Health Plans Sample Clauses
Health Plans. A. The health plans offered and benefits provided by those plans shall be those recommended by the JLMBC, approved by the City Council, and administered by the Personnel Department in accordance with LAAC Section 4.
Health Plans. The health plans offered and benefits provided by those plans shall be determined by the Personnel Department, in accordance with Los Angeles Administrative Code Section 4.303, upon the recommendation of the City's Joint Labor-Management Benefits Committee. Effective January 1, 2007, Management agrees to contribute for each full-time employee who is a member of the Los Angeles City Employees’ Retirement System (LACERS) a monthly subsidy equal to the cost of his/her medical plan, not to exceed $857.02. Effective January 1, 2008, Management agrees to contribute for each full-time employee who is a member of LACERS a subsidy equal to the cost of his/her medical plan, not to exceed $948.36. During the term of this MOU, Management's monthly subsidy for full-time employees shall increase by the increase in the Kaiser family rate. Increases in this monthly subsidy shall be effective at the beginning of the pay period in which the Kaiser yearly premium rate change is implemented. Effective January 1, 2007, Management agrees to contribute for each half-time employee, as defined by Section 4.110 of the Los Angeles Administrative Code (LAAC) who became a member of LACERS following July 1, 1990, and for each employee who transfers from full- time to half-time status following July 1, 1990, a monthly subsidy not to exceed $329.60. Half-time employees who, prior to July 1, 1990, were receiving the same subsidy as full- time employees shall continue to receive the full-time employee subsidy and shall be eligible to receive any increases applied to that subsidy as provided in this Article as long as they do not have a break in service. Effective January 1, 2008, Management agrees to contribute for each half-time employee a monthly subsidy not to exceed $364.76 per employee. During the term of this MOU, Management's monthly subsidy for half-time employees shall increase by the increase in the Kaiser single-party rate. Increases in this monthly subsidy shall be effective at the beginning of the pay period in which the Kaiser yearly premium rate change is implemented. Management will apply the subsidy first to the employee's coverage. Any remaining balance will be applied toward the coverage of the employee's dependents under the plan. Full-time employees who work a temporary reduced schedule under the provisions of Article 12, Family and Medical Leave, shall continue to receive the full-time employee subsidy and shall be subject to any adjustments applied to that subsidy as...
Health Plans. All MAMP Benefit Plans that are group health plans, including health care flexible spending accounts, have been operated in compliance in all material respects with the requirements of Section 4980B of the Code and Parts 6 and 7 of Title I of ERISA, to the extent those requirements are applicable. No MAMP Benefit Plan provides (or has any obligation to provide) postretirement medical or life insurance benefits to any Service Providers, except as otherwise required under state or Federal benefits continuation Laws. No MAMP Benefit Plan that is a Welfare Plan is (i) a “multiple employer welfare arrangement” within the meaning of Section 3(40) of ERISA, or (ii) a “voluntary employees’ beneficiary association” within the meaning of 501(c)(9) of the Code or other funding arrangement for the provision of welfare benefits (such disclosure to include the amount of any such funding), or (iii) self-insured by MAMP or any MAMP Subsidiary. None of MAMP, the MAMP Subsidiaries or the MAMP Benefit Plans have failed to comply with the Patient Protection and Affordable Care Act and its companion xxxx, the Health Care and Education Reconciliation Act of 2010, to the extent applicable, whether as a matter of substantive Law or in order to maintain any intended Tax qualification, and no excise Tax, penalty, or assessable payment under the Patient Protection and Affordable Care Act of 2010, as amended, and all regulations thereunder, including Section 4980H of the Code, is outstanding, has accrued, or has arisen with respect to any period prior to the Closing.
Health Plans. (i) Trident shall cause Fountain to establish the Fountain Health Plans (including the Fountain Retiree Medical Plans) effective no later than the Fountain Distribution Date and, correspondingly, Fountain Employees and their dependents shall cease participating in the Trident Health Plans on the dates the new plans are established and effective. The newly established Fountain Health Plans shall be substantially similar to the Trident Health Plans. After the Fountain Distribution Date (except as otherwise provided below): (A) Fountain shall be solely responsible for the management and administration of the Fountain Health Plans and solely responsible for the payment of all employer-related costs in establishing and maintaining the Fountain Health Plans, and for the collection and remittance of participant contributions and premiums and shall establish and appoint a plan administrator and a HIPAA privacy official, and shall establish a claims and appeals process with its claims administrator(s), and (B) Trident shall retain sole responsibility for all Liabilities under the Trident Health Plans and sole responsibility for the payment of all employer-related costs in maintaining the Trident Health Plans, and for the collection and remittance of participant contributions and premiums.
