Commencement of Benefits for Persons Hospitalized on Effective Date Clause Samples

The 'Commencement of Benefits for Persons Hospitalized on Effective Date' clause defines when insurance benefits begin for individuals who are already hospitalized at the time their coverage becomes effective. Typically, this clause outlines whether such individuals are immediately eligible for benefits or if there are specific waiting periods or exclusions that apply due to their pre-existing hospitalization. For example, it may state that benefits for ongoing hospital stays will only be paid after a certain number of days following the policy's start date. The core function of this clause is to clarify the insurer's obligations regarding coverage for pre-existing hospitalizations, thereby preventing disputes and ensuring both parties understand when benefits will be provided.
Commencement of Benefits for Persons Hospitalized on Effective Date. Members who are admitted to an inpatient facility prior to their enrollment will receive covered benefits beginning on their effective date, as set forth in Subsection C.1. above. If a Member is hospitalized in a non-Network Facility, KFHPWA reserves the right to require transfer of the Member to a Network Facility. The Member will be transferred when a Network Provider, in consultation with the attending physician, determines that the Member is medically stable to do so. If the Member refuses to transfer to a Network Facility, all further costs incurred during the hospitalization are the responsibility of the Member.
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Commencement of Benefits for Persons Hospitalized on Effective Date. Members who are admitted to an inpatient facility prior to their enrollment under the Agreement, and who do not have coverage under another agreement, will receive covered benefits beginning on their effective date, as set forth in subsection C.1. above. If a Member is hospitalized in a non-GHC Facility, GHC reserves the right to require transfer of the Member to a GHC Facility. The Member will be transferred when a GHC Provider, in consultation with the attending physician, determines that the Member is medically stable to do so. If the Member refuses to transfer to a GHC Facility, all further costs incurred during the hospitalization are the responsibility of the Member.
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Commencement of Benefits for Persons Hospitalized on Effective Date. Members who are admitted to an inpatient facility prior to their enrollment will receive covered benefits beginning on their effective date, as set forth in Subsection C.1. above.
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Commencement of Benefits for Persons Hospitalized on Effective Date. Members who are admitted to an inpatient facility prior to their enrollment date under this Agreement will receive covered benefits beginning on their Effective Date, as set forth in the Eligibility section above. If a Member is hospitalized in an Out-of-Network facility, CHPW reserves the right to require transfer of the Member to an In- Network facility. The Member will be transferred when an In-Network Provider, in consultation with the attending physician, determines that the Member is medically stable to do so. If the Member refuses to transfer to an In- Network facility, all services received will be covered under Out-of-Network Providers as outlined in the Schedule of Medical Benefits.
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Commencement of Benefits for Persons Hospitalized on Effective Date. Members who are admitted to an inpatient facility prior to their enrollment will receive covered benefits beginning on their effective date, as set forth in Subsection C.1. above. If a Member is hospitalized in a non-Network Facility, Group Health reserves the right to require transfer of the Member to a Network Facility. The Member will be transferred when a Network Provider, in consultation with the attending physician, determines that the Member is medically stable to do so. If the Member refuses to transfer to a Network Facility, all services received will be subject to Community Provider Cost Shares.
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Related to Commencement of Benefits for Persons Hospitalized on Effective Date

  • Certification of Funds; Budget and Fiscal Provisions; Termination in the Event of Non-Appropriation This Agreement is subject to the budget and fiscal provisions of the City’s Charter. Charges will accrue only after prior written authorization certified by the Controller, and the amount of City’s obligation hereunder shall not at any time exceed the amount certified for the purpose and period stated in such advance authorization. This Agreement will terminate without penalty, liability or expense of any kind to City at the end of any fiscal year if funds are not appropriated for the next succeeding fiscal year. If funds are appropriated for a portion of the fiscal year, this Agreement will terminate, without penalty, liability or expense of any kind at the end of the term for which funds are appropriated. City has no obligation to make appropriations for this Agreement in lieu of appropriations for new or other agreements. City budget decisions are subject to the discretion of the Mayor and the Board of Supervisors. Contractor’s assumption of risk of possible non-appropriation is part of the consideration for this Agreement. THIS SECTION CONTROLS AGAINST ANY AND ALL OTHER PROVISIONS OF THIS AGREEMENT.

  • When Termination Effective Termination under Article will take effect as provided for in the Notice.

  • Transition to Retirement 24.1 An Employee may advise their Employer in writing of their intention to retire within the next five years and participate in a retirement transition arrangement. 24.2 Transition to retirement arrangements may be proposed and, where agreed, implemented as: (a) a flexible working arrangement (see clause 16 (Flexible Working Arrangements)); (b) in writing between the parties; or (c) any combination of the above. 24.3 A transition to retirement arrangement may include but is not limited to: (a) a reduction in their EFT; (b) a job share arrangement; or (c) working in a position at a lower classification or rate of pay. 24.4 The Employer will consider, and not unreasonably refuse, a request by an Employee who wishes to transition to retirement: (a) to use accrued Long Service Leave (LSL) or Annual Leave for the purpose of reducing the number of days worked per week while retaining their previous employment status; or (b) to be appointed to a role which that has a lower hourly rate of pay or hours (post transition role), in which case: (i) the Employer will preserve the accrual of LSL at the time of reduction in salary or hours; and (ii) where LSL is taken or paid out in lieu on termination, the Employee will be paid LSL hours at the applicable classification and grade, and at the preserved hours, prior to the post transition role until the preserved LSL hours are exhausted.

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