Sentences with phrase «insurer pays the planned»

Not exact matches

«If cost - sharing subsidy payments are pulled, insurers would still have to provide lower deductible plans to low - income consumers, but they wouldn't get paid the $ 7 billion a year it costs to do that,» Levitt told Business Insider in an email.

The senator has been pushing for months for some version of the plan he crafted with Sen. Patty Murray, Washington Democrat, that would pay insurers billions of dollars a year in «cost - sharing reductions» (CSRs) to cover poor customers» out - of - pocket costs.

Our cost estimates are based on claims for medical and dental services paid for by private insurance plans, including the country's largest insurers.

If the employer pays an insurance company for employee health coverage, it has to notify the insurer that it doesn't want contraception included in the plan, and the insurer in turn automatically enrolls employees in a separate plan at no cost to them or to their employer.

It took all of 15 minutes and I will be getting a better plan with better coverage for the same premium as I was paying before and I'm staying with the same insurer I was with.

Last week, insurers including Aetna Inc questioned the precedent set by Obama's plan that would force them to pay for coverage with no clear way of recouping the expense.

Even if they do recognize nurse - midwives within their plan, fifty percent do not pay CNMs the same amount as physicians to the same service, and ten percent of healthcare insurers who extend contracts to nurse - midwives won't list them in their provider directories!

Colorado is one of 46 states that «self - fund at least one of their employee health care plans,» meaning that rather than purchasing insurance, the state pays health insurance claims with state and employee out - of - pocket insurance contributions while an insurer administers the benefits.

They include tax on opioid prescription drugs, a highly speculative tax on health plans that convert from nonprofit to for - profit status, a tax on for - profit health insurers who will pay less in federal tax, a tax on «vaping» products and a sales tax on all internet purchases, no matter where the retailer is located.

In addition, the Grow - Up Plan is similar to other whole life insurance policies in that it will often take three to four years before you have any cash value, as early premium payments are dedicated to paying the insurer's fees.

Under LPMI plans, the lender purchases the mortgage insurance and pays the premiums to the insurer.

Unlike other travel medical plans, single - trip plans offered by HTH Travel Insurance give policyholders flexibility to choose the maximum benefit (or money the insurer will pay out) and their deductible.

It paid only for diseases and major injuries.But that is about to change.The nation's largest pet insurer, Veterinary Pet Insurance of Anaheim, Calif., is planning to unveil a new «wellness» policy for cats and dogs this summer.

Each pet insurer has different rules and guidelines so it pays to shop around and compare the various companies and pet plan options.

Areas of law: Insurance law; Subrogation; Income replacement plan; Statutory exceptions ~ The Insurance Act's provisions excluding subrogation in cases where the insured receives income continuation or replacement payments apply where the party paying the benefits is an insurer under an insurance contract, but do not extend to employers ~

If insurers believe they can get around paying by pointing to a patient's deviation from a medical plan, it makes them, not the doctors, the final authority on what treatment is reasonably necessary.

(1) This section applies to a claim for a medical or rehabilitation benefit or an application for approval of an assessment or examination under section 38 if the insurer gives the insured person a notice informing the insured person that the insurer will pay the expenses without the submission of a treatment and assessment plan under that section.

(a) provide the insured person with a notice indicating the goods and services described in the treatment and assessment plan that the insurer agrees to pay for, the goods and services the insurer refuses to pay for and the medical and any other reasons for the insurer's decision; or

(8) Within 10 business days after it receives the treatment and assessment plan, the insurer shall give the insured person a notice that identifies the goods, services, assessments and examinations described in the treatment and assessment plan that the insurer agrees to pay for, any the insurer does not agree to pay for and the medical and any other reasons why the insurer considers any goods, services, assessments and examinations, or the proposed costs of them, not to be reasonable or necessary.

(1) The insurer is not required to pay benefits described in this Regulation in respect of any insured person who, as a result of an accident, is entitled to receive benefits under the Workplace Safety and Insurance Act, 1997 or any other workers» compensation law or plan.

(a) the insurer gives the insured person a notice under subsection 39 (1) stating that the insurer will pay the expense without a treatment and assessment plan;

(a) the notice must describe the expenses that the insurer will pay without the submission of a treatment and assessment plan and shall specify,

that advises the insured person, if the insurer has not agreed to pay for all goods and services contemplated by the treatment plan, that the insurer requires the insured person to be examined under section 42 relating to the goods and services the insurer has not agreed to pay for.

