Plan Design Document definition

Plan Design Document means the benefit document prepared by the Contractor in conjunction with the County and approved in writing by the County, which is used by the Contractor in processing prescription drug claims in connection with this Contract.
Sample 1Sample 2Sample 3
Plan Design Document means various documents or forms, including implementation forms, clinical management forms, clinical utilization or other documents, prepared by Caremark and approved by Participating Group, as may be modified by Participating Group from time to time in accordance with Section 6.3 of this Agreement, which detailthe relevant parts of the Plan for prescription drug benefits and clinical programs adopted by Participating Group and which are used by Caremark to provide Services under this Agreement.
Sample 1
Plan Design Document or “PDD” means the document prepared by Caremark and approved in writing by Participating Group that may be amended by Participating Group, from time to time, in accordance with this Agreement, which documents the relevant parts of Participating Group’s Plan for prescription drug benefits and which is used by Caremark to process Claims under this Agreement.
Sample 1

Examples of Plan Design Document in a sentence

  • Any changes to the Plan Design Document will be submitted by Plan Sponsor to Catamaran-EGWP through a revised Plan Design Document no less than ninety (90) days prior to their intended implementation by Plan Sponsor to permit timely implementation and minimal disruption of services for Eligible Participants.

  • Plan Sponsor will provide a Plan Design Document for the EGWP plan administered by Catamaran-EGWP in sufficient detail to permit Catamaran-EGWP to perform its duties and obligations under this EGWP Agreement.

  • Any changes to the Plan Design Document will be submitted by Participating Group to PBM through a revised Plan Design Document no less than thirty (30) days prior to the intended implementation by Participating Group to permit timely implementation and minimal disruption of claims processing for those Members.

  • Client will provide a Plan Design Document for the EGWP plan administered by Administrator in sufficient detail to permit Administrator to perform its duties and obligations under this EGWP Addendum.

  • Prior to providing an Eligible Member any of the Covered Prescription Drug Services to which the Eligible Member is entitled under the Plan Design Document, PBM will require the Participating Pharmacy to collect any Cost Sharing from the Eligible Member.

  • Conversely, CVS/Caremark must review and pre-approve all specialty medications.Provisions of the Plan Design Document or PDD (as that term is defined in the Fund’s PBM agreement with CVS/Caremark) relating to the prescription drug benefits offered by the Plan, as amended, are incorporated into the Plan by reference.

  • PBM shall implement Plan Design Document changes and/or updates within five (5) business days of receiving complete documentation when system coding changes are not required.

  • Provisions of the Plan Design Document or PDD (as defined in the Fund’s PBM agreement with CVS/Caremark) relating to the prescription drug benefits offered by the Plan, as amended, are incorporated into the Plan by reference.INITIAL CLAIMS DETERMINATIONS50 | P a g e CVS/Caremark will make a decision on a pre-service claim within 15 days after it receives the claim.

  • Client shall communicate annually with Participating Group about timing of changes to Plan Design Document.

  • Any changes to the Plan Design Document will be submitted by Participating Group to PBM through a revised Plan Design Document no less than thirty (30) days prior to their intended implementation by Participating Group to permit timely implementation and minimal disruption of Claims Processing Services for those Eligible Members.

Related to Plan Design Document

  • Design Documents means, collectively and as applicable, the Conceptual Design Documents, Schematic Design Documents, the Design Development Documents and the Construction Documents prepared by the Trade Contractor.

  • layout plan means a plan of the project depicting the division or proposed division of land into plots, roads, open spaces, amenities, etc. and other details as may be necessary;

  • Plan Document means the retirement income fund agreement or declaration of trust that governs the RRIF;

  • Plan Documents means the reports, proposals, preliminary plans, survey and basis of design data, general and detail construction plans, profiles, specifications and all other information pertaining to equipment.

