Common use of Group Agreement Clause in Contracts

Group Agreement. The Group Agreement between HMO and the Contract Holder, including the Group Application, this Certificate, including the Schedule of Benefits, any riders, and any amendments, endorsements, inserts, or attachments, as subsequently amended by operation of law and as filed with and approved by the applicable public authority. • Health Professional(s). A Physician or other professional who is properly licensed or certified to provide medical care under the laws of the state where the individual practices, and who provides Medical Services which are within the scope of the individual’s license or certificate. • Health Maintenance Organization (HMO). Aetna Health Inc., a Maryland corporation licensed by the District of Columbia Department of Insurance and Securities Regulation as a Health Maintenance Organization . • Homebound Member. A Member who is confined to the home due to an illness or injury which makes leaving the home medically contraindicated or which restricts the Member’s ability to leave the Member’s place of residence except with the aid of supportive devices, the use of special transportation, or the assistance of another person.

Appears in 4 contracts

Samples: Certificate of Coverage, Certificate of Coverage, Group Agreement

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