Summary Plan Description - Health Insurance Illinois

Formulary (List of Drugs) - Health Insurance Illinois

The drug list (sometimes called a formulary) is a list showing the drugs that can be covered by the plan. The drugs listed will be covered as long as you:

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National Provider Identifier (NPI) Glossary of Terms

National Provider Identifier (NPI) Glossary of Terms Covered Entity – means: 1. A health plan 2. A health care clearinghouse 3. A health care provider who transmits any health information in electronic form in

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SummaryofBenefitsandCoverage: …

Limitations,Exceptions,&OtherImportant Information WhatYouWillPay ServicesYouMayNeed Common MedicalEvent Non-Participating Provider(Youwillpaythe most)

The BlueCard Program Provider Manual - Blue …

BlueCard Program Provider Manual – Updated 04/18 1 The BlueCard® Program Provider Manual April 2018 This manual is designed to offer you, as a Blue Cross and Blue Shield of Illinois (BCBSIL) independently

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HIPAA NOTICE OF PRIVACY PRACTICES - Blue …

Blue Cross and Blue Shield of Illinois (BCBSIL) is required to provide you a HIPAA Notice of Privacy Practices as well as a State Notice of Privacy Practices.

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durable medical equipment - Blue Cross and Blue …

Durable Medical Equipment (DME) Overview BCBSIL Provider Manual—Rev 5/10 2 This document is provided as a supplement to the Blue Cross and Blue Shield of Illinois (BCBSIL) Contract

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Billing with National Drug Codes (NDCs) …

March - April 2015 1 Billing with National Drug Codes (NDCs) Frequently Asked Questions NDC Overview Converting HCPCS/CPT Units to NDC Units

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Radiology Quality Initiative (RQI) Program …

Page 1 of 8 Radiology Quality Initiative (RQI) Program Answers to Frequently Asked Questions Program Overview..... 2

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Blue Cross Medicare Advantage (HMO/HMO …

Section 1 – Introduction This directory provides a list of Blue Cross Medicare Advantage’s (HMO/HMO-POS) network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.

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Claim Review Form - Health Insurance Illinois

Claim Review Form This form is only to be used for review of a previously adjudicated claim. Original Claims should not be attached to a review form.

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Update to the Summary Plan Description - hr2.chevron.com

January 1, 2014 Mental Health and Substance Abuse Plan (MHSA) Summary Plan Description (both the individual SPD posted online and the Your Chevron Health Benefits Summary Plan Description for U.S.-Payroll Employees compilation available in print.) January 1, 2017 Official Summary of Material Modification (SMM) Description of the ...

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MassMutual Employee Welfare Benefits Plan

MassMutual Employee Welfare Benefits Plan High Deductible Health Plan (HDHP) Option 1 and Option 2 Medical Summary Plan Description for Employees of MassMutual Effective January 1, 2014 This Summary Plan Description (SPD), published in October 2014…

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Supplemental Life Insurance Plan - hr2.chevron.com

This information constitutes the summary plan description (SPD) of the Supplemental Life Insurance Plan as required by the Employee Retirement Income Security Act of 1974 (ERISA). These descriptions don’t cover every provision of the plans. ... Summary Plan Description Effective January 1, 2014 . Supplemental Life Insurance │ Page 2.

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MassMutual Agents’ Welfare Benefits Plan

MassMutual Agents’ Welfare Benefits Plan Dental Summary Plan Description for Agents Effective January 1, 2014 This Summary Plan Description (SPD), published in October 2014, takes the place of any SPDs and Summaries of Material Modifications (SMMs) previou sly issued to …

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County of Los Angeles

SUMMARY PLAN DESCRIPTION Effective January 1, 2014 . Table of Contents ... If you have questions not answered in this Summary Plan Description (SPD), contact the insurance carrier ... If you are a full-time, permanent employee of the County of Los Angeles and you are represented by a bargaining unit listed below, or you are in an eligible class ...

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County of Los Angeles

SUMMARY PLAN DESCRIPTION Effective January 1, 2014 . Table of Contents ... If you have questions not answered in this Summary Plan Description (SPD), contact the insurance carrier directly ... mail the County of Los Angeles Declaration of Domestic Partnership Form to you.

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Employee Executive LIFE INSURANCE - ConocoPhillips

2014 Employee Executive Life Insurance . 1. Claims and Appeals Procedures 14. Decisions on Benefit Claims 14. Denials of Claims and Appeals 14. ... This Summary Plan Description (SPD) is an overview of the Plan and does not contain the detail that the prospectus will provide.

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Case: 14-11678 Date Filed: 11/25/2014 Page: 1 of 18

The NEI Summary Plan Description was 87 pages long and contained, inter alia, detailed information regarding eligibility for health benefits, the extent of specific types of benefits, and claim …

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Summary Plan Description - benefitsfund.seiudev.org

This Summary Plan Description (SPD) gives you a summary of your Pension ... Plan as of January 1, 2014. It describes the rules in effect for persons who have a pension Effective Date on or after January 1, 2014. The rules for persons who retired before January 1, 2014 may differ from those described in this summary.

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PSS Severance Plan Document amended and restated 7-11-14

document and summary plan description for the Plan, as those terms are defined under the Employee Retirement Income Security Act of 1974, as amended (“ERISA”). This Plan is the only severance pay plan, program or policy of the Company and supersedes all other

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