Examples of Adult Employee in a sentence
For Members under the Employee plus Adult, Employee plus Child, and Family Only tiers:When a single Member enrolled in the PPO Plan has paid $1,000 of the $2,000 Out‐of‐Pocket Maximum expense in a Plan Year for Participating Provider claims, benefits for Covered Expenses incurred during the rest of the Plan Year will be payable at the rate of 100% of the Reasonable and Customary Charge or the contracted fee as determined by the Provider’s contract with the Network for that Member.
For Members under the Employee plus Adult, Employee plus Child, and Family Only tiers:When a single Member enrolled in the EPO Plan has paid $7,350 of the $14,700 Out‐of‐Pocket Maximum expense in a Plan Year for Participating Provider claims, benefits for Covered Expenses incurred during the rest of the Plan Year will be payable at the rate of 100% of theReasonable and Customary Charge or the contracted fee as determined by the Provider’s contract with the Network for that Member.
Employees will be classified in the grades structure to the following criteria:- This grade applies to an Adult Employee who, on commencement with the Employer is subject to the completion of a minimum three (3) month probationary and induction period.
Deductible IndividualFamily Out of Pocket Maximum Individual FamilyLife Time Maximum Coinsurance Office Visits Preventive Care Primary Care Specialist Mental HealthEmergency Urgent CareEmergency RoomFacility InpatientOut PatientPrescriptions Retail (30 days) Retail(90 days) Mail Order (90 days) Employee Only Employee + Adult Employee + ChildFamily 1 Members must first meet all deductibles.
Appendix B Summary Flow Chart – Concern Regarding a Child or Vulnerable Adult Employee has concerns about a child or a vulnerable adult’s welfare.