COVERAGE PROVISIONS. Who Is Eligible For Coverage Non-Refundable Provision Maximum number of Insureds
COVERAGE PROVISIONS. Who Is Eligible For Coverage
COVERAGE PROVISIONS. Click to read annotation This Part only applies, with respect to an employee, or the employer of that employee, where either or both of the following circumstances occur: without the application of this Part an employee or the employer of that employee would otherwise be covered by both the laws of Australia and the United States; the employee has been sent from the territory of the United States to the territory of Australia in accordance with paragraph 3 and, based upon documentation issued by the Agency of the United States, the employee and employer are subject to United States laws. Click to read annotation Except as otherwise provided in this Article, a person employed within the territory of one of the Parties and the person's employer shall, with respect to that employment, be subject to the laws of only that Party. Click to read annotation Where a person who is normally employed in the territory of one Party by an employer in that territory is sent by that employer to the territory of the other Party for a temporary period, the person and the person's employer shall be subject to the laws of only the first Party as if the employee were employed in the territory of the first Party provided that the period of employment in the territory of the other Party is not expected to and does not exceed 5 years. After 5 years, any further period of employment shall be subject to the laws of the other Party. Click to read annotation For the purposes of applying paragraph 3 in the case of an employee who is sent from the territory of the United States by an employer in that territory to the territory of Australia, that employer and an affiliated company of the employer (as defined under the laws of the United States) shall be considered one and the same, provided that the employment would have been covered under United States laws in the absence of this Agreement. Click to read annotation For the purposes of applying paragraph 3 in the case of an employee who is sent from the territory of Australia by an employer in that territory to the territory of the United States, that employer and a related entity of the employer shall be considered one and the same. An entity is a related entity of an employer if the entity and the employer are members of the same wholly or majority owned group. Click to read annotation Paragraph 3 shall apply where a person who has been sent by his or her employer from the territory of a Party to the territory of a third State is subseq...
COVERAGE PROVISIONS. 1. The Health Plan shall provide the following services in accordance with the provisions herein, and in accordance with the Florida Medicaid Coverage and Limitations Handbooks and the Florida Medicaid State Plan. The Health Plan shall comply with all State and federal laws pertaining to the provision of such services.
COVERAGE PROVISIONS. 1. Except as otherwise provided in this Article, a person employed within the territory of one of the Contracting States shall, with respect to that employment, be subject to the laws of only that Contracting State.
COVERAGE PROVISIONS. 1. This Part only applies, with respect to an employee, or the employer of that employee, where either or both of the following circumstances occur:
(a) without the application of this Part an employee or the employer of that employee would otherwise be covered by both the laws of Australia and the United States;
(b) the employee has been sent from the territory of the United States to the territory of Australia in accordance with paragraph 3 and, based upon documentation issued by the Agency of the United States, the employee and employer are subject to United States laws.
2. Except as otherwise provided in this Article, a person employed within the territory of one of the Parties and the person's employer shall, with respect to that employment, be subject to the laws of only that Party.
COVERAGE PROVISIONS. Benefits will be provided under the conditions provided above in Section 1, Items b, c, d, and e.
COVERAGE PROVISIONS. Benefits will be provided under the conditions provided above in Sections 1, items b, c, d, and e, of the Health Insurance Program.
COVERAGE PROVISIONS. The Managed Care Plan shall provide the services listed in Attachment II, Core Contract Provisions, Exhibit 5 in accordance with the provisions herein, and in accordance with the Florida Medicaid Coverage and Limitations Handbooks, Medicaid fee schedules (see Attachment II, Core Contract Provisions, Section II, General Overview, Sub-Item D.8.) and the Florida Medicaid State Plan. The Managed Care Plan shall comply with all state and federal laws pertaining to the provision of such services.
COVERAGE PROVISIONS. What Benefits are provided to Covered Persons?
