Coverage Document definition

Coverage Document means this agreement between the Pool and Named Member, including any endorsements.

Coverage Document means the PennPRIME Trust Liability Coverage Document.

Coverage Document means the document specifying the characteristics and duration of coverage provided through a multiple employer welfare arrangement. Characteristics of coverage include the kind of loss or benefit that the multiple employer welfare arrangement will reimburse, subject to specific exclusions, limitations, or deductibles.

Examples of Coverage Document in a sentence

• Recipient coverage rules are outlined in Exhibit BB, PH-MCO Recipient Coverage Document.

• The PH-MCO must have written administrative policies and procedures to enroll and provide all Medically Necessary services to newborn infants of Members, effective from the time of birth, without delay, in accordance with Section V.F.12, Services for New Members, and Exhibit BB, PH-MCO Recipient Coverage Document.

• Assisted Living Personal care and services, homemaker, chore, attendant care, companion services, medication oversight (to the extent permitted Certification Standards, Service Benefit Detail Reference Coverage Document under State law), therapeutic social and recreational programming, provided in a home-like environment in a licensed community care facility in conjunction with residing in the facility.

• Community transition services are furnished only to the extent that they are reasonable and necessary as determined through the Community Transition Plan development process and clearly Service Benefit Detail Reference Coverage Document identified in the Community Transition Plan and the individual is unable to meet such expense or when the services cannot be obtained from other sources.

• Recipient coverage rules are outlined in Exhibit BB, MCO Recipient Coverage Document.

More Definitions of Coverage Document

Coverage Document means a contract between the Trust and a Member with respect to self-insurance coverage with respect to which a Member makes a Contribution.

Coverage Document means the document specifying the characteristics and duration of coverage provided through a pool multiple employer

Coverage Document means a written document, and any addenda or endorsements that provide for administrative services by WellPoint, and describe the benefits, services, exclusions, limitations and conditions that are available for or applicable to coverage under the applicable Plan’s prescription drug benefit program. Prior to implementation of any Plan pursuant to this Agreement, WellPoint shall complete PBM’s standard set-up forms, which when completed and signed by WellPoint, will describe the essential benefit elements of the Coverage Document, including, but not limited to, the coverage rules adopted by the Plan sponsor. PBM shall use these completed set-up forms for purposes of administering a Plan’s prescription drug program.

Coverage Document means a contract, policy, evidence of coverage, certificate of coverage, schedule of benefits, rider, endorsement, amendment, insert policy page, or any other form, document, or notice of insurance providing coverage for hospital, medical, surgical, behavioral health, or outpatient prescription drug benefits.

Coverage Document means the written policy providing the language of coverage and exclusions, duties of the Plan and duties of the Member.

Coverage Document means this Texas Association of Counties Risk Management Pool Auto Physical Damage Coverage Document that sets forth in detail the exact coverage provided under the Agreement and which may be incorporated therein by reference, as amended from time to time.

Coverage Document means a certificate of coverage or other coverage information issued or administered by CCH for CountyCare pursuant to a MCCN Contract.