Details and Method of Coverage Sample Clauses

Details and Method of Coverage. The benefits summarized in the Group Benefits Package and the Retiree Medical Plan shall be procured by the Company under contracts and/or administrative agreements with insurance companies, health care contractors, or administrative agents which will be in the form customarily written by such carriers and administrative agents, and the Group Benefits Package and Retiree Medical Plan shall be subject to the terms and conditions of such contracts and/or administrative agreements, consistent with the summary in the Group Benefits Package or Retiree Medical Plan. Such contracts and/or administrative agreements will require the administrative agents to develop various programs and procedures designed to contain costs based on those portions of the Group Benefits Package and the Retiree Medical Plan which contain the requirement that charges are covered only on the basis of medical necessity. Such cost containment programs or procedures may be utilized to determine the medical necessity of the treatment itself, the appropriateness of the services provided, and the place of treatment or the duration of treatment. The administrative agents and the Company will announce each such program or procedure before it is required or available to the affected employees or retirees. Any such cost containment program or procedure will not operate to reduce or deny the benefit properly due or to shift the costs covered under the Plans to any eligible active employee or employee who retires during the term of this Agreement, or to his or her dependents. The failure of an insurance company, health care contractor, or administrative agent to provide any of the benefits for which it has contracted shall result in no liability to the Company, nor shall such failure be considered a breach by the Company of the obligations that it has undertaken by this Agreement. However, in the event of any such failure, the Company shall immediately evaluate the need to replace the services of such insurance company, health care contractor, or administrative agent.
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Details and Method of Coverage. The benefits summarized in the Health Care and Insurance Plans and the Retiree Medical Plan shall be procured by the Company under contracts and/or administrative agreements with insurance companies, health care contractors, or administrative agents which will be in the form customarily written by such carriers and administrative agents, and the Health Care and Insurance Plans and Retiree Medical Plan shall be subject to the terms and conditions of such contracts and/or administrative agreements, consistent with the summary plan description for the Health Care and Insurance Plans or Retiree Medical Plan. The failure of an insurance company, health care contractor, or administrative agent to provide any of the benefits for which it has contracted shall result in no liability to the Company, nor shall such failure be considered a breach by the Company of the obligations that it has undertaken by this Agreement. However, in the event of any such failure, the Company shall immediately evaluate the need to replace the services of such insurance company, health care contractor, or administrative agent.
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Details and Method of Coverage. The benefits summarized in the 34 Health Care and Insurance Plans and the Retiree Medical Plan shall be procured by 35 the Company under contracts and/or administrative agreements with insurance 36 companies, health care contractors, or administrative agents which will be in the 37 form customarily written by such carriers and administrative agents, and the Health 38 Care and Insurance Plans and Retiree Medical Plan shall be subject to the terms and 39 conditions of such contracts and/or administrative agreements, consistent with 40 the summary plan description for the Health Care and Insurance Plans or Retiree 41 Medical Plan. 42 43 The failure of an insurance company, health care contractor, or administrative agent 44 to provide any of the benefits for which it has contracted shall result in no liability 45 to the Company, nor shall such failure be considered a breach by the Company of 46 the obligations that it has undertaken by this Agreement. However, in the event of 47 any such failure, the Company shall immediately evaluate the need to replace the 48 services of such insurance company, health care contractor, or administrative agent. 49 50
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Details and Method of Coverage. 26 The benefits summarized in the Group Benefits Program and the Retiree 27 Medical Plan shall be procured by the Company under contracts and/or 28 administrative agreements with insurance companies, health care 29 contractors or administrative agents which will be in the form customarily 30 written by such carriers and administrative agents, and the Group Benefits 31 Program and Retiree Medical Plan shall be subject to the terms and 32 conditions of such contracts and/or administrative agreements, consistent 33 with the summary in the Group Benefits Program or Retiree Medical Plan. 34 Such contracts and/or administrative agreements will require the 35 administrative agents to develop various programs and procedures designed 36 to contain costs based on those portions of the Group Benefits Program and 37 the Retiree Medical Plan which contain the requirement that charges are 38 covered only on the basis of medical necessity. Such cost containment 39 programs or procedures may be utilized to determine the medical necessity 40 of the treatment itself, the appropriateness of the services provided, the 41 place of treatment or the duration of treatment. The administrative agents 42 and the Company will announce each such program or procedure before it 43 is required or available to the affected employees or retirees. Any such cost 1 containment program or procedure will not operate to reduce or deny the 2 benefit properly due under the Plans to any covered person or to shift the 3 costs covered under the Plans to the covered person.
