Current Benefits Sample Clauses

Current Benefits. Regional Center Client? ☐ Yes ☐ No If so, which one? Service Coordinator: Direct Phone: Representative Payee: Direct Phone: Does Beneficiary receive any of the following?  Supplemental Security Income (SSI)? ☐ Yes ☐ No If so, how much per month? SSI Office Location: Phone: Address: City, State, Zip:  Social Security Disability Insurance (SSDI)? ☐ Yes ☐ No If so, how much per month?  Medi-Cal? ☐ Yes ☐ No If so, what is the Medi-Cal card number?  Medicare? ☐ Yes ☐ No If so, what is the Medicare card number?  IHSS? ☐ Yes ☐ No If so, how many hours per month?  Cal-Fresh (Food Stamps)? ☐ Yes ☐ No If so, how much per month?  Section 8 Voucher? ☐ Yes ☐ No If so, how much is the voucher worth per month?  Veteran? ☐ Yes ☐ No If yes, who is your VA contact? List any other forms of government assistance that the Beneficiary receives, and any relevant amounts: (i.e. Veterans Benefits, Housing/Utility Subsidies) Form of Assistance: Amount of Benefit Received Monthly:
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Current Benefits. Complete below if applicable
Sample 1
Current Benefits. Circle one 1. Does Beneficiary receive Supplemental Security Income(SSI)? Yes/No If so, how much per month? ________ 2. Does Beneficiary receive Supplemental Security Disability Income (SSDI)? Yes/No If so, how much per month? ________ 3. Does Beneficiary receive Social Security Income? Yes/No If so, how much per month? ________ 4. Does Beneficiary receive Medicaid? Yes/No If so what is the Medicaid card number? ________ 5. Does Beneficiary receive Medicare? Yes/No If so, what is the Medicare card number? ________ 6. Does Beneficiary receive Yes/No Veteran’s Administration benefits? If so, how much per month? ________ 7. Does Beneficiary receive Yes/No Department of Aging services? If so, what agency provides care? ________ What services provided? ________ How much care provided? ________ 8. Does Beneficiary receive Yes/No Food stamps? If so, how much per month? ________ 9. Does Beneficiary receive Yes/No Department of Mental Health services or funds? If so, how much per month? ________ What services? ________ 10. List all other forms of government assistance that the Beneficiary receives:
Sample 1
Current Benefits. Up to 66 2/3% of the monthly salary. Payments to be paid during the disability until age
Sample 1
Current Benefits. 38 DEP...........................................................................................................11 Depositary....................................................................................................
Sample 1
Current Benefits. Does Beneficiary receive Supplemental Security Income (SSI)? Yes No If the answer to question 1 was yes, how much per month? $ /month Does Beneficiary receive Supplemental Security Disability (SSDI)? Yes No If the answer to question 3 was yes, how much per month? $ /month Does Beneficiary receive Medical Assistance/Medicaid? Yes No If the answer to question 5 was yes, what is the Medical Assis­tance/Medicaid card number? Card #  In the space below, list all other forms of government assistance that the Beneficiary receives:         If the Beneficiary is covered under any policy of health insurance, what is the insurer’s name and address, and what is the policy number? Insurer:   Address:  
Sample 1
Current Benefits. If applicable, Executive’s medical, prescription drug and dental benefits shall expire on the last day of the month of Executive’s Date of Termination, unless extended as described in subsection (ii) below. Executive’s pre-tax contributions to a health care flexible spending account will cease on Executive’s Date of Termination. Any eligible health care expenses incurred through the end of the month of Executive’s Date of Termination, will be reimbursed according to the terms of the plan.
Sample 1
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Current Benefits. Up to 66 2/3% of the monthly salary. Payments to be paid during the disability until age 65. See City of Xxxxx Self-Insured Long Term Disability Plan passed and adopted by City Council on December 5, 2001.
Sample 1
Current Benefits. Fund American will attempt to secure continuation of benefits reasonably comparable to those currently in place for a period of at least 36 months after the sale. Such programs include retirement plans, ESOP, LTIP, EICP, deferred compensation plans, health and life insurance, car leases and allowances, and club memberships. A material reduction in these benefits would constitute "Constructive Termination." In addition, Jim Xxxxxx xxx Bob Xxxxxxxx xxxl be provided supplemental retirement benefits that will permit each of them to begin receiving retirement benefits (starting at the time of termination, constructive or otherwise) as if they had reached age fifty-eight (for purposes of eligibility for an early retirement benefit, determining Benefit Service and the percentage reduction in benefits due to the start of benefits before the normal retirement date) under the Company's retirement plan and SERP and begin receiving post retirement medical benefits coverage as if each had reached age fifty-five at the time of termination, if his employment should be involuntarily terminated other than for "Cause" or if "Constructive Termination" occurs, as defined above and under the LTIP. Finally, Jim Xxxxxx xxx Bob Xxxxxxxx xxxl be entitled to any additional benefits available to terminated employees in such case.
Sample 1

