PREMIUM RATE AND BENEFIT PROVISIONS Sample Clauses

PREMIUM RATE AND BENEFIT PROVISIONSThe Subscriber agrees to pay the HMO in advance, on a monthly or quarterly basis, unless otherwise agreed, the applicable premium rate as filed with and approved by the Commonwealth of Pennsylvania. In consideration of these payments to the HMO, the HMO agrees to provide access to medical and Hospital Covered Services and other Benefits as specified in this Subscriber Agreement for eligible persons who enroll hereunder, in accordance with the terms, conditions, Limitations and exclusions of this Subscriber Agreement. If the Subscriber provides incorrect or missing information which causes the premium to be calculated incorrectly, the HMO may, at its option and as allowed by law, either recoup any additional premium which would have been charged if accurate information had been provided, or terminate this Agreement as provided in Section EL - Eligibility, change, and Termination Rules Under The Plan. A Member may make payment of premium in advance directly to the HMO in person or by mail at the following address: Keystone Health Plan Central XX Xxx 000000 Xxxxxxxxxx, XX 00000-0000 If a Subscriber or dependent is determined by the Marketplace to be eligible for a Subsidy, the Member is responsible for payment of the premium less the amount, if any, of the Subsidy that the Marketplace has determined the Subscriber or dependent is eligible for in any full or partial calendar month. If required by the Marketplace, an Indian tribe, tribal organization or urban Indian organization may make payment of a Member’s premium pursuant to the rules of the Marketplace. If the Marketplace notifies the HMO that the Member’s eligibility for a Subsidy or cost sharing reductions has changed so that the Member is newly eligible for a Subsidy or cost sharing reduction, the HMO will change the Member’s enrollment to the applicable silver level plan as of the effective date required by the Marketplace. If the change occurs in the middle of an Agreement Year, the HMO will carry over any Cost Sharing Amounts that the Member paid under the prior plan of the standard plan. Premium rates may be changed prospectively with the prior approval of the Pennsylvania Insurance Department during any month in which this Agreement remains in effect, provided that prior written notice of such proposed change shall be given to the Subscriber by the HMO. To the extent that premiums are based on the age of a Member, premiums will be based on the age of such Member as of the date of Agreement issuance...
PREMIUM RATE AND BENEFIT PROVISIONS. ‌ PREMIUM RATE CHANGES‌ AGE OF MEMBER‌ THIRD PARTY PAYMENTS‌ SECTION CSR – SUBSIDY AND COST SHARING REDUCTIONS‌ SUBSIDY‌ COST SHARE REDUCTIONS‌ INDIAN – NO COST SHARING‌ INDIAN – TRIBAL SERVICES‌
PREMIUM RATE AND BENEFIT PROVISIONS. ‌ PREMIUM RATE CHANGES‌ AGE OF MEMBER‌ THIRD PARTY PAYMENTS‌
PREMIUM RATE AND BENEFIT PROVISIONSThe Subscriber agrees to pay the HMO in advance, on a monthly or quarterly basis, unless otherwise agreed, the applicable premium rate as filed with and approved by the Commonwealth of Pennsylvania. In consideration of these payments to the HMO, the HMO agrees to provide access to medical and Hospital Covered Services and other Benefits as specified in this Subscriber Agreement for eligible persons who enroll hereunder, in accordance with the terms, conditions, Limitations and exclusions of this Subscriber Agreement. If the Subscriber provides incorrect or missing information which causes the premium to be calculated incorrectly, the HMO may, at its option and as allowed by law, either recoup any additional premium which would have been charged if accurate information had been provided, or terminate this Agreement as provided in Section EL - Eligibility, change, and Termination Rules Under The Plan. Premium rates may be changed prospectively with the prior approval of the Pennsylvania Insurance Department during any month in which this Agreement remains in effect, provided that prior written notice of such proposed change shall be given to the Subscriber by the HMO. To the extent that premiums are based on the age of a Member, premiums will be based on the age of such Member as of the date of Agreement issuance or on the Agreement Renewal Date. Keystone does not accept payment of premium from a third party except from a family member or unless otherwise required by law.

