PLAN BENEFIT SUBMISSION AND REVIEW Sample Clauses

PLAN BENEFIT SUBMISSION AND REVIEW. If Contractor intends to participate in the Part D program for the next program year, Contractor agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, EOHHS and Contractor may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. Contractor acknowledges that failure to submit a timely plan benefit package under this section may affect the Contractor’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. §422.4(c). COORDINATION WITH OTHER PRESCRIPTION DRUG COVERAGE Contractor agrees to comply with the coordination requirements with State Pharmacy Assistance Programs (SPAPs) and plans that provide other prescription drug coverage as described in Subpart J of 42 C.F.R. Part 423.
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PLAN BENEFIT SUBMISSION AND REVIEW. If Contractor intends to participate in the Part D program for the next program year, Contractor agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, the Department and Contractor may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. Contractor acknowledges that failure to submit a timely plan benefit package under this section may affect the Contractor’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. § 422.4(c).
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PLAN BENEFIT SUBMISSION AND REVIEW. If CICO intends to participate in the Part D program for the next program year, XXXX agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, SCDHHS and CICO may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. CICO acknowledges that failure to submit a timely plan benefit package under this section may affect the CICO’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. §422.4(c). COORDINATION WITH OTHER PRESCRIPTION DRUG COVERAGE CICO agrees to comply with the coordination requirements with State Pharmacy Assistance Programs (SPAPs) and plans that provide other prescription drug coverage as described in Subpart J of 42 C.F.R. Part 423.
Sample 1
PLAN BENEFIT SUBMISSION AND REVIEW. If ICDS Plan intends to participate in the Part D program for the next program year, ICDS Plan agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, ODM and ICDS Plan may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. ICDS Plan acknowledges that failure to submit a timely plan benefit package under this Section may affect the ICDS Plan’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. § 422.4(c).
Sample 1
PLAN BENEFIT SUBMISSION AND REVIEW. If FIDA Plan intends to participate in the Part D program for the next program year, FIDA Plan agrees to submit the next year’s Part D FIDA Plan Benefit Package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. § 423 so that CMS, the Department and FIDA Plan may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. FIDA Plan acknowledges that failure to submit a timely FIDA Plan Benefit Package under this section may affect the FIDA Plan’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. § 422.4(c).
Sample 1
PLAN BENEFIT SUBMISSION AND REVIEW. If STAR+PLUS MMP intends to participate in the Part D program for the next program year, STAR+PLUS MMP agrees to submit the next year’s Part D plan benefit package including all required information on benefits and Cost Sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, HHSC and STAR+PLUS MMP may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. STAR+PLUS MMP acknowledges that failure to submit a timely plan benefit package under this section may affect the STAR+PLUS MMP’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. §422.4(c).
Sample 1

Related to PLAN BENEFIT SUBMISSION AND REVIEW

  • Explanation of Benefits Contractor shall send each Enrollee an Explanation of Benefits to Enrollees in Plans that issue Explanation of Benefits or similar documents as required by Federal and State laws, rules, and regulations. The Explanation of Benefits and other documents shall be in a form that is consistent with industry standards.

  • Eligibility for Benefits A member will not be eligible to receive Long Term Disability benefits until their Income Protection benefits have expired.

  • Survivor Benefits 1. A surviving dependent of a retiree who was eligible to receive a Retiree Medical Grant, as stated above in A through C, and who qualifies for a monthly allowance shall be eligible for fifty (50) percent of the Grant authorized for the retiree.

  • Order of Benefit Determination Rules When a Member is covered by two or more plans, the rules for determining the order of benefit payments are as follows:

  • Procedure for Benefits Modifications 1. Proposals for major retirement benefit modifications will be negotiated in joint meetings with the certified employee organizations whose memberships will be directly affected. Agreements reached between Management and organizations whereby a majority of the members in LACERS are affected shall be recommended to the City Council by the CAO as affecting the membership of all employees in LACERS. Such modifications need not be included in the MOU in order to be considered appropriately negotiated.

  • Application for Benefits Requests for short-term leaves shall be in writing, upon the appropriate form prescribed and provided by the District, and shall be filed with the unit member's supervisor and the appropriate manager five (5) days in advance of the intended leave (except in emergency situations), unless otherwise stated by the provisions of the specific leave.

  • SALARY DETERMINATION FOR EMPLOYEES IN ADULT EDUCATION PCA Article B.3 does not apply in School District No. 34 (Abbotsford).

  • Disability Benefits Technology Errors and Omissions Not less than $1,000,000 each claim Not less than $2,000,000 in aggregate At the time of the first transaction with an Authorized User and updated in accordance with Contract Crime Insurance Not less than $50,000 Lot 3 Insurance Type Proof of Coverage is Due Commercial General Liability Not less than $5,000,000 each occurrence Updated in accordance with Contract General Aggregate $2,000,000 Products – Completed Operations Aggregate $2,000,000 Personal and Advertising Injury $1,000,000 Business Automobile Liability Insurance Not less than $5,000,000 each occurrence Workers’ Compensation

  • STAFF BENEFITS 7.1.1 The present staff benefits consisting of the University of Manitoba Pension Plan (1993), Group Term Life Insurance Plan, Group Term Dependent Insurance Plan, Accidental Death and Dismemberment (Basic), Accidental Death and Dismemberment (Voluntary), University of Manitoba Long-Term Disability Income Plan, Group Health Insurance Policy 20778 GH (including the Health Care Spending Account), Group Dental Plan Policy 67000, and the University Employee Assistance Program shall continue to cover eligible Members for the duration of this Agreement.

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