Examples of Annual Benefit Limit in a sentence
Annual Benefit Limit shall mean the maximum amount of benefits paid by the Company to the Policy Holder in a Policy Year irrespective of whether any limits of any benefit items stated in the Benefit Schedule have been reached.
Unless otherwise stated, the Eligible Expenses and/or other expenses payable under this Supplement for Enhanced Benefits shall be subject to the applicable Deductible, Annual Benefit Limit and Lifetime Benefit Limit.
After the Annual Benefit Limit is reached, all associated healthcare expenses will be for the Members account.
Annual Benefit LimitThe Annual Benefit Limit is the cap on the Member’s benefits that Affinity will pay in a year.
Unless otherwise stated, the benefits payable under this Supplement for Other Benefits shall be subject to the applicable Deductible, Annual Benefit Limit and Lifetime Benefit Limit.
Additionally, these benefits shall not be subject to the Annual Benefit Limit.
In the case of a Member who has had a severance from employment with the Employer, the Annual Benefit Limit applicable to the Member in any Limitation Year beginning after the date of severance shall be automatically adjusted under § 415(d) of the Code.
No adjustment will be made to the Annual Benefit Limit to reflect the probability of death between age 65 and the Annuity Starting Date unless the Member’s benefit is forfeited at death before the Annuity Starting Date.
Annual Benefit Limit $1,500/individual Annual Deductible $10/individual Preventative Services Benefit (exams, cleanings, and bitewing X-rays every 6 months) 100%** Basic Services Benefit (amalgam and resin fillings) 80%** Major Services Benefit (crowns, root canals, extractions, periodontal treatments, dentures) 80%** Orthodontia Lifetime Benefit (dependent child only) $2,000 (50% payment up to $2,000) * If a discrepancy exists between this summary and the plan document, the plan document will govern.
If the Member is, or has ever been, a participant in another qualified defined benefit plan (without regard to whether the plan has been terminated) maintained by the Member’s Employer, the sum of the participant’s Annual Benefits from all such plans may not exceed the Annual Benefit Limit.