BENEFITS PROVISIONS. 1. Occurrence of unexpected and urgent medically necessary medical expenses (including 100% of covered expenses for In-hospital Medical Services, 100% of covered expense for In- hospital Surgical Services and 100% for Out of Hospital Medical Services) which are a direct consequence of an accident or an illness of an Insured which are not an Exclusion from the Insurance Coverage, and are within the limits of insurance responsibility which have occurred during the term of the individual insurance coverage;
2. Casual/Leisure Sports: The following is included in your coverage for non-school sponsored events: aerobics, baseball, basketball, calisthenics, cycling, dancing, diving above 15M, Frisbee, horseback riding (trail only - no jumping, competition or dressage), hiking/trekking below 3500M, jogging/running, roller (in-line) skating, rollerblading, sailing, sea kayaking/canoeing, soccer, squash, surfing, tennis, swimming, volleyball, whitewater rafting up to and including Class 3 level. Any other sport not requiring a high degree of risk or training and will be evaluated at the insurer’s discretion whose decisions are final.
BENEFITS PROVISIONS. 34:01 a) The Board and the Association agree to continue the benefits provisions as outlined in the current Group Insurance Plan Booklet of the Board. These benefits include extended health (including hospital room coverage), life, accidental death and dismemberment, vision and dental provisions.
BENEFITS PROVISIONS. Upon receipt and approval of due proof that the Insured Member while insured under the Policy and this Supplementary Contract, shall have suffered from Extended Total Permanent Disability, we shall, subject to the provisions contained in this Policy, pay You a lump sum amount of Sum Assured covered less any claims made under Angioplasty And Other Invasive Treatments for Coronary Artery Disease of the Additional Critical Illness Supplementary Contract.
BENEFITS PROVISIONS. A. For this Memorandum of Understanding and this term of agreement only, the Law Library will provide access to the following benefit plans for its regular full-time and regular part-time employees who meet the eligibility requirements. These benefit plans are currently provided:
1. The County of Orange Medical Plan
2. The OCEA Health & Welfare Plan
3. The County of Orange Retiree Medical Plan
4. The Orange County Employees Retirement System
5. Deferred Compensation Program It is the intent of the Law Library to continue to provide benefit plans for its employees which are substantially comparable to those provided by like employers, subject to cost, availability and market conditions.
B. Retiree Medical Benefits, for the purposes of Section 9.A.3. above, shall be administered as follows:
1. Effective January 1, 2007, Law Library employees shall participate in the County of Orange Retiree Medical Program (“the RMP”). All provisions of the County of Orange Retiree Medical Program shall apply to the Orange County Public Law Library subject to the revisions between the County and the Orange County Employees Association.
2. The Law Library shall pay the full cost for Law Library employee participation in the County’s RMP, estimated at 3.5% of each regular and probationary employee’s base salary exclusive of overtime.
3. Law Library employee contributions to the County’s former Retiree Medical Insurance Program shall cease as of December 21, 2006.
4. The amount of the cash benefit available to an employee active prior to September 12, 2006, who separates from the Law Library and does not qualify for a Retiree Medical Grant under the RMP, is frozen as of December 31, 2006.
5. Beginning June 22, 2007, each regular and probationary Law Library employee shall contribute 1.75% of the employee’s base salary exclusive of overtime through payroll deduction, to be an additional contribution to the employee’s OCERS retirement account. Beginning June 22, 2007, the Law Library will reduce its employer contribution to OCERS by 1.75% of each regular, limited-term, and probationary employee’s base salary exclusive of overtime.
6. The parties agree to reopen this agreement if at any time during the life of the agreement OCEA and the County agree to implement a revision to or replacement of the current Retiree Medical Benefit. In that event, the parties shall consider revising or replacing the current Retiree Medical Benefit on the same or substantially similar terms as agreed ...
BENEFITS PROVISIONS. A. For this Memorandum of Understanding and this term of agreement only, the Law Library will provide access to the following benefit plans for its regular full-time and regular part-time employees who meet the eligibility requirements. These benefit plans are currently provided:
1. The County of Orange Medical Plan
2. The OCEA Health & Welfare Plan
3. The County of Orange Retiree Medical Plan
4. The Orange County Employees Retirement System
5. Nationwide Deferred Compensation Program It is the intent of the Law Library to continue to provide benefit plans for its employees which are substantially comparable to those provided by like employers, subject to cost, availability and market conditions.
BENEFITS PROVISIONS. While this Policy is in force and subject to the terms and conditions, W e will provide benefits under this Policy upon occurrence of the following events:
BENEFITS PROVISIONS. While this Policy is in force, We shall, subject to the provisions contained in this Policy, pay the following benefits:
2.1 AMOUNT PAYABLE UPON DIAGNOSIS OF EARLY STAGE CANCER BEFORE MATURITY/EXPIRY DATE
2.1.1 If the Life Assured Is diagnosed with Early Stage Cancer as defined in this Policy, we shall pay the Early Stage Cancer Insured Amount as stated in the Table of Benefits, less any Indebtedness provided:
(i) The Life Assured survived for a period of seven (7) days after the diagnosis; and
(ii) The Policy has commenced for more than one hundred and twenty (120) days from Issue Date or Reinstatement Date, whichever is later.
2.1.2 The Early Stage Cancer Benefit can only be claimed once during the Policy’s coverage term.
2.1.3 The Advanced Stage Cancer Insured Amount will then be reduced proportionately with the amount paid for Early Stage Cancer but the Premium payable will remain the same.
2.1.4 The remaining amount of the Advanced Stage Cancer Insured Amount will be paid upon diagnosis of Advanced Stage Cancer, if any.
2.2 AMOUNT PAYABLE ON DIAGNOSIS OF ADVANCED STAGE CANCER BEFORE MATURITY/EXPIRY DATE
2.2.1 If the Life Assured is diagnosed with Advance Stage Cancer as defined in this Policy, we shall pay the Advance Stage Cancer Insured Amount as stated in the Table of Benefits, less any Indebtedness, provided:
(i) The Life Assured survived for a period of thirty (30) days after the diagnosis; and
(ii) The Policy has commenced for more than sixty (60) days from Issue Date or Reinstatement Date, whichever is later,
2.2.2 Thereafter, this Policy shall then be terminated.
2.3 AMOUNT PAYABLE FOR HEALTHCARE ALLOWANCE (UPON DIAGNOSIS OF EARLY STAGE OR ADVANCED STAGE CANCER)
2.3.1 Upon diagnosis of Early Stage Cancer or Advanced Stage Cancer, We shall provide you with a lump sum payment as stated in the Table of Benefits as an additional benefit.
2.3.2 This benefit can only be claimed once during the Policy’s coverage term.
BENEFITS PROVISIONS
