Eligibility for Payment of Benefits Sample Clauses

Eligibility for Payment of Benefits. (1) You will be eligible for payment of benefits provided by the Policy when We determine that You: (a) Are unable to perform without Substantial Assistance from another individual 2 or more of the Activities of Daily Living due to a loss in functional capacity which is expected to last at least 90 days; or (b) Have suffered a Severe Cognitive Impairment. You are considered to be able to perform an Activity of Daily Living if You are able to perform that activity with the aid of equipment, but without the Substantial Assistance of another person. The Activities of Daily Living include Bathing, Continence, Dressing, Eating, Toileting, and Transferring and are defined as follows: (a) Bathing, means washing Yourself by sponge bath or in either a tub or shower, including the task of getting into or out of the tub or shower. (b) Continence, means Your ability to maintain control of bowel and bladder functions; or when unable to maintain control of bowel or bladder functions, the ability to perform associated personal hygiene (including caring for catheter or colostomy bag.) (c) Dressing, means putting on and taking off all items of clothing and any necessary braces, fasteners, or artificial limbs. (d) Eating, means feeding Yourself by getting food into Your body from a receptacle (such as a plate, cup, or table) or by a feeding tube or intravenously. (e) Toileting, means getting to and from the toilet, getting on and off the toilet, and performing associated personal hygiene. (f) Transferring, means moving into or out of a bed, chair or wheelchair. Severe Cognitive Impairment means Cognitive Impairment such that You require Substantial Supervision to protect Yourself or others from threats to health and safety. Cognitive Impairment means a deficiency in a person’s: (a) Short or long-term memory; (b) Orientation as to person, place, and time; (c) Deductive or abstract reasoning; or (d) Judgment as it relates to safety awareness. The loss or deterioration of intellectual ability is determined using reliable tests and clinical evidence demonstrating the impairment. Loss of intellectual ability can result from Alzheimer’s Disease or similar forms of senility or irreversible dementia or other mental illness. (2) We will confirm Your eligibility by: (a) Having an Assessment performed at Our request and Our expense to confirm Your functional and cognitive status; (b) Having You certified by a Licensed Health Care Practitioner as a Chronically Ill Individual; (c) Revie...
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Eligibility for Payment of Benefits. (1) You will be eligible for payment of benefits provided by the Policy when We determine that You: (a) Are unable to perform without Substantial Assistance from another individual 2 or more of the Activities of Daily Living due to a loss in functional capacity which is expected to last at least 90 days; or (b) Have suffered a Severe Cognitive Impairment. You are considered to be able to perform an Activity of Daily Living if You are able to perform that activity with the aid of equipment, but without the Substantial Assistance of another person. The Activities of Daily Living include Bathing, Continence, Dressing, Eating, Toileting, and Transferring and are defined as follows:
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Eligibility for Payment of Benefits 
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Related to Eligibility for Payment of Benefits

  • Payment of Benefits All or part of the contract benefits may be paid under one or more of the following: - a variable payment plan; - a fixed payment plan; or - in cash. The provisions and rate for variable and fixed payment plans are described in Section 11. Contract benefits may not be placed under a payment plan unless the plan would provide to each beneficiary a monthly income the initial amount of which is at least the minimum payment amount shown on page 4. A Withdrawal Charge will be deducted from contract benefits before their payment under certain conditions described in Section 7.3.

