Agreement of Coverage definition

Agreement of Coverage or “AOC” means this document, including the Attachment A Benefit Schedule and any other Attachments, Endorsements, Riders or Amendments to it, the Member’s Enrollment Form, health statements, Member Identification Card, and all other applications received by HPN.
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Agreement of Coverage or “AOC” means this document including any Attachments or Endorsements thereto, the Insured’s Identification Card, health statements and all applications received by SHL.
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Agreement of Coverage. ❖ “Predetermination” means a system that requires a Plan Provider to get approval from SHL before providing non-emergent healthcare services to a Insured for those services to be considered Covered Services. Prior Authorization is not an agreement to pay for a service.
Sample 1

Examples of Agreement of Coverage in a sentence

  • Please refer to your HPN Agreement of Coverage for additional information.

  • If upon examination of this Agreement of Coverage you are not satisfied for any reason, you may return the Agreement of Coverage materials, within ten (10) days of its delivery, and request a full refund of the premium paid.

  • NOTICE: If upon examination of this Agreement of Coverage you are not satisfied, for any reason, you may return the Agreement of Coverage materials, within ten (10) days of its delivery, and request a full refund of the premium paid.

  • Agreement of Coverage The Member should, at the earliest time reasonably possible, notify his PCP after the onset of an emergency.

  • PPP is an investment form based on contracts between gov- ernment authorities, investors, and the project companies to build, operate and manage large projects in certain sectors.

  • If upon examination of this Agreement of Coverage you are not satisfied for any reason, you may return this Agreement of Coverage materials, within ten (10) days of its delivery, and request a full refund of the premium paid.

  • Member may delegate their responsibility to provide Agreement of Coverage notification to the non-network facility but it is the Member’s responsibility to ensure that the Plan receives notification.

  • Agreement of Coverage Documentation supporting the reasonableness and necessity of Gastric Restrictive Surgical Services is required, including compliant attendance at a medically supervised weight loss program (within the last twenty-four (24) months) for at least six (6) consecutive months with documented failure of weight loss.

  • If the initial Agreement of Coverage notification was oral, HPN shall provide a written or electronic explanation to the Member within seventy-two (72) hours after the expedited appeal being filed.

  • Agreement of Coverage Intensive Outpatient Programs (IOP): A structured program that maintains hours of service for at least nine (9) hours per week for adults and six (6) hours per week for children/adolescents during which assessment and diagnostic services, and active behavioral health treatment are provided.

Related to Agreement of Coverage

  • Outline of coverage means a summary that explains an accident and health insurance policy.

  • Evidence of coverage means any certificate, agreement or contract issued to an enrollee setting out the coverage to which the enrollee is entitled.

  • Certificate of Coverage means a written certification provided by any source that offers medical care coverage, including the Plan, for the purpose of confirming the duration and type of an individual’s previous coverage.

  • Effective Date of Coverage means the date of commencement of Coverage in respect of a Life Insured under the Policy pursuant to the provision on Commencement of Coverage.

  • Period of Coverage means the Plan Year, with the following exceptions: (a) for Employees who first become eligible to participate, it shall mean the portion of the Plan Year following the date on which participation commences, as described in Section 3.1; and (b) for Employees who terminate participation, it shall mean the portion of the Plan Year prior to the date on which participation terminates, as described in Section 3.2.

  • Levels of cover means cover is available for either hospital treatment, general treatment or combined hospital and general treatment.

  • Mortgage guaranty insurance means surety insurance under which a mortgagee or other creditor is indemnified against losses caused by the default of a debtor.

  • Indemnity Agreement means that certain Indemnity Agreement dated as of the Closing Date by Borrower and Indemnitor in favor of Lender.

  • Period of Cover means the duration of Your cover as stated in Your Policy Documents.

  • R&W Insurance Policy means the representations and warranties insurance policy issued to Buyer in connection with the transactions contemplated hereby.

  • Special Primary Insurance Policy Any Primary Insurance Policy covering a Mortgage Loan the premium of which is payable by the Trustee pursuant to Section 4.04(a), if so identified in the Mortgage Loan Schedule. There are no Special Primary Insurance Policies with respect to any of the Mortgage Loans.

  • Lot coverage means the portion or percentage of the area of a lot upon which buildings are erected.

  • Site Coverage means ratio expressed in percentage between the area covered by the ground floor of building and the area of the site;

  • D&O Liability Insurance Policies means all insurance policies (including any “tail policy”) of any of the Debtors for liability of any current or former directors, managers, officers, and members.

  • Mortgage Impairment Insurance Policy A mortgage impairment or blanket hazard insurance policy as described in Section 4.11.

  • Reimbursement insurance policy means a policy of insurance

  • Master Policy means a single worker’s compensation insurance policy issued by an insurer authorized to do business in this state to an employee leasing company in the name of the employee leasing company that covers more than one client of the employee leasing company.

  • Life Insurance Policy has the meaning given in Section 6.10.

  • Blanket insurance policy means a group policy covering a defined class of

  • contract of insurance means an agreement between the Secretary of Education and either the Trustee or the Seller providing for the insurance by the Secretary of Education of the principal of and accrued interest on a FFELP Loan to the maximum extent permitted under the Higher Education Act.

  • Assignment of Insurances shall have the meaning provided in the definition of “Collateral and Guaranty Requirements”.

  • FHA Mortgage Insurance Contract means the contractual obligation of the FHA respecting the insurance of a Mortgage Loan.

  • FHA Mortgage Insurance means, mortgage insurance authorized under the National Housing Act, as amended from time to time, and provided by the FHA.

  • Environmental Insurance Policy means, with respect to any Mortgage Loan or the related Mortgaged Property or REO Property, any insurance policy covering pollution conditions and/or other environmental conditions that is maintained from time to time in respect of such Mortgage Loan, Mortgaged Property or REO Property, as the case may be, for the benefit of, among others, the Trustee on behalf of the Certificateholders.

  • Standard Hazard Insurance Policy means a fire and casualty extended coverage insurance policy in such amount and with such coverage as required by this Agreement.

  • Primary Insurance Policy Each policy of primary mortgage guaranty insurance or any replacement policy therefor with respect to any Mortgage Loan.