In-Network Annual Maximum Sample Clauses

In-Network Annual Maximum. This Policy has an in-network annual maximum for in-network non-orthodontic benefits described in the Adult Dental Care section of this Policy. There is no annual maximum for the in-network pediatric dental essential health benefit. When Members receiving adult dental care or additional pediatric dental care have met the in-network annual maximum for non-orthodontic in-network Covered Services in the Schedule of Benefits section of this Policy, no more benefits will be payable for that Member for the remainder of that Plan Year. If you have other than individual coverage, the individual in-network annual maximum for adult dental care benefits applies to each person covered under this Policy. Once a person within a family meets the individual in-network annual maximum for adult dental care, no more benefits for services will be payable for that person. If other than individual coverage applies, when persons in the same family covered under this Policy have collectively met the family in-network annual maximum for benefits described in the Adult Dental Care section of this Policy, no more benefits will be payable for the family for the rest of that Plan Year.
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In-Network Annual Maximum. This Contract has an in-network and out-of-network annual maximum for in-network and out- of-network benefits described in the Adult Dental Care section of this Contract. There is no annual maximum for the in-network and out-of-network pediatric dental essential health benefit. When Members receiving adult dental care have met the in-network and out-of- network annual maximum for in-network Covered Services in the Schedule of Benefits section of this Contract, no more benefits will be payable for that Member for the remainder of that Plan Year. If You have other than individual coverage, the individual in-network annual maximum for adult dental care benefits applies to each person covered under this Contract. Once a person within a family meets the individual in-network annual maximum for adult dental care, no more benefits for services will be payable for that person.
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Related to In-Network Annual Maximum

  • Cashing out of Annual Leave (a) Paid Annual Leave must not be cashed out except in accordance with an agreement under clause 41.8. (b) Each cashing out of a particular amount of paid Annual Leave must be the subject of a separate agreement under clause 41.8. (c) The Employer and an Employee may agree in writing to the cashing out of a particular amount of accrued paid Annual Leave by the Employee. An agreement this clause must state: (i) the amount of Annual Leave to be cashed out and the payment to be made; and (ii) the date on which the payment is to be made. (d) An agreement under clause 41.8 must be signed by the Employer and Employee and, if the Employee is under 18 years of age, by the Employee’s parent or guardian. (e) The payment must not be less than the amount that would have been payable had the Employee taken the Annual Leave at the time the payment is made. (f) An agreement must not result in the Employee’s remaining accrued entitlement to paid Annual Leave being less than four (4) weeks. (g) The Employer must keep a copy of any agreement under clause 41.8 as an Employee record.

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