Employer Certification Sample Clauses
Employer Certification. In accordance with I.C. § 22-5-1.7, Consultant understands and agrees to enroll and verify work eligibility status of all newly hired employees of the Contractor through E-Verify program or any other system of legal residence verification as approved by the United States Department of Homeland Security or the department of homeland security. Consultant further understands that they are not required to verify work eligibility of status of newly hired employees of the Consultant through the E-Verify program if the E-Verify program no longer exists. Consultant certifies that they do not knowingly employ any unauthorized aliens.
Employer Certification. As the responsible official signing this document, I certify under penalty of law that this agreement and the associated Plan were prepared under my directions or supervision according to a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for the gathering of the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
Employer Certification. Employer, in its capacity as Employer, performs plan administrative functions for the Plan and as a result needs access to the Protected Health Information (PHI) of Plan participants. Employer, in its capacity as Employer, will fully comply with its obligations under HIPAA and the HIPAA Regulations, and certifies and agrees that the Plan documents have been amended to incorporate the following provisions and Employer agrees to:
1. Not Use or further Disclose PHI other than as permitted or required by the plan documents or as Required by Law;
2. Ensure that any agents, including subcontractors, to whom it provides PHI received from the Plan agree to the same restrictions and conditions that apply to Employer with respect to such information;
3. Not Use or Disclose PHI for employment-related actions and decisions unless authorized to do so by the individual;
4. Not Use or Disclose PHI in connection with any other benefit or employee benefit plan of Employer unless authorized to do so by the individual;
5. Report to the Plan any Use or Disclosure of PHI that is inconsistent with the Uses or Disclosures provided for of which the Employer becomes aware;
6. Make available PHI in accordance with 45 CFR 164.524;
7. Make available PHI for amendment and incorporate any amendments to PHI in accordance with 45 CFR 164.526;
8. Make available the information required to provide an accounting of Disclosures in accordance with 45 CFR 164.528;
9. Make its internal practices, books, and records relating to the Use and Disclosure of PHI received from the Plan available to the Secretary of the U.S. Department of Health and Human Services for purposes of determining compliance by the Plan with 45 CFR Part 164, subpart E;
10. If feasible, return or destroy all PHI received from the Plan that the Employer still maintains in any form and retain no copies of such PHI when no longer needed for the purpose for which Disclosure was made. If such return or destruction is not feasible, Employer will limit further Uses and Disclosures to those purposes that make the return or destruction of the PHI infeasible; and
11. Ensure that adequate separation between the Plan and the Employer is established and that the Plan documents:
(a) describe the Employer’s Employees or classes of Employees or other persons under the control of the Employer to be given access to PHI;
(b) restrict the access to and Use by the persons described in 11(a) to the plan administration functions that the Employer p...
Employer Certification. In accordance with I.C.§22-5-1.7, Supplier understands and agrees to enroll and verify work eligibility status of all newly hired employees of the contractor through E-Verify program or any other system of legal residence verification as approved by the United States Department of Homeland Security. Supplier further understands that they are not required to verify work eligibility status of newly hired employees of the Supplier through the E-Verify program if the E-Verify program no longer exists. Supplier certifies that they do not knowingly employ any unauthorized aliens.
Employer Certification. If approved, the employer understands and agrees that the Trustee, Administrator and the Insurer, jointly or severally, are not now and shall not become under the Trust Agreement an administrator or fiduciary for any purpose whatsoever under the Employee Retirement Income Security Act of 1974 (“ERISA”), as amended, or any other law. In addition, the employer understands and agrees the employer is solely responsible and fully liable for carrying out any duty and/or obligation to the extent such duty and/or obligation is created, required or imposed by ERISA, as amended, or any other law, with respect to the employer or the employer’s employees and dependents under any certificate issued under such group policy or policies. By purchasing this coverage, an employer is establishing an Employee Welfare Plan, and may therefore be subject to compliance with ERISA. I understand that only the Insurer or its authorized Administrator can approve this application and set an effective date. I understand that the employee and dependent contribution and participation requirements must be met and maintained for coverage to be in effect. I further understand that this plan may contain a pre-existing condition limitation and pre-certification requirement which have been explained to me. I understand that the agent represents myself, not the Insurer. Title I hereby certify • I asked all questions and accurately and fully recorded all information given by the applicant • I advised ht e applicant not to terminate existing coverage unless, and until, the Administrator notifies him/her, in writing, that this application has been approved • I used only advertising approved by the Insurer to solicit this application, I told the applicant nothing inconsistent with the approved advertising about the benefits/coverage(s) • I didn' t guarantee the Insurer’s approval of the application or issuance of coverage(s) • I didn' t tell the applicant that the Insurer will cover any pre-existing condition(s) • I made no fasl e, misleading, or deceptive statements and complied with all applicable insurance laws, underwriting requirements, and the market/sales standards maintained by the Insurer. I understand that I' m liable for my acts and omissions to the extent provided by law, I understand I have no authority to alterthis application, bind the Insurer by making promises and/or representations, or to waive or change the terms, conditions, and/or provisions of the policy(ies) or any requiremen...
Employer Certification. Your employer must certify your extended leave to us on the Leave of Absence Report (TRA-1500) at the time your extended leave is granted. Please check with your employer to ensure that this certification has been reported to our office. Your employer from which you are on leave may pay any portion of the employer share of the contributions, but is not obligated to do so. The employer may also agree to pay any portion of the employee contributions. If your employer agrees to pay employee contributions, a copy of the agreement executed between your employer and you must be submitted to TRA. This agreement must include a sunset date of eligibility to quality for this payment.
Employer Certification. Highly Compensated Employees: The IRS requires certain annual testing to verify that the Plan is not primarily benefitting highly compensated employees. The IRS defines a highly compensated employee as one who earned more than a specified limit for the prior year. For ministers, the amount is W2 income only. Do not include the housing allowance. Complete the applicable lines below:
Employer Certification. In accordance with I.C. § 22-5-1.7, Tiger understands and agrees to enroll and verify work eligibility status of all newly hired employees of the contractor through E-Verify program or any other system of legal residence verification as approved by the United States Department of Homeland Security. Tiger further understands that they are not required to verify work eligibility of status of newly hired employees of Tiger through the E-Verify program if the E-Verify program no longer exists. Tiger certifies that they do not knowingly employ any unauthorized aliens.
Employer Certification. The receipt by the Directed Trustee of instructions or directions from the Employer or Administrator pursuant to this Section 7.14 shall be deemed to be certifications by the Employer or Administrator that the provisions of this Section 7.14, ERISA and all applicable securities laws and regulations have been complied with by the Employer or Administrator.
Employer Certification. The Employer agrees to furnish the Union, at its offices, with a current Certificate of Insurance indicating the Employer’s Workers’ Compensation coverage for the State of Michigan. Such certificates shall contain a ten (10) day cancellation notification clause. The Employer shall also furnish the Union, at its offices, with the Employer’s Michigan Employment Security Commission identification number. This provision shall not be construed to impose any duty upon the Union.