Common use of Benefits After Termination Clause in Contracts

Benefits After Termination. the benefits, if any, remaining under this Contract after a person ceases to be a Member. Blue Cross of Idaho Health Service, Inc. (Blue Cross of Idaho or BCI)—a nonprofit mutual insurance company. Congenital Anomaly—a condition existing at or from birth, which is a significant deviation from the common form or function of the body, whether caused by a hereditary or a developmental defect or Disease. In this Contract, the term significant deviation is defined to be a deviation which impairs the function of the body and includes but is not limited to the conditions of cleft lip, cleft palate, webbed fingers or toes, sixth toes or fingers, or defects of metabolism and other condition that are medically diagnosed to be Congenital Anomalies. Contract or Dental Blue Connect—this Dental Blue Connect Contract, which includes the Group application, individual enrollment applications, Member identification cards, any written endorsements, riders, amendments, or any other written agreements between BCI and the Group executed by an authorized officer. Contract Date—the date specified in this Contract on which coverage commences for the Group. Contracting Provider—a Dentist or Denturist who is employed by Willamette Dental Group to provide Covered Dental Services to Dental Blue Connect Members. Copayment—a designated dollar amount that a Member is financially responsible for and must pay to a Provider at the time certain Covered Dental Services are rendered. Council—the Idaho School District Cooperative Service Council, an organization to whom the Master Group Matrix Contract is issued and through which benefits are selected by Participating School Districts. Cost Effective—a requested or provided dental service or supply that is Medically Necessary in order to identify or treat a Member’s health condition, illness or injury and that is:

Benefits After Termination. the benefits, if any, remaining under this Contract after a person ceases to be a Member. Blue Cross of Idaho Health Service, Inc. (Blue Cross of Idaho or BCI)—a nonprofit mutual insurance company. Congenital Anomaly—a condition existing at or from birth, which is a significant deviation from the common form or function of the body, whether caused by a hereditary or a developmental defect or Disease. In this Contract, the term significant deviation is defined to be a deviation which impairs the function of the body and includes but is not limited to the conditions of cleft lip, cleft palate, webbed fingers or toes, sixth toes or fingers, or defects of metabolism and other condition that are medically diagnosed to be Congenital Anomalies. Contract or Dental Blue Connect—this Dental Blue Connect Contract, which includes the Group application, individual enrollment applications, Member identification cards, any written endorsements, riders, amendments, attachments or any other written agreements between BCI and the Group executed by an authorized officer. Contract Date—the date specified in this Contract on which coverage commences for the Group. Contracting Provider—a Dentist or Denturist who is employed by Willamette Dental Group to provide Covered Dental Services to Dental Blue Connect Members. Copayment—a designated dollar amount that a Member is financially responsible for and must pay to a Provider at the time certain Covered Dental Services are rendered. Council—the Idaho School District Cooperative Service Council, an organization to whom the Master Group Matrix Contract is issued and through which benefits are selected by Participating School Districts. Cost Effective—a requested or provided dental service or supply that is Medically Necessary in order to identify or treat a Member’s health condition, illness or injury and that is:

Benefits After Termination. the benefits, if any, remaining under this Contract after a person ceases to be a Member. Blue Cross of Idaho Health Service, Inc. (Blue Cross of Idaho or BCI)—a nonprofit mutual insurance company. Congenital Anomaly—a condition existing at or from birth, which is a significant deviation from the common form or function of the body, whether caused by a hereditary or a developmental defect or Disease. In this Contract, the term significant deviation is defined to be a deviation which impairs the function of the body and includes but is not limited to the conditions of cleft lip, cleft palate, webbed fingers or toes, sixth toes or fingers, or defects of metabolism and other condition that are medically diagnosed to be Congenital Anomalies. Contract or Dental Blue Connect—this Dental Blue Connect Contract, which includes the Group application, individual enrollment applications, Member identification cards, any written endorsements, riders, amendments, or any other written agreements between BCI and the Group executed by an authorized officer. Contract Date—the date specified in this Contract on which coverage commences for the Group. Contracting Provider—a Dentist or Denturist who is employed by Willamette Dental Group to provide Covered Dental Services to Dental Blue Connect Members. Copayment—a designated dollar amount that a Member is financially responsible for and must pay to a Provider at the time certain Covered Dental Services are rendered. Council—the Idaho School District Cooperative Service Council, an organization to whom the Master Group Matrix Contract is issued and through which benefits are selected by Participating School Districts. Cost Effective—a requested or provided dental service or supply that is Medically Necessary in order to identify or treat a Member’s health condition, illness or injury and that is: