Coverage and Eligibility Clause Samples
The Coverage and Eligibility clause defines who is entitled to receive benefits or services under an agreement and the scope of what is provided. It typically outlines the criteria individuals or entities must meet to qualify for coverage, such as employment status, membership, or specific conditions, and details the types of benefits, services, or protections included. This clause ensures clarity regarding who is covered and what is included, thereby preventing misunderstandings and disputes about eligibility and the extent of coverage.
Coverage and Eligibility a. Upon retirement from the Fresno County Superintendent of Schools (“FCSS”) a Unit Member may purchase the retiree medical, dental or vision plans offered by FCSS for themselves, eligible dependents and spouse by paying a voluntary contribution in advance.
b. The Unit Member must meet the eligibility requirements as set forth in 7.1.1 to qualify for retiree benefits.
c. A Unit Member must submit a written request to the Human Resources Department of their intent to retire on or before June 1 preceding the fiscal year the Unit Member plans to retire.
d. If a Unit Member declines retiree benefits on or before the date of their retirement or any date after their retirement, the retiree is ineligible to reenroll at a subsequent date.
Coverage and Eligibility. To be eligible for family/medical leave an employee must:
a. Have worked for Yuba County Water Agency for at least 12 months; and
b. Have worked at least 1250 hours over the previous 12-month period.
Coverage and Eligibility. A. To be eligible for family/medical leave an employee must:
1. Work at a work site which has 50 or more employees or within 75 miles of a work site that has 50 or more employees.
2. Have worked for the Town of Pittsfield for at least 12 months; and
3. Have worked at least 1250 hours over the previous 12-month period.
B. If an Employee fails to give 30 days’ notice for a foreseeable leave with no reasonable excuse for the delay, the leave will be denied until 30 days after the Employee provided notice.
Coverage and Eligibility for short-term disability (sickness and accident), long- term disability, dental benefits, and Extended Health Care Benefits, shall be no less than the coverage and eligibility that existed on 24 December 2001 (at MEBAC Level 2, where applicable), or the equivalent.
Coverage and Eligibility. The District shall provide an annual contribution as detailed below, to each full-time unit member for his/her choice of a District offered health and welfare benefits package, including medical, dental, vision and life insurance plans. To be implemented July 1, 2023 Employee Only (Single) $9078 ($825.27 per month for eleven (11) months) Employee + One (1) $10,506 ($955.09 per month for eleven (11) months) Employee + Family $14,382 (1307.45 per month for eleven (11) months)
12.1.1 Except as specified in 12.1.4, below, the District shall provide benefits coverage from July 1 through June 30, with the unit member’s contributions deducted in the August through June pay warrants for all costs in excess of the District’s per year cap as noted in 12.1.
12.1.2 For unit members who work a minimum of 60% of a full time assignment for a full school year, the District shall pay the monthly contribution toward benefits for the unit member for a 12 month period. Unit members who work less than 60% of a full-time assignment do not receive a District contribution toward benefits.
12.1.3 For unit members who work a minimum of 60% per day, five days per week, for less than a full school year, the District shall pay the monthly contribution toward benefits only for the number of months the unit member actually works.
12.1.4 A unit member employed as a temporary certificated employee (as defined by the Education Code) shall receive District-paid health and welfare benefits only while under contract, unless the unit member is rehired for the following school year. In that case, upon rehire notification, the District shall make/continue its contributions and shall collect member contributions. Should rehire notification occur after a unit member has paid any of the District’s share of benefit costs, the unit member shall be reimbursed for such costs. The District shall give annual written notice of this procedure to all affected unit members prior to employment.
12.1.5 Unit members who are on unpaid leaves shall not be entitled to a District contribution toward health benefits; however, the District shall allow unit members who are on a District approved unpaid leave to participate in the District’s health and welfare benefit plans in accordance with their rights under the Consolidated Omnibus Reconciliation Act (“COBRA”) at no cost to the District.
Coverage and Eligibility. To be eligible for family/medical leave a sergeant must:
Coverage and Eligibility. To be eligible for family/medical leave an employee must:
Coverage and Eligibility. We’ll reimburse You for covered expenses up to the benefit count and max amount outlined in Your Wagmo Wellness plan. Wagmo Wellness only covers preventative or routine treatment for Your pet, and can only reimburse for expenses incurred during Your membership period. All reimbursements are subject to confirmation and validation by Wagmo. Coverage begins as soon as payment is processed and Wagmo will only reimburse expenses incurred after the official date and time of successful payment. For invoices originating on the same date of membership initiation, Wagmo requires a time stamped invoice to verify the expense occurred after joining. Unless otherwise outlined, time of expense is based on the time the payment was processed.
Coverage and Eligibility. All the BPL ration card holders (WAP, AAP, YAP, TAP, RAP, and JAP card), are eligible for availing the benefit under Dr.YSR Aarogyasri Health scheme.
Coverage and Eligibility. In pursuance of the orders issued in the GO.Rt.No.628, HM & FW Dept., dated 15.11.2019, the following sections of people are eligible under Dr.YSR Aarogyasri scheme. All rice card holders. Families which are eligible for YSR Pension Kanuka Card and Jagananna Vidya and Vasathi Deevena Card are also eligible. For other families, having annual income up to Rs.5.00 lakhs are eligible according to the guidelines stated in the above said G.O. Heart Transplantation Surgery was included vide G.O.Rt.No.739 HM & FW Dept., dated: 21.12.2015, under Dr.YSR Aarogyasri and EHS schemes to perform in GGH, Guntur. Government vide Memo No.21021/1/I.1/2018 Dated.08.03.2019 accorded permission for inclusion of Ten (10) Cath Lab Procedures in GGH, Guntur and GGH, Visakhapatnam. Vide G.O.Rt.No.663, dated 27.12.2018, HM & FW Dept, Govt. has ordered for implementation of two maternal procedures viz., Normal delivery & C-Section. Dr.YSR Aarogyasri scheme is being expanded by the State Govt. from 2019 by including a greater number of procedures i.e., 1000 procedures in West Godavari district and 200 new procedures in the remaining 12 districts in addition to the existing 1059 procedures under pilot project vide G.O.Rt.No.685, dated 31.12.2019 of HM & FW Dept., Bi-lateral cochlear implantation and Additional External Processor have been included vide G.O.Rt.No.685, dated 31.12.2019 of HM & FW Dept.,