Benefit Payment a. All benefits payment shall be in PHILIPPINE PESO.
b. lf a MEMBER incurs Eligible Expenses during the effectivity of this Agreement, MediCard will pay benefits in accordance with “Schedule A - Benefit Coverage” of this Agreement. MediCard will pay the Eligible Expenses after application of any stipulated co-payment or other deductions that may apply.
c. Benefits will not exceed the total medical expenses when combined with other health care or medical coverage in force or organizations or which are provided free of charge in government or private facilities.
d. MediCard reserves the right to deny Claims for Reimbursement if the procedures and requirements have not been strictly complied with.
Benefit Payment. In the event of your Involuntary Termination during the Term, you and your eligible dependents shall continue to be eligible to participate during the Benefit Continuation Period in the medical, dental, health and life insurance plans applicable to you immediately prior to your Involuntary Termination on the same terms and conditions in effect for you and your dependents immediately prior to such Involuntary Termination. For purposes of the previous sentence, “ Benefit Continuation Period ” means the period beginning on the Date of Termination and ending on the earliest to occur of (i) the last day of the Multiplier Period, (ii) the date that you and your dependents are eligible for coverage under the plans of a subsequent employer and (iii) the last day of the month, if any, in which you deliver notice to the Company that you are exercising your right in accordance with the definition of Restricted Period in Section 8 to cease receiving Severance Payments under this Agreement.
Benefit Payment. Benefit payment for a Covered Person will be made as described in the Schedule of Benefits. Vision care charges are the Usual and Reasonable Charges for the vision care services and supplies shown in the Schedule of Benefits. Benefits for these charges are payable up to the maximum benefit amounts shown in the Schedule of Benefits for each vision care service or supply. No benefits will be payable for the following:
Benefit Payment. We will pay 100% of the Allowable Charge for the Covered Services rendered to a Subscriber for Benefits provided under this policy. Our actual payment to a Provider or payment to the Subscriber satisfies Our obligation to provide Benefits under this Benefit Plan. Subscribers that receive Covered Services from Non- Network Providers may be billed the difference between the Allowable Charge We pay and the Provider’s billed charge. If the Non-Network (non-participating) Provider is a Hospital, Our payment of the Allowable Charge will be reduced by thirty percent (30%).
Benefit Payment. The benefit payment due to the Employee under this Agreement shall be paid to the Employee in a lump sum cash payment, subject to the provisions of Section 8 below. Such payment shall be paid by the Company as soon as practicable after the last date of the Term.
Benefit Payment. The term "Benefit Payment" means a payment issued by the Contract Administrator to a provider or Participant based on the Maximum Allowable Fee Schedule for an in-network service or supply. The Maximum Allowable Fee Schedule is a payment system that reimburses up to a specified dollar amount for services rendered. Payment will never exceed the Maximum Allowable Charge.
Benefit Payment. The benefit accrued by an employee under either Section 29.01 or 29.02, above, shall not be payable until retirement at the earliest of the following: 1. age fifty-five (55) and fifteen (15) years of service; 2. age sixty-two (62) and five (5) years of service; or, 3. thirty (30) years of service regardless of age.
Benefit Payment. SISC FLEX shall, as agent of Qualified Employer, operate under the express terms of this Agreement and the Plan. SISC FLEX shall initially determine if persons covered by the Plan (as described in the Contribution Billing Reports) are entitled to benefits under the Plan and shall pay Plan benefits in its usual and customary manner, to Participants as set forth in this Article III and Article IV. SISC FLEX shall have no duty or obligation with respect to claims incurred prior to the Effective Date ("Prior Reimbursement Requests"), if any, and/or Plan administration (or other) services arising prior to the Effective Date ("Prior Administration"), if any, regardless of whether such services were/are to be performed prior to or after the Effective Date. Qualified Employer agrees that: (a) SISC FLEX has no responsibility or obligation with respect to Prior Reimbursement Requests and/or Prior Administration; (b) Qualified Employer will be responsible for processing Prior Reimbursement Requests (including any run-off claims submitted after the Effective Date and maintaining legally required records of all Prior Reimbursement Requests and Prior Administration sufficient to comply with applicable legal (e.g. IRS substantiation) requirements; and (c) Qualified Employer shall indemnify and hold SISC FLEX harmless for any liability relating to Prior Reimbursement Requests and/or Prior Administration.
Benefit Payment. Executive shall receive within five business days of Termination a lump sum payment in cash in an amount equal to 2.99 times Executive's Earnings (as defined in this Section 2(a)); provided, however, that if there are fewer than 36 months remaining from the date of Termination to Executive's Normal Retirement Date, the amount calculated pursuant to this Section 2(a) shall be reduced by multiplying such amount by a fraction, the numerator of which is the number of months (including any fraction of a month) remaining to Executive's Normal Retirement Date and the denominator of which is 36.
Benefit Payment. Benefit Payment means a payment made in accordance with the terms of the Fund, as in effect on the Effective Date or as amended in accordance with Section 5.02. #2 [ [