Related to PREMIUM RATE AND BENEFIT PROVISIONS

  • Synopsis and Benefit to Xxxxxxx County The Agreement continues the contractual relationship between the Oregon State Marine Board and Xxxxxxx County through its Sheriff’s Office. The Sheriff’s Office will be reimbursed for marine law enforcement patrols, boater education, and boat inspections conducted throughout the County.

  • Termination Payments and Benefits If during a Change in Control Period, as defined in Section 8, the Employment Period of the Executive shall terminate other than by reason of a Nonqualifying Termination, as defined in Section 8, then the Company shall pay or provide to the Executive (or his executor, administrator or other legal representative, as the case may be) within 30 days following the Termination Date, as compensation for services rendered to the Company and in lieu of any severance amounts which otherwise would be payable to the Executive, the following amounts: (i) the Company shall pay to the Executive a lump sum cash amount equal to the sum of (A) the Executive's Base Compensation, accrued vacation pay and reimbursable expenses incurred through the Termination Date, in each case to the extent not theretofore paid, (B) the Executive's annual bonus in an amount equal to the annualized (for any fiscal year consisting of less than 12 full months or with respect to which the Executive has been employed by the Company for less than 12 full months) bonus payable to the Executive by the Company for the fiscal year in which the Termination Date occurs (determined at the higher of the target or actual level of performance for such year), multiplied by a fraction, the numerator of which is the number of days in the fiscal year in which the termination occurs prior to the Termination Date and the denominator of which is 365 or 366, as applicable, (C) three times the Executive's highest annual rate of Base Compensation during the three full fiscal years prior to the Termination Date, (D) three times the greater of (I) the Executive's highest annual bonus payable during the three full fiscal years prior to the Termination Date and (II) the target bonus payable for the year in which the Termination Date occurs and (E) all accruals under the Zenith Electronics Corporation Supplemental Salaried Profit Sharing Retirement Plan; (ii) for a period of three years commencing on the Termination Date, or until such earlier date on which the Executive becomes covered under similar plans maintained by a subsequent employer, the Company shall continue to provide the Executive and his dependents with coverage, or shall provide substantially equivalent coverage, under all welfare benefit plans or arrangements (including group medical and dental, health and accident, long-term disability, short-term disability, group life insurance and executive insurance programs) with the same level of coverage, upon the same terms and otherwise to the same extent as such plans or arrangements shall have been in effect immediately prior to the Termination Date or, if more favorable to the Executive, as provided generally with respect to other peer executives of the Company. If the Company cannot provide such continued coverage or substantially equivalent coverage, the Company shall pay the Executive a lump sum cash amount equal to the present value of such coverage; and (iii) the Company shall provide outplacement services appropriate for the Executive in accordance with industry standards (which shall not exceed 15% of the Executive's Base Compensation).

  • Payment and Benefits In consideration of the promises made in this Release, Employer has agreed to pay Executive the benefits as provided in that certain employment agreement made and entered into as of _________________________, by and between the Parties (the “Employment Agreement”). Executive understands and acknowledges that the benefits described in this Section 2 constitute benefits in excess of those to which Executive would be entitled without entering into this Release. Executive acknowledges that such benefits are being provided by Employer as consideration for Executive entering into this Release, including the release of claims and waiver of rights provided in Section 3 of this Release.

  • Wages and Benefits Wages, performance-sharing opportunities and benefits as identified in this Section 2 are considered to be ongoing obligations and will terminate at the extended expiration of local agreements, rather than at the expiration of this Agreement.

