Group Medical Policy Terms and MOHRE Employment Contract Review

Vocabulary flashcards generated from the Group Medical Policy Terms and Conditions and the MOHRE Employment Contract documents.

Fidelis Technologies LLC

The client name listed on the Group Medical Policy terms and conditions under quote reference number V7.

Capstone Insurance Broker

The broker or agent named on the Fidelis Technologies LLC Group Medical Policy quote.

Direct Billing - NAS

The designated Third Party Administrator (TPA) name for direct billing under the Group Medical Policy.

Orient Takaful PJSC

The insurance company licensed by the UAE Central Bank that issues and underwrites the Medicare plans.

Category A Annual Medical Limit (AML)

The annual maximum medical coverage limit per member under Category A, set at $250,000\,\text{AED}$.

Category A Pre-Existing & Chronic Conditions Limit

The coverage limit for pre-existing and chronic conditions under Category A, which is $150,000\,\text{AED}$.

Cash Indemnity for In-Patient Treatment

A cash benefit of $100\,\text{AED}$ per night for up to a maximum of $10\,\text{days}$ for inpatient hospitalizations that are not submitted to the Insurance Company.

Category A Out-Patient Consultation Deductible

A deductible of $20\%$ up to $50\,\text{AED}$ for specialist or consultant outpatient consultations, which does not apply to follow-up visits within $7\,\text{days}$.

Out-Patient Physiotherapy Limit

Coverage for outpatient physiotherapy up to $12\,\text{sessions}$ per member per annum subject to $0\%$ coinsurance.

Organ Transplantation Coverage Limit

Coverage for the recipient up to a maximum of $100,000\,\text{AED}$ per person per annum with a $20\%$ co-pay, excluding organ cost and subject to prior approval.

Dialysis Coverage Limit

Covered up to a maximum of $60,000\,\text{AED}$ per person per annum with a $20\%$ co-pay, subject to prior approval.

Birth Defects & Congenital Disorders Limit

Covered up to a lifetime maximum of $7,500\,\text{AED}$ per person per annum within the UAE only.

Shingrix Vaccine Eligibility

Covered for Non-LSB Dubai Visa Holders above $50\,\text{years}$ of age and immunocompromised members above $18\,\text{years}$ of age, administered as $2\,\text{doses}$ given $2$ to $6\,\text{months}$ apart once per lifetime.

Repatriation of Mortal Remains Limit

Covered on a reimbursement basis up to a maximum limit of $5,000\,\text{AED}$ per person per annum to the country of domicile.

In-Patient Maternity Benefit Limit

Covered up to $10,000\,\text{AED}$ per married eligible female employee and spouse with $0\,\text{days}$ waiting period.

Routine Dental Benefit Limit

Covered up to $500\,\text{AED}$ inclusive of coinsurance, subject to a $20.00\%$ coinsurance.

BETTER DIGITAL AI APPLICATIONS AND SERVICES CO. LL.C

The First Party/Employer named in the MOHRE full-work employment contract with Establishment No $1684144$.

OMAR AL OMARI

The owner and representative of the First Party/Employer BETTER DIGITAL AI APPLICATIONS AND SERVICES CO. LL.C, holding German nationality.

RAGHAD MWAFAK HASAN

The Second Party/Employee named in the MOHRE employment contract, holding Syrian nationality and passport number N015941306.

Graphic and Multimedia Designer

The designation/profession assigned to employee RAGHAD MWAFAK HASAN under Job Offer No ST236902236AE.

Probation Period (MOHRE Contract)

A period of $6\,\text{months}$ during which the employee works under evaluation.

Contract Duration (MOHRE Contract)

A term of $2\,\text{years}$ starting from 03/07/2023 and ending on 03/07/2025.

Ordinary Working Hours and Weekly Rest

Ordinary working hours are $8\,\text{hours}$ per day, with a paid weekly rest of $2\,\text{days}$ on Saturday and Sunday.

Termination Notice Period (MOHRE Contract)

A prior notice period of $1\,\text{month}$ required from either party wishing to terminate the contract during its term.