  • Eligibility for Benefits 1. Sick Leave Bank benefits are available only when the member personally has a severe medical hardship (catastrophic illness or serious accident). 2. Benefits can be received only after all accumulated sick leave and vacation days have been exhausted. 3. Any member receiving Worker's Compensation or disability benefits shall not be eligible to receive benefits from the Sick Leave Bank. 4. A member who is on leave of absence, suspended, or terminated from the Xxxxxxx County Board of Education shall not be eligible for Sick Leave Bank benefits. 5. The form, entitled "Request For Sick Leave Benefits" and physician's statement are required before the SLB Review Committee will consider a request for benefits. The physician's statement shall include a history of the illness, date the illness began, a diagnosis and prognosis, and any other related information. 6. Approval by the Sick Leave Bank Review Committee is required prior to the receiving of benefits. 7. Normal pregnancies, childbirth, childcare, or child adoption shall not be considered as eligible reasons for Sick Leave Bank benefits. 8. A four (4)-member Sick Leave Bank Review Committee, consisting of two (2) members appointed by the President of the Association and two (2) appointed by the Superintendent, shall have the responsibility of receiving requests, verifying the validity of requests and approval or denial of requests. Any approval of a request must have the support of at least three (3) members of the committee Sick Leave Bank Review Committee. The Sick Leave Bank Review Committee shall develop its rules of procedure and shall give wide distribution to said rules upon approval of the President of the Association and the Superintendent.

  • Termination of Benefits Except as provided in Section 2 above or as may be required by law, Executive’s participation in all employee benefit (pension and welfare) and compensation plans of the Company shall cease as of the Termination Date. Nothing contained herein shall limit or otherwise impair Executive’s right to receive pension or similar benefit payments that are vested as of the Termination Date under any applicable tax-qualified pension or other plans, pursuant to the terms of the applicable plan.

  • Retention of Benefits Union leave under the following four (4) sections will be unpaid. The Employer will maintain regular pay and xxxx the Union for the costs of the employee’s salary and benefits. If the Union member is part-time or casual, and the leave is greater than their normal work hours, the Employer will pay the employee for the full length of the leave requested by the Union. The Employer will xxxx the Union for these days as noted above. The Union will pay these invoices within twenty-eight (28) days. Union leave is not unpaid leave for the purposes of Article 22.02 [i.e. such leave will not affect the employee’s benefits, seniority or increment anniversary date].

  • Duration of Benefits Eligibility for Income Protection benefits will cease upon the earliest of the following dates: 1.09.01 the date the member is no longer disabled from performing the duties of their regular position, or any alternative employment made available to the member by the City. 1.09.02 the date the member's Income Protection benefits have been expended. 1.09.03 the date the member dies.

  • Distribution of Benefits Members of this unit with at least one year of the service to the District may apply for a number of days consistent with a one-for-one match of their individual sick leave accumulation as of the end of the previous contract year brought forward to the year of the onset of disability. The combined benefit of accumulated personal sick leave and disability bank leave may not exceed one hundred-eighty days and may carry over from one contract year to another. Employees with less than one full year of service in the District will not be require to contribute one of their individual accumulated sick leave days to the disability bank. The Board reviews the right to request re-application and documentation from anyone requesting more than forty (40) days from the pool. Any benefits will be minus other insurance coverage (i.e. worker’s compensation, social security, etc.).

  • Payment of Benefit The Company shall pay the annual benefit to the Executive in 12 equal monthly installments commencing with the month following the Executive’s Normal Retirement Date, paying the annual benefit to the Executive for a period of 15 years.

  • Cessation of Benefits An employee shall cease to be eligible for benefits of this Plan at the earliest of the following dates: (a) at the end of the month in which the employee reaches his/her sixty-fifth (65th) birthday; (b) on the date of commencement of paid absence prior to retirement; (c) on the date of termination of employment with the Employer. Benefits will not be paid when an employee is serving a prison sentence. Cessation of active employment as a regular employee shall be considered termination of employment except when an employee is on authorized leave of absence with or without pay.

  • Payment in Lieu of Benefits a) All employees not transferred to the Trust who received pay in lieu of benefits under a collective agreement in effect as of August 31, 2014, shall continue to receive the same benefit.

  • Commencement of Benefits The benefits commence six (6) months from the date that disability began, which shall include the period of payment under the terms of the Short Term Income Protection Plan. Proof of disability must be submitted within six (6) months following the Qualifying Period.

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