Determination made by the department definition

Determination made by the department means a written finding, notification or decision of the department, which includes a notice of appeal rights and applies law or contract terms to actual facts to determine a benefit, right, obligation or interest under ch. 40, Stats., including contracts authorized by ch. 40, Stats., of a per- son who is, or claims the status of, a participant, annuitant, benefi- ciary, employer, insured, insurer or deferrer.
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Determination made by the department means a written finding, notification or decision of the department, applying law or contract terms to actual facts to determine a benefit, right, ob- ligation or interest under ch. 40, Stats., including contracts autho- rized by ch. 40, Stats., of a person who is, or claims the status of, a participant, annuitant, beneficiary, employer, insured, insurer or deferrer.
Sample 1

Related to Determination made by the department

  • Investigating Department means any department / division / office of SCI investigating into the conduct of the Entity and shall include the Vigilance Department, “Central Bureau of Investigation, the State Police or any other authority or entity set up by the Central or State Government having powers to investigate”.

  • Department of Health and Human Services means the Department of Health and Human Services

  • Independent review organization means an entity that is accredited to conduct independent external reviews of adverse benefit determinations.

  • the Department means the Department of the Environment;

  • Controller of Examinations means the Controller of Examinations of the University;

  • Head of the Department means the administrative head of the department or the organization;

  • Utilization review organization means an entity that conducts utilization review, other than a health carrier performing a review for its own health plans.

  • Institution of higher learning means an educational institution located within this state meeting all of the following requirements:

  • Physical Therapy Compact Commission or "commission" means the national administrative body whose membership consists of all states that have enacted the compact.

  • Fire Department means an organized fire department as that term is defined in section 1 of the fire prevention code, 1941 PA 207, MCL 29.1.

  • Department of Health means the Washington state department of

  • Regulated motor vehicle surface means any of the following, alone or in combination:

  • Compliance Department means the Chief Compliance Officer of Federated and those other individuals designated by him or her as responsible for implementing this Code and the Associated Procedures.

  • Investigative consumer report means a consumer report or portion thereof in which information about a natural person's character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the person's neighbors, friends, associates, acquaintances, or others who may have knowledge concerning such items of information.

  • Independent educational evaluation means an evaluation conducted by a qualified examiner who is not employed by the public agency responsible for the education of the child in question.

  • Police Department means the Police Department of the City and County of San Francisco.

  • Regulations of the U.S. Department of Transportation means the regulations in 49 CFR Parts 100-189.

  • Statement of Compliance means the statement forming part of a Tender indicating the Bidders compliance with the Specification.

  • Health and Human Services Commission or “HHSC” means the administrative agency established under Chapter 531, Texas Government Code, or its designee.