Health Plan’s Decisions Sample Clauses

Health Plan’s Decisions. Notwithstanding anything to the contrary in this Delegated Services Agreement or the Vendor Agreement generally, Health Plan retains the right, based on its sole judgment, to approve, suspend, or terminate any Vendor Provider from participation in Health Plan’s provider network system. Health Plan agrees to notify Vendor of its decision and Vendor shall have fourteen (14) calendar days from such notice to request reconsideration of such decision by Health Plan. Health Plan shall have the final decision on any such verification matter.
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Health Plan’s Decisions. Health Plan retains the right, based on its sole judgment, to approve, suspend, or terminate any Credentialed Provider from participation in Health Plan’s provider network system. Health Plan agrees to notify Provider of its decision and Provider shall have 14 calendar days from such notice to request reconsideration of such decision by Health Plan. However, Provider agrees that Health Plan shall have final decision on the matter as it relates to Health Plan Covered Persons.
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Related to Health Plan’s Decisions

  • 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.

  • 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.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Medical Examinations An employee may be required by the Employer, at the request of and at the expense of the Employer, to take a medical examination by a physician of the employee's choice. Employees may be required to take skin tests, x-ray examination, vaccination, inoculation and other immunization (with the exception of a rubella vaccination when the employee is of the opinion that a pregnancy is possible), unless the employee's physician has advised in writing that such a procedure may have an adverse affect on the employee's health.

  • Educator Plans: Directed Growth Plan A) A Directed Growth Plan is for those Educators with PTS whose overall rating is needs improvement.

  • Health Examinations The Employer shall provide at no cost to the employee, such medical tests, health examinations and surveillance/monitoring as may be required as a condition of employment and/or as a result of regulated hazards encountered after employment.

  • Medical and Dental Plans A. MEDICAL PLAN COVERAGE

  • Medical Plans The Employer will maintain the current health (including vision) and dental insurance programs and practices. The Employer shall contribute 80% of the premium charge for PPO plans, 83% of premium for the POS plan, 85% of premium for the HMO plan, 80% for the prescription drug plan and 50% for the dental plan. There shall be no change in the State’s premium subsidy for health benefits plans in Fiscal Year 2012.

  • PROFESSIONAL DEVELOPMENT AND EDUCATIONAL IMPROVEMENT A. The Board agrees to implement the following:

  • Maternity Adoption and Parental Leave The following in part reflects the provisions of the Employment Standards Act on these matters. In all cases of dispute, and where the Act as amended from time to time is superior, the provisions of the Act will prevail.

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