Plan Type. Combination Plan Type Option 1 (Retiree is Medicare eligible, but dependent(s) are not) Level of Coverage City Monthly Contribution Medicare Retiree+1 Basic Dependent $937.30 Medicare Retiree+2 or more Basic Dependents $1,321.01 Medicare Retiree+1 Medicare Dependent+1 or more Basic Dependent(s) $974.16
Plan Type. The Vendor (Health Plan) is approved to provide contracted services as the following health plan type as denoted by “X”: TABLE 1 Health Maintenance Organization (HMO) Fee- for-Service (FFS) Provider Service Network (PSN) Capitated PSN Specialty Health Plan for Children with Chronic Conditions Specialty Plan for Recipients Living with HIV/AIDS X
Plan Type. The Basic Separation Program provides severance benefits to eligible employees of the Company (and its subsidiaries). The Insured-Unfunded Plan also provides other employee benefits, the terms of which are described in separate summary plan descriptions. Plan Administrator: The Procter & Xxxxxx U.S. Business Services Company, c/o U.S. Benefits Manager, P&G Plaza, TE-3, Xxxxxxxxxx, XX 00000, [phone].
Plan Type. The Iron Workers District Council of Southern Ohio & Vicinity Annuity Trust is a money purchase plan under Internal Revenue Code Section 401(a). 1-800-743-5274 Iron Workers District Council of Southern Ohio & Vicinity Annuity Trust Contract Number: MR 60359-001 DISTRIBUTION FORM • This form authorizes a distribution from the Iron Workers District Council of Southern Ohio & Vicinity Annuity Trust. • Participants must complete Sections 1 through 5 and return this form to the Iron Workers District Council of Southern Ohio & Vicinity. • If you are choosing a direct rollover to another qualified plan or IRA you must also complete Section #4. • If you are married your spouse must complete and enclose the Spousal Consent Form. • This form is not valid without your signature under Section #5 and the Fund Office’s countersignature.
Plan Type. Combination Plan Type Option 2 (Retiree is not Medicare eligible, but one or more dependent(s) are) Level of Coverage City Monthly Contribution Basic Retiree+1 Medicare Dependent $937.30 Basic Retiree+2 or more Medicare Dependents $1,235.10 Basic Retiree+1 Basic Dependent+1 or more Medicare Dependent(s) $1,321.01 Retiree contributions will vary based on future changes to health premiums and health plan selected. However, the City contribution shall be capped at the levels listed above. City contributions to medical premiums shall not exceed 100% of the premium cost for the applicable level of Kaiser coverage.
Plan Type. The Iron Workers District Council of Southern Ohio & Vicinity Annuity Trust is a money purchase plan under Internal Revenue Code Section 401(a). 1-800-743-5274 Iron Workers District Council of Southern Ohio & Vicinity Annuity Trust Contract Number: MR60359-001 BENEFICIARY AND ALTERNATE PAYEE DISTRIBUTION FORM • Use this form to request a distribution as a beneficiary following the death of the participant or as an alternate payee under a qualified domestic relations order. • Complete all of this form in ink and provide signatures where indicated. • To request a distribution as a participant following termination of employment, use the Distribution Form. • Your choices on this form may affect your taxes. You may wish to consult your own tax or financial advisor. • Please return completed form to the address below.
Plan Type. 1. The Managed Care Plan is approved to provide contracted services as denoted by “X” in Table 1, LTC Plan Type, below. TABLE 1 - LTC Plan Type Effective Date: 08/01/13 – 08/31/18 Capitated Managed Care Plan Fee-for-Service (FFS) Managed Care Plan* Health Maintenance Organization (HMO) LTC Provider Service Network (LTC PSN) Exclusive Provider Organization (EPO) Medicare Advantage Special Needs Plan (MA SNP) LTC Provider Service Network (LTC PSN) * FFS Managed Care Plans are capitated by the Agency for transportation only.
Plan Type. This defined contribution plan is established by the Company for the exclusive benefit of eligible employees and their beneficiaries. The Plan is intended to qualify and satisfy the requirements of the Internal Revenue Code Sections 401(a) and 501 and regulations promulgated under it. This plan is also intended to constitute a plan described in section 404(c) of the Employee Retirement Income Security Act (ERISA).
Plan Type. The Employer in its Adoption Agreement will specify whether it establishes the Plan as a nonqualified deferred compensation plan or as an ineligible Code §457(f) plan. A nonqualified deferred compensation plan is an unfunded plan that may be: (i) an “excess benefit plan”; (ii) a plan maintained “primarily for the purpose of providing deferred compensation for a select group of management or highly compensated employees” (“top-hat plan”); or (iii) a plan for Contractors. A top-hat plan includes a supplemental executive retirement plan (“SERP”).
