Health benefits contract definition

Health benefits contract means an agreement to provide benefits consisting of health care, provided directly, through insurance or reimbursement, or otherwise and including items and services paid for as health care, under any policy, certificate, or agreement offered by a health insurance entity; provided,
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Health benefits contract means an agreement to provide benefits consisting of health care, provided directly, through insurance or reimbursement, or otherwise and including items and services paid for as health care, under any policy, certificate, or agreement offered by a health insurance entity. A "health benefits contract" does not include policies or certificates covering only accident; credit; disability income; long-term care; hospital indemnity; Medicare supplement as defined in § 1882(g)(1) of the Social Security Act (42 U.S.C. § 1395ss(g)(1)); specified disease; other limited benefit health insurance; automobile medical payment insurance; or insurance under which benefits are payable with or without regard to fault and that are statutorily required to be contained in any liability insurance policy or equivalent self-insurance.
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Health benefits contract means a Contract, endorsement, or other agreement which, by its terms, provides coverage for health care services and/or supplies to Members. This may include, but is not limited to, group or individual Comprehensive, Preferred Provider Organization ("PPO"), Point of Service, or Medicare Supplement contracts.
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Examples of Health benefits contract in a sentence

  • HEALTH BENEFITS BE IT RESOLVED that the Parsippany-Troy Hills Board of Education re- new the Health benefits contract with Doyle Alliance Group to provide health benefits for the Employees of the Parsippany-Troy Hills School Dis- trict for the period of July 1, 2016 through June 30, 2017.

  • Health benefits contract means a contract or other agreement between an employing entity or a designee and a carrier for the provision of, or payment for, health benefits to eligible employees or to eligible employees and their eligible dependents.


More Definitions of Health benefits contract

Health benefits contract means an agreement to provide benefits consisting of health care, provided directly, through insurance or reimbursement, or otherwise and including items and services paid for as health care, under any
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Related to Health benefits contract

  • Health benefits plan means a benefits plan which pays or

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

  • 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.

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

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • 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.

  • Retirement Plans means the retirement income, supplemental executive retirement, excess benefits and retiree medical, life and similar benefit plans providing retirement perquisites, benefits and service credit for benefits at least as great in the aggregate as are payable thereunder prior to a Change in Control;

  • Flexi Plan means any individual indemnity hospital insurance plan under the VHIS framework with enhancement(s) to any or all of the protections or terms and benefits that the Standard Plan provides to the Policy Holder and the Insured Person, subject to certification by the Government. Such plan shall not contain terms and benefits which are less favourable than those in the Standard Plan, save for the exception as may be approved by the Government from time to time.

  • Health insurance plan means any health insurance policy or health benefit plan offered by a health insurer or a subcontractor of a health insurer, as well as Medicaid and any other public health care assistance program offered or administered by the State or by any subdivision or instrumentality of the State. The term includes vision care plans but does not include policies or plans providing coverage for a specified disease or other limited benefit coverage.

  • Retirement Plan means a plan which provides retirement benefits to you and which is not funded wholly by your contributions. The term shall not include a profit-sharing plan, informal salary continuation plan, registered retirement savings plan, stock ownership plan, 401(K) or a non-qualified plan of deferred compensation.

  • 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.

  • Severance Plan means any severance plan maintained by the Company that is applicable to the Participant.

  • Health and Welfare Benefits means any form of insurance or similar benefit programs, which may include but not be limited to, medical, hospitalization, surgical, prescription drug, dental, optical, psychiatric, life, or long-term disability.

  • SERP has the meaning assigned thereto in Section 5(c) hereof.

  • 401(k) Plan shall have the meaning set forth in Section 6.3(a).

  • Company 401(k) Plan has the meaning set forth in Section 6.4(e).

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Health plan or "health benefit plan" means any policy,

  • 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.

  • Compensation Plans shall have the meaning set forth in Section 3.11(b).

  • Basic health plan means the plan described under chapter

  • Safety Plan means a written document that has procedures, requirements, or standards related to safety which the pool staff shall follow. The safety plan shall include training and emergency response procedures.

  • Retiree means any person who has begun accruing a retirement

  • Business Continuity Plan means any plan prepared pursuant to clause H5.6, as may be amended from time to time.

  • Pharmacy benefits management means the administration or management of prescription drug

  • Transition Plan means a transition plan, acceptable to the LHIN that indicates how the needs of the HSP’s clients will be met following the termination of this Agreement and how the transition of the clients to new service providers will be effected in a timely manner; and