  • Other Payments and Benefits On any termination of employment, including, without limitation, termination due to the Employee’s death or Disability (as defined in Section 10) or for Cause, the Employee shall receive any accrued but unpaid salary, reimbursement of any business or other expenses incurred prior to termination of employment but for which the Employee had not received reimbursement, and any other rights, compensation and/or benefits as may be due the Employee in accordance with the terms and provisions of any agreements, plans or programs of the Company (but in no event shall the Employee be entitled to duplicative rights, compensation and/or benefits).

  • Standard Benefits During the Employment Period, Executive shall be entitled to participate in all employee benefit plans and programs, including paid vacations, generally available to other similarly situated Company executives, subject to the terms and conditions of the applicable plans.

  • PENSION AND BENEFITS 26:01 Employees are eligible to participate in the Pension Plan; Long Term Disability Plan; Group Life and Survivor Income Plan; Dental Care Plan; Extended Health Care Plan; Semi-Private Hospital Accommodation Plan; Joint Membership Plan; and Vision Care Plan, as summarized in Schedules “B” to “I” attached hereto.

  • Insurance and Benefits Company shall allow Executive to participate in each employee benefit plan and to receive each executive benefit that Company provides for senior executives at the level of Executive's position.

  • Basic Life and Accidental Death and Dismemberment Coverage The Employer agrees to provide and pay for the following term life coverage and accidental death and dismemberment coverage for all employees eligible for an Employer Contribution, as described in Section 3. Any premium paid by the State in excess of fifty thousand dollars ($50,000) coverage is subject to a tax liability in accord with Internal Revenue Service regulations. An employee may decline coverage in excess of fifty thousand dollars ($50,000) by filing a waiver in accord with Minnesota Management & Budget procedures. The basic life insurance policy will include an accelerated benefits agreement providing for payment of benefits prior to death if the insured has a terminal condition. $10,000 - $15,000 $15,000 $15,000 $15,001 - $20,000 $20,000 $20,000 $20,001 - $25,000 $25,000 $25,000 $25,001 - $30,000 $30,000 $30,000 $30,001 - $35,000 $35,000 $35,000 $35,001 - $40,000 $40,000 $40,000 $40,001 - $45,000 $45,000 $45,000 $45,001 - $50,000 $50,000 $50,000 $50,001 - $55,000 $55,000 $55,000 $55,001 - $60,000 $60,000 $60,000 $60,001 - $65,000 $65,000 $65,000 $65,001 - $70,000 $70,000 $70,000 $70,001 - $75,000 $75,000 $75,000 $75,001 - $80,000 $80,000 $80,000 $80,001 - $85,000 $85,000 $85,000 $85,001 - $90,000 $90,000 $90,000 Over $90,000 $95,000 $95,000

  • Accrued Compensation and Benefits Notwithstanding anything to the contrary in Section 2 and 3 above, in connection with any termination of employment upon or following a Change in Control (whether or not a Qualifying Termination or CIC Qualifying Termination), the Company or its subsidiary shall pay Executive’s earned but unpaid base salary and other vested but unpaid cash entitlements for the period through and including the termination of employment, including unused earned vacation pay and unreimbursed documented business expenses incurred by Executive prior to the date of termination (collectively “Accrued Compensation and Expenses”), as required by law and the applicable Company or its subsidiary, as applicable, plan or policy. In addition, Executive shall be entitled to any other vested benefits earned by Executive for the period through and including the termination date of Executive’s employment under any other employee benefit plans and arrangements maintained by the Company or its subsidiary, as applicable, in accordance with the terms of such plans and arrangements, except as modified herein (collectively “Accrued Benefits”). Any Accrued Compensation and Expenses to which the Executive is entitled shall be paid to the Executive in cash as soon as administratively practicable after the termination, and, in any event, no later than two and one-half (2-1/2) months after the end of the taxable year of the Executive in which the termination occurs or at such earlier time as may be required by applicable law or Section 10 below, and to such lesser extent as may be mandated by Section 9 below. Any Accrued Benefits to which the Executive is entitled shall be paid to the Executive as provided in the relevant plans and arrangements.