Scope of benefits Sample Clauses

Scope of benefits. Company shall provide only the benefits described in this Certificate. Covered Person shall be responsible for payment of: 1.2.1 Services that are not covered under this Certificate; 1.2.2 Otherwise Covered Services that exceed the maximums provided under this Certificate; and 1.2.3 Services received while the individual is not covered under this Certificate. 1.2.4 All benefits are subject to the terms and conditions contained in this Agreement, including all applicable conditions, limitations and exclusions.
Sample 1Sample 2Sample 3See All (11)
AutoNDA by SimpleDocs
Scope of benefits. A change to the scope of the Health and Welfare Benefits is subject to negotiations for the subsequent years of this Agreement. Definitions: Benefits Cap – the average FTE allocation required for Benefits Package coverage paid July through September at prior year Composite Rate for all coverages and costs October through June at current fiscal year composite rate. Benefits Package – medical, dental, vision, life, Employee Assistance Program (EAP) and administrative costs for coverage provided to employees and retirees as recommended by the Joint Benefits Team (JBT) and adopted by CSEA. For each subsequent year, unless otherwise mutually agreed, if the then existing funded Health and Welfare Benefit Unit Cap is insufficient to cover the full cost of the benefits program as calculated by the District in a manner consistent with past practice and approved by this Agreement then plan modifications to reduce the coverage profile cost to an amount within the funded cap may be made by the JBT and adopted by CSEA, or effective for the first premium payment for the respective fiscal year covered by this Agreement the residual dollar amount required beyond the funded cap shall be made by employee contribution paid through employee payroll deduction on a tenthly basis. The JBT shall be responsible for making recommendations to the administration and constituent groups regarding: health insurance carriers, levels of coverage, plan design and changes to the coverage, premium schedules for full-time bargaining unit members, and pro-rated deduction schedules for less than full-time members, Section 125 Plan design, and other health insurance-related issues. The JBT shall make a recommendation to the negotiating teams each year. This recommendation follows receipt of information from health benefit consultant which is anticipated to occur in April.
Sample 1Sample 2
Scope of benefits. (a) You agree that during 1998 the total value of benefits that may be paid to you under the KEESA (as reduced by the provisions of Section 9(b) thereof) is $614,771. This amount is one dollar less than the product obtained by multiplying (i) the average of the compensation paid to you by the Company and its affiliates (as reflected in Box 1 of your Form W-2s) for the five calendar years ended December 31, 1997, by (ii) three (3). (b) Following consummation of the Merger and your termination, the benefits under your KEESA will be paid as follows: (i) $593,771 in cash or cash equivalent within ten (10) business days after your Termination Date; and (ii) $21,000 (the "Benefits Amount") will be credited to a bookkeeping account to be maintained by the Company to provide you, for a period of up to five (5) years commencing on your Termination Date, with (a) medical coverage as a single adult under The Medical Plus Plan sponsored by Wisconsin Power and Light Company, (b) dental coverage as a single adult under The Dental Plus Plan sponsored by Wisconsin Power and Light Company, (c) Basic Term Life Insurance in the amount of $254,000 and Supplemental Group Term Life Insurance in the amount of $169,000 under the life insurance programs sponsored by Wisconsin Power and Light Company. The Benefits Amount reflects the estimated cost of providing the above-described benefits to you for a five-year period. The outstanding balance of the Benefits Amount (i.e., the Benefits Amount net of funds expended to provide you benefits hereunder) shall bear interest at the mid-term Applicable Federal Rate as specified for the month in which the Merger is consummated, compounded annually. Interest credited as set forth above will be added to the Benefits Amount. You agree that, in the event the costs incurred by the Company or its affiliates in providing the above-described benefits (or family or employee plus one medical or dental benefits to which you will have access on your request to the Company in writing on the same terms and conditions as apply to active employees at any time during the five-year period) to you exceeds the Benefits Amount, you will reimburse the Company for the excess amount. Conversely, in the event that the cost of such benefits for the five-year period is less than the Benefits Amount or in the event you elect in a writing delivered to the Company not to receive such benefits for the entire five-year period, you will be entitled to a refund from the Com...
Sample 1
Scope of benefits. The Parties each specifically undertake and agree that the provisions of this Confidential Information Agreement are for the benefit of the Disclosing Party and its successors and assigns and transferees and that each such Person may seek or enforce his or its rights hereunder as third-party beneficiaries or as primary beneficiaries, as the case may be. Nothing contained in this Confidential Information Agreement shall be construed to create or imply any obligation on the part of the Disclosing Party or Recipient to enter into any proposed transaction with each other.
Sample 1
Scope of benefits. The Town of Tiburon provides the 3% @ Age 55 Cal-PERS Local Safety retirement formula for sworn personnel, and the 2% @ Age 55 Local Miscellaneous retirement formula for full-time non-sworn personnel covered under this Memorandum of Understanding. Part-time employees covered under this Memorandum of Understanding shall accrue retirement benefits under the Town's part-time, seasonal, temporary employee retirement plan administered by the Hartford Life Insurance Company. The Town contributes its employer required amount of retirement benefit as stipulated each year by Cal-PERS as well as nine percent (9%) of all full-time Local Safety employee's monthly retirement contribution, and (7%) of all full-time Local Miscellaneous employee's monthly retirement contributions. Part-time employees contribute 3.75% to the part-time, seasonal, temporary retirement plan, with the Town providing a matching contribution. The Town of Tiburon provides sworn employees retirement benefits based on the Cal-PERS three (3) year average salary calculation. The Town provides the single highest year retirement calculation for Local Miscellaneous Members covered under this Memorandum. The Town of Tiburon provides the following additional Cal-PERS benefits to employees covered under this Memorandum of Understanding: 1. 1959 Survivors Benefits 2. Death Benefits - $600 3. Unused Sick Leave Service Credit
Sample 1
Scope of benefits. The responsibility of the Employer under this Agreement to provide LTD, medical, dental, EAP, life insurance or other health and welfare benefits is discharged by the provision, through a third party carrier, of a plan acceptable to the Union that is in compliance with this Article 21. Liability for payment in such case is limited to premium payments with respect to the plan in question. It is mutually understood that any change of plan and/or carrier will occur without loss of benefits and that the benefits covered under this article are effective in accordance with the terms of the plan, including any waiting periods.
Sample 1
Scope of benefits 
Sample 1
AutoNDA by SimpleDocs

