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. Claims-made and reported coverage per FACT CYBER insuring agreement. Retroactive Period: Full prior acts coverage, except as noted in FACT CYBER insuring agreement. This Coverage is Subject to an All Member Shared Policy Aggregate Limit of $5,000,000 Agreement Aggregate Limit of Liability: $1,000,000 Breach Response Services: $1,000,000 (In addition to the Agreement Aggregate Limit) Premium Basis Deductible/Type Limit Net Premium Breach Response Services Per-claim $35,000 $1,000,000 Included Per occurrence and aggregate limit, in addition to Cyber Liability Limit Cyber Liability: Agreement Limit of Liability - $1,000,000 Premium Basis Deductible/Type Limit Net Premium First Party Loss (Included in Agreement Aggregate Limit): Per-claim $35,000 $1,000,000 Per occurrence and aggregate limit Included Business Interruption Loss Cyber Extortion Loss Data Recovery Costs Liability (Included in Agreement Aggregate Limit): Data & Network Liability Regulatory Defense & Penalties Payment Card Liabilities & Cost Per-claim $35,000 $1,000,000 Per occurrence and aggregate limit Included Media Liability eCrime (Included in Agreement Aggregate Limit): Fraudulent Instruction Funds Transfer Fraud Telephone Fraud Per-claim $25,000 $50,000 Per occurrence $5,000 Per occurrence Included Included Criminal Reward $0 per-claim
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. In-Network1 % of Negotiated Fee2 Out-of-Network1 % of R&C Fee3 $800 per Person $800 per Person
Coverage Type. In-Network1 % of Negotiated Out-of-Network1 % of R&C
