Common use of Underinsured Clause in Contracts

Underinsured. a) A child who has health insurance, but the coverage does not include vaccines; or b) A child whose insurance does not cover all Advisory Committee on Immunization Practices (ACIP) recommended vaccines. The child would be eligible to receive those vaccines not covered by the insurance. Underinsured children are eligible to receive VFC vaccine only through a Federally Qualified Health Center (FQHC), or Rural Health Clinic (RHC) or under an approved deputization agreement. B. State Vaccine-eligible Children 1. In addition, to the extent that my state designates additional categories of children as “state vaccine- eligible,” I will screen for such eligibility as listed in the addendum to this agreement and will administer state-funded doses (including 317-funded doses) to such children. Children aged 0 through 18 years that do not meet one or more of the federal eligibility vaccine categories (VFC- eligible), are not eligible to receive VFC-purchased vaccine. 3. For the vaccines identified and agreed upon in the provider profile, I will comply with immunization schedules, dosages, and contraindications that are established by the Advisory Committee on Immunization Practices (ACIP) and included in the VFC program unless: a) In the provider's medical judgment, and in accordance with accepted medical practice, the provider deems such compliance to be medically inappropriate for the child; b) The particular requirements contradict state law, including laws pertaining to religious and other exemptions. 4. I will maintain all records related to the VFC program for a minimum of three years and upon request make these records available for review. VFC records include, but are not limited to, VFC screening and eligibility documentation, billing records, medical records that verify receipt of vaccine, vaccine ordering records, vaccine storage temperature data, and vaccine purchase and accountability records.

Underinsured. a) A child who has health insurance, but the coverage does not include vaccines; or b) A child whose insurance does not cover all Advisory Committee on Immunization Practices (ACIP) recommended vaccines. The child would be eligible to receive those vaccines not covered by the insurance. Underinsured children are eligible to receive VFC vaccine only through a Federally Qualified Health Center (FQHC), or Rural Health Clinic (RHC) or under an approved deputization agreement. B. State Vaccine-eligible Children 1. In addition, to the extent that my state designates additional categories of children as “state vaccine- eligible,” I will screen for such eligibility as listed in the addendum to this agreement and will administer state-funded doses (including 317-funded doses) to such children. Children aged 0 through 18 years that do not meet one or more of the federal eligibility vaccine categories (VFC- VFC-eligible), are not eligible to receive VFC-purchased vaccine. 3. For the vaccines identified and agreed upon in the provider profile, I will comply with immunization schedules, dosages, and contraindications that are established by the Advisory Committee on Immunization Practices (ACIP) and included in the VFC program unless: a) In the provider's medical judgment, and in accordance with accepted medical practice, the provider deems such compliance to be medically inappropriate for the child; b) The particular requirements contradict state law, including laws pertaining to religious and other exemptions. 4. I will maintain all records related to the VFC program for a minimum of three (3) years and upon request make these records available for review. VFC records include, but are not limited to, VFC screening and eligibility documentation, billing records, medical records that verify receipt of vaccine, vaccine ordering records, vaccine storage temperature data, and vaccine purchase and accountability records.