Coverage Documents definition
Examples of Coverage Documents in a sentence
A Member or Former Member’s Assessment shall be determined as set forth in the Bylaws or the applicable Coverage Documents.
Each entity, on becoming a Participant, agrees to be bound by all provisions and terms of the Trust Agreement, Bylaws, Coverage Documents and other agreements entered into with the Trust or any of its Insurers.
Upon the termination of all participation in the programs of the Trust, including by not limited to coverage under all Coverage Documents with respect to a Participant, a Participant’s membership shall cease.
In addition, on and after the Closing Date, at Buyer's request, Parent will afford promptly to Buyer and its agents, and shall use reasonable best efforts to obtain for Buyer and its agents, access to documentation of losses relating to Coverage Documents, or prior Company Asbestos Actions, paid to any predecessor entities.
To the knowledge of Parent, the Coverage Documents are not subject to limit erosion as a result of any claims presented, or that could be presented, by any Person other than a Company or a Subsidiary.
WellPoint will be the entity that enters into the Coverage Documents with a Plan or sponsor(s) of such Plan, and such Coverage Documents may make available other WellPoint products and services.
To the extent coverage and benefits under the Plan are provided through an Insurance Contract or, if applicable, Provider Group Contract, all associated premiums shall be paid from the general assets of the Employer and Participants’ contributions (as specified in Section 5.01 above, in the applicable Coverage Documents, and/or in the enrollment materials, and in the Flexible Benefits Plan, as applicable) to such Insurer or Provider Organization.
The terms and conditions of coverage and benefits as set forth in the Coverage Documents, which constitute Insurance Contracts and Provider Group Contracts, will determine whether a claim for benefits under such Coverage Documents will be granted or denied.
The Program or its designee agrees to administer all claims for which Member has coverage after notice of loss has been given (notice of loss is defined in the Member’s Coverage Documents received from the Program).
If a Participant goes on an approved leave other than a leave as set forth in subsection (a), the Participant may continue coverage under the Plan in accordance with (and subject to all terms of) the Employer’s applicable leave policy or practice, applicable law, and/or the applicable Coverage Documents.