COVERAGE DOCUMENTS. Except as otherwise provided herein, CSAC-EIA Health documents outlining the coverage provided, including terms and conditions of coverage, are controlling with respect to the coverage of the PROGRAM.
COVERAGE DOCUMENTS. Coverage documents shall be issued by Delta Dental to each individual Member and Delta Dental shall determine coverage for each Member in the Program. Coverage shall be governed in accordance with these documents. Any changes to the benefits are as determined by the Member subject to Delta Dental, Committee, actuarial, and/or other consultants pricing requirements.
COVERAGE DOCUMENTS. The Board shall approve the basic Coverage Documents that shall specify the terms and conditions of the coverages offered by MMRMA. Said coverage documents may be modified to meet specific Member or MMRMA needs. Such coverage documents shall be subject to all of the terms and conditions of this Agreement and MMRMA policies, rules, and procedures. In case of any conflict between the coverage documents and this Agreement or MMRMA polices, rules and procedures, this Agreement and/or MMRMA policies, rules and procedures shall be controlling.
COVERAGE DOCUMENTS. A master coverage document will be issued by the carrier, which will be endorsed for newly enrolled projects into the Program.
COVERAGE DOCUMENTS. The applicable summary plan descriptions, Insurance Contracts, and/or other written documents designated from time to time in Appendix A hereto pursuant to which the welfare benefits of the Plan are provided and which, by this reference, are incorporated herein. Covered Person Any Participant or any covered Dependent. Dependent
COVERAGE DOCUMENTS. As of the Restatement Effective Date (except as otherwise specifically set forth below), the Coverage Documents under or pursuant to which premiums or contributions are paid and/or benefits are provided under the Plan are as follows: • Medical (including Prescription Drug)— o UMR Health Booklets: ▪ 049 (PPO Premier) and 050 (PPO Basic) ▪ 051, 052 - HDHP o HealthFIRST Group Health Plan Document and SPD (offered in UTHET market only) The Tennessee benchmark plan is used for the purpose of determining “essential health benefits” to which the requirements of 26 C.F.R. § 54.9815-2711 apply (as is permitted pursuant to subsection (c) thereof), effective as of the Restatement Effective Date. • Dental—Delta Dental of Tennessee • Vision—VSP • Short Term Disability—New York Life • Long-Term Disability—New York Life • Life and AD&D—New York Life • Business Travel Accident—New York Life • EAP—Employee Assistance Program (EAP) administered by ComPsych • Voluntary Coverages— o Critical Illness—New York Life o Legal Plan—MetLife o Identity Theft Protection—ID Watchdog • Severance Program—Administered by Ardent Health Services In addition, the Plan includes the Flexible Benefits Plan* (including the Health Care Flexible Spending Accounts and the Dependent Care Flexible Spending Account*). In the event of amendment of this Appendix A, a new Appendix A may be attached to the Plan in place hereof without formal amendment to the Plan. * Not subject to ERISA. APPENDIX B TO THE ARDENT HEALTH SERVICES WELFARE BENEFIT PLAN Benefit Options under the Flexible Benefits Plan The Benefit Options under or pursuant to which premiums or contributions are eligible for salary reduction under the Flexible Benefits Plan as of the Restatement Effective Date are as follows: • Medical coverage • Dental coverage • Vision coverage • Health Care Flexible Spending Accounts o Health Care Flexible Spending Account o Limited Purpose Health Care Flexible Spending Account • Dependent Care Flexible Spending Account • Health Savings Account (HSA) contributions* for participants in a High Deductible Health Plan under the Plan In the event of amendment of this Appendix B, a new Appendix B may be attached to the Plan in place hereof without formal amendment to the Plan. * Although a health savings account within the meaning of Section 223 of the Code (“HSA”) is made available to each participant in a High Deductible Health Plan, and the Employer (in accordance with Section 6.05(b) of the Plan) and/or the Par...
COVERAGE DOCUMENTS. Except as otherwise provided herein, coverage documents from each carrier outlining the coverage provided, including terms and conditions of coverage, are controlling with respect to the coverage of the PROGRAM and will be provided by SDRMA to each ENTITY. SDRMA will provide each ENTITY with additional documentation, defined as the SDRMA Program Administrative Guidelines which provide further details on administration of the PROGRAM.
COVERAGE DOCUMENTS. Any coverage documents used by the Pool shall be approved by the Board of Directors of the Texas Association of Counties Risk Management Pool (“the Board”), or by the Pool Administrator, subject to review by the Board.
COVERAGE DOCUMENTS. Program coverage carriers shall issue Members Benefit Plan Summaries outlining the coverage provided, including terms and conditions of coverage. Except as otherwise provided herein, coverage documents are controlling with respect to the Program.
COVERAGE DOCUMENTS. For each coverage period identified in a Coverage Summary, the member agrees that its self-insurance coverages or “Coverage Part” provided as part of the Program will be defined by the terms of the Coverage Documents issued to the Member in connection with that Coverage Summary.
