Reso 98-109 - Laserfiche WebLink

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Rorlda Municipal Insurance Trust Medical Master Plan of Benefits (1) Drugs related to a course of treatment excluded, or a condition limited under the Plan. (2) Injectable products and syringes (other than insulin and insulin syringes). (3) Prescription Vitamins. (4) Nicorette Gum, Nicotine patches such as Habitrol, ProStep, Nicoderm. (5) Viagra and other similar virility enhancement drugs. (6) Rogaine and other similar medications for baldness. (7) Anorexics (appetite depressants such as "diet pills"). (8) Diabetic Test Strips and glucometors. (9) Over the Counter medications and supplies. (lO) Over the Counter Vitamins. (11) Drug prescriptions of thirty (30) or more days' duration. A Prescription Mail Program is available to meet the maintenance drug prescription needs of a participant. Only maintenance drug prescriptions of over thirty (30) days and less than ninety-one (91) days' duration are eligible for this program, No coverage is provided for the exclusions specified in Section VIII, and Items (1) through (10) listed above. SECTION XVII - GENERAL PROVISIONS The Trust will issue to the employer for delivery to each participating employee covered hereunder, a Schedule of Benefits, a copy of this Plan and appropriate identification cards, which the employee or eligible covered dependents can present to a hospital, physician or other service provider in claiming benefits due under this Plan. It shall be the employer's responsibility to disseminate to the eligible employee the Schedule of Benefits, a copy of this Plan and the appropriate identification cards. The employee's benefits are non-assignable prior to a claim. If any amendment to this Plan shall materially affect any benefits, the amendment, a new Schedule of Benefits and an updated copy of this Plan shall be delivered to the participating employer to be distribute.d to employees. The Trustees shall provide benefits that are designed to meet the needs of the participants and that are based on actuarial soundness. Tbe Plan may be modified or discontinued by the Trustees at any time. Notices of modification or discontinuance shall be mailed to the employer's last known address at least forty-five (45) days prior to the effective date of such modification or discontinuance. All statements made by employers or the employees of such employers shall be deemed representations and not warranties and no statement made for the purpose of effecting coverage shall void such coverage or reduce benefits unless contained in a written instrument signed by the employer or employee of such employer, a copy of which has been furnished to such employer or employee as the case may be. No reduction in benefits shall be made by reason of change in the occupation of any employee while in the employ of the employer or by reason of the employee's doing any act or thing pertaining to any other occupation, except as otherwise provided in Section VI. No representative has authority to change this Plan or waive any of its provisions. No ..Unless otherwise stated In the Schedule of Benefits (7/98) Pae:e 31