My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
R99-108 AUTHORIZING APPLICATIONS
COD
>
City Clerk
>
RESOLUTIONS
>
1999
>
R99-108 AUTHORIZING APPLICATIONS
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/7/2016 4:50:09 PM
Creation date
4/7/2016 4:50:07 PM
Metadata
Fields
Template:
Resolution/Ordinance
Res Ord Num
R99-108
Res Ord Title
AUTHORIZING APPLICATIONS FOR GROUP HEALTH INSURANCE COVERAGE
Approved Date
7/12/1999
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
27
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
particular Provider. (See provisions of this Agreement regarding "CLAIM ADMINISTRATOR'S <br /> � SEPARATE FINANCIAL ARRANGEMENTS WITH PROVIDERS.") <br /> P. "Out-0f-Network Services"means Covered Services received by a Covered Person from any <br /> Provider other than a PPO Provider. <br /> Q. "PPO Provider" means a hospital, health care facility, person or other provider of inedical ser- <br /> vices which has a written agreement with the Claim Administrator at the time Covered Services <br /> are rendered and designated by the Claim Administrator as a Provider of Covered Services to <br /> Covered Persons under the PPO. <br /> R. "Provider" means any hospital, health care facility, laboratory person or entity duly licensed <br /> to render Covered Services to a Covered Person or any other provider of inedical services, <br /> products supplies which are Covered Services. <br /> S. "Provider's Eligible Charge" means (a) in the case of a Provider which has a written agree- <br /> ment with the Claim Administrator to provide care to Covered Persons at the time Covered Ser- <br /> vices are rendered, such Provider's Claim Charge for Covered Services and (b) in the case of <br /> a Provider which does not have a written agreement with the Claim Administrator to provide <br /> care to Covered Persons at the time Covered Services are rendered, such Provider's Claim <br /> Charge for Covered Services, not to exceed the reasonable charge therefor as reasonably de- <br /> termined by the Claim Administrator. <br /> T. "Surcharges"means state or federal taxes,surcharges or other fees paid by the Claim Admin- <br /> istrator which are imposed upon or resulting from this Agreement. <br /> XXVII. NOTICE OF ANNUAL MEETING <br /> � The Employer is hereby notified that it is a Member of Health Care Service Corporation, a Mutual Le- <br /> gal Reserve Company, and is entitled to vote either in person, by its designated representative, or <br /> by proxy at all meetings of said Company.The annual meeting is held at its principal office at 300 East <br /> Randolph Street, Chicago, Illinois each year on the last Tuesday in October at 12:30 p.m. <br /> For purposes of this Agreement,the term"Member"means the group,trust,association or other enti- <br /> ty with which this Agreement has been entered. It does not include Employees or Covered Persons <br /> under the Plan. <br /> The Effective Date of this Agreement is November 1, 1998. <br /> IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date and year first <br /> above written. <br /> HEALTH CARE SERVICE CORPORATION, CITY OF DECATUR <br /> A MUTUAL LEGAL RESERVE COMPANY <br /> / .. i�i:fyl <br /> By: By: <br /> Title: Underwriting Officer Title: James L. williams, Jr. , City Manager <br /> Date: Date: July , 1999 <br /> Witness: Witness: ��� , l�u� <br /> • <br /> - 18 - <br />
The URL can be used to link to this page
Your browser does not support the video tag.