Common Contracts

Ineligibility Status Flag Values

Exhibit • June 10th, 2009

• Contract Type
  Exhibit
• Filed
  June 10th, 2009

Status Flag Status Description 01 Ineligible due to debt on an unpaid premium 02 Ineligible due to debt on an unpaid overpayment 03 Ineligible due to debt on both an unpaid premium and overpayment 04 Eligible, debt has been paid 06 Eligible, payment agreement has been established 08 Ineligible due to controlled substance abuse. 09 Ineligible but in appeal. 10 Eligible, due to bankruptcy or court order 11 Ineligible due to defaulted payment agreement. 12 Ineligible due to dismissal of bankruptcy for cause or post petition debt. 13 Eligible, due to reversal on an appeal 14 Eligible due to debt settlement or write off 15 Partner of Bankrupt Partnership 20 Ineligible due to debt on unpaid CAT fees only 71 Ineligible due to debarment 72 Ineligible due to disqualification 73 Ineligible due to suspension 75 Partial eligibility for CAT coverage on fraud cases 80 Full eligibility on fraud cases