Reso 98-109 - Laserfiche WebLink

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Rorlda Municipal Insurance Trust Medical Master Plan of Beneflts physician, provided such physician is acceptable for practice in the hospital to which the participant is admitted. Nothing contained herein shall interfere with the ordinary relationship between the participant and the physician selected by the participant. Some employers may elect to make special arrangements with specific providers andjor Preferred Provider Networks. If an employer makes such an arrangement, the arrangement must be submitted to the Trust and benefits under such an ,agreement will be paid on such terms and conditions as are agreed to in writing by the employer and the Trust. The Trust does not undertake to furnish any services, but merely to pay for services to the participant to the extent herein specified. The Trust shall not, in any event, be liable for any negligence, misfeasance, nonfeasance, malfeasance, malpractice or any act of commission or omission on the part of any physician, hospital or other service provider or the agent or employee of any physician, hospital or other service provider. SECTION XIII - EMPLOYER'S TERMINATION AND RENEWAL Except as provided in Section XI, this Plan may be terminated by either party hereto by giving not less than forty-five (45) days written notice of termination to the other. This Plan shall continue in force from month to month unless terminated pursuant to the foregoing provision. Except as hereafter provided, coverage for all employees and their dependents covered under this Plan shall automatically terminate immediately on the earliest of the following dates: (1) On the date coverage under this group plan with an employer is terminated. (2) , On the expiration date as provided in Section XI, if the employer fails to make the required contributions. All claims must be submitted no later than ninety (90) days after the date of termination of the policy in order to be eligible for payment. SECTION XIV - PARTICIPANT'S TERMINATION OF COVERAGE Unless a participant qualifies for and elects continuation of coverage pursuant to and in the manner provided in Section XV of the Plan: (1) Coverage for any participant shall terminate automatically at the end of the month for which payment of the contributions specified herein shall have been made by the employer for such participant, In the event the employer notifies the Trust that the coverage of such participant under this Plan is to be terminated, (2) Coverage of the spouse of an employee shall automatically cease upon a legal separation of the spouse and employee or termination of the marriage between the spouse and employee. , (3) Coverage of the spouse and dependents of an employee shall automatically cease upon the death' of the employee. (4) Coverage of a dependent child of an employee shall automatically cease as * .11...1..... ........t\,......" ............,.4 I,.. ....."" ~.......~I,la ""~ 0,,"(1,.... ,.., tOQ' 0..010 ?~