Comparison of Health Plans Sample Clauses

Comparison of Health Plans. Self-Funded (Traditional), Self-Funded (Lite), and Kaiser HMO The plan attributes, co-pays and deductibles are outlined in Appendix 2. Plan amendments will be introduced by the plan sponsor, Xxxxxxx Community College District, as necessary to maintain consistency in the application of plan benefits. • In the event that a covered person was receiving services from a provider of service that is not in the preferred provider network on the date in which the preferred provider network was integrated into this Plan, then the charges resulting from services rendered by that provider will be deemed as having rendered by a preferred provider until the earlier of; the date treatment is concluded (or diagnosis changes) or the end of one month from the date of network integration or change. • If a covered person is receiving services for maternity care from a network provider that is not in the preferred provider network on the date that the network was integrated in this Plan, the charges resulting from services rendered by that provider will be deemed as having been rendered by a preferred provider until the date treatment is concluded. Xxxxxxx Community College District Self Funded Preferred Provider Program Kaiser HMO Program Amended July 1, 2012 Local 39 Active Employees and Post July 1, 2012 Retirees Only (APPENDIX 2 – Health Plan Coverage Comparison) This document is for illustration purposes only. For a complete listing of benefits, limitations and/or plan exclusions, refer to the Summary Plan Description. Should a discrepancy arise in this document, the Summary Plan Description supersedes this document. Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefits Network Providers Non-Network Providers Network Providers* Network Providers* Lifetime Maximum per Covered Person Unlimited Unlimited Unlimited Deductible Per Calendar Year $100 per person 3 deductibles maximum per family $100 per person 3 deductibles maximum per family None Out of Pocket Expense Limit Per Calendar Year (excludes deductible) – refer to SPD for a listing of charges not applicable to the out of pocket expense limit. $300 per person $900 per family $1,000 per person $3,000 per family $300 per person $900 per family $1,500 per person $3,000 per family Inpatient Hospitalization 100%, after deductible 80% of customary and reasonable amount, after deductible 100%, after deductible 100% Self Funded PPO Traditional Plan Self Funded PPO Lite Plan Kaiser HMO Plan Benefit...
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Related to Comparison of Health Plans

  • Health Plans The health plans offered and benefits provided by those plans shall be those approved by the City's JLMBC and administered by the Personnel Department in accordance with LAAC Section 4.

  • Group Health Benefit Plans, Carrier and Premiums 7.1.1 When enrolment and other requirements for group participation in various plans have been met, the Employer will sponsor such plans to the portion agreed upon and such sponsorship shall not exceed that which is authorized or accepted by the benefit agency.

  • Benefit Level Two Health Care Network Determination Issues regarding the health care networks for the 2017 insurance year shall be negotiated in accordance with the following procedures:

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Health and Welfare Plans (a) A copy of the master contracts with the carriers for the extended health care, dental and group life plans shall be sent to the President of the Union.

  • Health Plan An appropriately licensed entity that has entered into a contract with Subcontractor, either directly or indirectly, under which Subcontractor provides certain administrative services for Health Plan pursuant to the State Contract. For purposes of this Appendix, Health Plan refers to UnitedHealthcare Insurance Company.

  • Group Health Insurance Immediately following retirement, the teacher shall have the option of remaining in the Corporation’s current group health insurance plan if all of the following conditions are met as of the date of retirement and thereafter:

  • Retiree Health Insurance Retired members of the Department receiving, or to receive City of Lincoln monthly pension checks, may participate in the group comprehensive health care plan for active City employees, provided that each retiree so desiring will execute the required forms in a timely fashion, and further provided that each retiree will be required to pay the full monthly cost at the current rates subject to any rate increases which may occur from time to time. Such payment will be made by payroll deduction from pension checks, or by direct payment in the case of an early retiree.

  • HEALTH AND WELFARE PLAN 16.01 The Employer agrees to pay the amount as set out in the Wage Schedules for all hours worked for each employee towards the Insurance Plan administered by the CLAC Health and Welfare Trust Fund.

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

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