- ficiary cost-sharing to create the scope of coverage for participants.
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Examples of Benefit design in a sentence

  • Benefit design parameters such as deductibles, coinsurance, copays, out-of-pocket maximums, etc.

  • Benefit design parameters such as deductibles, coinsurance, copays, out‐of‐pocket maximums, etc.

  • Benefit design is determined independently by the local Blue Plan and is not a feature of any Blue Distinction program.

  • The Benefit design shall include rules to determine which of the Participants and Beneficiaries of the Trust will receive Benefits under the Plans, in what form and in what amount.

  • Benefit design non- discrimination policies do not prevent states from exercising Section 1937 targeting criteria.

  • Stirling Council has already made significant progress in working towards these targets and currently recycles and composts over 48% of all waste collected (an increase of 5% compared with 2009/10), with the second highest level of diversion of waste from landfill in Scotland.

  • Benefit design and limitations in private insurance coverage for mental health services also “limit medically necessary care… and restrict access to acute care and medication management for persons with severe mental illness.” (Burnam and Escarce, 1999).

  • In some cases, young people, in particular care leavers up to but not including the age of 22, may be accommodated in a children’s home.

  • Benefit design and price transparency – Use data-driven insights to ensure cost-effective care that also leads to improvements in beneficiary outcomes.

  • During the term of this contract, Eden Medical Center will offer the Xxxxxx Health Retirement Plan with the dual options of the Cash Balance design and the Defined Benefit design.


More Definitions of Benefit design

Benefit design means the health care bene- fits package provided through the Community Health Access Program.
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Benefit design means the cost sharing for covered benefits.
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Related to Benefit design

  • Adverse Benefit Determination means any of the following:

  • Disability benefit recipient means a member who is receiving a disability benefit.

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Final Adverse Benefit Determination means an adverse benefit determination that is upheld at the completion of a health plan issuer’s internal appeals process.

  • Parent Benefit Plan means any Employee Benefit Plan maintained by, sponsored by or contributed to by, or obligated to be contributed to by any Parent Group Entity.

  • Basic health benefit plan means any plan offered to an individual, a small group,

  • Non-U.S. Benefit Plan has the meaning set forth in Section 3.20(a).

  • Claim for Benefits means a request for a Plan benefit or benefits made by a Member in accordance with the Plan’s Appeals Procedures, including any Pre-Service Claims (requests for Prior Authorization) and Post-Service Claims (requests for benefit payment).

  • Salary reduction plan means a benefit plan whereby state and

  • Benefit Distribution Date means the date upon which all or an objectively determinable portion of a Participant’s vested benefits will become eligible for distribution. Except as otherwise provided in the Plan, a Participant’s Benefit Distribution Date shall be determined based on the earliest to occur of an event or scheduled date set forth in Articles 4 through 9, as applicable.

  • Pharmacy benefit manager means a person, business or other

  • Annual Benefit Limit means the maximum amount of benefits paid by the Company to the Policy Holder in a Policy Year irrespective of whether any limits of any benefit items stated in the Benefit Schedule have been reached. The Annual Benefit Limit is counted afresh in a new Policy Year.

  • Retirement Benefits means benefits paid by reference to reaching, or the expectation of reaching, retirement or, where they are supplementary to those benefits and provided on an ancillary basis, in the form of payments on death, disability, or cessation of employment or in the form of support payments or services in case of sickness, indigence or death. In order to facilitate financial security in retirement, these benefits may take the form of payments for life, payments made for a temporary period, a lump sum, or any combination thereof;

  • Regular benefits ’ means benefits payable to an individual under this act or under any other state law, including benefits payable to federal civilian employees and to ex-servicemen pursuant to 5 U.S.C. chapter 85, other than extended benefits.

  • Disability benefits means any cash payments which are payable to a covered individual for all or part of a period of disability pursuant to P.L.1948, c.110 (C.43:21-25 et al.).

  • Health benefit plan means a policy, contract, certificate or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.

  • Disability Benefit means the benefit set forth in Article 8.

  • Annual Benefit means an annual sum of fifty thousand dollars ($50,000) multiplied by the Applicable Percentage (defined below) and then reduced to the extent required: (i) under the other provisions of this Agreement; (ii) by reason of the lawful order of any regulatory agency or body having jurisdiction over the Employer; and (iii) in order for the Employer to properly comply with any and all applicable state and federal laws, including, but not limited to, income, employment and disability income tax laws (eg., FICA, FUTA, SDI).

  • Public benefit means making capital available, or facilitating the availability of capital, to businesses in this state that have 750 or fewer employees, the intent of which is to create or retain employment opportunities for residents of this state, stabilize or increase the tax base of this state, or support the redevelopment of facilities for use by small businesses.

  • Seller Benefit Plan means each Employee Benefit Plan sponsored, maintained or contributed to by a Seller or any of its Affiliates or with respect to which a Seller or any of its Affiliates has, or could reasonably be expected to have, any direct or indirect Liability.

  • Parent Benefit Plans has the meaning set forth in Section 5.07(b).

  • Basic Plan means as to any Member or Vested Former Member the defined benefit pension plan of the Company or an Affiliated Employer intended to meet the requirements of Code Section 401(a) pursuant to which retirement benefits are payable to such Member or Vested Former Member or to the Surviving Spouse or designated beneficiary of a deceased Member or Vested Former Member.

  • CAFRA Planning Map means the map used by the Department to identify the location of Coastal Planning Areas, CAFRA centers, CAFRA cores, and CAFRA nodes. The CAFRA Planning Map is available on the Department's Geographic Information System (GIS).

  • Retirement Benefit means the benefit set forth in Article 5.

  • Death Benefit means the insurance amount payable under the Certificate at death of the Insured, subject to all Certificate provisions dealing with changes in the amount of insurance and reductions or termination for age or retirement. It does not include any amount that is only payable in the event of Accidental Death.

  • Health benefits plan means a benefits plan which pays or