Related to Current Benefits

  • Retirement Benefits Due to either investment or employment during the marriage, either the Husband or Wife: (check one)

  • Vacation Benefits During the Term, the Executive shall be eligible for 20 vacation days annually, which shall be accrued and used in accordance with the applicable policies of the Company. During the Term, the Executive shall be eligible to participate in such medical, dental and life insurance, retirement and other plans as the Company may have or establish from time to time on terms and conditions applicable to other senior executives of the Company generally. The foregoing, however, shall not be construed to require the Company to establish any such plans or to prevent the modification or termination of such plans once established.

  • Employment Benefits In addition to the Salary payable to the Executive hereunder, the Executive shall be entitled to the following benefits:

  • Settlement Benefits Subject to the terms and conditions set forth herein, HESI shall provide the following “Settlement Benefits” in connection with the resolution of the New Class Action by the New Class and the resolution of the Assigned Claims against HESI by the DHEPDS Class: (a) HESI shall make an Aggregate Payment of one billion twenty-eight million U.S. dollars (“USD”) ($1,028,000,000) (the “Aggregate Payment”) to resolve both the alleged liability to the New Class for Punitive Damages Claims, if any, and the alleged liability to the DHEPDS Class for the Assigned Claims against HESI under the DHEPDS. DHEPDS Class Counsel and the PSC have agreed to accept the Aggregate Payment from HESI, subject to the terms and conditions set forth herein, including the allocation of the Aggregate Payment by the Allocation Special Master described below. (b) All Administrative Costs shall be paid from the Aggregate Payment. Under no circumstances shall HESI be liable for any Administrative Costs. At the request of the PSC or New Class Counsel, as applicable, and/or the DHEPDS Class Counsel, XXXX agrees to consult with them to explore methods to enhance the efficiency of the implementation and administration of the processes for the distribution of the Aggregate Payment amount pursuant to the provisions of the SA. (c) Only as agreed to by the Parties in Section 23 of this SA, HESI shall pay the reasonable common benefit costs and fees of the PSC, New Class Counsel, as applicable, and DHEPDS Class Counsel and/or other common benefit attorneys who have submitted time and/or costs in accordance with Pre-Trial Order No. 9, as may be approved by the Court. In no event shall HESI be required to pay any common benefit costs or fees of the PSC, New Class Counsel, DHEPDS Class Counsel or any other common benefit attorneys, or any other person who claims a right to fees and costs, in excess of the amount agreed to by the Parties in Section 23 of this SA.

  • Termination Benefits (a) Upon the occurrence of a Change in Control, followed at any time during the term of this Agreement by the involuntary termination of the Executive’s employment (other than for Termination for Cause or death), or by the Executive for Good Reason, the Employers shall: (i) pay the Executive, or in the event of his subsequent death, his beneficiary or beneficiaries, or his estate, as the case may be, a lump sum payment within thirty (30) days of the Date of Termination an amount equal to three (3) times the Executive’s average annual compensation for the five most recent taxable years that the Executive has been employed by the Employers or such lesser number of years in the event that the Executive shall have been employed by the Employers for less than five years. For this purpose, annual compensation shall include base salary and any other taxable income, including, but not limited to, amounts related to the granting, vesting or exercise of restricted stock or stock option awards, commissions, bonuses, pension and profit sharing plan contributions or benefits (whether or not taxable), severance payments, retirement benefits, and fringe benefits paid or to be paid to the Executive or paid for the Executive’s benefit during any such year; and (ii) cause to be continued life insurance and non-taxable medical, dental and disability coverage substantially identical to the coverage maintained by the Employers for the Executive prior to his Date of Termination, except to the extent such coverage may be changed in its application to all employees on a nondiscriminatory basis. Such coverage and payments shall cease upon the expiration of thirty-six (36) full calendar months from the Date of Termination. (b) Notwithstanding the foregoing, to the extent required to avoid penalties under Section 409A of the Code, the cash severance payable under Section 3 of this Agreement shall be delayed until the first day of the seventh month following the Executive’s Date of Termination. (c) For purposes of this Agreement, a “termination of employment” shall mean a “Separation from Service” as defined in Section 409A of the Code and the regulations promulgated thereunder, such that the Employers and the Executive reasonably anticipate that the level of bona fide services the Executive would perform after a termination of employment would permanently decrease to a level that is less than 50% of the average level of bona fide services performed (whether as an employee or as an independent contractor) over the immediately preceding thirty-six (36) month period.

