Access to Benefits. In no case shall an employee on layoff, who was eligible for health, dental or other employee benefits prior to layoff, be required to accept an offer of recall to a position which does not meet the hourly assignment threshold for access to previously available benefits.
Access to Benefits. Teachers placed on unrequested leave will continue to have access to health, dental, and life insurance benefits available to teachers on other leaves of absence, with costs to be borne by the teacher.
Access to Benefits. Participating Provider will make Covered Services available and accessible to Members twenty-four hours per day, seven days per week, when Medically Necessary, and with reasonable promptness and in a manner which assures continuity in the provision of Covered Services. [42 C.F.R. 422.112(a)(7)].
Access to Benefits. Provider shall make Covered Services available and accessible to Medicare Members on a twenty-four (24) hours per day, seven (7) days per week basis and with reasonable promptness and in a manner which assures continuity in the provision of Covered Services.
Access to Benefits. 1. The INSURER will contract all available private providers that meet its credentialing process and agree to its contractual terms, in order to assure sufficient participating providers, to satisfy the demand of covered services by the beneficiaries enrolled in the program. Considering the expected mix between private patients and beneficiaries the accepted physician/beneficiary ratio will be 1:1,700 for primary care physicians; 1:2,200 for specialists and 1:1,600 for all physicians. In the event that the HCO's provides services only to beneficiaries under this contract, the physician/beneficiary ratio will be the same to that applicable when there is a mix between private patients and beneficiaries. The INSURER will assure compliance with said physician/beneficiary ratio.
Access to Benefits. 1. The INSURER will contract all available private providers that meet its credentialing process and agree to its contractual terms, in order to assure sufficient participating providers, to satisfy the demand of covered services by the beneficiaries enrolled in the program. The physician/beneficiary ratio accepted is one (1) primary care physician for each eight hundred and fifty (850) beneficiaries; one (1) specialist (not primary care) for each one thousand one hundred (1,100) beneficiaries; and, one (1) physician (all) for each eight hundred (800) beneficiaries. These ratio does not take into account the expected mix between private patients and beneficiaries which could increase the physicians capacity to 1:1,700 for primary care physicians; 1:2,200 for specialists and 1:1,600 for all physicians. In the event that the HCOs provides services only to beneficiaries under this contract, the physician/beneficiary ratio will be the same to that applicable when there is a mix between private patients and beneficiaries. The INSURER will assure compliance with said physician/beneficiary ratio.
Access to Benefits. It is the responsibility of the Service Provider to support all Young People to make a benefit claim 7 weeks prior to their 18th birthday or at the earliest opportunity the local Jobcentre Plus will allow, working with the LA Allocated Worker to make sure that this takes place. Where a Young Person is placed with a Service Provider with less than 7 weeks till their 18th birthday or if they are already 18 or over the Service Provider will ensure that the Young Person is supported to lodge a claim within 7 days. The Service Provider is required to ensure young people claim Housing Benefit, Council Tax Support (where applicable) and any and all other benefits relevant for the Young Person.
Access to Benefits. Please Describe Vendor’s benefits or services with respect to: Medical, dental, vision, flexible spending accounts, Life Insurance, Short-term, and longer-term disability. COBRA administration. 401k set-up and administration. Voluntary benefits, benefits enrollment, and admin access. Employee Assistance Programs (EAP) Commuter benefits.
Access to Benefits. Pharmacy shall furnish Covered Services to M+C Members, consistent with requirements of the M+C Program, statutes, regulations, CMS pronouncements, and plan sponsor policies.
Access to Benefits. 1. INSURER shall contract with all available providers meeting INSURER’s credentialing process and which agrees to INSURER’s its contractual terms in order to (i) assure timely access to benefits provided herein; and (ii) provide sufficient participating providers to satisfy the demand of covered services with adequate capacity and services. The foregoing sentence may not be construed to (i) require that INSURER contracts with providers beyond the numbers necessary to meet the needs of its enrollees; (ii) preclude INSURER from using different reimbursement amounts for different specialties; (iii) or preclude INSURER from establishing measures that are designed to maintain quality of services and control costs, as long as they are consistent with its responsibilities to enrollees and any applicable guidelines established by the ADMINISTRATION. In establishing and maintaining an adequate network of providers, INSURER shall consider the following criteria:
