HMO Plans definition

HMO Plans means commercial contracts for health care services provided by PHS to Contractholders in the Service Area utilizing the PHS Network to provide health care services when such contracts are marketed and sold under the tradename "The Guardian & PHS Healthcare Solutions," or such other tradename as the parties may mutually agree to from time to time. HMO Plans include HMO Plans with a "point-of-service" feature.
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Examples of HMO Plans in a sentence

  • Employees in this group who elect upon retirement to enroll in any PPO plan other than a PPO 10 plan, any of the approved HMO Plans or a HDHP in retirement shall not have to contribute to the cost of any premium for health insurance coverage.

  • Employees in this group who elect to enroll in a PPO10 plan and earn $40,000 or more in base salary in the year they retire shall pay the difference between the cost of that plan and the average of the cost to the State of the other PPO plans and the approved HMO Plans for health insurance coverage.

  • On the following pages, please select the desired coverage(s) from one or more of the following plans: (1) CalCPA Health Medical Plans; (2) Anthem Blue Cross HMO Plans); (3) Vision Service Plan; (4) Dental Plans; and/or (5) Group Long-Term Disability and Group Term Life.

  • If the termination affects participation with respect to HMO Plans, the advisory review panel shall be composed of providers appointed by Beech, including at least one representative in the affected provider's specialty or a similar specialty, if available, who serve on a standing Quality Management committee or Utilization Management committee.

  • Employees in this bargaining unit shall have a choice of enrolling themselves and their eligible dependents in any of the City sponsored medical, dental and visions plans or Operating Engineer Health and Welfare Trust Fund Plan (PPO Plans A, B, C, and D, and Kaiser HMO Plans A and B).

  • For HMO Plans, members must select a PCP before receiving routine or specialty care.

  • Members enrolled under HPN’s HMO Plans who use the services of Non-Plan Providers will receive no benefit payments or reimbursement for amounts for any Covered Service, except in the case of Emergency Services or Urgently Needed Services; or for other Covered Services, as defined in this EOC, provided by a Non-Plan Provider that are Prior Authorized by HPN’s Managed Care Program.

  • Employees in this group who elect to enroll in the Managed Care/Point of Service (NJ Plus) or any of the approved HMO Plans in retirement shall not have to contribute to the cost of any premium for health insurance coverage.

  • Shea Ear Clinic does NOT participate with TENNCARE or most HMO Plans.

  • Employees in this group who elect to enroll in the Traditional Plan and earn $40,000 or more in base salary in the year they retire shall pay the difference between the cost of the Traditional Plan and the average of the cost to the State of the Managed Care/Point of Service (NJ Plus) and the approved HMO Plans for health insurance coverage.

Related to HMO Plans

  • Seller Plans has the meaning set forth in Section 3.13(a).

  • Welfare Plans shall have the meaning set forth in Section 3.2.4.

  • Company Plans shall have the meaning set forth in Section 3.14(a).

  • Qualified Plans has the meaning set forth in Section 5.20.

  • New Plans has the meaning set forth in Section 5.5(b).

  • ERISA Plans shall have the meaning set forth in Section 3.13(a).

  • Employee Plans means all Benefit Arrangements, Multiemployer Plans, Pension Plans and Welfare Plans.

  • Company Employee Plans has the meaning set forth in Section 3.12(a).

  • Old Plans shall have the meaning set forth in Section 5.11(b).

  • Health Plans means any and all individual and family health and hospitalization insurance and/or self-insurance plans, medical reimbursement plans, prescription drug plans, dental plans and other health and/or wellness plans.

  • Foreign Plans shall have the meaning set forth in Section 3.11(d).

  • Title IV Plans means all Pension Plans that are subject to Title IV of ERISA, 29 U.S.C. Section 1301 et seq., other than Multi-Employer Plans.

  • Statutory Plans means statutory benefit plans which a Party and any of its Subsidiaries are required to participate in or comply with, including any benefit plan administered by any federal or provincial government and any benefit plans administered pursuant to applicable health, tax, workplace safety insurance, and employment insurance legislation;

  • Buyer Plans has the meaning set forth in Section 6.02(b).

  • Benefit Plans shall have the meaning set forth in Section 3.13(a).

  • Seller Plan means any Employee Benefit Plan that is maintained or sponsored by the Seller or any Subsidiaries of the Seller (other than the Companies and their Subsidiaries) for the benefit of any current or former NewCo Employee.

  • Welfare Plan means a “welfare plan” as defined in Section 3(1) of ERISA.

  • Health and Welfare Plans means any plan, fund or program which was established or is maintained for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or otherwise, medical (including PPO, EPO and HDHP coverages), dental, prescription, vision, short-term disability, long-term disability, life and AD&D, employee assistance, group legal services, wellness, cafeteria (including premium payment, health flexible spending account and dependent care flexible spending account components), travel reimbursement, transportation, or other benefits in the event of sickness, accident, disability, death or unemployment, or vacation benefits, apprenticeship or other training programs or day care centers, scholarship funds, or prepaid legal services, including any such plan, fund or program as defined in Section 3(1) of ERISA.

  • Parent Plans has the meaning set forth in Section 6.4(c).

  • 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;

  • Company Benefit Plans has the meaning set forth in Section 3.16(a).

  • Pension Plans The meaning specified in Section 4.1(v).

  • Benefit Arrangements has the meaning set forth in Section 4.20(b).

  • Canadian Benefit Plans means all material employee benefit plans of any nature or kind whatsoever that are not Canadian Pension Plans and are maintained or contributed to by any Credit Party having employees in Canada.

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

  • Purchaser Plans shall have the meaning set forth in Section 6.6(a)(v).