Alternative Benefits. 11 If the State of Oregon adopts a law which uniformly disqualifies 12 employees on a limited duration layoff from receiving unemployment insurance, even 13 if they are available for and actively seeking suitable interim employment, the County 14 and Union agree to meet to negotiate over the terms of possible alternative benefits 15 or compensation to cover that period of unemployment. This shall be construed only 16 as contractual authorization for such a policy. This shall not be construed as a 17 purported waiver by the union of individual employee rights under the Oregon 18 unemployment compensation statute.
Alternative Benefits. 1. The Member may qualify for Alternative Benefits, at the Company’s discretion, based on various criteria, including diagnosis, severity, length of illness, and proposed or rendered treatment. The program seeks to identify candidates as early as possible and to work with patients, their Physicians and families, and other community resources to assess treatment alternatives and available Benefits when it is determined to be beneficial to the Member and to the Company.
2. The Company’s determination that a particular Member’s medical condition renders the Member a suitable candidate for Alternative Benefits will not obligate the Company to make the same or similar determination for any other Member; nor will the provision of Alternative Benefits to a Member entitle any other Member to Alternative Benefits or be construed as a waiver of the Company’s right to administer and enforce this Contract in accordance with its express terms.
3. Unless expressly agreed upon by the Company, all terms and conditions of this Contract, including, but not limited to, maximum Benefit limitations and all other limitations and exclusions, will be and shall remain in full force and effect if a Member is receiving Alternative Benefits.
4. Alternative Benefits provided under the Article are provided in lieu of the Benefits to which the Member is entitled under this Contract and accrue to the maximum Benefit limitations under this Contract.
5. The Member’s Alternative Benefits will be terminated upon any of the following occurrences:
a. We determine, in Our sole discretion, that the Member is no longer a suitable candidate for the Alternative Benefits or that the Alternative Benefits are no longer necessary.
b. The Member receives care, treatment, services, or supplies for the medical condition that are excluded under this Contract, and that are not specified as Alternative Benefits approved by Us.
Alternative Benefits. A. An alternative benefit in the form of a cash payment is available to those full-time employees in regular or probationary status who: (1) elect to opt-out of receiving City contributions under Section 7.01, Medical Insurance, and 7.02, Flexible Benefits Allowance, and (2) provide proof of medical insurance coverage from a plan other than a City-sponsored plan. Any cash payment provided under this Section shall be reported to the Internal Revenue Service (IRS) and the California Franchise Tax Board as compensation subject to income tax withholding. Each employee shall be solely and personally responsible for any tax liability that may arise out of receipt of the alternative benefit provided under this Section. The amount of alternative benefit provided to an employee is based on the level of insurance coverage that the employee could have received if the employee had enrolled in a City-sponsored health insurance plan, as follows: Employee Only $210 per month Employee and one dependent $380 per month Employee and two + dependents $500 per month For the purpose of this Section, the term “dependent” shall mean a dependent eligible for coverage under a PERS medical insurance plan if such coverage had otherwise been elected by the employee.
B. A full-time employee who does not receive a City contribution under Section 7.01, Medical Insurance, and 7.02, Flexible Benefits Allowance, and who is enrolled in a City-sponsored health insurance plan as the dependent of another City employee may be eligible to receive an alternative benefit as provided in this Subsection. If the cost to the City of providing an employee with benefits as the dependent of another is less than the cost of enrolling the employee separately in a City-sponsored health insurance plan, then the individual enrolled as a dependent may receive an alternative benefit. The amount of any alternative benefit shall be equal to the amount of savings to the City for enrollment of the employee as a dependent, up to a maximum alternative benefit of two hundred and ten dollars ($210) per month. The following examples illustrate how alternative benefits will be provided to employees who are enrolled as a dependent in a City-sponsored health insurance plan. For purpose of these examples, assume the following amounts as the City’s total costs towards providing benefits under Section 7.01, Medical Insurance, and 7.02, Flexible Benefits Allowance: Employee only - total cost of $500 per month Employee and one (...
Alternative Benefits. Benefits for services not routinely covered under this Contract but which the Company may agree to provide when it is beneficial both to the Member and to Us. Ambulance Service – Medically Necessary transportation by a specially designed emergency vehicle for transporting the sick and injured. The vehicle must be equipped as an emergency transport vehicle and staffed by trained ambulance personnel as required by appropriate State and local laws governing an emergency transportation vehicle.
