General Description of Benefits Sample Clauses

General Description of Benefits. The health insurance benefits plan will include coverage for hospitalization, diagnostic services, prescriptions, office visits, and mental health services under the terms of a plan applicable to the Board of County Commissioners. Full family and single dental coverage will be provided under the terms of a plan applicable to employees of the Board of County Commissioners. All benefit payments, annual, or service deductibles, co-payments and other costs to employees (with the exception of contributions listed herein) shall be the same as those applicable to employees of the Board of Commissioners. An IRS Article 125 plan shall be made available to employees so that employee paid premiums are made on a pre-tax basis. Bargaining unit employees accepting insurance provided by Clark County shall pay the following percentage of the applicable premiums: 15% In no event will bargaining unit employees pay more than other employees funded through the General Fund. During the term of this Agreement, the parties will discuss the implementation of a health wellness program. The parties agree that, in the event the Board of County Commissioners institute a High Deductible Health Care Plan (either HSA or HRA), with no other plans available, the parties agree that upon the written request of either party, the terms of Article 20, Section 20.1 Insurance shall be re-opened for bargaining consistent with Chapter 4117, including statutory impasse proceedings. Should the parties proceed to conciliation in the subsequent reopener, the employer waives the restrictions on the conciliator imposed by R.C. 4117.14 (G)(11) and agree the conciliator may award insurance issues retroactive to January 1. The parties agree that only Article 20, Section 20.1 Insurance, is subject to re-opening.
Sample 1
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General Description of Benefits. 3.1.1 The TPA/HCO, agrees to provide to GHIP enrolled beneficiaries the benefits included in Appendix B of this contract. The benefits to be provided are divided in three types of coverage. 1) The Basic Coverage that includes preventive, medical, hospital, surgical, diagnostic tests, clinical laboratory tests, x-rays, emergency room, ambulance, ambulatory rehabilitation, maternity services and prescription drug services; 2) Dental Coverage, based on the right to choose one among the participating dentists from the TPA’s network; and 3) Special Coverage, which includes benefits for catastrophic conditions, expensive procedures and specialized diagnostic tests.
Sample 1
General Description of Benefits. The health insurance benefits plan will include coverage for hospitalization, diagnostic services, prescriptions, office visits and mental health services under the terms of a plan applicable to employees of the Board of County Commissioners. All benefit payments, annual or service deductibles, co-payments and other costs to employees shall be the same as those applicable to employees of the Board of County Commissioners. An IRS Section 125 plan shall be made available to employees at such time that any employee paid premium cost is implemented so that employee paid premiums are made on a pre-tax basis. If any changes to the plan or costs to employees shall change during the term of this Agreement, such changes shall be reviewed by the insurance committee. The Union shall be entitled to representation on the insurance committee. Changes to the plan or costs to employees may be made by the County Commission after insurance committee review. Full family and single dental coverage will be provided at employee's cost under the County Dental program.
Sample 1

Related to General Description of Benefits

  • Limitation of Benefits (a) Anything in this Agreement to the contrary notwithstanding, in the event it shall be determined that any benefit, payment or distribution by the Company to or for the benefit of the Executive (whether payable or distributable pursuant to the terms of this Agreement or otherwise) (a "Payment") would, if paid, be subject to the excise tax imposed by Section 4999 of the Code (the "Excise Tax"), then the Payment shall be reduced to the extent necessary to avoid the imposition of the Excise Tax. The Executive may select the Payments to be limited or reduced.

  • Coordination of Benefits The coordination of benefits (COB) provision applies when a Member has health care coverage under more than one plan. Plan is defined below. The order of benefit determination rules govern the order in which each plan will pay a claim for benefits. The plan that pays first is called the primary plan. The primary plan must pay benefits according to its policy terms without regard to the possibility that another plan may cover some expenses. The plan that pays after the primary plan is the secondary plan. In no event will a secondary plan be required to pay an amount in excess of its maximum benefit plus accrued savings. If the Member is covered by more than one health benefit plan, and the Member does not know which is the primary plan, the Member or the Member’s provider should contact any one of the health plans to verify which plan is primary. The health plan the Member contacts is responsible for working with the other plan to determine which is primary and will let the Member know within 30 calendar days. All health plans have timely claim filing requirements. If the Member or the Member’s provider fails to submit the Member’s claim to a secondary health plan within that plan’s claim filing time limit, the plan can deny the claim. If the Member experiences delays in the processing of the claim by the primary health plan, the Member or the Member’s provider will need to submit the claim to the secondary health plan within its claim filing time limit to prevent a denial of the claim. If the Member is covered by more than one health benefit plan, the Member or the Member’s provider should file all the Member’s claims with each plan at the same time. If Medicare is the Member’s primary plan, Medicare may submit the Member’s claims to the Member’s secondary carrier.

  • Continuation of Benefits Following the termination of Executive’s employment hereunder, the Executive shall have the right to continue in the Company’s group health insurance plan or other Company benefit program as may be required by COBRA or any other federal or state law or regulation.

  • 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.

  • 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.

  • Calculation of Benefits Immediately following delivery of any Notice of Termination, the Company shall notify the Executive of the aggregate present value of all termination benefits to which he would be entitled under this Agreement and any other plan, program or arrangement as of the projected Date of Termination, together with the projected maximum payments, determined as of such projected Date of Termination that could be paid without the Executive being subject to the Excise Tax.

  • Payment of Benefits a) In computing the amount of disability benefits, disability will be considered as starting from the first day of disability; however, an employee must be certified by a medical practitioner for the disability within the first three days of disability. In the event that the employee is not certified within the first three days, disability will be considered as starting two complete days prior to the day that the employee is actually certified by a medical practitioner.

  • 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.).

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