Special Coverage. If You suffer an Injury as a result of any of the covered activities of Benefit 25 during Your Overseas Journey, shall within twelve (12) consecutive months result in any of the covered events for Benefit 19, We will pay the amount stated in the Schedule of Benefits: Covered Activities for Benefit 25 - Special Coverage
Special Coverage. Tenant shall carry “Builder’s All Risk” insurance in an amount approved by Landlord covering the construction of the Tenant Improvements, and such other insurance as Landlord may require. Such insurance shall be in amounts and shall include such extended coverage endorsements as may be reasonably required by Landlord including, but not limited to, the requirement that all of Tenant’s Parties shall carry excess liability and Products and Completed Operation Coverage insurance, each in amounts not less than $1,000,000 per incident, $2,000,000 in aggregate, and in form and with companies as are required to be carried by Tenant as set forth in the Lease.
Special Coverage. 7.7.1 The Special Coverage benefit is designed to provide services for Enrollees with special health care needs caused by serious illness.
Special Coverage. 11.3.9.1 In order to obtain services under Special Coverage, an Enrollee must register, as provided in Section 7.7.6 of this Contract. Registration is a form of utilization control, to determine whether the Enrollee’s health condition warrants Access to the expanded services included in Special Coverage.
Special Coverage. Tenant shall carry “Builder’s All Risk” insurance in an amount approved by Landlord covering the construction of Tenant Improvements, and such other insurance as Landlord may require, it being understood and agreed that Tenant Improvements shall be insured by Tenant pursuant to Section 14 of the Lease immediately upon completion thereof. Such insurance shall be in amounts and shall include such extended coverage endorsements as may be reasonably required by Landlord including, but not limited to, the requirement that all of Tenant’s Agents shall carry excess liability and Products and Completed Operation Coverage insurance, each in amounts not less than $2,000,000.00 per incident, $5,000,000.00 in aggregate, and in form and with companies as are approved by Landlord.
Special Coverage. Tenant’s Contractor, or in the case of a construction management contract Tenant’s Major Subcontractors shall carry “Builder’s All Risk” insurance in an amount approved by Landlord covering the construction of the Tenant Improvements, and such other insurance as Landlord may require. Such insurance shall be in amounts and shall include such extended coverage endorsements including the requirement that all of Tenant’s Parties shall carry excess liability and Products and Completed Operation Coverage insurance, each in amounts not less than $1,000,000 per incident, $2,000,000 in aggregate, and in form and with companies as are required to be carried by Tenant as set forth in the Lease.
Special Coverage. Tenant shall carry "Builder's All Risk" insurance in an amount approved by Landlord covering the construction of the Tenant Improvements, and such other insurance as Landlord may require, it being understood and agreed that the Tenant Improvements shall be insured by Landlord pursuant to Article 14 of this Lease upon completion thereof. Tenant's policy of Builder's All Risk insurance shall be in amounts and shall include such extended coverage endorsements as may be reasonably required by Landlord including, but not limited to, the requirement that all of Tenant's Agents shall carry Excess Liability and Products and Completed Operation Coverage insurance, each in amounts not less than $1,000,000 per incident, $2,000,000 in aggregate, and in form and with companies as are required to be carried by Tenant as set forth in Article 14 of this Lease.
Special Coverage. Tenant shall carry “Builder’s All Risk” insurance in an amount approved by Landlord covering the construction of the Tenant Improvements, and such other insurance as Landlord may require; provided, however, that the original party signing the Lease as Tenant may elect to self insure for such the risks covered under Builder’s All Risk insurance, but no such self-insurance shall diminish the rights and privileges to which Landlord would otherwise have been entitled under the terms of the Lease had there been a third party insurer, e.g. waiver of subrogation. Tenant’s Contractor shall be required to carry commercially liability insurance in the amounts required of Tenant under the Lease and name Landlord and its designees as an additional insured.
Special Coverage. Enrollees with special health care needs can get Special Coverage that will provide services for the care they need. The special health care needs are: 1. Aplastic Anemia 2. Rheumatoid Arthritis 3. Autism 4. Cancer 5. Skin Cancer such as Invasive Melanoma or squamous cells with evidence of metastasis. 6. Skin Cancer - Carcinoma IN SITU 7. Chronic Renal Disease 8. Scleroderma 9. Multiple Sclerosis (MS) and Amiotrophic Lateral Sclerosis (ALS) 10. Cystic Fibrosis 11. Hemophilia 12. Leprosy 13. Systemic Lupus Erythematosus(SLE) 14. Children with Special Health Needs 15. Obstetric 16. Tuberculosis (Tb) 17. HIV/AIDS 18. Adults with phenylketonuria (PKU) 19. Pulmonary Hypertension Your PCP or your Primary Medical Group can give you more information on which people qualify for the special coverage. If you qualify for Special Coverage, they can also help you sign up for it. People with Special Coverage can choose any provider that works with your Preferred Provider Network or your Insurer’s General Network. People with Special Coverage can get prescription medications, tests and other services through the Special Coverage without a referral or needing their PCP to sign off. Your Insurer will let you know if you are qualified and will if you are must make sure that you get access to the services. MI Salud Special Coverage will begin when the enrollee reaches the limits of the Special Coverage for any other health plan. The benefits under Special Coverage include the list below. Some services may have limits. Contact your Insurer at [x] if you want more information. · Coronary disease services and intensive care · Maxillary surgery · Neurosurgical and cardiovascular procedures 23 · Peritoneal dialysis and related services · Clinical services and laboratory tests · Neonatal intensive care unit services · Chemotherapy, radiology and related services · Gastrointestinal conditions, allergies and nutritional evaluation for autistic patients · Procedures and diagnostic tests, when medically necessary · Physical therapy · General Anesthesia · Hyperbaric chamber · Immunosuppressive medicines and laboratory tests for patients who have received transplants · Treatment for specific conditions after diagnosis: ✓ Positive HIV Factor and Acquired Immunodeficiency Syndrome (AIDS) – Ambulatory and hospitalization services are included. You do not need a Referral or Prior-Authorization from your Insurer or your PCP for visits and treatment at the Immunology Regional Clinics of the He...
Special Coverage. Treatment for the following conditions after confirmed laboratory results and established diagnostic: ü HIV Positive factor and/or Acquired Immunodeficiency Syndrome (AIDS) – Ambulatory and hospitalization services are included. No referral or pre-authorization from the Health Care Organization or the primary care physician is required for beneficiary’s visits and treatment at the Health Department’s Regional Immunology Clinics. ü Tuberculosis ü Leprosy ü Lupus ü Cystic Fibrosis ü Cancer ü Hemophilia ü Special needs children, including the prescribed conditions in the Special Needs Children Diagnostic Manual by the Health Department, Health Protection and Promotion auxiliary Secretary, Habilitation Division (“the manual”) which is part of this document, except: ° Asthma and diabetes, which are included in the “Disease Management Program” ° Mental Disorders; and ° Mental Retardation, behavioral manifestations will be managed by mental health providers within the Basic Coverage, with the exception of a catastrophic disease. The Insurance Company must seek the Administration’s authorization for any other special condition not included in the manual for which the primary care physician or medical group solicit special coverage activation. Said request must contain the total economical impact of the inclusion. The Administration will consult with the Health Department and issue a decision which will be binding between the parties. § Scleroderma § Multiple Sclerosis § Services for treatment of conditions resulting from self-inflicted damage or as a result of a felony by a beneficiary or negligence. § Chronic renal disease in levels three (3), four (4) and five (5). (Levels 1 and 2 are included in the Basic Coverage.) The following is a description of chronic renal disease stages3:
