HMO Plans definition

HMO Plans means commercial contracts for health care services provided by Company to Contractholders in the Service Area utilizing the Company's network of healthcare providers 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

  • Includes estimated PPO Plan and Self-Insured HMO Plans Incurred but not Reported (IBNR) claims and outstanding drafts.

  • 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.

  • Your experience in marketing a significant volume of other insurance and financial services products to members of Bar Associations and other Professional Associations, such as AD&D Policies, Automobile, Annuities and Retirement Plans, Business Owners Policies (e.g. Fire, Theft, Premises Liability), Disability Policies, Home Owner’s Policies, Long Term Care Policies, Health Insurance and/or HMO Plans, Professional Liability (Malpractice) Coverage, and Umbrella Policies.

  • All three HMO Plans cover a wide range of medical expenses, includingprescription drugs, vision care, and behavioral health.

  • Keystone Health Plan East HMO Plans are underwritten by Keystone Health Plan East.

  • 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.

  • For the District’s PPO Plan(s) and HMO Plan(s), the Board shall pay an amount equal to 88% of the premium.

  • 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.

  • 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.

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 has the meaning set forth in Section 4.10(a).

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

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

  • ERISA Plans has the meaning set forth in Section 3.21(a).

  • Employee Plans has the meaning set forth in Section 3.14(b).

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

  • Old Plans has the meaning set forth in Section 6.8(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 maintained, or contributed to, by the Seller, any Subsidiary or any ERISA Affiliate.

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

  • Health and Welfare Plans means any Benefit Plan that 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 preferred provider organization, exclusive provider organization, and high deductible health plan coverages), dental, prescription, vision, short-term disability, long-term disability, life and accidental death and dismemberment, 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, vacation benefits, apprenticeship or other training programs, 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).