Program Coverage Clause Samples
The Program Coverage clause defines the scope and extent of services, products, or activities that are included under a specific program or agreement. It typically outlines what is covered, any limitations or exclusions, and the conditions under which coverage applies. For example, it may specify which participants, locations, or types of incidents are included, and clarify any boundaries to the program’s applicability. This clause ensures all parties have a clear understanding of what is and is not covered, thereby preventing misunderstandings and disputes regarding the program’s reach.
Program Coverage. Provider agrees to submit pretreatment estimates, if required in the Covered Benefits Schedule. Provider acknowledges that possession of an Avesis identification card or Sponsor identification card does not guarantee that an individual is still a Member on the date services are rendered, or that a Member is necessarily covered for any or all services or materials to be provided. For emergency treatment see procedures described in Section D hereto.
Program Coverage. The return to work program will be available to WCB claimants, convalescent employees and injured employees.
Program Coverage. Insurance programs of the Authority may provide coverage, including excess insurance coverage for:
(1) Workers' compensation;
(2) Comprehensive liability, including but not limited to general, personal injury, contractual, public officials errors and omissions, and incidental malpractice liability;
(3) Comprehensive automobile liability;
(4) Hospital malpractice liability;
(5) Property and related programs; and may provide any other coverages authorized by the Board of Directors. The Board shall determine, for each such program, a minimum number of participants required for program implementation and may develop specific program coverages requiring detailed agreements for implementation of the above programs.
Program Coverage. The System may provide coverage for workers’ compensation and employers' liability authorized by the Board of Directors. The Board of Directors shall determine a minimum premium amount and number of district participants required for program implementation. Coverage may be extended by the Board of Directors to include various types of property and/or public liability risks and/or employee benefits programs and/or such other areas of coverage as the Board of Directors shall determine.
Program Coverage. Tuberculosis
Program Coverage. Pooling or insurance programs of PACT may provide coverage for:
Program Coverage. 4.1.1. The Program coverage (Covered Drugs/Exclusions) and days supply limitation under the Mail Order Pharmacy Program will be as designated by SPONSOR in the applicable Plan Design.
4.1.2. Medco’s mail order pharmacies will not be required to dispense prescriptions for greater than a ninety (90) day supply of Covered Drugs per prescription or refill, subject to the professional judgment of the dispensing pharmacist, limitations imposed on controlled substances and manufacturer’s recommendations. Prescriptions may be refilled providing the prescription so states. Prescriptions will not be filled (i) more than twelve
Program Coverage. For benefits requiring pre-authorization as required on the Plan Sheet, the Participating Provider agrees to submit the pre-authorization request prior to providing the materials. Participating Provider acknowledges that possession of an Avesis identification card or Sponsor identification card does not guarantee that an individual is still a Member on the date services are rendered, or that a Member is necessarily covered for any or all services or materials to be provided.
Program Coverage. The agencies agree to cooperate in the full spectrum of wildland fire management activities to achieve land management goals, and in all-hazard emergencies as authorized. Cooperative efforts shall be provided at the national, geographical, and local levels to facilitate efficient use of personnel, supplies, equipment, training, public education, aviation services, and other resources. Activities may include, but are not limited to:
A. Prevention of human-caused wildfires;
B. Investigation of human-caused wildfires through final judgment to include settlements;
C. Training of personnel to agreed common standards;
D. Preparedness;
E. Fuels Management;
F. Wildfire Response;
G. Emergency Stabilization (ES) and Burned Area Rehabilitation (BAR)/Burned Area Emergency Rehabilitation (▇▇▇▇) of areas burned by wildfires;
H. Development and distribution of cost information;
I. Wildland fire research, management studies, and development and exchange of technology and databases;
J. Coordinating assistance to rural communities to mitigate wildfire risk;
K. Emergency support function activities under the National Response Framework;
L. Identification and establishment/maintenance of interagency wildland fire management resources; and M. Development of local, geographical, and national operating and mobilization plans.
V. RESPONSIBILITIES.
A. Agencies will develop mutually-beneficial wildland fire management planning efforts in accordance with agency and bureau policy and guidance.
B. Agencies agree this document will provide for the following administrative and jurisdictional responsibilities:
1. Deliver personnel, aircraft, aviation services, equipment, and supplies in a manner that adequately considers wildland fire management concepts, such as use of closest-forces, best value, and total mobility;
2. Ensure that the development and use of wildland fire equipment and supply caches are compatible with interagency requirements on the Local, Geographical Area, and National levels;
3. Provide training to mutually agreeable common standards and curricula;
4. Develop and implement mutually acceptable performance qualifications and standards for all incident management positions; and
5. Provide mutual assistance for managing wildland fires;
C. Agencies agree to provide mutual assistance for conducting, purchasing, and contracting for wildfire suppression, fuels reduction/wildland fire risk management, fuels management, resilient landscape, burned area rehabilitation activitie...
Program Coverage. The Authority may provide insurance coverage through a fully- or – partially-insured plan(s), or self-funded plan(s) or pooled self-funded plan(s) for:
(1) Medical;
(2) Pharmacy
(3) Dental;
(4) Vision;
(5) Mental Health; and