Plan Details. (i) This plan shall cover the employee, the employee’s spouse and all other dependents under twenty- one (21) years of age, or a dependent who is between the ages of twenty-one (21) and twenty- five (25) and is a full-time student attending an educational institution or a mentally or physically handicapped child of an employee, provided such child is unmarried, twenty-one (21) years of age or over, dependent upon such employee for support and was mentally or physically handicapped and insured as a dependent immediately prior to age twenty-one (21);
(ii) A pay-direct prescription drug card will be issued to all eligible employees to be utilized at pharmacies which honour this card system, upon completion of the enrollment process which includes the positive enrollment of all covered individuals (employees and dependents) and spousal coordination of benefits information. In instances where the pay-direct drug card cannot be utilized, the claim may be submitted to the insurance carrier on the prescribed paper form. The following is the drug plan coverage provided for eligible employees and dependents under either method of claim submission:
(a) Ninety percent (90%) of reasonable and customary medically necessary expenses incurred for drugs and medicines requiring a prescription by law, vaccinations and serums (defined as preventative vaccines for Hepatitis A and/or B, Influenza, Meningitis and Chicken Pox with a drug identification number (DIN), and allergy serums as prescribed by a physician and administered by a qualified health care practitioner if they are not covered by a provincial health plan), and other specified life-sustaining drugs as defined and administered by the insurer and subject to change from time to time if they are:
(i) Prescribed by a physician, nurse practitioner, where applicable, or dentist for the treatment of a diagnosed illness or injury, and
(ii) Dispensed by a licensed pharmacist or by a physician or dentist legally licensed to dispense drugs,
(b) Suchcoveredprescriptiondrugsandmedicines will be subject to generic substitution and an eight dollars ($8.00) maximum dispensing fee for each prescription. If the prescription specifically prescribes no generic substitution, then the brand name drug will be covered.
(iii) Eligible expenses include:
(a) Charges by a licensed hospital for semi- private room and board and for hospital services and supplies furnished for care and treatment, up to two hundred and forty dollars ($240.00) per ...
Plan Details. (i) LTIP benefits will become payable if while insured the employee becomes “totally disabled” - benefits continue during disability to age sixty-five (65), after an elimination period of six (6) months, or the expiration of accumulated attendance credits, whichever is the later;
Plan Details. (i) L.T.I.P. benefits will become payable if while insured the employee becomes “totally disabled” - benefits continue during disability to age sixty-five (65), after an elimination period of six (6) months, or the expiration of accumulated attendance credits, whichever is the later.
Plan Details. (i) This plan shall cover the employee, the employee’s spouse and all other dependents under twenty-one
Plan Details. An outline of the coverage available under each of the insurance plans referred to in Article 12.01 above is contained in a separate document, a copy of which shall be provided to each employee.
Plan Details. Be as specific as possible in describing how the land and proposed structure will be used (example: floor plan). Where additional space is required please use the back page. Total No. of units in Plan (if residential) □ Residential □ Commercial □ Institutional □ Industrial □ Other Coverage Table Metres Squared Percentage of Lot Area Total Building Coverage Total Parking Coverage (including driveways) Total Landscaped Area Building Height (in storeys & metres) Gross Floor Area (measured from outside walls but excluding basement) Gross Floor Area (measured from outside walls but including basement) Underground Above ground Surface Minimum required by By-law Details of exterior finish of building(s): (materials, coloration, etc.)
Plan Details. (i) this plan shall cover the employee, the employee's spouse and all other dependents under twenty-one (21) years of age, or a dependent who is between the ages of twenty-one (21) and twenty-five (25) and is a full-time student attending an educational institution or a mentally retarded or physically handicapped child of an employee, provided such child is unmarried, twenty-one (21) years or over, dependent upon such employee for support and was mentally retarded or physically handicapped and insured as a dependent immediately prior to age twenty-one (21);
(ii) expenses incurred for prescribed drugs and medicines dispensed by a physician or by a licensed pharmacist on the written prescription of a physician or dental surgeon shall be reimbursed to the employee at ninety percent (90%) of the cost;
(iii) reimbursement for all reasonable and necessary eligible expenses recommended and approved by a physician or surgeon shall be made at one hundred percent (100%) of cost or as detailed in the 'master contract'. Eligible expenses include: Mαys 68
(a) Charges by a licensed hospital for room and board and for hospital services and supplies furnished for care and treatment, up to one hundred and forty dollars ($140.00) per day, effective upon 1, 2002 (for expenses incurred after that date); one hundred and fifty dollars ($150.00) per day, effective April 1, 2003; and one hundred and sixty dollars ($160.00) per day, effective April 1, 2004.
(b) Charges for private duty nursing in your home by a registered graduate nurse who is not ordinarily a resident in your home and is not related to you or to your dependents, provided the service was recommended and approved by a licensed physician or surgeon.
Plan Details. (i) L.T.I.P. benefits will become payable if while insured the employee becomes "totally disabled" - benefits continue during disability to age sixty-five (65), after an elimination period of six (6) months, or the expiration of accumulated attendance credits, whichever is the later;
(ii) total disability" under this plan means the continuous inability as the result of illness or injury of the insured employee to perform each and every duty of normal occupation during the elimination period, and during the first twenty-four (24) months of the benefit period; and thereafter, during the balance of the benefit period, the inability to perform any and every duty of each gainful occupation for which the employee is reasonably fitted by education, training or experience;
(iii) L.T.I.P. benefits shall be sixty-six and two-thirds percent (66 2/3%) of the employee's weekly salary, earned on the last day worked, including any retroactive salary adjustment to which the employee is entitled;
(iv) while the employee is receiving L.T.I.P benefits, the Employer will maintain the employee's pension contributions in accordance with the OPSEU Pension Plan text;
(v) if the employee becomes disabled again while still insured for this benefit, the income benefits will be payable on completion of the elimination period, however, if within three
Plan Details. Business Efficiency ( ) Paid across four measures which drive efficiency in the Business. This measure attracts of the annual overall value and is paid through four (4) quarterly payments providing standard performances or improvements as set out below are met. First Time Completion Rate (15%): Measured by comparing the number of Rental, and Billable breakdowns completed on the first visit, against the total number of jobs carried out. Standards are set below and reward is as indicated. Reward will also be paid for improvement towards the standard. This will be judged against the same period from the previous year e.g. v Reward payment will be of the maximum achievable in that period.
Plan Details. Developer shall provide ten percent (10%) of the overall unit count (based on the Concept Plan, 14 of 139 units) (the “Affordable Units”) as income-restricted rental units for households earning, on average, up to eighty percent (80%) of the Area Median Income (“AMI”), as defined by the United States Department of Housing and Urban Development (“HUD”), or its successors, with no single household exceeding one hundred percent (100%) of AMI. Additional eligibility criteria and other requirements pertaining to this affordability program are set forth in the Affordability Plan attached as Exhibit C. The Affordability Plan may be modified by and between the City’s Housing Director and Owner without further Council action or need to formally amend this Agreement. Affordable Units must remain affordable as described above and subject to the Affordability Plan for thirty years (30) following the Project’s certificate of occupancy.
