Benefits to Which Members are Entitled Sample Clauses

Benefits to Which Members are Entitled. The liability of the Company is limited to the Benefits specified in this Benefit Plan. Benefits for Covered Services specified in this Benefit Plan will be provided only for services and supplies rendered on and after the Member's Effective Date by a Provider specified in this Benefit Plan and regularly included in such Provider's charges.
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Benefits to Which Members are Entitled. A. Subject to all of the terms of this Contract, a Member is entitled to benefits for Covered Dental Services specified in the benefit sections and/or in the attachments. B. Covered Dental Services are subject to the availability of Providers and the ability of the employees of such Providers to provide such services. BCI shall not assume nor have any liability for conditions beyond its control that affect the Member’s ability to obtain Covered Dental Services.
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Benefits to Which Members are Entitled. 1. The benefit liability of the Plan is limited to the benefits specified in this Agreement. 2. Except as provided in Subsection X. TRANSPLANT SERVICES of SECTION DB - DESCRIPTION OF BENEFITS no person other than a Member is entitled to receive benefits under this Agreement. Such right to benefits and coverage is not transferable. 3. Benefits for Covered Services specified in this Agreement will be provided only for Services and supplies rendered by a Provider as defined in SECTION DE - DEFINITIONS of this Agreement and regularly included in such Provider’s charges.
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Benefits to Which Members are Entitled. 1. The liability of the Company is limited to the Benefits specified in this Benefit Plan.
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Benefits to Which Members are Entitled. 1. The benefit liability of the Plan is limited to the benefits specified in this Agreement. 2. No person other than a Member is entitled to receive benefits under this Agreement. Such right to benefits and coverage is not transferable.
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Benefits to Which Members are Entitled. Anthem BCBS’s sole obligation is to administer, on behalf of the Employer, the benefits specified in this Benefit Program.
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Benefits to Which Members are Entitled. 1. Our liability is limited to the Benefits specified in this Benefit Plan. 2. Benefits for Covered Services specified in this Benefit Plan will be provided only for services and supplies rendered on and after the Member’s Effective Date by a Provider specified in this Benefit Plan and regularly included in such Provider’s charges. 3. Continuity of health care services. a. Upon the termination of a contractual agreement with a Provider, notification of the removal of the Provider from the Blue Cross and Blue Shield of Louisiana PPO Provider Network will be given by Us to any Member who has begun a course of treatment by the Provider. b. A Member has the right to continuity of care applicable to the following provisions and subject to consent of the treating Provider: (1) In the event the Member has been diagnosed as being in a high-risk pregnancy or is past the twenty-fourth (24th) week of pregnancy, the Member shall be allowed to continue receiving Covered Services through delivery and postpartum care related to the pregnancy and delivery. (2) In the event the Member has been diagnosed with a Life-Threatening Illness, the Member shall be allowed to continue receiving Covered Services until the course of treatment is completed, not to exceed three (3) months from the effective date of termination of the Provider’s contractual agreement. c. The provisions of continuity of care shall not be applicable if any one of the following occurs: (1) The reason for termination of a Provider’s contractual agreement is a result of documented reasons relative to quality of care, or the suspension, revocation or applicable restriction of the license to practice in Louisiana by the Louisiana State Board of Medical Examiners. (2) The Member voluntarily chooses to change Providers. (3) The Member relocates to a location outside of the geographic service area of the Provider or the Blue Cross and Blue Shield of Louisiana PPO Provider Network. (4) The Member’s chronic condition only requires routine monitoring and is not in an acute phase of the condition.
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Related to Benefits to Which Members are Entitled

  • Membership Benefits (1) Seat on the Buy California Board (2) Licensed use of the CA Grown logo by all commodity entities (3) Commodity products featured in BCMA campaigns

  • RESTRICTIONS ON EMPLOYMENT OF FORMER STATE OFFICER OR EMPLOYEE The Engineer shall not hire a former state officer or employee of a state agency who, during the period of state service or employment, participated on behalf of the state agency in this agreement’s procurement or its negotiation until after the second anniversary of the date of the officer’s or employee’s service or employment with the state agency ceased.

