Contribution and Participation Requirements Sample Clauses

Contribution and Participation Requirements. HEALTH PLAN and GROUP understand and agree to the following contribution and participation requirements for the provision of services pursuant to the Agreement. 1. For medical coverage, GROUP must contribute a minimum of the equivalent of fifty percent (50%) of the Premium cost of the Employee-only rate in the reference plan selected by the Employer. 2. For medical coverage, GROUP must have a minimum of seventy percent (70%) of Eligible Employees enroll in a QHP through the SHOP. If the GROUP pays 100 percent of its Qualified Employees’ QHP premiums, then all Eligible Employees must enroll in health coverage through the SHOP. For purposes of participation, eligible employees are not included in the calculation for minimum participation requirements if they are enrolled in coverage through another employer, an employee’s union, Medicaid, Medicare, any other federal or state health coverage programs, or any health coverage meeting the definition of minimum essential coverage pursuant to Health and Safety Code Section 1345.5. 3. If GROUP does not meet such minimum contribution and minimum participation requirements, GROUP may only enroll with HEALTH PLAN through SHOP from November 15th through December 15th of each year.
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Contribution and Participation Requirements. HEALTH PLAN and GROUP understand and agree to the following contribution and participation requirements for the provision of services pursuant to the Agreement. 1. For medical coverage, GROUP must contribute a minimum of the equivalent of fifty percent (50%) of the Premium cost of the Employee-only rate in the reference plan selected by the Employer. 2. For medical coverage, GROUP must have a minimum of seventy percent (70%) of Eligible Employees enroll in a QHP through the SHOP. If the Group pays 100 percent of its Qualified Employees' QHP premiums, then all Eligible Employees must enroll in health insurance coverage through the SHOP. For purposes of participation, Eligible Employees do not include an employee who is enrolled in coverage through another employer, an employee’s union, Medicaid, Medicare, or any other federal or state health coverage programs –other than coverage through a QHP sold in the Individual Exchange at the time GROUP initially contracts with HEALTH PLAN 3. If GROUP does not meet such minimum contribution and minimum participation requirements, GROUP may only enroll with HEALTHPLAN through SHOP from November 15th through December 15th of each year.
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Contribution and Participation Requirements. PLAN and GROUP understand and agree to the following contribution and participation requirements for the provision of services pursuant to the Agreement. (If a group is unable to meet these requirements at other times during the year, they will not be imposed during the period November 15th through December 15th.) 1. For medical coverage, GROUP must contribute a minimum of the equivalent of fifty percent (50%) of the Premium cost of the lowest-priced Employee-only plan rate medical Program Product in the metal tier(s) selected by the Group available to the Employee through the Program. 2. The following HMO Program Products participation requirements will apply for medical coverage. The specified percentages of GROUP's Eligible Employees must select Program Products, as designated by GROUP. Eligible Employees may select GROUP-designated Program Products from more than one Participating Plan, but the percentage specified below of the Eligible Employees must choose one or another of the GROUP-designated Program Products. a. If GROUP has only one or two (2) Employees, 100% of the Employees must participate in the Program. b. If GROUP has three (3) to one hundred (100) Employees, seventy percent (70%) of the Eligible Employees, with a minimum of two
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Contribution and Participation Requirements. (Page 4) a. The County does not contribute to retirees’ health care coverage premiums. b. The minimum 20 hours of work per week, workers’ compensation or liability benefits and a minimum of 75% covered by a group health plan does not apply to the Retiree population. c. The section regarding the 2013 Open Enrollment, or any subsequent Open Enrollment during the term of this contract, does not apply to the County. d. Meet all applicable legal and contractual requirements. The County and Vendor agree that the County meets these requirements by distribution of its annual Retiree Benefits Guide during the Open Enrollment period.
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Contribution and Participation Requirements. HEALTH PLAN and GROUP understand and agree to the following contribution and participation requirements for the provision of services pursuant to the Agreement. 1. For medical coverage, GROUP must contribute a minimum of the equivalent of fifty percent (50%) of the Premium cost of the Employee-only rate in the reference plan selected by the Employer. 2. For medical coverage, GROUP must have a minimum of seventy percent (70%) of Eligible Employees enroll in a QHP through the SHOP. However, if the employer pays one hundred percent (100%) of the employees’ QHP premiums or the employer only employs one to three eligible employees, then all eligible employees must enroll in a QHP through the SHOP. For purposes of participation, eligible employees do not include an employee who is enrolled in coverage through another employer, an employee’s union, Medicaid, or Medicare at the time GROUP initially contracts with HEALTH PLAN. 3. If GROUP does not meet such minimum contribution and minimum participation requirements, GROUP may only enroll with HEALTH PLAN through SHOP from November 15th through December 15th of each year. III. ELIGIBILITY AND ENROLLMENT A. Eligibility and Enrollment for Open Enrollment
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Contribution and Participation Requirements. No change in Group’s contribution or participation requirements is effective for purposes of this Agreement unless Company consents in writing. Group must: Meet all underwriting requirements set forth in Company’s Rate Assumptions and Requirements document. With respect to all persons entitled to coverage under Group’s Plan(s), offer enrollment in Company’s Plan to all such persons on conditions no less favorable than those for any other Plan available through Group. Permit Company to examine Group’s records with respect to contribution and participation requirements, eligibility, and payments under this Agreement. MISCELLANEOUS PROVISIONS Administration of Agreement Company may adopt policies, procedures, rules, and interpretations to promote efficient administration of this Agreement.
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Contribution and Participation Requirements. No change in Group’s contribution or participation requirements is effective for purposes of this Agreement unless Company consents in writing. Group must: ▪ Ensure that Subscribers work on a regularly scheduled basis, with a normal work week of 17.5 or more hours or a different minimum number of hours approved in writing by Company. ▪ Meet all Company underwriting requirements set forth in the Rating and Underwriting Assumptions policy. ▪ With respect to all persons entitled to coverage under Group’s Plan(s), offer enrollment in Company to all such persons on conditions no less favorable than those for any other Plan available through Group. ▪ Permit Company to examine Group’s records with respect to contribution and participation requirements, eligibility, and payments under this Agreement. MISCELLANEOUS PROVISIONS Administration of Agreement Company may adopt policies, procedures, rules, and interpretations to promote efficient administration of this Agreement.
Sample 1
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Related to Contribution and Participation Requirements