Related to Scope of benefits

  • Coordination of Benefits i. Delta Dental coordinates the dental Benefits under this dental plan with your benefits under any other group or pre-paid plan or insurance plan designed to fully integrate with other plans. If this plan is the “primary” plan, Delta Dental will not reduce Benefits. If this plan is the “secondary” plan, Delta Dental may reduce Benefits so that the total benefits paid or provided by all plans do not exceed 100% of total allowable expense. ii. How does Delta Dental determine which Plan is the “primary” plan? 1) The plan covering the Enrollee as an employee is primary over a plan covering the Enrollee as a dependent. 2) The plan covering the Enrollee as an employee is primary over a plan covering the insured person as a dependent; except that if the insured person is also a Medicare beneficiary, and as a result of the rule established by Title XVIII of the Social Security Act and implementing regulations, Medicare is: a) secondary to the plan covering the insured person as a dependent; and b) primary to the plan covering the insured person as other than a dependent (e.g. a retired employee), then the benefits of the plan covering the insured person as a dependent are determined before those of the plan covering that insured person as other than a dependent. 3) Except as stated in paragraph 4), when this plan and another plan cover the same child as a dependent of different persons, called parents: a) the benefits of the plan of the parent whose birthday falls earlier in a year are determined before those of the plan of the parent whose birthday falls later in that year; but b) if both parents have the same birthday, the benefits of the plan covering one parent longer are determined before those of the plan covering the other parent for a shorter period of time. c) However, if the other plan does not have the birthday rule described above, but instead has a rule based on the gender of the parent, and if, as a result, the plans do not agree on the order of benefits, the rule in the other plan determines the order of benefits. 4) In the case of a dependent child of legally separated or divorced parents, the plan covering the Enrollee as a dependent of the parent with legal custody or as a dependent of the custodial parent’s spouse (i.e. step-parent) will be primary over the plan covering the Enrollee as a dependent of the parent without legal custody. If there is a court decree establishing financial responsibility for the health care expenses with respect to the child, the benefits of a plan covering the child as a dependent of the parent with such financial responsibility will be determined before the benefits of any other policy covering the child as a dependent child. 5) If the specific terms of a court decree state that the parents will share joint custody without stating that one of the parents is responsible for the health care expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined in paragraph 3). 6) The benefits of a plan covering an insured person as an employee who is neither laid-off nor retired are determined before those of a plan covering that insured person as a laid-off or retired employee. The same would hold true if an insured person is a dependent of a person covered as a retiree or an employee. If the other plan does not have this rule, and if, as a result, the plans do not agree on the order of benefits, this rule 6) is ignored. 7) If an insured person whose coverage is provided under a right of continuation pursuant to federal or state law also is covered under another plan, the following will be the order of benefit determination. a) First, the benefits of a plan covering the insured person as an employee (or as that insured person’s dependent). b) Second, the benefits under the continuation coverage. c) If the other plan does not have the rule described above, and if, as a result, the plans do not agree on the order of benefits, this rule 7) is ignored. 8) If none of the above rules determines the order of benefits, the benefits of the plan covering an employee longer are determined before those of the plan covering that insured person for the shorter term. 9) When determination cannot be made in accordance with the above for Pediatric Benefits, the benefits of a plan that is a medical plan covering dental as a benefit will be primary to a dental only plan.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!