Actuary. An individual who meets the qualification standards established by the American Academy of Actuaries for an actuary and follows the practice standards established by the Actuarial Standards Board. Actuary refers to an individual who is acting on behalf of the State when used in reference to the development and certification of capitation rates.
Actuary. In accordance with 42 C.F.R §438.2, an actuary is an individual who meets the qualification standards established by the American Academy of Actuaries for an actuary and follows the practice standards established by the Actuarial Standards Board. Actuary refers to an individual who is acting on behalf of the State when used in reference to the development and certification of capitation rates.
Actuary. “Actuary” means the then acting actuary or firm of actuaries employed by the Corporation to advise the Corporation with respect to contributions to be made under the Plan. The initial Actuary shall be Towers, Perrin, Xxxxxxx & Xxxxxx, Inc. and Subsidiaries.
Actuary. The calculations described under this Section 11.03 shall be ------- conducted by an actuary designated by Parent and shall be performed in a manner that is generally consistent with the actuarial assumptions, practices and procedures used by the enrolled actuary for the PG&E Non-Management VEBA in preparing actuarial reports for the PG&E Non-Management VEBA, and as may be set forth in greater detail in the Employee Matters Agreement.
Actuary. An individual who meets the qualification standards, established by the American Academy of Actuaries for an actuary and follows the practices established by the Actuarial Standard Board. Adjudicate - A determination to pay or reject a claim. Administrative Services Organization (ASO) An uninsured health plan is where an administrator performs administrative services for a third party that is at risk but has not issued an insurance policy. The health plan bears all of insurance risk, and there is no possibility of loss or liability to the administrator caused by claims incurred related to the plan. Under an ASO plan, claims are paid from a bank account owned and funded directly by the uninsured plan sponsor; or, claims are paid from a bank account owned by the administrator, but only after receiving funds from the plan sponsor that are adequate to fully cover the claim payments. Advanced Directives - means a written instruction, such as a living will or durable power of attorney for health care, recognized under State law (whether statutory or as recognized by the courts of the State), relating to the provision of health care when the individual is incapacitated. Affiliate - Any individual, corporation, partnership, joint venture, trust, unincorporated organization or association, or other similar organization (hereinafter "Person"), controlled by or under common control with a Private Sector BH-MCO, including a Private Sector BH-MCO subcontracting with a county, Joinder, or a Private Sector BH-MCO's parent(s), whether such common control be direct or indirect. Without limitation, all officers, or persons, holding five (5%) percent or more of the outstanding ownership interest of the Private Sector BH-MCO's or Private Sector BH-MCO's parent(s), directors and subsidiaries of the Private Sector BH-MCO, shall be presumed to be Affiliates for purposes of this Agreement. For purposes of this definition, "control" means the possession, directly or indirectly, of the power (whether or not exercised) to direct or cause the direction of the management or policies of a Person, whether through the ownership of voting securities, other ownership interest, or by contract or otherwise, including but not limited to the power to elect a majority of the directors of a corporation or trustees of a trust, as the case may be. Agreement – The HealthChoices Behavioral Health Agreement.
Actuary. An individual who meets the qualification standards established by the American Academy of Actuaries for an actuary and follows the practice standards established by the Actuarial Standards Board. For purposes of developing and certifying capitation rates, an Actuary refers to an individual who is acting on behalf of the State Advance Directive – Written instructions (such as an advance health directive, a mental health advance directive, a living will, including Five Wishes, or a durable health care power of attorney) recognized under State law (whether statutory or as recognized by the courts of the State), relating to the provision of health care when an individual is incapacitated. Affiliate – Any person, firm, corporation (including, without limitation, service corporation and processional corporation), partnership (including, without limitation, general partnership, limited partnership and limited liability partnership), limited liability company, joint venture, business trust, association or other entity or organization that now or in the future directly or indirectly controls, is controlled by or is under common control with the Contractor. Annual Open Enrollment Period – The period designated by the State from October 1 to October 31 when members can elect to Transfer from one MCO to another MCO without good cause. Appeal – A review by the Contractor of an Adverse Benefit Determination.
Actuary. TopBuild, on behalf of itself and each member of the TopBuild Group, hereby agrees to retain the actuary serving in such capacity as of the date hereof as the sole provider of all actuarial services to TopBuild and every member of the TopBuild Group. TopBuild further agrees that it shall take all reasonably necessary actions to ensure that such actuary remains the sole provider of all actuarial services to TopBuild and every member of the TopBuild Group through and including December 31, 2015.
Actuary. Section 1.4(i) of the Purchase Agreement is hereby amended by deleting the words “Sumitomo Life Insurance Company, the pension actuary of Seller’s corporate pension fund (the “Actuary”)” in the first sentence thereof and inserting in lieu thereof the words “the Actuary”.
Actuary. Actuary" means a person who is a member in good standing of the American Academy of Actuaries. [ 1991, c. 828, §20 (NEW) .]
