Group Health Plan Type Sample Clauses

Group Health Plan Type. Your group health plan status will fall into one of the following three options. Please check the appropriate option. If you are an ERISA-exempt church plan (as described below) you must also choose one of the rebate distribution options: Group health plan is an employee benefit plan established or maintained by an employer or an employee organization (such as a union) that provides medical, surgical or hospital care for participants or their dependents directly or through insurance reimbursement. Group health plan is a nonfederal government plan established or maintained for employees by state government, political subdivision of state government, or any agency or instrument of any of these. Group health plan is an ERISA-exempt church plan (a plan established and maintained for its employees or their beneficiaries by a church or by a convention or association of churches exempt from tax under section 501 of Title 26 (29 USC 10025 (33)(A)). ERISA-exempt church plans rebate options. Please check one of the following: The plan agrees to use any rebate issued for the benefit of the group health plan subscribers in accordance with 45 CFR §158.242. By checking this box, any applicable rebate will be sent to the group. (Note: If we do not receive this attestation, federal law requires BCBSM/BCN to distribute any rebates directly to the enrollees of the group health plan covered by the policy during the MLR reporting year. Each enrollee will receive an equal share without regard to how much each enrollee actually paid toward premiums.) The plan does not agree to use any rebate issued for the benefit of the group health plan subscribers. BCBSM/BCN will distribute any applicable rebates in good faith based on this attestation. BCBSM/BCN will be held harmless for any losses that result from action taken based on this group attestation. I am authorized by , sponsor of the group health plan described above. I attest that the employee counts provided above and the group health plan information are complete and accurate. Name (print): Title: Signature: Date: If you would like future surveys sent to you via email, please provide your email address: Page 11 of 12, Group Enrollment & Coverage Agreement - OSG, July 1, 2013 Federal Tax Id - G ROUP REIMBURSEMENT POLICY ACKNOWLEDGEMENT Group Name_ By signing this document, Group agrees that deductibles, coinsurance, and copayments under  Simply Blue  Simply Blue HSA (may be paired with an HSA only, to which the Employer may ...
Sample 1
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Related to Group Health Plan Type

  • Health Plan An appropriately licensed entity that has entered into a contract with Subcontractor, either directly or indirectly, under which Subcontractor provides certain administrative services for Health Plan pursuant to the State Contract. For purposes of this Appendix, Health Plan refers to UnitedHealthcare Insurance Company.

  • Medical Benefits - Prescription Drugs Administered by a Provider (other than a pharmacist) This plan covers prescription drugs as a medical benefit, referred to as “medical prescription drugs”, when the prescription drug requires administration (or the FDA approved recommendation is administration) by a licensed healthcare provider (other than a pharmacist). Please note: Specialty prescription drugs meeting these requirements or recommendations are covered as a pharmacy benefit and not a medical benefit. These medical prescription drugs include, but are not limited to, medications administered by infusion, injection, or inhalation, as well as nasal, topical or transdermal administered medications. For some of these medical prescription drugs, the cost of the prescription drug is included in the allowance for the medical service being provided, and is not separately reimbursed.

  • Group Health Insurance Immediately following retirement, the teacher shall have the option of remaining in the Corporation’s current group health insurance plan if all of the following conditions are met as of the date of retirement and thereafter:

  • Health Plans The health plans offered and benefits provided by those plans shall be those approved by the City's JLMBC and administered by the Personnel Department in accordance with LAAC Section 4.

  • Paid Education Leave The Company agrees to pay into a special fund, one (1¢) cent per hour per employee for all compensated hours for the purpose of providing paid education leave. Such leave will be for upgrading the employee skills in all aspects of trade union functions. Such monies to be paid on a quarterly basis into a trust fund established by the National Union, CAW, effective from date of ratification and sent by the Company to the following address: CAW Paid Education Leave Program, 000 Xxxxxx Xxxxx, Xxxxx Xxxx, Xxxxxxx X0X 0X0.

  • State Employee Group Insurance Program (SEGIP) During the life of this Agreement, the Employer agrees to offer a Group Insurance Program that includes health, dental, life, and disability coverages equivalent to existing coverages, subject to the provisions of this Article. All insurance eligible employees will be provided with a Summary Plan Description (SPD) called “Your Employee Benefits”. Such SPD shall be provided no less than biennially and prior to the beginning of the insurance year. New insurance eligible employees shall receive a SPD within thirty (30) days of their date of eligibility.

  • Paid Educational Leave a. An employee may request special paid leave at straight-time hourly rate which may be granted employees for educational purposes which will benefit the State by adding to or strengthening employee skills or knowledge and to allow employees to attend approved conferences, professional meetings and workshops.

  • In-Service Education The parties recognize the value of in-service both to the employee and the Employer and shall encourage employees to participate in in-service. All employees scheduled by the Employer to attend in-service seminars shall receive regular wages.

  • Coverage Under the Minnesota Advantage Health Plan From July 1, 2019 through December 31, 2019, health coverage under the SEGIP will continue at the level in effect on June 30, 2019. Effective January 1, 2020, Advantage will cover eligible services subject to the copayments, deductibles and coinsurance coverage limits stated. Services provided through Advantage are subject to the managed care procedures and principles, including standards of medical necessity and appropriate practice, of the plan administrators. Coverage details are provided in the Advantage Summary of Benefits.

  • RETIREE HEALTH SAVINGS PLAN Effective, December 24, 2006, or as soon as administratively possible, the County shall establish a retiree health savings plan (RHSP) by contributing an amount of $25.00 to the employee’s RHSP each biweekly pay period.

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