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Agmt94 Managed Health Network
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Agmt94 Managed Health Network
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Last modified
7/5/2005 2:32:18 PM
Creation date
11/4/2004 2:05:29 PM
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Template:
Agreement
Contractor Name
Managed Health Network formerly Occupational Health Services
RMP File Number
304
Date
7/14/1994
Reso Ref
12379 12687 13007
Box
5858
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<br />what is done to prepare for them. This plan covers the services of a <br />Participating Retirement Counselors to provide information on topics <br />relevant to persons of any age who are planning for retirement. <br />Members will be provided information about the range of situations <br />that they are likely to encounter in retirement, and they will be <br />given guidance on how to plan ahead for quality retirement. <br /> <br />o Counseling for organizing life's affairs. In our complex lives, <br />paperwork can become- overwhelming, and leaving a legacy of <br />disorganized records and vital documents can be a time-consuming and <br />emotional burden to surviving loved ones. To simplify life, to <br />prepare for emergencies, and to ease the burden on family members <br />who may need to make important decisions in your absence, this plan <br />covers the services of a Participating Counselor to address these <br />needs. The counselor will teach you how to create an organized <br />legacy. This benefit can also be used for Members who need to <br />arrange "final details" for a friend or family member, or for <br />Members who need suggestions and support about getting life back <br />together after the loss of a loved one. <br /> <br />Extended Benefits <br /> <br />This plan provides extended benefits for a Member who is totally <br />disabled on the date his or her coverage under this plan ceases <br />because either OHS or Employer discontinues the Group Agreement for <br />all Employees. The extended benefits are subject to all terms and <br />conditions of the Group Agreement, exclusions and limitations set <br />forth in this Evidence of Coverage, and the following conditions: <br /> <br />o For the purposes of this benefit, the Member is considered <br />totally disabled when confined in a hospital, or, when because of <br />injury or illness, an Employee is prevented from engaging in any <br />occupation for compensation or profit, or, in the case of a Family <br />Member, is prevented from performing substantially all regular and <br />customary activities usual for a person of his or her age and family <br />status. <br /> <br />o Covered Services shall be furnished solely in connection with the <br />condition which has caused total disability and for no other <br />condition, illness or injury. Extended benefits shall be provided <br />only when the Member is under treatment of a Participating Provider, <br />and when written certification of the disability and the cause <br />thereof has been furnished to OHS within 30 days from the date <br />coverage is terminated. Proof that total disability continues must <br />be furnished at least every 30 days during the period of extended <br />benefits. <br /> <br />o Extended benefits shall be provided for the shortest of the <br />following periods: (1) Until total disability ceases; (2) For a <br />maximum period of 12 consecutive months; (3) Until coverage without <br /> <br /> <br />- 6 - <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />'-r---- , <br />
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