EXTENT OF COVERAGE. The extent of coverage under the health and disability plans, including any HMO's and/or self- insured plans referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans or benefits thereunder and shall be resolved in accordance with the terms and conditions set forth in said policies or plans. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it is contracted or is obligated shall result in no liability to the College or County. However, in instances where the College agrees that an insurance provider may not be meeting its contractual obligations, the College agrees to contact the insurance provider on the employee's behalf.
EXTENT OF COVERAGE. Contract period
EXTENT OF COVERAGE. Service Provider will perform the following Services with respect to any equipment described on any fully executed location requirement:
EXTENT OF COVERAGE. The extent of coverage under the health, dental and disability plans, including any HMO’s and/or self-insured plans referred to in this agreement shall be governed by the terms and conditions set forth in said policies or plans or benefits thereunder and shall be resolved in accordance with the terms and conditions set forth in said policies or plans. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it is contracted or is obligated shall result in no liability to the Center or County. However, in instances where the Center agrees that an insurance provider may not be meeting its contractual obligations, the Center agrees to contact the insurance provider on the employee’s behalf.
EXTENT OF COVERAGE. The Board does not obligate itself to expend the total per teacher limit of said insurance premiums if the cost of such coverage for any individual teacher is less than the amount set by the Board for premium contribution.
EXTENT OF COVERAGE. In the event of a covered loss, the policy will pay the Creditor the lesser of the Actual Cash Value of the damaged or stolen Collateral as of the date of loss, the cost of repairing or replacing the damaged or stolen Collateral, or the amount of the Creditor’s impairment which is measured by the outstanding balance of the Credit Agreement as of the date of loss. The limit of liability under the policy is $50,000. The policy requires the Creditor to pay a $500 deductible.
EXTENT OF COVERAGE i. The Provider Hospital shall extend only inpatient hospitalization for General and/or Specialised Purposes viz. OR As per list enclosed OR as notified/amended by Ministry of Health & Family Welfare Department of Health & Family Welfare under CGHS, (City) for that Hospital (remove whichever is not applicable) to the members under this Agreement and claims will be settled directly by the Food Corporation of India under ‘Direct Payment System’. For the ‘out-patient treatment’, the Corporation employee shall take such treatment on the agreed rates on cash basis and Food Corporation shall not be responsible for any such medical expenditure on this account under ‘Direct Payment System’.
ii. The Provider will charge agreed rates. The provider shall charge the negotiated rates for IPD and OPD treatment including diagnostics as contained in Clause 0.9.
iii. The Hospital will extend the services of their lab for diagnostic tests to all members on cash down basis on advice of Registered Medical Practitioner for OPD treatment/ purpose.
iv. As per existing policy, in the absence of FCI Medical Officer in the respective District Office/ Regional Office/Zonal Office/ Headquarters (as the case may be), the First Admission Report/ Pre-Authorization duly signed by the Competent Authority of the concerned empanelled hospital is acceptable subject to the fulfillment of other terms and conditions. FCI Authority competent to issue Authorization letter in various offices of FCI are given at Annexure-I. Changes if any shall be intimated from time to time. Sample copies of First Admission Report/ Pre-Authorization Letter and Authorization letter are also given at Xxxxxxxx-XX and III respectively.
v. The claim bill alongwith copies of investigation reports, first admission report/ pre- authorization letter, copy of authorization letter, original cash memos and discharge summary report be submitted by the Hospital to the AGM(Bills) of concerned
EXTENT OF COVERAGE. (i) The Provider Hospital shall extend only inpatient hospitalization to the Pensioners/Family Pensioners/dependent under this agreement and claims will be settled directly by the UGC under ‘CASHLESS FACILITY’. For the out patient treatment’ the UGC retired employee shall take such treatment on the agreed rates on cash basis and UGC shall not be responsible for any such medical expenditure on this account under ‘CASHLESS FACILITY’.
(ii) The Provider Hospital will extend service on prevailing CGHS rates only both for IPD and OPD treatment.
(iii) If the Hospital normally charges rates for various procedures which are lower than the negotiated rates, the reimbursement would be at the actual rates charged by the Hospital.
(iv) The Provider Hospital shall ensure that each time Pensioners/Family Pensioners/dependents avail service envisaged in this agreement, the expenses are regulated strictly with reference to the eligibility and monetary limits fixed with reference to the entitlement status, as indicated in O.M. No.S.11011/2/2008-CGHS(P) dated 20th May, 2009.
(v) The Hospital shall ensure that the benefits are made available to the member strictly as per terms of this agreement and no benefit outside the terms of this agreement shall be allowed without prior approval unless the same is essential for the recovery of Pensioners/Family Pensioners/dependents.
(vi) UGC shall not be liable to make any payment on account of claims which are in the opinion of UGC fraudulent or are as a result of fabricated claims.
EXTENT OF COVERAGE. The Construction Agent agrees that it shall furnish the Lessor with certificates or, if requested by the Lessor, copies of policies showing the insurance required to be in effect under Sections 6.1(a), 6.2 and 6.3 and naming the Lessor, the Owner Trustee, the Investor, the Agent and the Lenders as additional insureds and showing the mortgagee endorsement in favor of the Agent required by this Section 6.4. All such insurance shall be at the cost and expense of the Construction Agent. Such certificates shall include a provision for 30 days' advance written notice by the insurer to the Lessor in the event of a cancellation of such insurance. The Construction Agent agrees that the insurance policy or policies required by Sections 6.1(a), 6.2 and 6.3 shall include an appropriate clause pursuant to which such policy shall provide that it will not be invalidated should the Construction Agent waive, in writing, prior to a loss, any or all rights of recovery against any party for losses covered by such policy. The Construction Agent hereby waives any and all such rights against the Lessor, the Trust Company, the Investor, the Agent and the Lenders to the extent of payments made under such policies. All property insurance policies required by Section 6.2 and 6.3 shall include a "New York" or standard form mortgagee endorsement in favor of the Agent. The Lessor may carry separate liability insurance, at its own expense, so long as (i) the Construction Agent's insurance is designated as primary and in no event excess or contributory to any insurance the Lessor may have in force which would apply to a loss covered under the Construction Agent's policy and (ii) each such insurance policy will not cause the Construction Agent's insurance required under Section 6 to be subject to a co-insurance exception of any kind. The Construction Agent shall pay as they become due all premiums for the insurance required by Sections 6.1, 6.2 and 6.3, shall renew or replace each policy prior to the expiration date thereof and shall promptly deliver to the Lessor and the Agent certificates for renewal and replacement policies. Notwithstanding anything in this Section 6.4 to the contrary, any insurance which the Construction Agent is required to obtain and maintain pursuant to Sections 6.1, 6.2 and 6.3 may be carried under "blanket" and umbrella covering other properties and liabilities of the Construction Agent. Notwithstanding anything contained herein or in any other Operative Agreemen...
EXTENT OF COVERAGE. This agreement is for a two year period, beginning July 1, 2010 however, nothing herein shall prohibit the parties from changing the terms, or any part of the terms, of this MOU, by mutual agreement. Should agreement not be reached by the effective end date of this MOU, this MOU shall be automatically extended and continue in effect until a new MOU can be negotiated and executed.
