Common use of Benefits Limited to Expenses Incurred During Plan Year Clause in Contracts

Benefits Limited to Expenses Incurred During Plan Year. The coverage elected for a Plan Year is only available to reimburse expenses which are incurred during the Plan Year, or during the Extension Period, if elected by the Employer in the Adoption Agreement. Coverage is limited to expenses incurred during the portion of a Plan Year in which there is a Qualifying Individual. However, the Participants shall have until the date specified in the Adoption Agreement following the Plan Year (referred to as the “grace period”) in which to submit claims for expenses incurred during the Plan Year. An expense is incurred during the Plan Year if the services giving rise to the expense are performed during the Plan Year. An expense shall not be deemed to be incurred during the Plan Year merely because a Participant receives a bill for the expense during the Plan Year or pays for the expense during the Plan Year.

Appears in 5 contracts

Samples: casebenefits.com, casebenefits.com, casebenefits.com

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Benefits Limited to Expenses Incurred During Plan Year. The coverage elected for a Plan Year is only available to reimburse expenses which are incurred during the Plan Year, or during the Extension Period, if elected by the Employer in the Adoption Agreement. Coverage is limited to expenses incurred during the portion of a Plan Year in which there is a Qualifying Individual. However, the Participants shall have until the date specified in the Adoption Agreement following the Plan Year (referred to as the “grace period”) in which to submit claims for expenses incurred during the Plan Year. An expense is incurred during the Plan Year if the services giving rise to the expense are performed during the Plan Year. An expense shall not be deemed to be incurred during the Plan Year merely because a Participant receives a bill for the expense during the Plan Year or pays for the expense during the Plan Year.

Appears in 2 contracts

Samples: casebenefits.com, casebenefits.com

Benefits Limited to Expenses Incurred During Plan Year. The coverage elected for a Plan Year is only available to reimburse expenses which are incurred during the Plan Year, or during the Extension Period, if elected by the Employer in the Adoption Agreement. Coverage Expenses shall be considered “incurred” when the service was rendered, and not when the Participant is limited to expenses incurred during formally billed, charged for or pays the portion of a Plan Year in which there is a Qualifying Individualexpense. However, the Participants shall have until the date specified in the Adoption Agreement following the Plan Year (referred to as the “grace period”) in which to submit claims for expenses incurred during the Plan Year. An expense is incurred during the Plan Year if the services giving rise to the expense are performed during the Plan Year. An expense shall not be deemed to be incurred during the Plan Year merely because a Participant receives a bill for the expense during the Plan Year or pays for the expense during the Plan Year.

Appears in 1 contract

Samples: www.casebenefits.com

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Benefits Limited to Expenses Incurred During Plan Year. The coverage elected for a Plan Year is only available to reimburse expenses which are incurred during the Plan Year, or during the Extension Period, if elected by the Employer in the Adoption Agreement. Coverage Expenses shall be considered “incurred” when the service was rendered, and not when the Participant is limited to expenses incurred during formally billed, charged for or pays the portion of a Plan Year in which there is a Qualifying Individualexpense. However, the Participants shall have until the date specified in the Adoption Agreement following the Plan Year (referred to as the “grace period”) in which to submit claims for expenses incurred during the Plan Year., subject to Section 4.04. An expense is incurred during the Plan Year if the services giving rise to the expense are performed during the Plan Year. An expense shall not be deemed to be incurred during the Plan Year merely because a Participant receives a bill for the expense during the Plan Year or pays for the expense during the Plan Year.

Appears in 1 contract

Samples: casebenefits.com

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