Spousal Coordination of Benefits Sample Clauses

Spousal Coordination of Benefits. Spouses of employees who work for an employer where insurance is available will be required to enroll in at least Single coverage through their employer. Xxxxxxx who retire after this date and who are eligible for health insurance through his/her retirement system or Medicare will be required to enroll in at least single coverage. The spouse can still be covered on the district’s policy as secondary. Spouses will be exempt from this requirement if:
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Spousal Coordination of Benefits. ⬩ Any spouse of an employee of the Versailles Exempted Village Schools (VEVSD) who is eligible or later becomes eligible for benefits under his or her employer’s Medical, Dental, Vision or retiree health insurance plan is required to enroll for at least single coverage in the plan offered by or through his or her employer. Xxxxxxx enrolled in their employer’s plan may be enrolled as a covered dependent for secondary coverage under VEVSD plans. ⬩ If the spouse is eligible for coverage and does not enroll, he or she is not eligible to be covered by the Versailles Exempted Village Schools health care benefit plan. This change in the health insurance plan policy became effective July 1, 2005 and is applicable to you if you currently cover your spouse under the plan and he or she is eligible for health care benefits (Medical, Dental, Vision) through his or her own employer. In order to certify that your spouse is or is not covered by a plan where he or she works, you must complete a Spousal Coordination of Benefits Policy Form if you are enrolled in the Versailles Exempted Village Schools’ Medical, Dental or Vision insurance plan for family coverage. Falsification of statements on this form regarding benefits information will be considered grounds for termination of your contract. Generally, the following waivers apply: ⬩ If none of the above group mentioned sponsored health care benefit plans are available to the spouse, he or she is exempt from this requirement. ⬩ Spouse is under sixty-five (65), retired and does not have access to the option to purchase group or system pooled and/or sponsored retiree health care coverage ⬩ Spouse is unemployed
Spousal Coordination of Benefits. Spouses of employees who are eligible for medical insurance through their own employer by an employer-sponsored plan or a retiree eligible for medical insurance by a retirement system group health insurance plan are required to enroll in at least Single coverage through their employer or retirement system. Upon the spouse’s enrollment in any such employer or retirement plan sponsored group medical insurance coverage that coverage will become the primary payor of benefits and the coverage sponsored by the District will become the secondary payor of benefits. Spouses of the bargaining unit member affected by this change effective July 1, 2022 will remain under current coverage until the next open enrollment period provided by their employer if necessary. If the employee’s spouse has to wait for the next open enrollment, he/she will provide a letter from his/her spouse’s employer indicating the next open enrollment period. Employees affected by the spousal coordination of benefits clause are eligible for a forty percent (40%) reduction in monthly medical co-pays. The monthly co-pay reduction will be for those employees eligible for an employee+spouse plan who take the single plan and forty percent (40%) per month for those employees eligible for a family plan who take the employee+child(ren) plan.
Spousal Coordination of Benefits. Spouses of employees are to obtain health insurance from their employers, as long as it is made available to them from their employer, or retirement system if they do not have to pay more than 50% of the premium. This shall become the spouses’ primary health insurance policy. The PCSD employee may choose to carry his/her spouse on a family policy, but the PCSD insurance becomes secondary in coverage. Employees whose spouse is retired and currently on the PCSD family plan prior to the effective date of this contract will be grandfathered. NOTE: This policy became effective on October 01, 2007. Employees must notify the treasurer’s office by August 20, of each school year, that the spouse has enrolled in his/her employer’s policy to be effective October 01, 2007.
Spousal Coordination of Benefits. 1. Spouses of employees are to obtain health insurance from their employers, as long as it is made available to them from their employer, or retirement system if they do not have to pay more than 50% of the premium. This shall become the spouses’ primary health insurance policy. The PCSD employee may choose to carry his/her spouse on a family policy, but the PCSD insurance becomes secondary in coverage. Employees whose spouse is retired and currently on the PCSD family plan prior to the effective date of this contract will be grandfathered. NOTE: This policy became effective on October 01, 2007. Employees must notify the treasurer’s office by August 20, of each school year, that the spouse has enrolled in his/her employer’s policy to be effective October 01, 2007.
Spousal Coordination of Benefits. Effective September 1, 2023, spousal healthcare coverage will only be extended to employees whose spouse is unable to obtain healthcare through their employer. In the event a spouse can obtain coverage through their employer, they are not eligible to be on the Saucon Valley plan.
Spousal Coordination of Benefits. 1. If the employee’s spouse is eligible in their employer’s group health insurance and/or prescription drug insurance, the spouse of the employee must enroll in said employer’s sponsored group insurance coverage(s). (Spouse available insurance). The employee’s spouse may enroll in single employer sponsored group insurance coverage, the spouse is not required to enroll in family coverage.
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Related to Spousal Coordination of Benefits

