Common use of Details and Method of Coverage Clause in Contracts

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.

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 dependentsdependants. 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.

Details and Method of Coverage. The benefits summarized in the Group Benefits 22 Package and the Retiree Medical Plan shall be procured by the Company under contracts and/or 23 administrative agreements with insurance companies, health care contractors, or administrative agents 24 which will be in the form customarily written by such carriers and administrative agents, and the Group 25 Benefits Package and Retiree Medical Plan shall be subject to the terms and conditions of such contracts 26 and/or administrative agreements, consistent with the summary in the Group Benefits Package or Retiree 27 Medical Plan. 28 Such contracts and/or administrative agreements will require the administrative agents to develop 30 various programs and procedures designed to contain costs based on those portions of the Group Benefits 31 Package and the Retiree Medical Plan which contain the requirement that charges are covered only 32 on the basis of medical necessity. Such cost containment programs or procedures may be utilized to 33 determine the medical necessity of the treatment itself, the appropriateness of the services provided, and 34 the place of treatment or the duration of treatment. The administrative agents and the Company will 35 announce each such program or procedure before it is required or available to the affected employees or 36 retirees. Any such cost containment program or procedure will not operate to reduce or deny the benefit 37 properly due or to shift the costs covered under the Plans to any eligible active employee or employee 38 who retires during the term of this Agreement, or to his or her dependents. 39 The failure of an insurance company, health care contractor, or administrative agent to provide any of 41 the benefits for which it has contracted shall result in no liability to the Company, nor shall such failure 42 be considered a breach by the Company of the obligations that it has undertaken by this Agreement. 43 However, in the event of any such failure, the Company shall immediately evaluate the need to replace 44 the services of such insurance company, health care contractor, or administrative agent.. 45

Details and Method of Coverage. The benefits summarized in the Group Benefits Package 13 and the Retiree Medical Plan shall be procured by the Company under contracts and/or administrative 14 agreements with insurance companies, health care contractors, or administrative agents which will be in the 15 form customarily written by such carriers and administrative agents, and the Group Benefits Package and 16 Retiree Medical Plan shall be subject to the terms and conditions of such contracts and/or administrative 17 agreements, consistent with the summary in the Group Benefits Package or Retiree Medical Plan. 19 Such contracts and/or administrative agreements will require the administrative agents to develop 20 various programs and procedures designed to contain costs based on those portions of the Group 21 Benefits Package and the Retiree Medical Plan which contain the requirement that charges are covered 22 only on the basis of medical necessity. Such cost containment programs or procedures may be utilized 23 to determine the medical necessity of the treatment itself, the appropriateness of the services provided, 24 and the place of treatment or the duration of treatment. The administrative agents and the Company will 25 announce each such program or procedure before it is required or available to the affected employees or 26 retirees. Any such cost containment program or procedure will not operate to reduce or deny the benefit 27 properly due or to shift the costs covered under the Plans to any eligible active employee or employee 28 who retires during the term of this Agreement, or to his or her dependents. 30 The failure of an insurance company, health care contractor, or administrative agent to provide any of the 31 benefits for which it has contracted shall result in no liability to the Company, nor shall such failure be 32 considered a breach by the Company of the obligations that it has undertaken by this Agreement. However, 33 in the event of any such failure, the Company shall immediately evaluate the need to replace the services of 34 such insurance company, health care contractor, or administrative agent.

Details and Method of Coverage. The benefits summarized in the Group Benefits 5 Package and the Retiree Medical Plan shall be procured by the Company under contracts and/or 6 administrative agreements with insurance companies, health care contractors, or administrative 7 agents which will be in the form customarily written by such carriers and administrative agents, and 8 the Group Benefits Package and Retiree Medical Plan shall be subject to the terms and conditions of 9 such contracts and/or administrative agreements, consistent with the summary in the Group Benefits 10 Package or Retiree Medical Plan. 12 Such contracts and/or administrative agreements will require the administrative agents to develop 13 various programs and procedures designed to contain costs based on those portions of the Group 14 Benefits Package and the Retiree Medical Plan which contain the requirement that charges are covered 15 only on the basis of medical necessity. Such cost containment programs or procedures may be utilized 16 to determine the medical necessity of the treatment itself, the appropriateness of the services provided, 17 and the place of treatment or the duration of treatment. The administrative agents and the Company 18 will announce each such program or procedure before it is required or available to the affected 19 employees or retirees. Any such cost containment program or procedure will not operate to reduce 20 or deny the benefit properly due or to shift the costs covered under the Plans to any eligible active 21 employee or employee who retires during the term of this Agreement, or to his or her dependents. 23 The failure of an insurance company, health care contractor, or administrative agent to provide any of 24 the benefits for which it has contracted shall result in no liability to the Company, nor shall such failure 25 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.

