Description of Benefits definition

Description of Benefits section”:
Sample 1Sample 2Sample 3
Description of Benefits means a written determination that an applicant is eligible for health care aid or subsistence aid or both. A description of benefits expires 90 days after the date of eligibility is established and printed by the department unless extended by the department.
Sample 1Sample 2Sample 3
Description of Benefits means a written determination that an applicant is eligible for health care aid or subsistence aid or both. A description of benefits expires 90 days after the
Sample 1Sample 2

Examples of Description of Benefits in a sentence

  • Refer to your Master Group Policy or Description of Benefits, on file with your employer, for a complete listing of benefits, maximums, exclusions and limitations.

  • Description of Benefits The following Provisions explain the benefits available under the Policy.

  • Complete benefit details are provided in the Description of Benefits section of this booklet.

  • Frequency Limitations are listed in Schedule A, Description of Benefits and Copayments.

  • Certain limitations for Accidental Death and Dismemberment are outlined in the Description of Benefits.

  • Promotional give-aways are small tokens with storm water education slogans and graphics.

  • Whenever reference is made in this Warrant Agreement to the countersignature of the Warrant Agent, such reference shall be deemed to include countersignature on behalf of the Warrant Agent by such agent.

  • No individual may be eligible for coverage hereunder as an Employee and as a Dependent of an Employee at the same time.DESCRIPTION OF BENEFITS Subject to the exclusions, conditions and limitations of this Plan, a Covered Person is entitled to benefits for the Covered Services described in this Description of Benefits section during a Benefit Period, subject to any Cost-Sharing or Out-of-Pocket Limits.

  • We do not pay for a service or supply unless it is Medically Necessary and listed in the Description of Benefits below.

  • All frequency Limitations are listed in Schedule A, Description of Benefits and Copayments.


More Definitions of Description of Benefits

Description of Benefits. The term Description of Benefits means the document which describes for the Employer the Benefit Program.
Sample 1Sample 2
Description of Benefits means the document describing the Covered Benefits applicable to the dental services provided by Dentist pursuant to this Addendum. The Description of Benefits specifies by dental procedure code: prior authorization requirements; claim submission requirements; frequency limitations; duration limitations; other limitations; and, additional documentation requirements. The Description of Benefits applicable to this Addendum shall be the version posted by LIBERTY on the Provider Web Portal, which may be amended by LIBERTY from time to time.
Sample 1
Description of Benefits means a written determination that an
Sample 1
Description of Benefits. Class l: Class ll: Class l Covered Expenses: * Oral Examination, but not more than one examination in any period of six consecutive months. * Dental x-rays as required by the attending dentist with full mouth x-rays not more often than once every thirty-six (36) month period. * Cleaning and scaling of teeth. * Topical application of sodium or stannous fluoride. * Space maintainers when placed primarily to maintain space and not for orthodontic purposes. * Extraction and other surgical procedures including excision of impacted teeth, and anesthetics administered in connection with such surgery or other covered services. * All necessary procedures for filling teeth with amalgam, synthetic porcelain and stainless steel crowns. Gold may be used only where no other material is adequate and with prior approval of the insurance company. Restoration services will include, where necessary: * Repairs to or re-cementing of crown, inlays, bridgework or dentures or relining of dentures. * Necessary procedure for treatment of pulpally involved teeth including root canal therapy. * Treatment for diseases of the gums and soft tissues of the mouth.
Sample 1

Related to Description 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.

  • 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.

  • 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.

  • 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.

  • 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.

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

  • Form of Agreement means the form of agreement contained in Part D of the RFP;

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

  • Description of Notes means the “Description of the Notes” section of the Final Offering Memorandum.

  • 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;

  • Compensation and Benefits Programs means all compensation and benefit plans, policies, and programs of the Debtors, and all amendments and modifications thereto, applicable to the Debtors’ employees, former employees, retirees, and non-employee directors and the employees, former employees and retirees of their subsidiaries, including all savings plans, retirement plans, health care plans, disability plans, and incentive plans, deferred compensation plans, and life, accidental death, and dismemberment insurance plans.

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

  • Health benefits plan means a benefits plan which pays or

  • Primary Social Security Benefit means, with respect to any member, the primary insurance amount

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

  • 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.

  • 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.).

  • Essential Health Benefits means, under section 1302(b) of the Patient Protection and Affordable Care Act, those health benefits to include at least the following general categories and the items and services covered within the categories: ambulatory patient services; Emergency Services; hospitalization; maternity and newborn care; mental health and substance abuse disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services and chronic disease management; and pediatric services, including oral and vision care.

  • Early identification and assessment of disabilities in children means the implementation of a formal plan for identifying a disability as early as possible in a child's life.

  • Social Security Benefit means an amount received by a claimant as a monthly benefit in accordance with the Social Security Act, 42 U.S.C. Sec. 401 et seq.

  • Deferral Agreement means the annual written agreement between the Funds and the Participant to defer Compensation under the Plan.

  • 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.

  • Business Continuity and Disaster Recovery Plan means the Schedule containing plans and provisions for business continuity and disaster recovery.

  • Societal benefits charge means a charge imposed by an electric

  • 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.