(ii) Except as provided below, Fountain shall be solely responsible for the adjudication of any claims filed by a Fountain Employee or Former Fountain Employee (or any dependent thereof) before, on or after the Fountain Distribution Date under a Trident Health Plan or Fountain Health Plan. Notwithstanding the previous sentence, Trident shall be solely responsible for the adjudication of any claims filed by a Fountain Employee or Former Fountain Employee (or any dependent thereof) under a Trident Health Plan or Fountain Health Plan before the Fountain Distribution Date that (A) has not been finally adjudicated by Trident on the day immediately preceding the Fountain Distribution Date; and (B) under the applicable claims procedure, Trident’s plan administrator or other authorized person or committee will have a less than sixty (60) day period after the Fountain Distribution Date to respond to such claim. Notwithstanding the previous sentence, if Trident’s response to such claim does not finally adjudicate the claim, Trident shall immediately upon sending its response to the claimant transfer administration of such claim to Fountain for final adjudication.
(iii) Any determination mad...
Health Plans. The health plans offered and benefits provided by those plans shall be those approved by the City’s Joint Labor-Management Benefits Committee and administered by the Personnel Department in accordance with LAAC Section 4.303. Effective January 1, 2015, Management agrees to contribute a monthly sum not to exceed the Kaiser family rate (“maximum monthly health care subsidy”) per full-time employee toward the cost of a City-sponsored health plan for employees who are members of the Los Angeles City Employees' Retirement System (LACERS). During the term of this MOU, Management’s monthly health care subsidy for full-time employees shall increase by the increase in the Xxxxxx Permanente family rate. Increases in this monthly health care subsidy shall be effective at the beginning of the pay period in which the Xxxxxx Permanente yearly premium rate change is implemented. Management will apply the subsidy first to the employee’s coverage. Any remaining balance will be applied toward the coverage of the employee’s dependents under the plan. Management agrees to contribute for each half-time employee, as defined by Section
Health Plans. If, at the time of separation from service, Executive is a "specified employee" within the meaning of Section 409A(a)(2)(B)(i) and the Treasury Regulations, Executive shall pay the full cost of coverage for Executive and his dependent(s) under Employer's health care and hospitalization plan(s), determined according to the rates for continuation coverage under COBRA (but excluding the additional two percent (2%) administrative fee) for the first six (6) months of coverage following Executive's separation from the service of Employer as defined in Code section 409A(a)(2)(A)(i) and the Treasury Regulations. Beginning with the seventh (7th) month following Executive's separation from the service of Employer as defined in Code section 409A(a)(2)(A)(i) and the Treasury Regulations if Executive is a "specified employee," or beginning with the first month of coverage if, at the time of separation from service, Executive is not a "specified employee," Executive shall pay the same cost for coverage under the health plan as active employees of Employer. Coverage for Executive and Executive's dependents shall terminate on the last day of the month in which Executive's 65th birthday shall occur. All claims made by Executive and Executive's dependents under the health plan shall be paid no later than the last day of the calendar year following the calendar year in which such claims were incurred. Executive agrees that he will promptly reimburse Employer for any claims that are paid after the last day of the calendar year following the calendar year in which such claims were incurred.
Health Plans. All group health plans of the Company, each Subsidiary of the Company and any ERISA Affiliate have been operated in compliance in all material respects with the group health plan continuation coverage requirements of Section 4980B of the Code. Except as required under Section 4980B of the Code or as provided in the Company's Employee Severance Plan, neither the Company, any Subsidiary of the Company nor any ERISA Affiliate has any obligation to provide health benefits to any employee following termination of employment.
Health Plans. It is agreed that Kaiser, Anthem Blue Cross HMO or Anthem Blue Cross EPO will be approved programs available to eligible unit members. It is further agreed either party may suggest additional or different programs as they become available. Adding or changing any such program shall be only with concurrence of each party after consultation.
21.6.4.1 The health plans may be changed by mutual agreement of the District and United Faculty. If a carrier fails to renew the program under current conditions or otherwise ceases to offer the program, then the parties will negotiate concerning the replacement of the carrier. No more than two representatives of the District and two represen- tatives of the United Faculty (who may be a health care expert and/or consultant) will meet on request of either party to consult on this issue, before referring the issue to negotiations. Representatives of other employee groups may also be present. The District agrees that all data needed by the consultants shall be provided. All replacement carriers must meet at least the following conditions:
21.6.4.1.1 All HMO health plans shall be provided with the prescription option.
21.6.4.1.2 Provide retiree coverage.
21.6.4.1.3 Allow open enrollment periods for retirees.
Health Plans. House Officers are eligible for the same health insurance/HMO plans as those for state employees or for Health Science Center students. Other health insurance may be chosen if desired and paid for by House Officers. As a condition of employment, House Officers agree to maintain one of these health plans or another plan with equal or better benefits.
Health Plans a. If an event which would otherwise cause a participant to lose eligibility to participate in a group health plan is a qualified event, the participant may be entitled to elect to pay premiums and continue participation as required by federal law.
b. Upon the occurrence of an event which terminates a participant's eligibility to participate in a group health plan, the Clerk shall inform the participant of continuation rights and the procedure for electing continued coverage.
c. The participation of a participant who is not eligible for continued coverage or who does not elect to continue will terminate on the last day of the month in which the event of ineligibility occurs.
d. A participant who is eligible and elects to continue participation in a health plan may pay the premiums from pre-tax compensation, including severance pay, or from other after-tax funds.