EGWP Benefit definition

EGWP Benefit means the prescription drug benefit to be administered by MCLIC under this Agreement, as defined in the Recitals above and as further described in the Client Group Health Plan document, its summary plan description, and its summary of benefits, the latter of which is attached hereto as Exhibit A, as may be amended from time to time in accordance with the terms of this Agreement.
Sample 1Sample 2
EGWP Benefit means the prescription drug benefit to be administered by Express Scripts under this Agreement, as defined in the Description of Goods and Services in Exhibit A and as further described in the TRB Group Health Plan document, its summary plan description, and its summary of benefits, as may be amended from time to time in accordance with the terms of this Agreement.
Sample 1
EGWP Benefit means the prescription drug benefit to be administered by MCLIC under this EGWP Addendum, as defined in the Recitals above and as further described in the Sponsor plan document, its summary plan description, and its summary of benefits, as may be amended from time to time in accordance with the terms of this EGWP Addendum.
Sample 1Sample 2

Examples of EGWP Benefit in a sentence

  • If an EGWP Enrollee makes a voluntary request to be disenrolled from the EGWP Benefit (the “Voluntary Disenrollee”) to the Agency, then the Agency shall notify Express Scripts at least sixty (60) days prior to the effective date of such Voluntary Disenrollee’s disenrollment, in a manner and format agreed upon by the parties.

  • Without limiting the generality of the foregoing, the parties acknowledge that, for the purposes of HIPAA compliance, each of Express Scripts and the TRB Group Health Plan is a Covered Entity, and that, with respect to the EGWP Benefit, Express Scripts and the TRB Group Health Plan shall be deemed to be an Organized Health Care Arrangement.

  • The Agency acknowledges and agrees that Express Scripts may update the Enrollment File any and all information concerning Part D Eligible Retirees upon receipt of corrected information from CMS, and Express Scripts may use such corrected information to obtain a Part D Eligible Retiree’s enrollment in the EGWP Benefit.

  • A Part D Eligible Retiree will not be enrolled in the EGWP Benefit unless such individual is listed on both the Enrollment File submitted by the Agency and the CMS eligibility files.

  • If Express Scripts, using reasonable efforts, is not able to obtain all missing information from a Part D Eligible Retiree within twenty-one (21) days after receiving the Agency’s initial request for enrollment of the Part D Eligible Retiree in the EGWP Benefit, then the Agency’s request shall be deemed cancelled and Express Scripts or its Affiliate shall notify the individual of his or her non-enrollment in the EGWP Benefit and shall take all other action as required by applicable law.

  • The Agency and Express Scripts acknowledges and agree that, the Agency’s plan is a governmental plan and in providing services under this Agreement and administering the EGWP Benefit, neither Express Scripts nor any of Express Scripts’ Affiliates is acting as a fiduciary (as defined in Section 3.21(a) of ERISA) of the TRB Group Health Plan.

  • In accordance with the Medicare Drug Rules, Express Scripts hereby delegates the premium collection function to the Agency and hereby directs the Agency, on behalf of Express Scripts, to collect all monthly premium payments due from EGWP Enrollees for participation in the EGWP Benefit.

  • If the Agency does not timely notify Express Scripts of such Voluntary Disenrollee’s disenrollment in the EGWP Benefit, then Express Scripts shall submit a retroactive disenrollment request to CMS.

  • Express Scripts and the TRB Group Health Plan may transmit and receive PHI as necessary for the operation of the EGWP Benefit.

  • Express Scripts will work with the Agency to determine if such individual has been rejected due to an administrative or clerical error (e.g., data field standards errors, rejections related to information input by Express Scripts related to the EGWP Benefit into the CMS system, etc.), or an error requiring individual retiree contact, and if so in either case, Express Scripts will take appropriate action and attempt to correct such error and resubmit the individual through the CMS system.

Related to EGWP Benefit

  • Accrued Benefit means the amount standing in a Participant's Account(s) as of any date derived from both Employer contributions and Employee contributions, if any.

  • Plan Benefit means the benefit payable to a Participant as calculated in Article V.

  • 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.

  • Termination Benefit means the benefit set forth in Article 7.

  • Net Benefit means the present value of the Covered Payments net of all federal, state, local, foreign income, employment and excise taxes.

  • Normal Retirement Benefit means an annual benefit equal to One Hundred Fifty Thousand Dollars and No/100 ($150,000.00) per year, payable in accordance with the terms of this Agreement. Beginning on the thirteenth month that the Normal Retirement Benefit is paid, and continuing thereafter until paid in full, the Normal Retirement Benefit shall be increased annually by three percent (3%) from the previous year’s Normal Retirement Benefit amount to account for cost of living increases.

  • Monthly Benefit means the monthly amount payable by Liberty to you if you are Disabled or Partially Disabled.

  • Supplemental Benefit means the monthly benefit payable to the Executive under this Agreement.

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

  • Early Retirement Benefit means the retirement benefit payable to a member following early

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

  • 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).

  • Service benefit means the credit toward retirement benefits as determined by the

  • 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;

  • Supplemental Retirement Benefit means the benefit determined under Article V of this Plan.

  • 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.

  • Pre-Retirement Survivor Benefit means the benefit set forth in Article 6.

  • Change in Control Benefit means the benefit described in Section 2.4.

  • Pension Benefit means a pension, annuity, gratuity or similar allowance which is payable—

  • Last Monthly Benefit means the gross Monthly Benefit payable to the Insured Employee immediately prior to death. Any reductions for Other Income Benefits, or for earnings the Insured Employee received for Partial Disability Employment, will not apply.

  • relevant benefit means any benefit specified in paragraph 21(2); and

  • Severance Benefit means the payment of severance compensation as provided in Article III.

  • Actuarial equivalent means a benefit of equal value when

  • Maximum Benefit means the maximum benefit amount of each of the benefits covered under this Policy as stated in the Schedule of Benefits.

  • Surviving Spouse means the widow or widower, as the case may be, of a Deceased Participant or a Deceased Beneficiary (as applicable).