Reso 98-109 - Laserfiche WebLink

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Rorlda Municipal Insurance Trust Medical Master Plan of Benefits change in this Plan shall be valid unless approved by the Board of Trustees. Written proof of claim for services shall be furnished to the Trust within 365 days after the date of such services. Benefits provided in this Plan will be payable to the hospital, physician or other service provider rendering service under this Plan or to the participant upon receipt, by the Trust, of paid bills in acceptable form. No action at law or in equity shall be brought to recover under this Plan prior to the expiration of sixty (60) days written notice to the Trust. No such action shall be brought after the expiration of the specified statute of limitations on such action. Such notice to the Trust shall be sufficient if given to: The Florida Municipal Insurance Trust Attention: Health Department 135 E. Colonial Drive Orlando, Florida 32801 An employee applying for coverage under this Plan for himself/herself or eligible dependents and the participant and/ or each dependent of the participant agrees that, as a condition of payment of benefits, services and supplies, any hospital, physician or other service provider that has made or may hereafter make a diagnosis, render service, attendance or treatment of or to a participant, may furnish and is authorized to furnish to the Trust at any time upon its request, a report containing all information and records or copies of records pertaining to diagnosis, attendance, service or treatment. The applicant or participant and/or each dependent of the applicant or participant agrees as a condition of payment of benefits or services, to execute such medical authorization as may be required by the Trust. The Trust' shall not be responsible for the payment of any expense for services or supplies not covered by this Plan or any amounts in excess of the maximum benefits allowed by this Plan. Eligible new participants may be added to the Plan in accordance with the terms and conditions of the Plan. No otherwise eligible employee or dependent of a participating employer shall be refused covera~e or be charged an unfairly discriminatory rate for participation solely because such employee or dependent is mentally or physically handicapped; provided, however, nothing in this Plan shall be construed to require the Trust to provide coverage against a handicap which the applicant sustained on or before the applicant's effective date of coverage. In the event coverage under this Plan is conditioned upon a certain event or condition, or conditioned upon the continuation of a certain event or condition, the burden is on the participant to establish the existence of such event or condition or the continuation of such event or condition. . To the extent of any conflict, the express words and language in this Plan will prevail over any oral or written communications to or by the Trust concerning the terms and conditions expressed in this Plan and such communications are hereby deemed to be modified to reflect the terms and conditions in this Plan in the event such conflict