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<br />Section <br /> <br />I. <br />II. <br />Ill. <br />IV. <br />v. <br />VI. <br />vu. <br />VUI. <br />IX. <br />X. <br />Xl. <br />XlI. <br />XlII. <br />XIV.. <br />XV. <br />XVI. <br />XVII. <br />XVIll. <br />XIX. <br />XX. <br />XXI. <br /> <br />Rortda Municipal Insurance Trust <br />Medical Master Plan of Benefits <br /> <br />TABLE OF CONTENTS <br /> <br />Heading <br /> <br />~ <br /> <br />I>~JrIIfI1rI()IfS----------------------------------------------------------------- 1 <br /> <br /> <br />I>~I>1J~1rIIl~~ ______________________________________________________--------- Ei <br /> <br />~IJrE1'IM~ MAXIMUM AND RES1r()RA1rI()N ()Jr II~N~JrI1'S--------- Ei <br />MAXIMUM EXPENSE 1r() PAR1rI~IPAN1rS ______________________________ 7 <br />~~IGIIII~I1rY AND ENR()~~MEN1r.---------------------------------------- 7 <br /> <br /> <br />~()V~RED EXPENS~ _____________________________________________________12 <br /> <br />H()SPI1r AL IIILL SELJr -AUDI1r ____________________________________________19 <br />~X~~USI()NS AND LIMI1r A1rI()NS _______________________________________ 20 <br />~()()RDINA 1r1()N ()Jr IIENEFITS _________________________________________ 23 <br />PRE-~XlS1rING ~()NDITI()NS LIMI1rATI()NS _________________________24 <br />1rIM~ ()Jr PAYMENT, GRA~E PERI()D----------------------------------25 <br />~()IfI>I1rI()NS Jr()R RENDERING SERVICE ____________________________ 25 <br />~MPLOYER'S TERMINATI()N AND RENEWAL _______________________ 2Ei <br />P AR1rI~IP AN1r'S TERMINA TI()N ()Jr ~()VERAGE -------------------- 2Ei <br />~()If1rlNUATI()N ()Jr ~()VERAGE - ~()IIRA ____________________________28 <br />PRES~RlP1'I()N DRUGS ___________________________________________________ 30 <br />G EIf~RAL PR()VlSIONS ___________________________________________________ 31 <br />PAYMEN1r ()Jr IIENEJrITS, ASSIGNMEN1r ______________________________33 <br />GRI~V ANCE PRO~EDURES ______________________________________________ 33 <br /> <br /> <br />SlJIIR()GA1rI()N--------------------------------------------__________________33 <br /> <br /> <br />1f()1rICE _______________________________________________________________________34 <br />