Informational Grievances Sample Clauses

Informational Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit an informal oral grievance to Company. Assistance with Company’s grievance procedures, including assistance with informal oral grievances, may be obtained by calling Company’s Member Services Department at the address and telephone number listed on the face page of this Certificate. Oral grievances shall be submitted to Company’s Grievance Coordinator. Informal oral grievances shall be responded to as soon as possible by the Grievance Coordinator. If the informal oral grievance involves a dentally-related matter or claim, Company’s Dental Director shall be involved in resolving said grievance. The Member has the right to file a formal written grievance with Company and to appeal to the State of Florida Department of Insurance.
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Informational Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit an informal oral grievance to Company. Assistance with Company’s grievance procedures, including assistance with informal oral grievances, may be obtained by calling Company’s Member Services Department at the address and telephone number listed below. Oral grievances shall be submitted to Company’s Grievance Coordinator. Informal oral grievances shall be responded to as soon as possible by the Grievance Coordinator. If the informal oral grievance involves a dental-related matter or claim, Company’s Dental Director shall be involved in resolving said grievance. The Member has the right to file a formal written grievance with Company and to grieve directly to the State of Florida Department of Financial Services, Office of Insurance Regulation. FL Advantage 08/03 10 AMENDMENT The Agreement and Certificate of Benefits ("Certificate") is hereby amended as follows. The terms and conditions of that certain Certificate are hereby confirmed in their entirety with the exception that to the extent the terms and conditions of this Amendment are in conflict with the terms and conditions of the Certificate, the terms of this Amendment shall govern. The definition of “Dependent” is hereby deleted in its entirety and replaced with the following: Dependent- means any of the following persons:
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Informational Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit an informal oral grievance to Company. Assistance with Company’s grievance procedures, including assistance with informal oral grievances, may be obtained by calling Company’s Member Services Department at (000) 000-0000. Oral grievances shall be submitted to Company’s Grievance Coordinator. Informal oral grievances shall be responded to as soon as possible by the Grievance Coordinator. If the informal oral grievance involves a dental-related matter or claim, Company’s Dental Director shall be involved in resolving said grievance. The Member has the right to file a formal written grievance with Company and to appeal to the State of Ohio Department of Insurance.
Sample 1
Informational Grievances. Any Member who has a grievance against Company for any matter arising out of a Subscriber Certificate or for covered Dental Care Services rendered thereunder may submit an informal oral grievance to Company. Assistance with Company’s grievance procedures, including assistance with informal oral grievances, may be obtained by calling Company’s Member Services Department at the address and telephone number listed below. Oral grievances shall be submitted to Company’s Grievance Coordinator. Informal oral grievances shall be responded to as soon as possible by the Grievance Coordinator. If the informal oral grievance involves a dental-related matter or claim, Company’s Dental Director shall be involved in resolving said grievance. The Member has the right to file a formal written grievance with Company and to grieve directly to the State of Florida Department of Financial Services, Office of Insurance Regulation. Schedule of Benefits and Subscriber Copayments ADVANTAGE - AVF1 ADA CODE PROCEDURE PATIENT PAYS ADA CODE PROCEDURE PATIENT PAYS DIAGNOSTIC D0120 PERIODIC ORAL EVALUATION (limit 2 every 12 months) $0 D0140 LIMITED ORAL EVALUATION-PROBLEM FOCUSED $0 D0150 COMPREHENSIVE ORAL EVALUATION (new or established patient) $0 D0160 DETAIL AND EXTENSIVE ORAL EVALUATION $0 D0170 RE-EVALUATION - LIMITED, PROBLEM FOCUSED (est. patient) $0 D0180 COMPREHENSIVE PERIODONTAL EVALUATION (new or est. pt.) $0 X-RAYS AND TESTS D2740 CROWN-PORCELAIN/CERAMIC SUBSTRATE $411 D2750 CROWN-PORCELAIN FUSED TO HIGH NOBLE METAL $405 D2751 CROWN-PORCELAIN FUSED TO PREDOM BASE METAL $377 D2752 CROWN-PORCELAIN FUSED TO NOBLE METAL $386 D2790 CROWN-FULL CAST HIGH NOBLE METAL $391 D2791 CROWN-FULL CAST PREDOM BASE METAL $370 D2792 CROWN-FULL CAST NOBLE METAL $377 OTHER RESTORATIVE SERVICES D0210 INTRAORAL-COMPLETE SERIES INCL. BITEWINGS D2910 RECEMENT INLAY $35 (limit 1 every 3 years) $0 D2920 RECEMENT CROWN $36 D0220 INTRAORAL-PERIAPICAL-1st FILM $0 D2930 PREFAB STAINLESS STEEL CROWN-PRIM TOOTH $98 D0230 INTRAORAL-PERIAPICAL-EACH ADDITIONAL FILM $0 D2931 PREFAB STAINLESS STEEL CROWN-PERM TOOTH $111 D0240 INTRAORAL-OCCLUSAL FILM $0 D2932 PREFABRICATED RESIN CROWN-PER TOOTH $121 D0250 EXTRAORAL-1st FILM $0 D2940 SEDATIVE FILLING $15 D0260 EXTRAORAL-EACH ADDITIONAL FILM $0 D2950 CORE BUILDUP, INCLUDING ANY PINS $94 D0270 BITEWING-1 FILM (limit 2 every 12 months) $0 D2951 PIN RETENTION/PER TOOTH $20 D0272 BITEWINGS-2 FILMS (limit 2 every 12 months) $0 D2952 CAST POST & CORE IN ADD TO CROWN $14...
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Related to Informational Grievances

