Point of Service (POS) Sample Clauses

Point of Service (POS). The Point of Service Plan distinguishes between network and non-network providers with network providers having contracts with the POS. The participant may elect to use non-network providers, in which case the annual deductible of $200 per person and $400 per family applies. Once the deductible is met, the plan pays 70% and the participant pays 30% of eligible non-network expenses to an out-of-pocket limit, including the deductible, of $1,100 per person and $2,200 per family each calendar year. The University will provide mail order prescription access. Co- payments for mail order prescriptions, ninety (90) day supply, will be $20.00 for each generic, $40.00 for each brand/non-generic and $60.00 for each non-formulary, non- generic or non-formulary, generic. The employee co- payment for prescription drugs will be $10.00 for each generic prescription, $20.00 for each brand/non-generic prescription and $30.00 for each non-formulary, non-generic or non-formulary, generic prescription. A $15.00 co-payment will be required for each in-panel office visit/medical treatment received by POS participants. A $75.00 co- payment will be required for each emergency room visit. Effective July 1, 2010 and ending December 31, 2010, Bargaining Unit members shall make monthly pre-tax contributions for the POS equal to the monthly contributions made by Bargaining Unit members between January 1, 2010 and June 30, 2010. Effective January 1, 2011, Bargaining Unit members shall make the following monthly pre-tax contributions for the POS: Single 1.00% of base salary Double 1.50% of base salary Family 1.85% of base salary Effective January 1, 2012, Bargaining Unit members shall make the following monthly pre-tax contributions for the POS: Single 1.00% of base salary Double 1.50% of base salary Family 1.85% of base salary Effective January 1, 2013, Bargaining Unit members shall make the following monthly pre-tax contributions for the POS: Single 1.25% of base salary Double 1.75% of base salary Family 2.10% of base salary
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Point of Service (POS). Until January 1, 2015, the Point of Service Plan distinguishes between network and non- network providers with network providers having contracts with the third party administrator of the health plan. The participant may elect to use non-network providers, in which case the annual deductible of $200 per person and $400 per family applies. Once the deductible is met, the plan pays 70% and the participant pays 30% of eligible non-network expenses to an out-of-pocket limit, including the deductible, of $1,100 per person and $2,200 per family each calendar year. The University will provide mail order prescription access. Co- payments for mail order prescriptions, ninety (90) day supply, will be $20.00 for each generic, $40.00 for each brand/non-generic and $60.00 for each non-formulary, non- generic or non-formulary, generic. The employee co- payment for prescription drugs will be $10.00 for each generic prescription, $20.00 for each brand/non-generic prescription and $30.00 for each non-formulary, non-generic or non-formulary, generic prescription. A $15.00 co-payment will be required for each in-panel office visit/medical treatment received by POS participants. A $75.00 co- payment will be required for each emergency room visit. Until ratification and approval of this Agreement, pre-tax contributions for Bargaining Unit members shall be made in the same manner as was effective January 1, 2013. No earlier than the month following ratification and approval of this Agreement, and until January 1, 2015, Bargaining Unit members shall make the following pre-tax contributions for the POS: POS CONTRIBUTIONS through December 31, 2014 MONTHLY EMPLOYEE CONTRIBUTION, BY PLAN TYPE AND SALARY RANGE Salary Range Single Double Family Less than $60,000 56.39 78.94 94.73 $60,000-$79,999.99 74.03 103.64 124.37 $80,000-$99,999.99 95.28 133.39 160.06 $100,000 or more 140.40 196.56 235.87 Effective January 1, 2015, the University shall offer the Point of Service Plan. For 2015 and 2016 the plan provides 100% of preventive care when care is rendered by an in- network provider. The annual in-network deductibles are $100 for individual and $200 for other coverage. The plan’s annual co-insurance maximum is $1100 for individual coverage and $2200 for other coverage levels. The co-pays for prescription drugs purchased at a retail network pharmacy are $15/$25/$35/25% subject to a $250 per purchase maximum for Tier 4 medications. Purchase of maintenance medications through the mail order...
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Point of Service (POS). The Board shall contribute the first five percent (5%) of any renewal increase (that is, 5% of the total monthly premium for single or family coverage in effect in the immediately preceding December).
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Point of Service (POS). Where CPAU connects the Ccustomer’s Electric Service lateral to its Distribution System. For Fiber Optics Service, this is where CPAU connects the Ccustomer’s Fiber Service to the backbone. This point is usually a box located in or near the street or sidewalk and can be in the Public Right-of-Way. This point is at a mutually agreed upon location established at the time of installation. Pole Line Overhead wires and overhead structures, including poles, towers, support wires, conductors, guys, studs, platforms, cross arms braces, transformers, insulators, cutouts, switches, communication circuits, appliances attachments, and appurtenances, located above ground and used or useful in supplying Electric, communication, or similar or associated Service.
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Point of Service (POS). A Point-of-Service (POS) is available which provides comprehensive care through a panel of participating physicians. Most services provided by participating physicians are fully covered, except for applicable co-payments. After the deductible of $200 per person or $400 per family, UCR costs of covered services provided by non-participating physicians will be shared 70% by the plan and 30% by the employee, until the out-of-pocket limit of $1100 per person or $2200 per family is reached. The plan includes pre-admission review, second surgical opinion, concurrent review, length of stay controls, managed out-patient surgery, discharge planning and case management. The cost of this option will be recalculated annually. A $15.00 co-payment shall be required for each office visit/medical treatment. A $75.00 co-payment shall be required for each emergency room visit, except that no co-payment shall be required if the patient is admitted as an in-patient as a result of the emergency. The prescription drug co-payment will be $10.00 for generic-formulary, $20.00 for brand-formulary and $30.00 for non-formulary. The prescription drug co- payment for mail order, 90-day supply, will be $20.00 for generic-formulary, $$40.00 for brand-formulary and $60.00 for non-formulary. Prescription drugs are subject to exclusions and limits as defined by the plan.
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Point of Service (POS). The terms specified herein take effect January 1, 2012. A Point-of-Service (POS) is available which provides comprehensive care through a panel of participating physicians. Most services provided by participating physicians are fully covered, except for applicable co-payments. After the deductible of $200 per person or $400 per family, UCR costs of covered services provided by non-participating physicians will be shared 70% by the plan and 30% by the employee, until the out-of-pocket limit of $1100 per person or $2200 per family is reached. The plan includes pre-admission review, second surgical opinion, concurrent review, length of stay controls, managed out-patient surgery, discharge planning and case management. The cost of this option will be recalculated annually. A $15.00 co-payment shall be required for each office visit/medical treatment. A $75.00 co-payment shall be required for each emergency room visit, except that no co-payment shall be required if the patient is admitted as an in-patient as a result of the emergency. The prescription drug co-payment will be $10.00 for generic-formulary, $20.00 for brand-formulary and $30.00 for non-formulary. The prescription drug co-payment for mail order, 90-day supply, will be $20.00 for generic-formulary, $40.00 for brand-formulary and $60.00 for non- formulary. Prescription drugs are subject to exclusions and limits as defined by the plan.
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Related to Point of Service (POS)

