Maximum Benefit Limit definition

Maximum Benefit Limit or “Lifetime Limit” means the amount determined by CUA Health or another private health insurer at which no further benefits shall be payable for that person for services.
Maximum Benefit Limit means the maximum amount of all benefits payable under the Plan to, or with respect to, any Participant for a single Bodily Injury, and/or with respect to all Participants related to all Bodily Injuries arising from a single Occurrence. The Maximum Benefit Limit per Participant and per Occurrence for this Plan are as shown in the Schedule of Benefits.
Maximum Benefit Limit means the maximum amount, as stated in each Schedule or as notified in writing by MLC from time to time that can be paid for the following specified type of Cover in respect of an individual Insured Member :

Examples of Maximum Benefit Limit in a sentence

  • The maximum limit payable between all events will not exceed the Maximum Benefit Limit shown in the Schedule of Benefits.

  • Maximum Benefit Limit of Liability: All limits are applied per person.

  • Benefit payments for transplant charges are included under the Organ Transplant Maximum Benefit Limit shown in the Schedule of Benefits.

  • The total payable for all Covered Medical Expenses will be no more than the Maximum Benefit Limit per Sickness or Injury.

  • Azmat was not qualified, competent or credentialed to perform endovascular procedures.

  • The Maximum Benefit Limit of Liability” provision, located within the “General Provisions” section of the policy is hereby deleted in its entirely.T7000IP-A&H-AE.TN TEXASThe policy is hereby amended for Texas as follows: 1.

  • All Covered Services apply towards the Annual Maximum Benefit Limit except for Chiropractic Care Services, Diabetes Self-Management Education Services, Hospice Services and Blue Distinction Center for Transplant (BDCT) Travel Benefits.

  • The Maximum Benefit Limit of Liability” provision, located within the “General Provisions” section of the policy is hereby deleted in its entirely.

  • Maximum Benefit Limit of Liability: All limits are applied per Trip.

  • If the process indeed alters then refreshed thought about participation mix is needed; and that thinking would necessarily need to bear in mind how to maintain and exceed current participatory credentials.


More Definitions of Maximum Benefit Limit

Maximum Benefit Limit means the total amount of all benefits payable to, or with respect to, any Participant under the Plan with respect to an Injury. Payments made for each form of benefit shall be counted towards the Maximum Benefits Limit amount. The Maximum Benefit Limit for this plan is $300,000; provided, however, that the aggregate amount of the Maximum Benefit Limits with respect to claims of all Participants arising out of a single Accident, or related series of Accidents, or Occupational Disease or Cumulative Trauma exposure, shall not exceed $1,000,000. Such aggregate amount may proportionally reduce the Maximum Benefit Limit applicable to each Participant involved in such Accident, related series of Accidents, or exposure, in such manner as the Claims Administrator or Appeals Committee may determine (p. 15).

Related to Maximum Benefit Limit

  • BENEFIT LIMIT means the total benefit allowed under this plan for a covered healthcare service. The benefit limit may apply to the amount we pay, the duration, or the number of visits for a covered healthcare service.

  • Annual Benefit Limit means the maximum amount of benefits paid by the Company to the Policy Holder in a Policy Year irrespective of whether any limits of any benefit items stated in the Benefit Schedule have been reached. The Annual Benefit Limit is counted afresh in a new Policy Year.

  • Lifetime Benefit Limit means the maximum amount of benefits paid by the Company to the Policy Holder cumulatively since the inception of these Terms and Benefits, irrespective whether any limits of any benefit items stated in the Benefit Schedule have been reached or whether the Annual Benefit Limit in a Policy Year has been reached.

  • Maximum Benefit Amount means the maximum amount payable for coverage provided to You as shown in the Schedule of Benefits.

  • benefit liabilities has the meaning specified in section 4001 of ERISA and the terms “current value” and “present value” have the meaning specified in section 3 of ERISA.

  • Annual Addition The sum of the following amounts allocated on behalf of a Participant for a Limitation Year, of (i) all Employer contributions; (ii) all forfeitures; and (iii) all Employee contributions. Except to the extent provided in Treasury regulations, Annual Additions include excess contributions described in Code Section 401(k), excess aggregate contributions described in Code Section 401(m) and excess deferrals described in Code Section 402(g), irrespective of whether the plan distributes or forfeits such excess amounts. Annual Additions also include Excess Amounts reapplied to reduce Employer contributions under Section 3.10. Amounts allocated after March 31, 1984, to an individual medical account (as defined in Code Section 415(l)(2)) included as part of a defined benefit plan maintained by the Employer are Annual Additions. Furthermore, Annual Additions include contributions paid or accrued after December 31, 1985, for taxable years ending after December 31, 1985, attributable to post-retirement medical benefits allocated to the separate account of a key employee (as defined in Code Section 419A(d)(3)) under a welfare benefit fund (as defined in Code Section 419(e)) maintained by the Employer.

  • Annual Additions means the sum of the following amounts credited to a Participant for a Limitation Year:

  • Canadian Defined Benefit Pension Plan means a Canadian Pension Plan that contains or has ever contained a “defined benefit provision” as such term is defined in Section 147.1(1) of the Income Tax Act (Canada).

  • Benefit Amount shall have the meaning set forth in Section 20.12 hereof.

  • Disability allowance means monthly payments during

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

  • Final Average Compensation means the aggregate amount of a member's compensation earned within the averaging period in which the aggregate amount of compensation was highest divided by the member's number of years, including any fraction of a year, of credited service during the averaging period. The averaging period shall be 36 consecutive calendar months if the member contributes to the member investment plan except for a member who contributes to the member investment plan and first became a member on or after July 1, 2010; otherwise, the averaging period shall be 60 consecutive calendar months. A member who contributes to the member investment plan and first became a member on or after July 1, 2010 shall also have an averaging period of 60 consecutive calendar months. If the member has less than 1 year of credited service in the averaging period, the number of consecutive calendar months in the averaging period shall be increased to the lowest number of consecutive calendar months that contains 1 year of credited service.

  • Average final compensation means the average annual creditable compensation of a member during

  • Extended benefit period means a period which: