Classification of benefits definition

Classification of benefits means inpatient in-network benefits, inpatient out-of-network benefits, outpatient in-network benefits, outpatient out-of-network benefits, prescription drug benefits, and emergency care benefits. These classifications of benefits are the only classifications that may be used except that there may be sub- classifications within both outpatient classifications differentiating office visits from other outpatient items and services, including outpatient surgery, facility charges for day treatment centers, laboratory charges, and other medical items;
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Classification of benefits means the classifications of benefits 14 found at 45 C.F.R. 146.136(c)(2)(ii)(A) and 45 C.F.R. 15 s.146.136(c)(3)(iii).
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Classification of benefits means inpatient in-network benefits, inpatient out-of-network benefits, outpatient in-network benefits, outpatient out-of-network benefits, prescription drug benefits, and emergency care benefits; these classifications of benefits are the only classifications that may be used.
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Examples of Classification of benefits in a sentence

  • In this example, the minimum weighted average annual dollar limit that can be applied to mental health or substance use disorder benefits is $640,000 (40% × $100,000 + 60%× $1,000,000 = $640,000).(c) Parity requirements with respect to financial requirements and treatment limitations—(1) Clarification of terms—(i) Classification of benefits.

  • In this example, the minimum weighted average an- nual dollar limit that can be applied to men- tal health or substance use disorder benefits is $640,000 (40% × $100,000 + 60% × $1,000,000 =$640,000).(c) Parity requirements with respect to financial requirements and treatment limi- tations—(1) Clarification of terms—(i) Classification of benefits.

  • Classification of benefits of R&D programsCategories SubcategoriesValue-creating benefit Consumer-based benefit Producer-based benefitCost-reducing benefit Production cost-reducing benefit Damage cost-reducing benefitCost-benefit analysis is used as the basic method to analyze the effects of an R&D program on the national economy.

  • Classification of benefits Short-term employee benefits: amendments issued in 2011 BC16 The amendments made in 2011 clarify that the classification of benefits as short-term employee benefits depends on the period between the end of the annual reporting period in which the employee renders the service that gives rise to the benefit and the date when the benefit is expected to be settled.

  • For purposes of this paragraph (c)(4), the weighting applica- ble to any category of medical/surgical benefits is determined in the manner set forth in paragraph (c)(3) of this sec- tion for determining one-third or two- thirds of all medical/surgical benefits.(d) Parity requirements for financial re- quirements and treatment limitations—(1) Clarification of terms—(i) Classification of benefits.

  • Figure 3 Classification of benefits based on spatial characteristics (author’s illustration based on Costanza, 2008)Lau 2013 argues that protection of ecosystems often get financed for its carbon sequestration function.


More Definitions of Classification of benefits

Classification of benefits means inpatient in-network benefits,
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Classification of benefits means the classifications of benefits 29 found at 45 C.F.R. 146.136(c)(2)(ii)(A) and 45 C.F.R. 30 146.136(c)(3)(iii).
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Classification of benefits means the classifications of benefits found at 45 C.F.R.
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Classification of benefits means the classifications of benefits 31 found at 45 C.F.R. 146.136(c)(2)(ii)(A) and 45 C.F.R. 32 146.136(c)(3)(iii).
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Classification of benefits means the classifications of benefits 37 found at 45 C.F.R. 146.136(c)(2)(ii)(A) and 45 C.F.R. 38 146.136(c)(3)(iii).
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Classification of benefits means the classification of benefits set forth in 45 7 C.F.R. sec. 146.136(c)(2)(ii)(A);
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Related to Classification of benefits

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

  • Assignment of Benefits means an arrangement whereby the Plan Participant assigns their right to seek and receive payment of eligible Plan benefits, in strict accordance with the terms of this Plan Document, to a Provider. If a provider accepts said arrangement, Providers’ rights to receive Plan benefits are equal to those of a Plan Participant, and are limited by the terms of this Plan Document. A Provider that accepts this arrangement indicates acceptance of an “Assignment of Benefits” as consideration in full for services, supplies, and/or treatment rendered.