  • Statement of Service The employer shall, in the event of resignation or termination of employment, provide upon request to an employee whose employment has been terminated a written statement specifying the period of employment and the classification or type of work performed by the employee.

  • Scope of Service Interconnection Service shall be provided to the Interconnection Customer at the Point of Interconnection (a), in the case of interconnection of the Customer Facility of a Generation Interconnection Customer, up to the Maximum Facility Output, and (b), in the case of interconnection of the Customer Facility of a Transmission Interconnection Customer, up to the Nominal Rated Capability. The location of the Point of Interconnection shall be mutually agreed by the Interconnected Entities, provided, however, that if the Interconnected Entities are unable to agree on the Point of Interconnection, the Transmission Provider shall determine the Point of Interconnection, provided that Transmission Provider shall not select a Point of Interconnection that would impose excessive costs on either of the Interconnected Entities and shall take material system reliability considerations into account in such selection. Specifications for the Customer Facility and the location of the Point of Interconnection shall be set forth in an appendix to the Interconnection Service Agreement and shall conform to those stated in the Facilities Study.

  • Statement of Services Service Attachments The services to be delivered by Provider (the “Services”) and the fees for those Services, and the specific terms applicable to those Services are described in the Order or in one or more Service Attachments referencing this Agreement. Except for Supplemental Services or Project Services (described below), and unless otherwise agreed in writing, the services we will deliver to you are limited to those Services specifically identified in the Order and described in the Service Attachments. In the event of any conflict between the terms of a Service Attachment and this Agreement, the terms in the Service Attachment control. In the event of any conflict between the terms of an Order and any Service Attachment or this Agreement, the terms of the Order control. Provider may decline to perform any services requested by the Client that are in violation of any applicable law or that are not typically associated with the Services provided by Provider. Supplemental Services “Supplemental Services” are limited, additional services and equipment you may need on a “one-off” or emergency basis that are not included within the scope of the Services described in an Order or the applicable Service Attachments. You will incur additional Service Fees for Supplemental Services. We will notify you of any such additional Service Fees and will obtain your approval prior to providing them. However, we have no obligation to determine the need for or to provide any Supplemental Services. All Supplemental Services are provided on an “as-is” basis and include no warranties of any kind, whether express or implied. In addition, if we determine that any additional services you request would be inappropriate for treatment as Supplemental Services under this paragraph, we may deliver to you a proposed Service Attachment for Project Services or a Proposal prior to providing Supplemental Services. Project Services In some cases, you may ask us to deliver services outside the scope of any Order or Service Attachment and inappropriate for treatment as Supplemental Services. Examples of such services include major system upgrades, new computer, machine or device setup, network changes, datacenter moves or setups, or installations. In those cases, we will prepare a separate Service Attachment for Project Services describing the proposed scope of those services and our fee to deliver them. Installation dates are estimates only. Customer shall be responsible for preparation and maintenance of the site for such Project Services or installations, including, but not limited to, providing necessary electrical power and communication lines and proper air conditioning and humidity control. FEES FOR SERVICES | PAYMENT TERMS Service Fees Fees for Services are set forth in Order or Statement of Work. Unless otherwise indicated in writing, all Services will be performed on a time-and-materials basis at Provider’s then-current rates.

  • Engagement of Services Company may issue Project Assignments to Contractor in the form attached to this Agreement as Exhibit A (Project Assignment). A Project Assignment will become binding when both parties have signed it and once signed, Contractor will be obligated to provide the services as specified in such Project Assignment. The terms of this Agreement will govern all Project Assignments and services undertaken by Contractor for Company.

  • Level of Service 4.1.1 Each Member and New Market Entrant shall:

  • Grades of Service The Parties shall initially engineer and shall monitor and augment all trunk groups consistent with the Joint Process as set forth in Section 14.1 of this Attachment.

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