Coverage Type Sample Clauses
Coverage Type. Contractor will identify whether the type of coverage is “occurrence” or “claims made.” If the type of coverage is “claims made,” which at renewal Contractor changes to “occurrence,” Contractor will carry a twelve (12) month tail. Contractor will not do or permit to be done anything that will invalidate the policies.
Coverage Type. The coverage type codes used on the non-MSP file will be consistent with those used on the MSP file, but not all MSP file coverage types will be relevant. CMS needs supplemental drug coverage on the non-MSP file. If the partner is describing a network (EDI) pharmacy benefit, the coverage type will be U, W, X, or Y. If the partner is describing a non-network pharmacy benefit the coverage type will be V, Z, 4, 5, or 6. Insurer Name- This is the name of the private insurer providing prescription drug coverage. CMS asks for this to facilitate proper billing at point of sale. Special Note about the “ID” Disposition Code ‘N’ – Non-Reporting Query Record and Response
Coverage Type a scope of medical services, other benefits, or both, that are available to members who meet specific MassHealth eligibility criteria. EOHHS’s current Coverage Types with Members who may be enrolled with the Contractor are: Standard, Family Assistance, CarePlus and CommonHealth. See 130 CMR 450.105 for an explanation of each Coverage Type. Credentialing Criteria – criteria establishing the qualifications of Network Providers. See Section 2.8.H. of this Contract.
Coverage Type. Primary Insured Person Only Mobile Device Protection: $500 per Claim;
Coverage Type a scope of medical services, other benefits, or both, that are available to members who meet specific MassHealth eligibility criteria. EOHHS’s current Coverage Types with Members who may be enrolled with the Contractor are: Standard, Family Assistance, CarePlus and CommonHealth. See 130 CMR 450.105 for an explanation of each Coverage Type. Covered Entity – shall have the meaning given to this term in the Privacy and Security Rules. Cultural and Linguistic Competence – competence, understanding, and awareness with respect to Culturally and Linguistically Appropriate Services. Customer Service Center (CSC) Vendor – EOHHS’s enrollment broker that provides Members with a single point of access to a wide range of customer services, including enrolling Members into MCOs and the PCC Plan. DCF – the Massachusetts Department of Children and Families. DDS – the Massachusetts Department of Developmental Services. Department of Mental Health (DMH) – the department within the Massachusetts Executive Office of Health and Human Services designated as the Commonwealth’s mental health authority pursuant to M.G.L. c. 19 and DPH – the Massachusetts Department of Public Health. DTA – the Massachusetts Department of Transitional Assistance. DYS – the Massachusetts Department of Youth Services. Digital Quality Measures (dQMs) – quality measures expressed in a digital format using standardized language and data definitions that enable sharing of the specified measure electronically between systems. dQMs are Discharge Planning – the evaluation of an Enrollee’s medical and Behavioral Health care needs and coordination of any other support services in order to arrange for safe and appropriate care and living situation after discharge from one care setting (e.g., acute hospital, inpatient behavioral health facility) to another care setting (e.g., rehabilitation hospital, group home), including referral to and coordination of appropriate services. Disease Management – the Contractor’s ongoing services and assistance for specific disease and/or conditions. Services include specific interventions, education and outreach targeted to Enrollees with, or at risk for, these diseases or conditions. Division of Insurance (DOI) – The Massachusetts Division of Insurance. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) – the delivery of health care services to MassHealth Standard and CommonHealth Members under the age of 21, pursuant to 42 USC 1396d(a)(4), 42 CFR Part 441, Subpart...
Coverage Type the level of coverage You purchased and defined on Your Purchase Confirmation. Enhanced coverages such as ADH are described in Section 6.2. 4.
Coverage Type. The coverage type codes used on the non-MSP file will be consistent with those used on the MSP file, but not all MSP file coverage types will be relevant. Insurer Name- This is the name of the private insurer providing prescription drug coverage. CMS asks for this to facilitate proper billing at point of sale. Special Note about the “ID” Disposition Code ‘N’ – Non-Reporting Query Record and Response
Coverage Type. This requires a dollar amount report for a Combined Single Limit: Bodily Damage + Property, Personal Liability Injuries, Aggregates For Completed Product Operations, and General Aggregates If a Subcontractor must maintain Vehicle Liability Insurance then tick the second checkbox. This requires the minimum dollar amount required on the insurance policy reported on the empty space provided. Tick the third checkbox if the Subcontractor must maintain Excess Liability Insurance. If so, then note the minimum amount that subcontractors must make on the policy using empty rows after the dollar sign. If additional insurance requirements must be met, then tick the fourth check box. If this statement is flagged make sure both parties are fully aware of the condition of its contents. 6 - This Agreement Requires Some Legal Definition Sometimes, misunderstandings or disputes may arise between the Contractor and the Subcontractor. This document will discuss this scenario in XIII. Dispute Resolution. If both parties must agree to Binding Arbitration to resolve the dispute, then tick the first checkbox. If both agree to a Non-Binding Arbitration process, then xxxx the second check box. If, on the contrary, they must comply with the Mediation process then tick the third checkbox and indicate whether they should enter Binding Arbitration or Litigation to resolve the matter. Now, in article fourteen (XIV. Termination), we need to provide some details on how this agreement will end. If this agreement is to be terminated only after successful completion of the documented terms and neither the Contractor nor the Subcontractor can terminate the agreement earlier than this, then tick the checkbox labeled No Right to Terminate. If only the Contractor had the ability to terminate this agreement prematurely then xxxx the checkbox attached to the label Contractor Only Has The Option To Terminate. Be sure to provide the number of business days that the Contractor must provide prior to an official termination as a notice on an empty line after the words... With at least. Also, be sure to record a percentage From the Actual Cost of Completed Work the Subcontractor may
Coverage Type. Commercial general liability coverage Comprehensive with contract coverage $1,000,000 Automobile liability (non-owned). Bodily Injury and property damage $1,000,000 Worker’s compensation coverage $1,000,000 and waiver of subrogation Inland Marine policy $ 300,000 or higher Covers rented/leased equipment, all risk, including theft - Retail value of equipment Certificate holder must be named as additional insured and loss payee Certificate holder: Mega Machinery 00000 Xxxxxxx 00 Xxxxxxxx, XX 00000
Coverage Type. The District will identify whether the type of coverage is “occurrence” or “claims made.” If the type of coverage is “claims made,” which at renewal the District changes to “occurrence,” the District will carry a twelve (12) month tail. The District will not do or permit to be done anything that will invalidate the policies.