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PHYSICIAN BENEFITS Sample Clauses

PHYSICIAN BENEFITS. This section of your Certificate explains what your benefits are when you receive care from a Physician. Remember, to receive benefits for Covered Services, they must be performed by or ordered by your Primary Care Physician or Woman's Principal Health Care Provider. In addition, only services performed by Physicians are eligible for benefits unless another Provider, for example, a Dentist, is specifically mentioned in the description of the service. Whenever we use “you” or “your” in describing your benefits, we mean all eligible family members who are covered under Family Coverage. Your coverage includes benefits for the following Covered Services:
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PHYSICIAN BENEFITS. This section of your Certificate explains what your benefits are when you receive care from a Physician. Remember, to receive benefits for Covered Services, (except for the treatment of Mental Illness other than Serious Mental Illness), they must be performed by or ordered by your Primary Care Physician or Woman's Principal Health Care Pro­ vider. In addition, only services performed by Physicians are eligible for benefits unless another Provider, for example, a Dentist, is specifically mentioned in the description of the service. Whenever we use “you” or “your” in describing your benefits, we mean all eligi­ ble family members who are covered under Family Coverage. Your coverage includes benefits for the following Covered Services: However, benefits for oral Surgery are limited to the following services:
PHYSICIAN BENEFITS. (a) In each Fiscal Year from April 1, 2006 to March 31, 2012, the Government will provide to the Physician Health Program the sum of $600,000, provided that in each such Fiscal Year the BCMA and the College of Physicians and Surgeons of British Columbia, together, contribute an equal amount. (b) The Government will increase the combined existing funding levels (as set out in Articles 7.1 through 7.4 of the 2004 Working Agreement) for the Physician Disability Insurance Program, the Continuing Medical Education Fund, the Canadian Medical Protective Association Rebate Program and the CPRSP by a total of $1.3 million in the Fiscal Year commencing on April 1, 2006, an additional total of $1.44 million in the Fiscal Year commencing on April 1, 2007, an additional total of $1.5 million in the Fiscal Year commencing on April 1, 2008 and an additional total of $1.75 million in the Fiscal Year commencing on April 1, 2009. These funds will be applied toward maintaining the value of the benefits paid to individual physicians under these benefit programs at the levels in existence at the end of the Fiscal Year commencing on April 1, 2005, subject to the rules, guidelines and/or policies applicable to each of these benefit programs.‌ (c) If in any year there are surplus funds in any of the benefit programs referred to in section 5.2(b), such surplus funds will be added to the available funding for the Maternity Leave Program. (d) The Government will provide additional funding as necessary in each of the two Fiscal Years commencing on April 1, 2010 and April 1, 2011 to maintain, but not increase, the value of the benefits paid to individual physicians under the Physician Disability Insurance Program, the Continuing Medical Education Fund and the Canadian Medical Protective Association Rebate Program at the levels in existence at the end of the Fiscal Year commencing on April 1, 2009, subject to the rules, guidelines and/or policies applicable to each of these benefit programs. The funding obligation under this section ends on March 31, 2012. (e) Effective April 1, 2010, the Government will increase the annual CPRSP funding by $10 million, and the funding level established by such increase shall continue for each of the fiscal years commencing April 1, 2010 and April 1, 2011. Such increase shall be allocated by the CPRSP Administrative Committee, or its successor committee, to enhance the value of the CPRSP in ways that will encourage physicians to remain in practice long...

Related to PHYSICIAN BENEFITS

  • Health Benefits For the eighteen (18) month period following the Termination Date, provided that Executive is eligible for, and timely elects COBRA continuation coverage, the Company will pay on Executive’s behalf, the monthly cost of COBRA continuation coverage under the Company’s group health plan for Executive and, where applicable, her spouse and dependents, at the level in effect as of the Termination Date, adjusted for any increase in such level paid by the Company for active employees, less the employee portion of the applicable premiums that Executive would have paid had she remained employed during the such eighteen (18) month period (the COBRA continuation coverage period shall run concurrently with the eighteen (18) month period that COBRA premium payments are made on Executive’s behalf under this subsection 1(a)(ii)). The reimbursements described herein shall be paid in monthly installments, commencing on the sixtieth (60th) day following the Termination Date, provided that the first such installment payment shall include any unpaid reimbursements that would have been made during the first sixty (60) days following the Termination Date. Notwithstanding the foregoing, the Company’s payment of the monthly COBRA premiums in accordance with this subsection 1(a)(ii) shall cease immediately upon the earlier of: (A) the end of the eighteen (18) month period following the Termination Date, or (B) the date that Executive is eligible for comparable coverage with a subsequent employer. Executive agrees to notify the Company in writing immediately if subsequent employment is accepted prior to the end of the eighteen (18) month period following the Termination Date and Executive agrees to repay to the Company any COBRA premium amount paid on Executive’s behalf during such period for any period of employment during which group health coverage is available through a subsequent employer. Notwithstanding the foregoing, the Company reserves the right to restructure the foregoing COBRA premium payment arrangement in any manner necessary or appropriate to avoid fines, penalties or negative tax consequences to the Company or Executive (including, without limitation, to avoid any penalty imposed for violation of the nondiscrimination requirements under the Patient Protection and Affordable Care Act or the guidance issued thereunder), as determined by the Company in its sole and absolute discretion.

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