  • Personal Grievances A personal grievance is a particular type of employment relationship problem that normally must be raised with the employer within 90 days of the grievance arising. An employee may have a personal grievance where: • They have been dismissed without good reason, or the dismissal was not carried out properly. • They have been treated unfairly. • Their employment or a condition of their employment has been affected to their disadvantage by an unjustified action of their employer. • They have experienced sexual or racial harassment, or have been discriminated against because of their involvement in a union or other employee organisation, or have suffered duress over membership or non-membership of a union or other employee organisation. • They have been discriminated against in terms of the prohibited grounds of discrimination under the Human Rights Xxx 0000.

  • COMPLAINTS AND GRIEVANCES 22.01 It is the mutual desire of the parties to this Agreement that reasonable and legitimate complaints and grievances of employees shall be dealt with as quickly as possible.

  • Submission of Grievance Information a) Upon appointment of the arbitrator, the appealing party shall within five days after notice of appointment forward to the arbitrator, with a copy to the School Board, the submission of the grievance which shall include the following:

  • Group Grievances No more than five (5) grievants will be permitted to attend grievance meetings.

  • Personal Grievance The personal grievance provisions in Part 11 of this Agreement are available to an employee who is aggrieved by any action of their employer taken under these provisions.

  • PROFESSIONAL GRIEVANCE PROCEDURE A. A claim by a teacher, the Association, or the Board of Education that there has been a violation, misinterpretation or misapplication of specific provisions of this Agreement may be processed as a grievance as hereinafter provided.

  • Processing Grievances The grievant shall be granted reasonable time off with pay from regularly scheduled duty hours to process a grievance, provided that the time off will be devoted to the prompt and efficient investigation and handling of grievances, subject to the following:

  • Group Grievance Where a number of employees have identical grievances and each employee would be entitled to grieve separately they may present a group grievance in writing signed by each employee who is grieving to the Administrator or her designate within ten (10) days after the circumstances giving rise to the grievance have occurred or ought reasonably to have come to the attention of the employee(s). The grievance shall then be treated as being initiated at Step No. 1 and the applicable provisions of this Article shall then apply with respect to the processing of such grievance.

  • Union Grievances 4/7/1 Union officers and stewards who are members of the bargaining unit shall have the right to file a grievance when any provision of this Agreement has been violated or when the Employer interpretation of the terms and provisions of this Agreement leads to a controversy with the Union over application of the terms or provisions of this Agreement.

  • Investigation of Grievances The investigation of grievances shall not interfere with the orderly process of education in District 281.

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