Benefit Period Maximum Clause Samples

The Benefit Period Maximum clause defines the longest duration for which benefits will be paid under an insurance policy or benefits plan. Typically, this clause specifies a set number of months or years, or it may end when a certain event occurs, such as the insured reaching a particular age. For example, disability insurance might pay benefits for up to two years from the date of disability, regardless of whether the condition persists beyond that period. The core function of this clause is to limit the insurer's or plan provider's financial exposure by capping the total time benefits are payable, thereby providing predictability and managing risk for both parties.
Benefit Period Maximum. The Benefit Period Maximum is the maximum dollar amount the Plan will pay for all Covered Services for each Subscriber during a Benefit Period, according to the terms of this Contract and the coverage outlined in the Schedule of Benefits. Each Subscriber’s Benefit Period Maximum amount is given on the Schedule of Benefits. Orthodontic Services, if covered under this Contract, do not apply to the Benefit Period Maximum.
Benefit Period Maximum. The maximum We pay for specific Covered Services during a Benefit Period.
Benefit Period Maximum. A Benefit Period Maximum is the limit of coverage placed on a specific Benefit(s) provided under this coverage within a Benefit Period. Such limits on Benefits may be in the form of visit limits, day limits, or dollar limits; and there may be more than one limit on a specific Benefit. This coverage has no dollar limits on Essential Health Benefits, as that term is defined by PPACA. Members should refer to the Summary of Cost Sharing and Benefits to determine if any Benefit Period Maximums apply to their coverage.

Related to Benefit Period Maximum

  • Benefit Period Following the Qualifying Period you will receive a monthly income until the earlier of: (i) Attainment of age 65 (ii) Cessation of total disability (iii) Attainment of date of retirement

  • Vacation Leave Maximum Employees may accumulate maximum vacation leave balances not to exceed two hundred and forty (240) hours. However, there are two (2) exceptions that allow vacation leave to accumulate above the maximum: A. If an employee’s request for vacation leave is denied by the Employer, and the employee is close to the vacation leave maximum, the Employer will grant an extension for each month that the Employer must defer the employee’s request for vacation leave. B. An employee may also accumulate vacation leave days in excess of two hundred and forty (240) hours as long as the employee uses the excess balance prior to the employee’s anniversary date. Any leave in excess of the maximum that is not deferred in advance of its accrual as described above, will be lost on the employee’s anniversary date.

  • Death During Benefit Period If the Executive dies after the benefit payments have commenced under this Agreement but before receiving all such payments, the Company shall pay the remaining benefits to the Executive's beneficiary at the same time and in the same amounts they would have been paid to the Executive had the Executive survived.

  • Vacation Leave Accrual Rate Schedule Full Years of Service Hours Per Year

  • Vacation Periods Vacation schedules will be set by the employee’s immediate supervisor(s) and sent to the Office of Human Resources for approval. Employees may request a particular period for vacation. Vacation days may not be taken in advance of their accrual. Those employees who are on a 12-month teacher contract are paid during Spring Break and Winter Recess, however, are not expected to be in attendance or perform duties during those breaks.