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 provided 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 during the term of this Agreement 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 dependentsdependants. 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.

Details and Method of Coverage. The benefits summarized in the Group 18 Benefits Package and the Retiree Medical Plan shall be procured by the Company under 19 contracts and/or administrative agreements with insurance companies, health care 20 contractors, or administrative agents which will be in the form customarily written by such 21 carriers and administrative agents, and the Group Benefits Package and Retiree Medical 22 Plan shall be subject to the terms and conditions of such contracts and/or administrative 23 agreements, consistent with the summary in the Group Benefits Package or Retiree 24 Medical Plan. 26 Such contracts and/or administrative agreements will require the administrative agents 27 to develop various programs and procedures designed to contain costs based on those 28 portions of the Group Benefits Package and the Retiree Medical Plan which contain the 29 requirement that charges are covered only on the basis of medical necessity. Such cost 30 containment programs or procedures may be utilized to determine the medical necessity 31 of the treatment itself, the appropriateness of the services provided, and the place of 32 treatment or the duration of treatment. The administrative agents and the Company will 33 announce each such program or procedure before it is required or available to the affected 34 employees or retirees. Any such cost containment program or procedure will not operate 35 to reduce or deny the benefit properly due or to shift the costs covered under the Plans to 36 any eligible active employee or employee who retires during the term of this Agreement, 37 or to his or her dependents. 39 The failure of an insurance company, health care contractor, or administrative agent to 40 provide any of the benefits for which it has contracted shall result in no liability to the 41 Company, nor shall such failure be considered a breach by the Company of the obligations 42 that it has undertaken by this Agreement. However, in the event of any such failure, the 43 Company shall immediately evaluate the need to replace the services of such insurance 44 company, health care contractor, or administrative agent.

Details and Method of Coverage. The benefits summarized in the Group 6 Benefits Package and the Retiree Medical Plan shall be procured by the Company under 7 contracts and/or administrative agreements with insurance companies, health care contractors, 8 or administrative agents which will be in the form customarily written by such carriers and 9 administrative agents, and the Group Benefits Package and Retiree Medical Plan shall be 10 subject to the terms and conditions of such contracts and/or administrative agreements, 11 consistent with the summary in the Group Benefits Package or Retiree Medical Plan. 13 Such contracts and/or administrative agreements will require the administrative agents to 14 develop various programs and procedures designed to contain costs based on those portions 15 of the Group Benefits Package and the Retiree Medical Plan which contain the requirement 16 that charges are covered only on the basis of medical necessity. Such cost containment 17 programs or procedures may be utilized to determine the medical necessity of the treatment 18 itself, the appropriateness of the services provided, and the place of treatment or the duration 19 of treatment. The administrative agents and the Company will announce each such program 20 or procedure before it is required or available to the affected employees or retirees. Any 21 such cost containment program or procedure will not operate to reduce or deny the benefit 22 properly due or to shift the costs covered under the Plans to any eligible active employee or 23 employee who retires during the term of this Agreement, or to his or her dependents. 25 The failure of an insurance company, health care contractor, or administrative agent to 26 provide any of the benefits for which it has contracted shall result in no liability to the 27 Company, nor shall such failure be considered a breach by the Company of the obligations 28 that it has undertaken by this Agreement. However, in the event of any such failure, the 29 Company shall immediately evaluate the need to replace the services of such insurance 30 company, health care contractor, or administrative agent.

