Plan of Benefits definition

Plan of Benefits as used herein shall mean the Plan or program of benefits established under and pursuant to this Agreement and Declaration of Trust.
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Plan of Benefits means the particular benefits that are identified in this Agreement and shall not include any other feature or provision of the insurance policy, self-funded plan, pool or trust. The School District may provide benefits in excess of those identified in the applicable “plan of benefits.” In the event that the School District provides benefits in excess of the required “plan of benefits,” the School District may eliminate any excess benefits at any time, so long as the benefits provided meet the defined “plan of benefits.”
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Plan of Benefits means the benefit programs and eligibility rules and other rules established and maintained by the Trustees for the payment or provision of medical, surgical, hospital, dental, vision, life insurance, accidental death and dismemberment, disability and accident and sickness benefits and other similar benefits by means of insurance consistent with the purposes set forth in Section 501(c)(9) of the Internal Revenue Code and the ERISA. As used in this Trust Agreement, the term "payment or provision of benefits from the Trust Fund" shall mean the provision of such benefits through one or more insurance carriers, properly licensed and authorized to provide such benefits to which the Plan pays premiums or other sums therefor. The Plan and Plan of Benefits shall constitute an "employee welfare benefit plan" as defined in ERISA Section 3(1) which shall be fully insured and shall be administered in accordance with said statute, this Trust Agreement, and any amendments thereto and any applicable Plan Documents. Any and all amendments to Plan Documents shall be adopted by the Trustees consistent with ERISA and the procedures set forth herein.
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Examples of Plan of Benefits in a sentence

  • Oral statements cannot alter the terms of the Plan of Benefits or Schedule of Benefits.

  • The Trust Agreement gives the Board of Trustees authority and discretion to determine benefits, and the Trustees have accordingly adopted this Plan of Benefits described in this Summary Plan Description (SPD).

  • These contributions shall be used to provide Health Reimbursements Accounts(s) under the Line Construction Benefit Fund Plan of Benefits.

  • In the event of a conflict between the Plan of Benefits and the Schedule of Benefits, the Schedule of Benefits controls.

  • This provision shall apply to all Benefits provided under any section of the Plan of Benefits.

  • PAYMENT‌ The payment for Benefits is subject to all terms and conditions of this Plan of Benefits.

  • Generally, unless a specific rule applies, where a claim is submitted for payment under this Plan of Benefits and one (1) or more other Plans, this Plan of Benefits is the Secondary Plan.

  • Employees and Dependents who become eligible for coverage after the Plan of Benefits Effective Date and have elected coverage will have coverage after they have completed the Probationary Period.

  • The Member agrees that the Corporation may obtain claims information, medical records and other information necessary for the Corporation to consider a request for Preauthorization, a Continued Stay Review, an Emergency Admission Review, a Preadmission Review or to process a claim for Benefits under this Plan of Benefits.

  • Other than as expressly required by law, if this Plan of Benefits is terminated for any reason, the Employer is solely responsible for notifying all Members of such termination and notifying Members that coverage of Members under this Plan of Benefits will not continue beyond the termination date.


More Definitions of Plan of Benefits

Plan of Benefits or “Employee Welfare Benefits” shall mean the plan or plans of benefits established by the Trustees pursuant to this Restated Trust Agreement. This term shall include the current plan of benefits offered by the Fund or any other plan of benefits the Trustees adopt or may adopt from time to time.
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Plan of Benefits means the Benefit Booklet provided by BCBSKC to Plan Sponsor which reflects BCBSKC’s understanding of the benefits offered under the PPO Plan.
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Plan of Benefits means the benefit booklet, attached hereto as Exhibit B, which outlines the benefits and processes applicable to the HRA Plan (based on information provided by Group).
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Plan of Benefits means the program of benefits, which may include benefits permitted by a 401(k) plan, established by the Trustees pursuant to this Trust Agreement and as subsequently amended by the Trustees.
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Plan of Benefits or “Plan Document” means the benefits and provisions for payment of benefits as set forth herein by the Delray Beach Police, Fire Fighters and Paramedics Retiree Benefit Fund.
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Related to Plan of Benefits

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

  • Schedule of Benefits means the section of this policy which shows, among other things, the Eligibility Requirements, Eligibility Waiting Period, Elimination Period, Amount of Insurance, Minimum Benefit, and Maximum Benefit Period.

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • Health benefits plan means a benefits plan which pays or

  • Disability benefits means any cash payments which are payable to a covered individual for all or part of a period of disability pursuant to P.L.1948, c.110 (C.43:21-25 et al.).

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Employment benefits means all benefits provided or made

  • Severance Benefits means the payment of severance compensation as provided in Section 3.3 herein.

  • Social Security Benefits means any social insurance, pension insurance benefits, medical insurance benefits, work-related injury insurance benefits, maternity insurance benefits, unemployment insurance benefits and public housing reserve fund benefits or similar benefits, in each case as required by any applicable Law or contractual arrangements.

  • extended reduction (qualifying contributory benefits means a reduction under this scheme for which a person is eligible in accordance with paragraph 88 or 95;