An examination for the purposes of section 38 to assist the insurer in determining whether to pay for goods or services contemplated by a treatment plan if the goods and services are substantially similar to goods or services the insurer previously refused to pay for when they were included in a previous treatment plan submitted to the insurer on behalf of the insured person in respect of the same accident.

(1) The insurer shall pay all reasonable and necessary expenses incurred by or on behalf of an insured person as a result of the accident for services provided by a qualified case manager in accordance with a treatment plan if,

(7) On receiving the application, the insurer shall promptly determine whether the insurer is required to pay for the goods and services contemplated by the treatment plan.

In the case of a notice under paragraph 1 of subsection (8), the insurer shall pay for all goods and services provided under the treatment plan that relate to the period starting on the 11th business day after the day the insurer received the application and ending on the day the insurer gives the notice described in paragraph 1 of subsection (8).

(a) the insurer shall pay for all goods and services provided in accordance with the treatment plan during the period commencing on that day and ending on the day the insurer gives the insured person the report or determination; and

Some plans are funded by employee contributions and others are just premiums paid to a third party insurer.

The reorganization plan was confirmed after a 4 - week trial and the primary objecting insurer agreed to pay an additional $ 1.15 billion after closing argument.

(8) Within 10 business days after it receives the treatment and assessment plan, the insurer shall give the insured person a notice that identifies the goods, services, assessments and examinations described in the treatment and assessment plan that the insurer agrees to pay for, any the insurer does not agree to pay for and the medical reasons and all of the other reasons why the insurer considers any goods, services, assessments and examinations, or the proposed costs of them, not to be reasonable and necessary.

The insurer shall pay for all goods, services, assessments and examinations described in the treatment and assessment plan that relate to the period starting on the 11th business day after the day the insurer received the application and ending on the day the insurer gives a notice described in subsection (8).

Those Terms of Use state: «Job Bank will not post jobs: if the employer expects the employee to remit his / her own tax deductions; if the employer expects the worker to arrange other employment coverage for programs such as income tax, the Canada Pension Plan (CPP), employment insurance (EI), and workers» compensation;» In our experience, this is precisely what is expected of fee - for - service physicians; they are generally paid directly by the provincial health insurer, pay their own staff and remit their own tax (including income tax) deductions.

Additionally, short - term health plans typically do not limit the amount you can pay out - of - pocket for medical services in a year but they may limit the maximum amount the insurer will pay for your medical services in a year (e.g. $ 1,000,000).

The premium paid will be lower in comparison to a life insurance plan, and the sum assured paid will be higher if the insurer passes away when the insurance policy is active.

Because not every driver has the cash on hand to pay for their premium at once, insurers offer payment plans.

You must start from scratch, paying the entire $ 1,000 job - based health insurance plan's deductible before that insurer begins to pick up the tab for your medical bills that are subject to the deductible.

Also check that the way the insurer plans to pay the claim or match / replace building materials is what you would expect.

The amount is derived as 7.5 % of the net premium paid by insurer in individual cases and 15 % for group plans.

Again, Trump's planned changes could reverse insurer's obligation to provide coverage for Obamacare's essential health benefits, which means sick employees will have to pay a premium for health coverage as healthy employees choose lower cost health plans that include less coverage.

Plus, a last - minute move from President Donald Trump — in which he ceased paying cost - sharing subsidies to insurers who give low - income Americans added discounts — unwittingly lowered the price of exchange plans for people qualifying for subsidies.

Child Endowment Plans - The premium paid by each insurer flows into a collective pool of funds that is invested only in debt instruments.

Annuity plans necessitate the insurer to pay the insured income at regular intervals until his death or till maturity of the plan.

Multi trip Plan can be renewed, however insurer's consent is necessary and premium has to be paid at the time of renewal.

Though this agent is paid commission by the insurer, the agent's responsibility is to provide the best insurance plan based on the needs of the applicant.

This is by virtue of the Waiver of Premium Rider which is inbuilt under the plan and makes the insurer liable to pay premiums in the vent of the insured's death.

California is requiring insurers to include a «surcharge» on silver - level plans, expecting that most policyholders will qualify for a tax credit and therefore won't pay more.

If there's one main tradeoff when it comes to health insurance, it's between your premium (the amount you pay each month for the plan) and the deductible (how much you pay for services and procedures before your insurer will cover expenses).

Like other insurance plans, you'll need to meet a deductible before your insurer pays.

The federal government pays insurers to make up for their reduced income on these plans.