Eligible Member definition
Eligible Member means an employee who is enrolled in one of the designated benefits plans for which you offer participation in the wellness incentive program prior to the end of the first six months of the policy year and who remains enrolled in one of the designated benefits plans at the end of the policy year. Eligible Member also means the employee’s dependents to the extent that dependents are eligible to participate in the Blue Cross and Blue Shield wellness incentive program.) To qualify for a group wellness incentive award, you must meet the following program participation conditions: • You are a group eligible to offer the program as determined by Blue Cross and Blue Shield; and • You elect to offer the Blue Cross and Blue Shield wellness incentive program to your Members who are eligible to participate in the program at the start of your policy year and you continue the program for eligible Members through the end of the policy year; and • At least 20% of your Members who are eligible for the program must participate in the program during the policy year in which you offer the wellness incentive program; and • This Agreement is not be terminated before the end of the policy year in which you offer the wellness incentive program. When you offer a Blue Cross and Blue Shield wellness incentive program, Blue Cross and Blue Shield will determine if you qualify for a group incentive award within 90 days after the end of the policy year. Your group wellness incentive award will be calculated as a percentage of the total medical insurance premium you paid for the policy year for benefits plans for which you offer wellness incentive program participation, excluding any premium payments that are received by Blue Cross and Blue Shield after the end of the policy year. The percentage used to calculate your wellness incentive award will vary depending on how many of your eligible Members participate in the program during the policy year as follows: 1.25% when 20% to 49% of eligible Members participate; or 2.5% when 50% to 79% of eligible Members participate; or 7.5% when 80% to 100% of eligible Members participate. For the purpose of calculating your group wellness incentive award, an eligible Member who earns his or her individual maximum member wellness incentive payment in the policy year is considered to have participated in the program for that policy year. If you qualify for a group incentive award, Blue Cross and Blue Shield will issue the incentive amount to you (by m...
Eligible Member means an individual eligible for Medicaid pursuant to rule 441—75.1(249A) et seq. and who qualifies for and is participating in the department’s HIPP program prescribed under rule 441—75.21(249A).
Eligible Member means a person who is—
Examples of Eligible Member in a sentence
An SCI Eligible Member is an Alliance Medi-Cal Member, excluding Members with other medical health care coverage, except that Members enrolled in the CCS Program shall be considered SCI Eligible Members for purposes of the SCI Program.
Eligible Providers are required to bill with an Alliance specified code to indicate that a referral to a Doula provider was issued to an Eligible Member.
Plan shall pay Provider $1,000 for every eligible CCS referral provided for an Eligible Member (limited to one referral per Eligible Member).
Plan shall pay Provider $100 for every eligible palliative care referral provided to an Eligible Member (limited to one referral per Eligible Member).
An SCI Eligible Member who is eligible to receive doula services in accordance with DHCS requirements and is not already receiving doula services.
More Definitions of Eligible Member
Eligible Member means a member who holds an eligible position.
Eligible Member means a member who has attained fifty-five years of age with at least twenty-two years of membership service.
Eligible Member means any Class A Member or Class B Member of National Rural as described in National Rural’s Bylaws currently in effect.
Eligible Member means the member/employee who has met the eligibility requirements as specified in this Policy to participate in insurance under this Policy;
Eligible Member has the meaning given to that term in the Pledge Agreement.
Eligible Member means an active member of the Plan or a Plan member who is receiving benefits under the Long Term Disability Program established by A.R.S. Title 38, Chapter 5, Article 2.1.
Eligible Member means a member or associate of the Borrower, the Rural Telephone Finance Cooperative or the National Cooperative Services Corporation, as defined in the bylaws of each entity.