  • Payments to Plan Participants and Their Beneficiaries (a) Company shall deliver to Trustee a schedule (the "Payment Schedule") that indicates the amounts payable in respect of each Plan participant (and his or her beneficiaries), that provides a formula or other instructions acceptable to Trustee for determining the amounts so payable, the form in which such amount is to be paid (as provided for or available under the Plan), and the time of commencement for payment of such amounts. Except as otherwise provided herein, Trustee shall make payments to the Plan participants and their beneficiaries in accordance with such Payment Schedule. The Trustee shall make provision for the reporting and withholding of any federal, state or local taxes that may be required to be withheld with respect to the payment of benefits pursuant to the terms of the Plan and shall pay amounts withheld to the appropriate taxing authorities or determine that such amounts have been reported, withheld and paid by Company. (b) The entitlement of a Plan participant or his or her beneficiaries to benefits under the Plan shall be determined by Company or such party as it shall designate under the Plan, and any claim for such benefits shall be considered and reviewed under the procedures set out in the Plan. (c) Company may make payment of benefits directly to Plan participants or their beneficiaries as they become due under the terms of the Plan. Company shall notify Trustee of its decision to make payment of benefits directly prior to the time amounts are payable to participants or their beneficiaries. In addition, if the principal of the Trust, and any earnings thereon, are not sufficient to make payments of benefits in accordance with the terms of the Plan, Company shall make the balance of each such payment as it falls due. Trustee shall notify Company where principal and earnings are not sufficient.

  • How do the RMD Rules Impact my Designated Beneficiary or Beneficiaries The RMD rules provide for the determination of your designated beneficiary or beneficiaries as of September 30 of the year following your death. Consequently, any beneficiary may be eliminated for purposes of calculating the RMD by the distribution of that beneficiary’s benefit, through a valid disclaimer between your death and the end of September following the year of your death, or by dividing your IRA account into separate accounts for each of several designated beneficiaries you may have designated.

  • Plan Benefits Each year, prior to the annual enrollment period, EMPLOYEES will receive Enrollment information that will outline the benefits offered next calendar year. Information relative to specific health insurance benefits and limitations will be updated regularly and contained in the SPD. In the event there is a conflict between the provisions of the collective bargaining agreement and the SPD, the District's SPD shall control.

  • Disability of Member Upon the disability of a Member, the Member may continue to act as Manager hereunder or appoint a person to so serve until the Member's Interests and Capital Account of the Member have been transferred or distributed.

  • Rollover Contributions A rollover is a tax-free distribution of cash or other assets from one retirement program to another. There are two kinds of rollover contributions to an IRA. Xx one, you contribute amounts distributed to you from one IRA xx another IRA. Xxth the other, you contribute amounts distributed to you from your employer's qualified plan or 403(b) plan to an IRA. X rollover is an allowable IRA xxxtribution which is not subject to the limits on regular contributions discussed in Part D above. However, you may not deduct a rollover contribution to your IRA xx your tax return. If you receive a distribution from the qualified plan of your employer or former employer, the distribution must be an "eligible rollover distribution" in order for you to be able to roll all or part of the distribution over to your IRA. Xxe portion you contribute to your IRA xxxl not be taxable to you until you withdraw it from the IRA. Xxur employer or former employer will give you the opportunity to roll over the distribution directly from the plan to the IRA. Xx you elect, instead, to receive the distribution, you must deposit it into the IRA xxxhin 60 days after you receive it. An "eligible rollover distribution" is any distribution from a qualified plan that would be taxable other than (1) a distribution that is one of a series of periodic payments for an employee's life or over a period of 10 years or more, (2) a required distribution after you attain age 70 1/2 and (3) certain corrective distributions. If the entire amount in your IRA xxx been contributed in a tax-free rollover from your employer's or former employer's qualified plan or 403(b) plan, you may later roll over the IRA xx a new employer's plan if such plan permits rollovers. Your IRA xxxld then serve as a conduit for those assets. However, you may later roll those IRA xxxds into a new employer's plan only if you make no further contributions to that IRA, xx commingle the IRA xxxlover funds with existing IRA xxxets.

  • Restricted Employment for Certain State Personnel Contractor acknowledges that, pursuant to Section 572.069 of the Texas Government Code, a former state officer or employee of a state agency who during the period of state service or employment participated on behalf of a state agency in a procurement or contract negotiation involving Contractor may not accept employment from Contractor before the second anniversary of the date the Contract is signed or the procurement is terminated or withdrawn.

  • Reporting Subawards and Executive Compensation a. Reporting of first-tier subawards.

  • Supplemental Executive Retirement Plan The Executive shall participate in the Company's Unfunded Pension Plan for Selected Executives (the "SERP").

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