  • Schedule of Benefits means the section of this policy which shows, among other things, the Eligibility Requirements, Eligibility Waiting Period, Elimination Period, Amount of Insurance, Minimum Benefit, and Maximum Benefit Period.

  • Societal benefits charge means a charge imposed by an electric

  • 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;

  • Net Benefits Test means a calculation to determine whether the benefits of a reduction in price resulting from the dispatch of Economic Load Response exceeds the cost to other loads resulting from the billing unit effects of the load reduction, as specified in Operating Agreement, Schedule 1, section 3.3A.4 and the parallel provisions of Tariff, Attachment K-Appendix, section 3.3A.4.

  • Termination Benefits means the benefits described in Section 4.1(b).

  • Separation Benefits has the meaning accorded such term in Section 3.04.

  • Change in Control Benefits means the following benefits:

  • 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.

  • 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.

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • 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.

  • 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.

  • Social Security Benefits means any social insurance, pension insurance benefits, medical insurance benefits, work-related injury insurance benefits, maternity insurance benefits, unemployment insurance benefits and public housing reserve fund benefits or similar benefits, in each case as required by any applicable Law or contractual arrangements.

  • Severance Compensation means the compensation set forth in (i), (ii), and (iv) above.

  • Net death benefit means the amount of the life insurance policy or certificate to be settled less any outstanding debts or liens.

  • 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.).

  • Covered benefits or “benefits” means those health care services to which a covered person is entitled under the terms of a health benefit plan.

  • Employment benefits means all benefits provided or made

  • Accrued Benefits shall include the following amounts, payable as described herein: (i) all base salary for the time period ending with the Termination Date; (ii) reimbursement for any and all monies advanced in connection with the Executive’s employment for reasonable and necessary expenses incurred by the Executive on behalf of the Employer for the time period ending with the Termination Date; (iii) any and all other cash earned through the Termination Date and deferred at the election of the Executive or pursuant to any deferred compensation plan then in effect; (iv) notwithstanding any provision of any bonus or incentive compensation plan applicable to the Executive, but subject to any deferral election then in effect, a lump sum amount, in cash, equal to the sum of (A) any bonus or incentive compensation that has been allocated or awarded to the Executive for a fiscal year or other measuring period under the plan that ends prior to the Termination Date but has not yet been paid (pursuant to Section 5(f) or otherwise) and (B) a pro rata portion to the Termination Date of the aggregate value of all contingent bonus or incentive compensation awards to the Executive for all uncompleted periods under the plan calculated as to each such award as if the Goals with respect to such bonus or incentive compensation award had been attained at the target level (reduced, but not below zero, by amounts paid under all such contingent bonus or incentive compensation awards upon the Change in Control of the Company to the extent such amounts relate to the same period of time); and (v) all other payments and benefits to which the Executive (or in the event of the Executive’s death, the Executive’s surviving spouse or other beneficiary) may be entitled on the Termination Date as compensatory fringe benefits or under the terms of any benefit plan of the Employer, excluding severance payments under any Employer severance policy, practice or agreement in effect on the Termination Date. Payment of Accrued Benefits shall be made promptly in accordance with the Company’s prevailing practice with respect to clauses (i) and (ii) or, with respect to clauses (iii), (iv) and (v), pursuant to the terms of the benefit plan or practice establishing such benefits; provided that payments pursuant to clause (iv)(B) shall be paid on the first day of the seventh month following the month in which the Executive’s Separation from Service occurs, unless the Executive’s Separation from Service is due to death, in which event such payment shall be made within 90 days of the date of Executive’s death.

  • Employee Contribution means any contribution made to the Plan by or on behalf of a Participant that is included in the Participant's gross income in the year in which made and that is maintained under a separate account to which earnings and losses are allocated.

  • Adoption Agreement means the written agreement pursuant to which the Employer adopts the Plan. The Adoption Agreement is a part of the Plan as applied to the Employer.

  • Change in Control Severance Benefits means the benefits payable pursuant to Section 3 of this Agreement.

  • Compensation Accrued at Termination means the following:

  • Additional gap medical benefits means the benefits (if any) payable in respect of medical expenses that are more than the schedule fee and which otherwise meet the requirements of the fund’s no or known gap policy, provided always that the medical expenses relate to a professional service that: