Benefit design definition

Benefit design means the health care benefits package provided through the Community Health Access Program.[PL 2001, c. 439, Pt. BBB, §1 (NEW); PL 2001, c. 439, Pt. BBB, §3 (AFF).]
Sample 1Sample 2Sample 3
Benefit design means the cost sharing for covered benefits. (Health & Saf. Code § 1385.043(f)(2) & Ins. Code § 10181.46(f)(2).)
Sample 1Sample 2Sample 3
Benefit design means selection of services, providers and bene- ficiary cost-sharing to create the scope of coverage for participants.
Sample 1

Examples of Benefit design in a sentence

  • Benefit design parameters such as deductibles, coinsurance, copays, out-of-pocket maximums, etc.

  • Within thirty (30) days of the end of each calendar month, the Company will furnish Swiss Re Life & Health a separate electronic report for each Guaranteed Minimum Death Benefit design specified in Exhibit A, valued as of the last day of that month.

  • Benefit design parameters such as deductibles, coinsurance, copays, out‐of‐pocket maximums, etc.

  • Within thirty (30) days of the end of each calendar month, the Company will furnish Swiss Re Life & Health a separate electronic report for each Death Benefit design specified in Exhibit A, valued as of the last day of that month.

  • The Benefit design shall include rules to determine which of the Participants and Beneficiaries of the Trust will receive Benefits under the Plans, in what form and in what amount.

  • Benefit design standards relate to the requirement in section 1301(a)(1)(B) of the Affordable Care Act that requires that QHPs offer the essential health benefits, adhere to cost- sharing limits, and meet the levels of coverage described in 1302(a) which will be the subject of future rulemaking.

  • It does this by providing an overview that weighs in on the following themes:· A trajectory of growth in benefit options;· Industry growth rates for 2002 to 2012;· Market concentration;· Benefit option proliferation; and· Benefit design market penetration.

  • If MCLIC determines that the EGWP Benefit does not meet the actuarial equivalence standards, then Client shall cooperate with MCLIC to make necessary adjustments to the EGWP Benefit design to meet the actuarial equivalence standards.

  • Benefit design is not one of the statutory functions required of actuaries, and it may be asked whether it is an issue of direct relevance to actuaries.

  • Benefit design parameters such as deductibles, coinsurance, copays, out-of-pocketmaximums, etc.


More Definitions of Benefit design

Benefit design means the cost sharing for covered benefits.
Sample 1
Benefit design means the health care bene- fits package provided through the Community Health Access Program.
Sample 1

Related to Benefit design

  • Adverse Benefit Determination means any of the following:

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Final Adverse Benefit Determination means an adverse benefit determination that is upheld at the completion of a health plan issuer’s internal appeals process.

  • Parent Benefit Plan means an Employee Benefit Plan sponsored, maintained, or contributed to (or required to be contributed to) by Parent or any of its Subsidiaries, or under or with respect to which Parent or any of its Subsidiaries has any current or contingent liability or obligation.

  • Basic health benefit plan means any plan offered to an individual, a small group,

  • Non-U.S. Benefit Plan has the meaning set forth in Section 3.20(a).

  • Salary reduction plan means a benefit plan whereby state and

  • Benefit Distribution Date means the date upon which all or an objectively determinable portion of a Participant’s vested benefits will become eligible for distribution. Except as otherwise provided in the Plan, a Participant’s Benefit Distribution Date shall be determined based on the earliest to occur of an event or scheduled date set forth in Articles 4 through 9, as applicable.

  • Pharmacy benefit manager means a person, business or other

  • Annual Benefit Limit means 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. The Annual Benefit Limit is counted afresh in a new Policy Year.

  • Retirement Benefits means benefits paid by reference to reaching, or the expectation of reaching, retirement or, where they are supplementary to those benefits and provided on an ancillary basis, in the form of payments on death, disability, or cessation of employment or in the form of support payments or services in case of sickness, indigence or death. In order to facilitate financial security in retirement, these benefits may take the form of payments for life, payments made for a temporary period, a lump sum, or any combination thereof;

  • Regular benefits ’ means benefits payable to an individual under this act or under any other state law, including benefits payable to federal civilian employees and to ex-servicemen pursuant to 5 U.S.C. chapter 85, other than extended benefits.

  • Disability benefits means any cash payments which are payable to a covered individual for all or part of a period of disability pursuant to P.L.1948, c.110 (C.43:21-25 et al.).

  • Health benefit plan means a policy, contract, certificate or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.

  • Disability Benefit means the benefit set forth in Article 8.

  • SERP Benefit means the benefit described in Section 5.1.

  • Annual Benefit means an annual sum of fifty thousand dollars ($50,000) multiplied by the Applicable Percentage (defined below) and then reduced to the extent required: (i) under the other provisions of this Agreement; (ii) by reason of the lawful order of any regulatory agency or body having jurisdiction over the Employer; and (iii) in order for the Employer to properly comply with any and all applicable state and federal laws, including, but not limited to, income, employment and disability income tax laws (eg., FICA, FUTA, SDI).

  • Business Benefit Plan means each Benefit Plan that is contributed to, sponsored, maintained or entered into by Seller or a Retained Subsidiary, a Purchased Subsidiary or any Affiliate of any of them for the benefit of any Business Employee.

  • Public benefit means making capital available, or facilitating the availability of capital, to businesses in this state that have 750 or fewer employees, the intent of which is to create or retain employment opportunities for residents of this state, stabilize or increase the tax base of this state, or support the redevelopment of facilities for use by small businesses.

  • Seller Benefit Plan means each Benefit Plan sponsored, maintained or contributed to by Seller or any of its Subsidiaries or with respect to which Seller or any of its Subsidiaries is a party and in which any Employee is or becomes eligible to participate or derive a benefit.

  • Parent Benefit Plans has the meaning set forth in Section 5.07(b).

  • Basic Plan means as to any Member or Vested Former Member the defined benefit pension plan of the Company or an Affiliated Employer intended to meet the requirements of Code Section 401(a) pursuant to which retirement benefits are payable to such Member or Vested Former Member or to the Surviving Spouse or designated beneficiary of a deceased Member or Vested Former Member.

  • CAFRA Planning Map means the map used by the Department to identify the location of Coastal Planning Areas, CAFRA centers, CAFRA cores, and CAFRA nodes. The CAFRA Planning Map is available on the Department's Geographic Information System (GIS).

  • Retirement Benefit means the benefit set forth in Article 5.

  • Death Benefit means the insurance amount payable under the Certificate at death of the Insured, subject to all Certificate provisions dealing with changes in the amount of insurance and reductions or termination for age or retirement. It does not include any amount that is only payable in the event of Accidental Death.

  • Health benefits plan means a benefits plan which pays or