Plan Administration Functions definition

Plan Administration Functions means administrative functions performed by the PEBP on behalf of the Plan, excluding functions performed by the PEBP in connection with any other benefit or benefit Plan of the PEBP.

Plan Administration Functions means the administration functions performed by the Plan Sponsor on behalf of the Plan. Plan Administration Functions do not include functions performed by the Plan Sponsor in connection with any other benefit plan of the Plan Sponsor.

Plan Administration Functions means administrative functions performed by the Employer on behalf of the Group Health Plan. Plan Administration Functions do not include any functions performed by the Employer in connection with any other benefit or benefit plan.

Examples of Plan Administration Functions in a sentence

• Plan Administration Functions include quality assurance, claims processing, auditing, and monitoring.

• These specified employees (or classes of employees) shall only have access to and use of Protected Health Information to the extent necessary to perform the Plan Administration Functions of the Plan.

• Plan Administration Functions do not include functions performed by the employer in connection with any other benefit or benefit plan (e.g. retirement) or any employment-related actions or decisions.

• Enrollment and disenrollment functions performed by the PEBP Workforce are performed on behalf of participant and beneficiaries and are not Plan Administration Functions.

• The Plan Sponsor shall only allow employees of the Office of the State Comptroller, Healthcare Policy & Benefit Services Division, access to the Protected Health Information, to perform the Plan Administration Functions that the Plan Sponsor performs for the Plan.

More Definitions of Plan Administration Functions

Plan Administration Functions means Payment Functions and Operations Functions.

Plan Administration Functions means administrative functions performed by a plan sponsor on behalf of a group health plan and excludes functions performed by the plan sponsor in connection with (1) obtaining premium bids for providing health insurance coverage for the group health plan or for modifying, amending or terminating the group health plan, or (2) functions performed by the plan sponsor in connection with any other benefit or benefit plan of the plan sponsor.

Plan Administration Functions shall have the same meaning given to it in 45 CFR § 164.504.

Plan Administration Functions is defined as activities that would meet the definition of Payment or Healthcare Operations by HIPAA as set forth in 45 C.F.R. Section 164.501, but do not include functions to modify, amend, or terminate the Plan or solicit bids from prospective issuers. Plan administration includes quality assurance, claims processing, auditing, monitoring, and management of carve-out plans (i.e., vision and dental). Plan administration does not include any employment-related functions or functions in connection with any other Benefits or Benefit plans, and the Plan(s) may not disclose information for such purposes absent an authorization from an individual for whom the information pertains. In addition, enrollment functions performed by the Employer are not considered Plan Administration Functions.

Plan Administration Functions means administration functions performed by the Company on behalf of the Plan and excludes functions by the Company in connection with any other benefit or benefit plans maintained by the Company.

Plan Administration Functions means administration functions performed by the Administrator and/or the Employer on behalf of the Plan and excludes functions performed by the Employer in connection with any of its other benefits or benefit plans.

Plan Administration Functions means administration functions performed by the plan sponsor of a Group Health Plan on behalf of the Group Health Plan and excludes functions performed by the plan sponsor in connection with any other benefit or benefit plan of the plan sponsor.