Coverage and Limitations Sample Clauses
The Coverage and Limitations clause defines the scope of protection or benefits provided under an agreement, as well as any exclusions or restrictions that apply. It typically outlines what is included within the coverage—such as specific services, products, or liabilities—and clearly states what is not covered, like certain types of damages or circumstances. This clause is essential for setting clear expectations between parties, minimizing misunderstandings, and managing risk by delineating the boundaries of responsibility.
Coverage and Limitations. (1) Medical
(a) Eligible employees will file heart/hypertension claims for reimbursement of covered expenses through their City medical insurance carrier.
(b) The City will reimburse eligible employees for covered co-payments and deductibles, until the employee has been off work 52 consecutive weeks due to heart disease or hypertension, and is unable to return to work according to a medical doctor authorized in writing by the City. Such reimbursements shall not exceed $3,500 per plan year and $10,000 lifetime and shall terminate once an employee retires under Pension Fund rules.
Coverage and Limitations. (1) Medical
(a) Employees will file heart/hypertension claims for reimbursement of covered expenses through their City medical insurance carrier.
(b) The City will reimburse employees for covered co-