Supplemental Medical Insurance. Subject to the availability on commercially reasonable terms, during the Term, the Company shall maintain in effect and pay the premiums for a supplemental medical insurance policy (separate from any medical insurance policies referenced in Section 5.1 hereof) providing for reimbursement for most uncovered expenses up to $5,000 per diagnosis per year.
Supplemental Medical Insurance. During the Term of Employment, Employee shall be entitled to participate in a supplemental executive medical benefit plan at no additional cost to Employee; provided, that in no event shall the total annual benefits provided by any such plan exceed $1,000,000.
Supplemental Medical Insurance i) For those part-time employees who qualify and elect to participate in the benefit coverage for supplemental medical insurance and whose work load is between thirty- five per cent (35%) and fifty per cent (50%) of the full-time work week (37.5 hours) will contribute fifty per cent (50%) and the University will contribute fifty per cent (50%) of the total cost of the benefits.
ii) For those part-time employees who quality and elect to participate in the benefit coverage for supplemental medical insurance and whose work load is between fifty- one per cent (51%) and seventy-five per cent (75%) of the full-time work week (37.5 hours) will contribute twenty-five per cent (25%) and the University will contribute seventy-five per cent (75%) of the total cost of the benefits.
Supplemental Medical Insurance i) For those part-time employees who qualify and elect to participate in the benefit coverage for supplemental medical insurance and whose work load is between 35% and 50% of the full-time work week (37.5 hours) will contribute 50% and the University will contribute 50% of the total cost of the benefits.
ii) For those part-time employees who quality and elect to participate in the benefit coverage for supplemental medical insurance and whose work load is between 51% and 75% of the full-time work week (37.5 hours) will contribute 25% and the University will contribute 75% of the total cost of the benefits.
Supplemental Medical Insurance. Dialysis Services provided grants or loans for the payment of premiums for supplemental medical insurance (under which Medicare Part B coverage is provided) on behalf of a small percentage of its patients who are financially needy. The practice of providing loans or grants for the payment of supplemental medical insurance premiums by NMC was one of the subjects of review by the government as part of the OIG Investigation. The Government, however, advised the Company orally that it is no longer pursuing this issue. Furthermore, as a result of the passage of HIPAA, the Company terminated making such payments on behalf of its patients. Instead, the Company, together with other representatives of the industry, obtained an advisory opinion from the OIG, whereby, consistent with specified conditions, the Company and other similarly situated providers may make contributions to a non-profit organization that has volunteered to make these payments on behalf of indigent ESRD patients, including patients of the Company. In addition, the government has indicated that it is investigating the method by which NMC made Medigap payments on behalf of its indigent patients. Overpayments for Home Dialysis Services NMC acquired HIC, an in-center and home dialysis service provider, in 1993. At the time of the acquisition, HIC was the subject of a claim by HCFA that HIC had received payments for home dialysis services in excess of the Medicare reasonable charge for services rendered prior to February 1, 1990. NMC settled the HCFA claim against HIC in 1994. The government is investigating whether the settlement concerning the alleged overpayments made to HIC resolved all issues relating to such alleged overpayments. The government is also investigating whether HDS received payments similar to the payments that HIC received, and whether HDS improperly billed for home dialysis services in excess of the monthly cost cap for services rendered on or after February 1, 1990. The government is investigating whether NMC was overpaid for services rendered. NMC asserts that the bxxxxxxx by HDS were proper, but there can be no assurance that the government will accept NMC’s view. LifeChem
Supplemental Medical Insurance. After the Consultant is no longer eligible to receive COBRA continuation coverage, which should be after 18 months time, and for the remainder of the Consultant’s lifetime, the Company shall reimburse the Consultant for Medicare coverage costs and supplemental insurance premiums for a private medical insurance policy for the Consultant and his spouse (which shall be supplemental to Medicare coverage) up to an amount not to exceed $20,000.00 per year plus a cost of living adjustment based on the average annualized medical care component of the National Consumer Price Index, but in no event to exceed 8% per year, provided the Consultant complies with the procedures for seeking reimbursement described earlier in this Section 4(c). The Company and Consultant each acknowledge that uncertainty exists as to the state and federal legislation that governs healthcare and healthcare insurance and the healthcare and healthcare insurance options that will be available in the future and agree that if legislations or other circumstances render the amount set forth herein to be inadequate, the parties will negotiate in good faith to amend the terms of this Section 4(c)(iii).