  • Design-Build Agreement means the design and construction agreement between Project Co and the Design-Builder, a certified copy of which has been delivered by Project Co to the Authority, as amended, supplemented or replaced from time to time in accordance with this Agreement;

  • MSAA Indicator Technical Specifications document means, as the context requires, either or both of the document entitled “Multi-Sector Service Accountability Agreement (MSAA) 2019-20 Indicator Technical Specifications November 5, 2018 Version 1.3” and the document entitled “Multi-Sector Service Accountability Agreement (MSAA) 2019-20 Target and Corridor-Setting Guidelines” as they may be amended or replaced from time to time;

  • Acceptance Test Document means a document, which defines procedures for testing the functioning of installed system. The document will be finalized with the contractor within 7 days of issuance of the Letter of Award.

  • Unilateral Change Order (ULCO means a Change Order issued by Owner without the complete agreement of Contractor, as to cost and/or time.

  • DMF means a drug master file and all equivalents, and related proprietary dossiers, in any country or jurisdiction in the Territory (including any active substance master file in the EMA) for API submitted or to be submitted by a Party to Regulatory Authorities.

  • Design Development Documents means the Drawings, Specifications and other documents prepared by the Trade Contractor that establish and describe the size and character of the Trade Contractor Work as to architectural, civil, structural, mechanical and electrical systems, graphics and signage, and other elements, and which include typical construction details, equipment layouts and specifications that identify major materials and systems.

  • Application Documents means collectively: (i) the grant application submitted by Grantee, including all exhibits, schedules, appendices and attachments thereto; (ii) all documents, correspondence and other written materials submitted with respect to the grant application; and (iii) all amendments, modifications or supplements to any of the foregoing approved in writing by City.

  • Space Plan means the space plan to be prepared by Tenant in accordance with paragraph 2 below and approved by Landlord and Tenant, and showing the general configuration of the Tenant Improvements.

  • State Standard Agreement means the form used by the State to enter into agreements with other parties. Several originally signed, fully executed versions of the State Standard Agreement, together with the integrated Contract Documents, shall each represent the Agreement as an individual “Contract Counterpart.”

  • RfS Document means the bidding document issued by MSEDCL including all attachments, clarifications and amendments thereof.

  • Limited Documentation Program The guidelines under which the Seller generally originates Mortgage Loans principally on the basis of the Loan-to-Value Ratio of the related Mortgage Loan and the creditworthiness of the Mortgagor.

  • EHC plan means an Education, Health and Care plan made under sections 37(2) of the Children and Families Act 2014.

  • Construction Documents means the plans, specifications, approved change orders, revisions, addenda and other information approved by the City, which set forth in detail the Work to be performed for a construction Project.

  • Change Order means a written order to the Contractor signed by the Contracting Officer, issued after execu- tion of the Contract, authorizing a change in the term or scope of the Contract.

  • Batch Record means the production record pertaining to a Batch.

  • Scope Document means the document (if any) that is provided with and becomes part of the Order Form and which defines sometimes in conjunction with a Service Description (as applicable) the Services to be provided.

  • Design Criteria Package means concise, performance-oriented drawings or specifications for a public construction project. The purpose of the Design Criteria Package is to furnish sufficient information to permit Design-Build Firms to prepare a bid or a response to the District’s Request for Proposals, or to permit the District to enter into a negotiated Design- Build Contract. The Design Criteria Package must specify performance- based criteria for the public construction project, including the legal description of the site, survey information concerning the site, interior space requirements, material quality standards, schematic layouts and conceptual design criteria of the project, cost or budget estimates, design and construction schedules, site development requirements, provisions for utilities, stormwater retention and disposal, and parking requirements applicable to the project. Design Criteria Packages shall require firms to submit information regarding the qualifications, availability, and past work of the firms, including the partners and members thereof.

  • 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.

  • Commercialization Plan has the meaning set forth in Section 6.2.

  • Summary Plan Description means this plan document and summary plan description.

  • Project Schedule means a document that, with respect to each Phase of the Project, identifies, coordinates and integrates the anticipated design and construction schedules, the Contracting Authority’s and Owner's responsibilities, government authority reviews and other activities as are necessary for the timely completion of the Work.

  • Master Batch Record means the document, proposed by Lonza and approved by Customer, which defines the manufacturing methods, test methods and other procedures, directions and controls associated with the manufacture and testing of Product.