Benefit Plan Design. In the event Employer wishes to implement Benefit Plan design changes including, but not limited to, implementation of Coinsurance or increase of Copayment/Deductible, the pricing in the BPA Addendum may no longer be applicable. If such Benefit Plan design changes impact the existing pricing, a new BPA Addendum pricing must be negotiated. Revised pricing proposed by Claim Administrator shall be effective pursuant to Section 6.4 Amending and Ex. 2 Section 3.3 of this Agreement, provided that if Parties cannot agree on the terms of the new BPA Addendum pricing, Employer shall be allowed to (a) proceed to dispute resolution, as set forth in the Agreement or
Benefit Plan Design. In the event Employer wishes to implement Benefit Plan design changes for example implementation of Coinsurance or increase of Copayment/Deductible, the pricing in the BPA Addendum may no longer be applicable. If such Benefit Plan design changes impact the existing pricing, a new BPA Addendum pricing must be negotiated. Revised pricing proposed by Claim Administrator shall be effective pursuant to Section 6.4 Amending and Ex. 2 Section 3.3 of this Agreement, provided that if Parties cannot agree on the terms of the new BPA Addendum pricing, Employer shall be allowed to (a) proceed to dispute resolution, as set forth in the Agreement or (b) terminate this Exhibit with 90 days’ prior written notice to the other Party. Failure to reach agreement on the new Addendum pricing shall not be a breach of contract.
Benefit Plan Design. C.10.1. Confirm that benefits include annual examination, frames, lenses, and/or contact lenses and some form of indemnified payment to contracted providers for each component of benefits.
C.10.2. Are members limited to a specified frame selection? Do members receive better pricing on a specialized frame selection or based on the type of supplier they choose?
C.10.3. Describe the supplier’s contact lens benefit. Is the materials benefit separate from the contact lens fit and follow-up benefit? What types and brands of contact lenses are covered under the plan of benefits?
C.10.4. Provide benefit information for inclusion in the employee and retiree enrollment guides; see Attachment 5
Benefit Plan Design. Consultant will help to ensure that benefit designs are consistent with the strategic benchmarks and targets set forth in the strategic benefit planning process.
Benefit Plan Design. School District of the City of Harrisburg High Option Benefit In Network Out of Network Benefit In Network Out of Network
