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O-2002-2546
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O-2002-2546
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Last modified
11/2/2016 3:39:08 PM
Creation date
11/24/2008 5:02:26 PM
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Legislative Records
Legislative Type
Ordinance
Date
3/18/2002
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<br />PAID (Payment) means that a claim has been adjudicated by the Administrator and the fimds are actually <br />disbursed by the Plan prior to the end of the Benefit Period. Payment of a claim must be unconditional and <br />directly made to a Covered Person or their health care provider(s). Payment will be deemed made on the <br />date that both You or Your Administrator directly tenders payment by mailing (or by other form of delivery) <br />a draft or check; and the account upon which the payment is drawn contains, and continues to contain, <br />sufficient funds to permit the check or draft to be honored by the institution upon which it is drawn. <br /> <br />PLAN means the employee benefit plan You provide Your eligtble employees and their eligtble <br />dependents, as defined in this Policy, which has been received and accepted by Us.. Plan does not include <br />life insurance, accidental death and dismemberment insurance, long and short-term disability insurance <br />coverages, or fully insured major medical insurance coverages. <br /> <br />POLICY YEAR means the specified period of time during which the coverage provided under this Policy <br />is in effect, as stated in the Schedule. <br /> <br />SPECIFIC DEDUCTIBLE AMOUNT means the amount shown in the Schedule. <br /> <br />SL-200l <br /> <br />7 <br /> <br />(6/01) <br />
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