  • PARTICIPATION, CONTRACT ACCESS, AND PARTICIPATING ENTITY REQUIREMENTS A. PARTICIPATION. Sourcewell’s cooperative contracts are available and open to public and nonprofit entities across the United States and Canada; such as federal, state/province, municipal, K-12 and higher education, tribal government, and other public entities. The benefits of this Contract should be available to all Participating Entities that can legally access the Equipment, Products, or Services under this Contract. A Participating Entity’s authority to access this Contract is determined through its cooperative purchasing, interlocal, or joint powers laws. Any entity accessing benefits of this Contract will be considered a Service Member of Sourcewell during such time of access. Supplier understands that a Participating Entity’s use of this Contract is at the Participating Entity’s sole convenience and Participating Entities reserve the right to obtain like Equipment, Products, or Services from any other source. Supplier is responsible for familiarizing its sales and service forces with Sourcewell contract use eligibility requirements and documentation and will encourage potential participating entities to join Sourcewell. Sourcewell reserves the right to add and remove Participating Entities to its roster during the term of this Contract.

  • Notification Requirements 1. If the Family Leave is foreseeable, the employee must provide the agency/department with thirty (30) calendar days notice of his or her intent to take Family Leave. 2. If the event necessitating the Family Leave becomes known to the employee less than thirty (30) calendar days prior to the employee's need for Family Leave, the employee must provide as much notice as possible. In no case shall the employee provide notice later than five (5) calendar days after he or she learns of the need for Family Leave. 3. For foreseeable leave due to a qualifying exigency, an employee must provide notice of the need for leave as soon as practicable, regardless of how far in advance such leave is foreseeable. 4. When the Family Leave is for the purpose of the scheduled medical treatment or planned medical care of a child, parent, spouse or registered domestic partner, the employee shall, to the extent practicable, schedule treatment and/or care in a way that minimizes disruption to agency/department operations.

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