Alternative Benefits. The Parties recognize the Owner’s commitment to provide opportunities on the Project for all Contractors and Sub-Contractors, including those which may not have previously had a relationship with the labor organizations signatory to this CWA. Each labor organization signatory to this CWA agrees to meet and confer with the Contractor or Sub-Contractor to discuss alternative benefits for Pension and/or Health and Welfare to meet the needs of their core employees as defined in Article 15 above. To be eligible, Contractors or Sub-Contractor’s must have a qualifying Pension and/or Health and Welfare plan currently covering their core employees as outlined below. If such Contractors or Sub-Contractors do not have a qualifying company Pension and/or Health and Welfare plan, they shall be required to contribute to the appropriate Trust Fund for their core employees. All Contractors and Sub-Contractors are required to pay the prevailed amount into the Training Trust Funds for the appropriate Signatory Labor Organization. Qualifying Pension and/or Health and Welfare plan shall be one that satisfies the following requirements:
a. The Contractor’s or Sub-Contractor’s company Pension and/or Health and Welfare plan must have been in existence for a period of at least one (1) year prior to the Contractor’s or Sub-Contractor’s bid or proposal submission for work on the Project; and
b. The employees for whom continued coverage under the Contractor’s or Sub- Contractor’s plan will be maintained must be qualified core employees as defined above and have been participants in such plans for the six (6) month period prior to their employment on the Project. If the above requirements are met, the Contractor or Sub-Contractor may request to meet and confer by submitting a written request to the Administrator for each affected signatory labor organization using (Attachment 5).
Alternative Benefits. 1. The Member may qualify for Alternative Benefits, at the Company’s discretion, based on various criteria, including diagnosis, severity, length of illness, and proposed or rendered treatment. The program seeks to identify candidates as early as possible and to work with patients, their Physicians and families, and other community resources to assess treatment alternatives and available Benefits when it is determined to be beneficial to the Member and to the Company.
2. The Company’s determination that a particular Member’s medical condition renders the Member a suitable candidate for Alternative Benefits will not obligate the Company to make the same or similar determination for any other Member; nor will the provision of Alternative Benefits to a Member entitle any other Member to Alternative Benefits or be construed as a waiver of the Company’s right to administer and enforce this Contract in accordance with its express terms.
3. Unless expressly agreed upon by the Company, all terms and conditions of this Contract, including, but not limited to, maximum Benefit limitations and all other limitations and exclusions, will be and shall remain in full force and effect if a Member is receiving Alternative Benefits.
4. Alternative Benefits provided under the Article are provided in lieu of the Benefits to which the Member is entitled under this Contract and accrue to the maximum Benefit limitations under this Contract.
Alternative Benefits. 9.1 In the event that:
Alternative Benefits. Benefits for services not routinely covered under this Contract but which the Company may agree to provide when it is beneficial both to the Member and to Us.
Alternative Benefits. Benefits for services not routinely covered under this Contract, but which We may agree to provide when it is beneficial both to the Member and to Us. Ambulance Service – Medically Necessary transportation by a specially designed emergency vehicle for transporting the sick and injured. The vehicle must be equipped as an emergency transport vehicle and staffed by trained ambulance personnel as required by appropriate State and local laws governing an emergency transportation vehicle. Ambulatory Surgical Center – An Allied Health Facility Provider that is established with an organized medical staff of Physicians, with permanent facilities that are equipped and operated primarily for the purpose of performing surgical procedures, with continuous Physician services and registered professional nursing services available whenever a patient is in the facility, which does not provide services or other accommodations for patients to stay overnight, and which offers the following services whenever a patient is in the center: (1) Anesthesia services as needed for medical operations and procedures performed; (2) Provisions for physical and emotional well-being of patients; (3) Provision for Emergency services; (4) Organized administrative structure; and (5) Administrative, statistical and medical records. Appeal – A written request from You or Your authorized representative to change an Adverse Benefit Determination made by Us. Applied Behavior Analysis (ABA) – The design, implementation, and evaluation of environmental modifications, using behavior stimuli and consequences, to produce socially significant improvement in human behavior, including the use of direct observation, measurement, and functional analysis of the relations between environment and behavior. Bed, Board and General Nursing Service – Room accommodations, meals and all general services and activities provided by a Hospital employee for the care of a patient. This includes all nursing care and nursing instructional services provided as a part of the Hospital's bed and board charge. Beneficiary – A person designated by a participant, or by the terms of a health insurance Contract, who is or may become entitled to a Benefit under the plan.
Alternative Benefits. If Licensed Product is held in any such suit to infringe and the use of the Product is enjoined, or in the case of a settlement as described above, NeoMedia shall have the option, at its own expense, to (i) procure for Partner the right to continue using Product, (ii) replace same with a non-infringing Product of substantially similar functionality, (iii) modify same to make it non-infringing, or (iv) refund the cost of the affected Product, and accept the return of same.