  • Coordination of Benefits The coordination of benefits (COB) provision applies when a Member has health care coverage under more than one plan. Plan is defined below. The order of benefit determination rules govern the order in which each plan will pay a claim for benefits. The plan that pays first is called the primary plan. The primary plan must pay benefits according to its policy terms without regard to the possibility that another plan may cover some expenses. The plan that pays after the primary plan is the secondary plan. In no event will a secondary plan be required to pay an amount in excess of its maximum benefit plus accrued savings. If the Member is covered by more than one health benefit plan, and the Member does not know which is the primary plan, the Member or the Member’s provider should contact any one of the health plans to verify which plan is primary. The health plan the Member contacts is responsible for working with the other plan to determine which is primary and will let the Member know within 30 calendar days. All health plans have timely claim filing requirements. If the Member or the Member’s provider fails to submit the Member’s claim to a secondary health plan within that plan’s claim filing time limit, the plan can deny the claim. If the Member experiences delays in the processing of the claim by the primary health plan, the Member or the Member’s provider will need to submit the claim to the secondary health plan within its claim filing time limit to prevent a denial of the claim. If the Member is covered by more than one health benefit plan, the Member or the Member’s provider should file all the Member’s claims with each plan at the same time. If Medicare is the Member’s primary plan, Medicare may submit the Member’s claims to the Member’s secondary carrier.

  • Duration of Benefits Eligibility for Income Protection benefits will cease upon the earliest of the following dates:

  • Payment of Benefits a) In computing the amount of disability benefits, disability will be considered as starting from the first day of disability; however, an employee must be certified by a medical practitioner for the disability within the first three days of disability. In the event that the employee is not certified within the first three days, disability will be considered as starting two complete days prior to the day that the employee is actually certified by a medical practitioner.

  • Restoration of Benefits The correction method should restore the plan to the position it would have been in had the failure not occurred, including restoration of current and former participants and beneficiaries to the benefits and rights they would have had if the failure had not occurred.

  • Termination of Benefits Except as provided in Section 2 above or as may be required by law, Executive’s participation in all employee benefit (pension and welfare) and compensation plans of the Company shall cease as of the Termination Date. Nothing contained herein shall limit or otherwise impair Executive’s right to receive pension or similar benefit payments that are vested as of the Termination Date under any applicable tax-qualified pension or other plans, pursuant to the terms of the applicable plan.

  • Retention of Benefits Union leave under the following four (4) sections will be unpaid. The Employer will maintain regular pay and xxxx the Union for the costs of the employee’s salary and benefits. If the Union member is part-time or casual, and the leave is greater than their normal work hours, the Employer will pay the employee for the full length of the leave requested by the Union. The Employer will xxxx the Union for these days as noted above. The Union will pay these invoices within twenty-eight (28) days. Union leave is not unpaid leave for the purposes of Article 22.02 [i.e. such leave will not affect the employee’s benefits, seniority or increment anniversary date].

  • Limitation of Benefits (a) Anything in this Agreement to the contrary notwithstanding, in the event it shall be determined that any benefit, payment or distribution by the Company to or for the benefit of the Executive (whether payable or distributable pursuant to the terms of this Agreement or otherwise) (a "Payment") would, if paid, be subject to the excise tax imposed by Section 4999 of the Code (the "Excise Tax"), then the Payment shall be reduced to the extent necessary to avoid the imposition of the Excise Tax. The Executive may select the Payments to be limited or reduced.

  • Continuation of Benefits Following the termination of Executive’s employment hereunder, the Executive shall have the right to continue in the Company’s group health insurance plan or other Company benefit program as may be required by COBRA or any other federal or state law or regulation.

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