  • Early Retirement Benefits If elected in the Adoption Agreement, an Early Retirement benefit may be available to individuals who meet the age and Service requirements that are specified in the Adoption Agreement. A Participant who attains his or her Early Retirement Date will become fully vested, regardless of any vesting schedule which otherwise might apply. If a Participant separates from Service with a nonforfeitable benefit before satisfying the age requirements, but after having satisfied the Service requirement, the Participant will be entitled to elect an Early Retirement benefit upon satisfaction of the age requirement.

  • Separation Benefits If this Agreement is terminated either by the Company without Cause in accordance with Section 6(c) (including the Company’s non-renewal of this Agreement) or by Employee resigning his employment for Good Reason in accordance with Section 6(d), the Company shall have no further obligation to Employee under this Agreement, except the Company shall provide the Accrued Obligations to Employee in accordance with Section 7(a) plus the following payments and benefits (collectively, the “Separation Benefits”) to Employee: (i) an amount equal to one times the sum of the Base Salary in effect immediately before the Termination Date plus the Annual Bonus received by Employee for the fiscal year preceding the Termination Date (or if Employee was employed for less than one full fiscal year prior to the Termination Date, the Annual Bonus for purposes of this Section 7 shall be the Annual Bonus payable during the current fiscal year at the target amount provided above) (together, the “Separation Pay”); and (ii) during the six-month period commencing on the Termination Date that Employee is eligible to elect and elects to continue coverage for himself and his eligible dependents under the Company’s group heath insurance plan pursuant to the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended (“COBRA”), or similar state law, the Company shall reimburse Employee on a monthly basis for the difference between the amount Employee pays to effect and continue such coverage under COBRA and the employee contribution amount that active employees of the Company pay for the same or similar coverage; provided, however, that Employee shall notify the Company in writing within five days after he becomes eligible after the Termination Date for group health insurance coverage, if any, through subsequent employment or otherwise and the Company shall have no further reimbursement obligation after Employee becomes eligible for group health insurance coverage due to subsequent employment or otherwise. The Separation Pay shall be paid to Employee in a lump sum within 60 days of the Termination Date; provided, however, that no Separation Pay shall be paid to Employee unless the Company receives, on or within 55 days after the Termination Date, an executed and fully effective copy of the Release (as defined below). Any COBRA reimbursements due under this Section shall be made by the last day of the month following the month in which the applicable premiums were paid by Employee. For the avoidance of doubt, Employee shall not be entitled to the Separation Benefits if this Agreement is terminated (i) due to Employee’s death; (ii) by the Company due to Employee’s Inability to Perform; (iii) by the Company for Cause; (iv) by Employee without Good Reason; or (v) by non-renewal by Employee in accordance with Sections 4(b) and 6(f).

  • Compensation Benefits In accordance with Section 142 of the State Finance Law, this contract shall be void and of no force and effect unless the Contractor shall provide and maintain coverage during the life of this contract for the benefit of such employees as are required to be covered by the provisions of the Workers' Compensation Law.

  • Benefit Payments Benefit Payments, as referred to in this Agreement, means the sum of (i) Claims, as described in Xxxxxxxxx 0 xxxxx, (xx) Cash Surrender Values, as described in Paragraph 3 below, and (iii) Annuity Payments, as described in Paragraph 7 below.

  • Post-Retirement Benefits The present value of the expected cost of post-retirement medical and insurance benefits payable by the Borrower and its Subsidiaries to its employees and former employees, as estimated by the Borrower in accordance with procedures and assumptions deemed reasonable by the Required Lenders is zero.

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