Enrolled Employee means an employee who has satisfied the requirements for eligibility as set forth herein and who enrolls in this Group Dental Plan and makes the required contribution, if any.
Enrolled Employee means an employee of Employer Group who meets the applicable eligibility requirements, has enrolled in Plan under the provisions of this Agreement, and for whom the applicable Premiums have been received by Plan.
Enrolled Employee means an Employee as defined in Exhibit G that is enrolled in one or more benefits in the Enrollment Platform.
Examples of Enrolled Employee in a sentence
Employer Group shall promptly send such notice to each Enrolled Employee.
Grandchildren of the Enrolled Employee are not eligible for enrollment, unless the Enrolled Employee has been appointed legal guardian of the grandchild(ren).
Newborns An Enrolled Employee’s newborn child is automatically covered for the first thirty-one (31) days from the date of the newborn’s birth, and an adopted child is covered for thirty-one (31) days from the date an Enrolled Employee is legally entitled to control the health care of the adopted child.
For purposes of eligibility, Children of the Enrolled Employee include: • The naturally born Children, legally adopted Children, or stepchildren of the Enrolled Employee; • Children for whom the Enrolled Employee has been appointed a legal guardian by a court; or • Children for whom the Enrolled Employee is required to provide health coverage pursuant to a qualified medical support order.
Grandchildren of the Subscriber are not eligible for enrollment, unless the Enrolled Employee has been appointed legal guardian of the grandchild(ren).
More Definitions of Enrolled Employee
Enrolled Employee means an employee of the Group who is eligible under the terms of this Contract, has completed an enrollment form and is enrolled under this Contract. "Enrolled Dependent" means an Enrolled Employee's eligible dependent who is listed on the Enrolled Employee's application, has completed an enrollment form and is enrolled under this Contract. The term "Member" refers to an Enrolled Employee or an Enrolled Dependent. Other terms are defined where they are first used or in the definitions section in the back of the Booklet.
Enrolled Employee means an employee who has not elected to opt- out of the Family and Medical Leave Insurance Program pursuant to the provisions of section 576 of this subchapter.
Enrolled Employee means an employee who, in any calendar year, has elected to participate in the Sick Leave Pool, and who, during the Enrollment Period, meets all requirements of Section 8 of these Rules with respect to the following calendar year, or with respect to an employee who elects to participate in the Sick Leave Pool after twelve months of County employment, for the remainder of the calendar year following enrollment.
Enrolled Employee means a Client Employee loaded within the Benefitplace that is enrolled in one more configured benefit plans.
Enrolled Employee means an Employee as defined in the Ongoing Services Order Form that is enrolled in one or more benefits in the Enrollment Platform.
Enrolled Employee means an employee of the Group who is eligible under the terms of the Contract, has completed an enrollment form and is enrolled under this coverage. Essential Benefits are determined by the U.S. Department of Health and Human Services ("HHS") and are subject to change, but currently include at least the following general categories and the items and services covered within the categories: ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, including behavioral health treatment, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and wellness services and chronic disease management, and pediatric services including oral and vision care. Family means an Enrolled Employee and his or her Enrolled Dependents. Health Intervention is a medication, service or supply provided to prevent, diagnose, detect, treat or palliate the following: disease, Illness, Injury, genetic or congenital anomaly, pregnancy or biological or psychological condition that lies outside the range of normal, age-appropriate human variation; or to maintain or restore functional ability. A Health Intervention is defined not only by the intervention itself, but also by the medical condition and patient indications for which it is being applied. A Health Intervention is considered to be new if it is not yet in widespread use for the medical condition and the patient indications being considered.
Enrolled Employee means an employee of the Group who is eligible under the terms of this Contract, has completed an enrollment form and is enrolled under this Contract. "Enrolled Dependent" means an Enrolled Employee's eligible dependent who is listed on the Enrolled Employee's application, has completed an enrollment form and is enrolled under this Contract. The term "Member" refers to an Enrolled Employee or an Enrolled Dependent. Other terms are defined where they are first used or in the definitions section of the Group Policy. ARCHES HEALTH PLAN Xxxx X. Xxxxx Chief Executive Officer This Contract, including the Group's application, Plan Summary and Summary of Benefits and Coverage (SBC) (Exhibit A): Rates, Plans, and Coverage Periods (Exhibit B), the Group Policy (Exhibit C) and any amendments, endorsements or riders and any subsequent renewals thereof constitute and is the entire agreement between City of Xxxxx (Group) and Arches Health Plan concerning the subject matter of this Contract. It states all the terms of the coverage and supersedes and cancels all and any prior contracts issued to the Group by Us. No modifications of or additions to this Contract will be binding upon Us unless set forth in an amendment, endorsement or rider issued by Us and signed by one of Our authorized officers. The Group must continuously satisfy the requirements of this section, this Contract and the Group's application in order to become enrolled and remain enrolled under this Contract. In order to qualify as an employer and to maintain eligibility for this employer health insurance Contract, the Group must be a bona fide person (including sole proprietors or self-employed individuals), firm, corporation (including Limited Liability Corporations, or LLCs), partnership (including Limited Liability Partnerships (LLPs)), labor union or political subdivision. In order to be eligible, a Group must: accept billing on a consolidated basis and collect any required employee contributions via payroll deductions; be actively engaged in legal business activity; be licensed to conduct business in the state and obtain other business licenses as required by law; employ at least two employees on the first day of the plan year with a normal work week of the number of hours indicated in the Group's application, the majority (75 percent or more) of whom are employed within Our service area and with which a bona fide employer-employee relationship exists; and have a status as a legal entity with authorit...