Coordination of benefits with Sick, Vacation or Other Authorized Leave Sample Clauses

Coordination of benefits with Sick, Vacation or Other Authorized Leave. Any employee who is on non-occupational disability leave, as defined above, shall receive an amount equivalent to 70% of their regularly scheduled hours up to a maximum benefit of $1,250 per week in STD insurance payments. Employees shall use sick leave, or other authorized leave if sick leave is exhausted, during the elimination period, and may use sick leave, or other authorized leave if sick leave is exhausted, during the benefit period, to receive up to the maximum of one hundred percent (100%) of their regularly scheduled hours at the time of injury/sickness. In no event shall an employee be permitted to receive more than one hundred percent (100%) of their regularly scheduled hours in effect at the time of the injury/sickness.
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Coordination of benefits with Sick, Vacation or Other Authorized Leave. Any employee who is on non-occupational disability leave, as defined above, may supplement STD and utilize their accumulated sick, vacation or other authorized, leave to receive up to the maximum of one hundred percent (100%) of his/her gross pay at the time of injury/sickness. In no event shall an employee be permitted to receive more than one hundred percent (100%) of his/her gross pay in effect at the time of the injury/sickness. The gross pay amount shall be calculated based upon the employee's average total quarterly compensation for the twelve weeks immediately preceding the leave, the compensation to include Special Details.
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Coordination of benefits with Sick, Vacation or Other Authorized Leave. Any employee who is on non-occupational disability leave, as defined above, shall receive an amount equivalent to 70% of their gross weekly salary up to a maximum benefit of $1,250 per week in STD insurance payments. Employees may use sick, vacation or other authorized, leave to receive up to the maximum of one hundred percent (100%) of their net take home pay at the time of injury/sickness. In no event shall an employee be permitted to receive more than one hundred percent (100%) of their net take home pay in effect at the time of the injury/sickness. The net take home pay amount shall be calculated based upon the employee's average total quarterly compensation for the twelve weeks immediately preceding the leave, the compensation to include Special Details.
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Related to Coordination of benefits with Sick, Vacation or Other Authorized Leave

  • Coordination of Benefits The coordination of benefits (COB) provision applies when a Member has health care coverage under more than one plan. Plan is defined below. The order of benefit determination rules govern the order in which each plan will pay a claim for benefits. The plan that pays first is called the primary plan. The primary plan must pay benefits according to its policy terms without regard to the possibility that another plan may cover some expenses. The plan that pays after the primary plan is the secondary plan. In no event will a secondary plan be required to pay an amount in excess of its maximum benefit plus accrued savings. If the Member is covered by more than one health benefit plan, and the Member does not know which is the primary plan, the Member or the Member’s provider should contact any one of the health plans to verify which plan is primary. The health plan the Member contacts is responsible for working with the other plan to determine which is primary and will let the Member know within 30 calendar days. All health plans have timely claim filing requirements. If the Member or the Member’s provider fails to submit the Member’s claim to a secondary health plan within that plan’s claim filing time limit, the plan can deny the claim. If the Member experiences delays in the processing of the claim by the primary health plan, the Member or the Member’s provider will need to submit the claim to the secondary health plan within its claim filing time limit to prevent a denial of the claim. If the Member is covered by more than one health benefit plan, the Member or the Member’s provider should file all the Member’s claims with each plan at the same time. If Medicare is the Member’s primary plan, Medicare may submit the Member’s claims to the Member’s secondary carrier.

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