TPA Plan definition

TPA Plan means the pension plan under the TPA, as it was immediately prior to the Effective Date.
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Examples of TPA Plan in a sentence

  • You are responsible for authorizing Your TPA, Plan Administrator, case manager, Provider Network or other third party service provider to release to Us information We request to underwrite, review potential claims, make claim determinations, calculate potential reimbursements, or perform other obligations under this Policy.

  • This agreement includes instructions from the TPA, Plan Sponsor, Plan Administrator, and/or Contractholder.

  • You have the right to present written evidence and testimony as part of the appeals process.External Review ProcessIf your claim is wholly or partially denied, reduced, or terminated based on medical judgment, as defined in the Affordable Care Act, or if your coverage is rescinded (retroactively terminated), as defined by the Affordable Care Act, you may have a right to have such decision reviewed by an independent review organization that is not associated with the TPA, Plan or Plan Administrator.

  • The Faculty of Law and the Faculty of Social and Behavioral Sciences will also offer English-languageprogrammes.

  • Participation in ACO may result in a change to the methodology or level of payment for delivering services to Beneficiaries whether payment is made by ACO, TPA, Plan, a combination thereof, or ACO’s delegate.

  • Additional handling fees may apply depending on the specific elections of a TPA, Plan Sponsor and/or Participant.

  • Internal Control systems comprises of various inter-related components including Control Environment, Risk Assessment, Control Activities, Information & Communication and Monitoring.

  • The Suggested Consulting Agreement for Use by Insurance Agents form provides suggested language for preparing an agent's consulting agreement.(d) TPA Plan Supplemental Information Sheet.

  • External Review ProcessIf your request or claim is wholly or partially denied, reduced, or terminated based on medical judgment, as defined in the Affordable Care Act, or if your coverage is rescinded (retroactively terminated), as defined by the Affordable Care Act, you may have a right to have such decision reviewed by an independent review organization that is not associated with the TPA, Plan or Plan Administrator.

  • You are responsible for authorizing Your TPA, Plan Administrator, case manager or other third party service provider to release to Us information We request to underwrite, review potential claims, make claim determinations, calculate potential reimbursements, or perform other obligations under this Policy.

Related to TPA Plan

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

  • Plan means any employee pension benefit plan (other than a Multiemployer Plan) subject to the provisions of Title IV of ERISA or Section 412 of the Code or Section 302 of ERISA, and in respect of which the Borrower or any ERISA Affiliate is (or, if such plan were terminated, would under Section 4069 of ERISA be deemed to be) an “employer” as defined in Section 3(5) of ERISA.

  • Benefit Plan means any of (a) an “employee benefit plan” (as defined in ERISA) that is subject to Title I of ERISA, (b) a “plan” as defined in and subject to Section 4975 of the Code or (c) any Person whose assets include (for purposes of ERISA Section 3(42) or otherwise for purposes of Title I of ERISA or Section 4975 of the Code) the assets of any such “employee benefit plan” or “plan”.

  • Company Benefit Plan has the meaning specified in Section 4.13(a).

  • Health benefit plan means a policy, contract, certificate or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.

  • Company 401(k) Plan shall have the meaning set forth in Section 6.09(e).

  • Employee Program means (A) all employee benefit plans within the meaning of ERISA Section 3(3), including, but not limited to, multiple employer welfare arrangements (within the meaning of ERISA Section 3(40)), plans to which more than one unaffiliated employer contributes and employee benefit plans (such as foreign or excess benefit plans) which are not subject to ERISA; and (B) all stock option plans, bonus or incentive award plans, severance pay policies or agreements, deferred compensation agreements, supplemental income arrangements, vacation plans, and all other employee benefit plans, agreements, and arrangements not described in (A) above. In the case of an Employee Program funded through an organization described in Code Section 501(c)(9), each reference to such Employee Program shall include a reference to such organization;

  • Group health benefit plan means any health care plan, subscription contract, evidence of