Sample 1
Details and Method of Coverage. 41 The benefits summarized in the Group Benefits Program and the Retiree 42 Medical Plan shall be procured by the Company under contracts and/or 1 administrative agreements with insurance companies, health care 2 contractors or administrative agents which will be in the form customarily 3 written by such carriers and administrative agents, and the Group Benefits
Sample 1
Details and Method of Coverage. The Group Benefits summarized in this Article shall be procured by the Company under contracts and/or administration agreements with insurance companies or health care contractors which will be in the form customarily written by such carriers and administrative agents, and the Group Benefits outlined shall be subject to the terms and conditions of such contracts and/or administrative agreements, consistent with the summary contained in such plan’s Summary Plan Description (SPD). If the Company retains a qualified full insurance plan, rather than a self-insured plan, the failure of an insurance company or health care contractor to provide for any of the services or benefits for which it has contracted shall result in no liability to the Company, nor shall such failure be considered a breach by the Company of the obligations which it has undertaken by the Agreement. However, in the event of such failure, the Company shall immediately attempt to provide comparable benefits coverage. The failure of the Company to provide comparable benefit coverage will be subject to the grievance and arbitration procedures of this Collective Bargaining Agreement.
Sample 1
Details and Method of Coverage. The benefits summarized in the Group Benefits Program shall be procured by the Company under contracts and/or administrative agreements with insurance companies or health care contractors which will be in the form customarily written by such carriers and administrative agents, and the Group Benefits Program shall be subject to the terms and conditions of such contracts and/or administrative agreements, consistent with the summary plan description. Such contracts and/or administrative agreements may require the carriers and/or administrative agents to develop various programs designed to contain costs, based on those portions of the Group Benefits Program which contain the requirement that charges are covered only on the basis of medical necessity. Such cost containment programs or procedures may be utilized to determine the medical necessity of the treatment itself, the appropriateness of the services provided, the place of treatment or the duration of treatment. These programs may include incentives for employees and dependents to use services of an approved Preferred Provider Organization. The carriers or administrative agents and Company will announce each such program or procedure before it is required or available to the affected employees. Any such cost containment program will not operate to reduce the benefits of such Program to any covered person or to shift the costs covered under such Program to the covered person. The failure of an insurance company or health care contractor to provide for any of the services or benefits for which it has contracted shall result in no liability to the Company, nor shall such failure be considered a breach by the Company of the obligations which it has undertaken by this Agreement. However, in the event of any such failure, the Company shall immediately attempt to provide substitute coverage.
Sample 1
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Details and Method of Coverage. The benefits summarized in the Group Benefits Package shall be procured by the Company under contracts and/or administrative agreements with insurance companies or health care contractors which will be in the form customarily written by such carriers and administrative agents, and the Group Benefits Package shall be subject to the terms and conditions of such contracts and/or administrative agreements, consistent with the plan summary. Such contracts and/or administrative agreements may require the carriers and/or administrative agents to develop various packages designed to contain costs, based on those portions of the Group Benefits Package which contain the requirement that charges are covered only on the basis of medical necessity. Such cost containment programs or procedures may be utilized to determine the medical necessity of the treatment itself, the appropriateness of the services provided, the place of treatment or the duration of treatment. These programs may include incentives for employees and dependents to use services of an approved Preferred Provider Organization. The carriers or administrative agents and Company will announce each such program or procedure before it is required or available to the affected employees. Any such cost containment Package will not operate to reduce the benefits of such Package to any covered person or to shift the costs covered under such Package to the covered person. The failure of an insurance company or health care contractor to provide for any of the services or benefits for which it has contracted shall result in no liability to the Company, nor shall such failure be considered a breach by the Company of the obligations which it has undertaken by this Agreement. However, in the event of any such failure, the Company shall immediately attempt to provide substitute coverage.
Sample 1

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