2005-03-19 Minutes of the Special Called and Pre-Budget Meeting of the La Porte City Council

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Council on Medical Special Services, the National Institute of Health, Medicare, the Food and Drug Adminis1ration; and other accepted medical authorities and SOUIOeS. lNCURRED means the date on which an Elig1bl~ Expense was rendered to a Covered Person. lNn'IAL AGGREGATE A'lTACHMENT POINT means the annual aggregate attachment point as calculated on 1he E:lIecti.ve Date based upon the number of Covered Units at that time mul1iplied by the correspOnding attanlnnent factors and multiplied by twelve. LATE ENROlLEE means any individual who makCs a written application for coverage under the Plan more than a specified number of days (as indicated in the Plan) after first becoming eligible for cqverage under the Plan. LOSS OR LOSSES mean amoUDts Paid, in accordance with the Policy BasislBenefit Period shown on the Schedule, by You or the Administrator on Your behalf for benefits under the Plan, in sett1fl1.lJ.eDt of claims fur benefits undet'the Plan; or in satisf8ction of jlldgJTlents for benefits under the Plan. LOSS OR LOSSES, HOWEVER, DOES NOT INCLUDE: 1. any payment which does not strictly comply with the provisions oftbe Plan; or 2 any payment for which. there is any other iDsumncc, reinsurance or plan established pmsuant to federal, state or local law or any other iOMmnity against Loss which would, except for the existence of this Policy, inderunjfy the InsIm:d; or ~. extra-contractua1 damages of any nature, compensatory damages, exemplarY and punitive damages or liabilities of any kind whatsoever, including but not limited to those resulting from. negligence, intentional wrongs, ~ bad mith or strict liability on the part ofY ou, Your AdministJ'ator or Your agent or broker; or 4. salari.cs paid to Your employees as well as Your claim and a":minim:mive expenses; or ~. litigation COE and expCnses. . MAXIMUM AGGREGATE BENEFIT means the amount stated in the Schedule. MAXIMUM SPECIFIC BENEFIT means the amount stated in the Schedule. MINlMUM AGGREGATE A1TACBMENT POINT means an amount equal to 95% of the product. of the Ini1ial Enrollment of the fiIsrCovered Month of the Policy mUltiplied by the oorresponding Aggregate . Monthly Factor multiplied by twelve. MON'PILY AGGREGATE ATTACHMENT POINT means an amount equal to the product of the total Number of Covc:red Units per Covered Month of a Policy Year multiplied by the cOITeSpOnding Aggregate Monthly Factor. . NUMBER OF COVERED UNITS means the totaI Covered Units existing in anyone CovelW Month and . will be detl'll'mmoo on a montbly basis in accordance with the de.6nil:ion ofCovcrcd Units; and the eligibility requirements of the PIan. . SL-2001 6 (6101)