Details and Method of Coverage. The benefits summarized in the Group Benefits Package 17 and the Retiree Medical Plan shall be procured by the Company under contracts and/or administrative 18 agreements with insurance companies, health care contractors, or administrative agents which will be 19 in the form customarily written by such carriers and administrative agents, and the Group Benefits 20 Package and Retiree Medical Plan shall be subject to the terms and conditions of such contracts and/or 21 administrative agreements, consistent with the summary in the Group Benefits Package or Retiree 22 Medical Plan. 23 Such contracts and/or administrative agreements will require the administrative agents to develop various 25 programs and procedures designed to contain costs based on those portions of the Group Benefits Package 26 and the Retiree Medical Plan which contain the requirement that charges are covered only on the basis of 27 medical necessity. Such cost containment programs or procedures may be utilized to determine the 28 medical necessity of the treatment itself, the appropriateness of the services provided, and the place of 29 treatment or the duration of treatment. The administrative agents and the Company will announce each 30 such program or procedure before it is required or available to the affected employees or retirees. Any such 31 cost containment program or procedure will not operate to reduce or deny the benefit properly due or to 32 shift the costs covered under the Plans to any eligible active employee or employee who retires during the 33 term of this Agreement, or to his or her dependentsdependants. 34 35 The failure of an insurance company, health care contractor, or administrative agent to provide any of the 36 benefits for which it has contracted shall result in no liability to the Company, nor shall such failure be 37 considered a breach by the Company of the obligations that it has undertaken by this Agreement. However, 38 in the event of any such failure, the Company shall immediately evaluate the need to replace the services 39 of such insurance company, health care contractor, or administrative agent.. 40

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 dependentsdependeants. 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.

Details and Method of Coverage. The benefits summarized in the Group Benefits Package 38 and the Retiree Medical Plan shall be procured by the Company under contracts and/or administrative 39 agreements with insurance companies, health care contractors, or administrative agents which will 40 be in the form customarily written by such carriers and administrative agents, and the Group Benefits 41 Package and Retiree Medical Plan shall be subject to the terms and conditions of such contracts 42 and/or administrative agreements, consistent with the summary in the Group Benefits Package or 43 Retiree Medical Plan. Such contracts and/or administrative agreements will require the administrative 44 agents to develop various programs and procedures designed to contain costs based on those portions 45 of the Group Benefits Package and the Retiree Medical Plan which contain the requirement that 46 charges are covered only on the basis of medical necessity. Such cost containment programs or procedures 47 may be utilized to determine the medical necessity of the treatment itself, the appropriateness of 48 the services provided, and the place of treatment or the duration of treatment. The administrative 49 agents and the Company will announce each such program or procedure before it is required or available 50 to the affected employees or retirees. Any such cost containment program or procedure will not operate 51 to reduce or deny the benefit properly due or to shift the costs covered under the Plans to 52 any eligible active employee or employee who retires during the term of this Agreement, or to his or 53 her dependentsdependants. 55 The failure of an insurance company, health care contractor, or administrative agent to provide any of the 56 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, 1 in the event of any such failure, the Company shall immediately evaluate the need to replace the services 2 of such insurance company, health care contractor, or administrative agent.. 3

Details and Method of Coverage. The benefits summarized in the Group Benefits 11 Package and the Retiree Medical Plan shall be procured by the Company under contracts and/or 12 administrative agreements with insurance companies, health care contractors, or administrative 13 agents which will be in the form customarily written by such carriers and administrative agents, and 14 the Group Benefits Package and Retiree Medical Plan shall be subject to the terms and conditions of 15 such contracts and/or administrative agreements, consistent with the summary in the Group Benefits 16 Package or Retiree Medical Plan. 17 Such contracts and/or administrative agreements will require the administrative agents to develop 19 various programs and procedures designed to contain costs based on those portions of the Group 20 Benefits Package and the Retiree Medical Plan which contain the requirement that charges are covered 21 only on the basis of medical necessity. Such cost containment programs or procedures may be utilized 22 to determine the medical necessity of the treatment itself, the appropriateness of the services provided, 23 and the place of treatment or the duration of treatment. The administrative agents and the Company 24 will announce each such program or procedure before it is required or available to the affected 25 employees or retirees. Any such cost containment program or procedure will not operate to reduce 26 or deny the benefit properly due or to shift the costs covered under the Plans to any eligible active 27 employee or employee who retires during the term of this Agreement, or to his or her dependentsdependants. 28 The failure of an insurance company, health care contractor, or administrative agent to provide any of 30 the benefits for which it has contracted shall result in no liability to the Company, nor shall such failure 31 be considered a breach by the Company of the obligations that it has undertaken by this Agreement. 32 However, in the event of any such failure, the Company shall immediately evaluate the need to replace 33 the services of such insurance company, health care contractor, or administrative agent.. 34