Enrollee coverage definition

Enrollee coverage means any certificate or contract A
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Enrollee coverage means a health coverage plan issued pursuant to this article to an enrollee setting out the coverage to which the enrollee is entitled under the health coverage plan.
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Enrollee coverage means any certificate or contract A HEALTH COVERAGE PLAN issued pursuant to section 10-16-507 THIS ARTICLE to an enrollee setting out the dental coverage to which such THE enrollee is entitled UNDER THE HEALTH COVERAGE PLAN.
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Examples of Enrollee coverage in a sentence

  • The form signed by an authorized representative of the Client to apply for Enrollee coverage under this Policy.

  • Listed below are two methods for continuing Enrollee coverage after termination.

  • Contractor shall not terminate Covered California Enrollee coverage for fraud without prior review and approval from Covered California.

  • Contractor shall not terminate Enrollee coverage for fraud without prior review and approval from Covered California.

  • Contractor shall not terminate Enrollee coverage for fraud without prior review and approval from the Exchange.

  • The STATE will pay to the MCO a Medicaid Capitation Payment for each Enrollee in accordance with Article 4 for the month in which coverage becomes effective and thereafter until termination of Enrollee coverage pursuant to section 3.2 becomes effective.

  • The MCO shall provide valid enrollment data to Providers for Enrollee coverage verification by the first day of the month and within two working days of availability of enrollment data at the time of reinstatement.

  • Examples of when an Enrollee may cease to be eligible: • for the Subscriber, when you leave the company;• for a Spouse, when the employee and spouse divorce;• for a child, when the child reaches the age limit for coverage as outlined in the Plan Provisions; or• for a handicapped Dependent, when no longer handicapped.Listed below are two methods for continuing Enrollee coverage after termination.

  • Except as otherwise stated in the EOC, all Enrollees’ coverage will end when the Group Contract ends.Examples of when an Enrollee may cease to be eligible:x for the Subscriber, when you leave the company;x for a Spouse, when the employee and spouse divorce;x for a child, when the child reaches the age limit for coverage as outlined in the Schedule of Benefits; orx for a handicapped Dependent, when no longer handicapped.Listed below are two methods for continuing Enrollee coverage after termination.

  • Listed below are three methods for continuing Enrollee coverage after termination.


More Definitions of Enrollee coverage

Enrollee coverage means any certificate or contract A HEALTH COVERAGE PLAN issued pursuant to section 10-16-507 THIS ARTICLE
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Related to Enrollee coverage

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for

  • Health insurance coverage means benefits consisting of medical care (provided directly, through

  • Group health insurance coverage means in connection with a group health plan, health insurance

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Coverage or “Covering”) shall mean that the developing, making, using, offering for sale, promoting, selling or importing of a given compound, formulation or product would infringe a Valid Claim of an issued patent in the absence of a license under such Valid Claim. The determination of whether a compound, formulation or product is Covered by a particular Valid Claim shall be made on a country-by-country basis.

  • Continuation Coverage means the temporary continuation of PEBB benefits available to enrollees under the Consolidated Omnibus Budget Reconciliation Act (COBRA), 42 U.S.C. Secs. 300bb-1 through 300bb-8, the Uniformed Services Employment and Reemployment Rights Act (USERRA), 38 U.S.C. Secs. 4301 through 4335, or the public employees benefits board's policies.

  • Insurance Coverage Contractor shall, at Contractor’s sole expense, procure, maintain and keep in force for the duration of this Contract the following insurance conforming to the minimum requirements specified below. Unless specified herein or otherwise agreed to by the City, the required insurance shall be in effect prior to the commencement of work by Contractor and shall continue in force as appropriate until the latter of:

  • Lot coverage means the portion or percentage of the area of a lot upon which buildings are erected.

  • Creditable coverage means, with respect to an individual, coverage of the individual provided under any of the following:

  • COBRA Coverage means continuation coverage required under Section 4980B of the Code and Part 6 of Title I of ERISA.

  • Health insurance means protection which provides payment of benefits for covered sickness or injury.

  • Insurance Cover means the aggregate of the maximum sums insured under the insurance taken out by the Contractor pursuant to Article 20, and includes all insurances required to be taken out by the Contractor under Clauses 20.1 and 20.9 but not actually taken, and when used in the context of any act or event, it shall mean the aggregate of the maximum sums insured and payable or deemed to be insured and payable in relation to such act or event;

  • Dental means of or relating to the teeth and the work of a dentist.

  • COBRA Continuation Coverage means the health care benefit continuation coverage mandated by the Consolidated Omnibus Budget Reconciliation Act and similar provisions of state law.

  • Fraud Coverage During the period prior to the first anniversary of the Cut-Off Date, 2.00% of the aggregate principal balance of the Mortgage Loans as of the Cut-Off Date (the "Initial Fraud Coverage"), reduced by Fraud Losses allocated to the Certificates since the Cut-Off Date; during the period from the first anniversary of the Cut-Off Date to (but not including) the fifth anniversary of the Cut-Off Date, the amount of the Fraud Coverage on the most recent previous anniversary of the Cut-Off Date (calculated in accordance with the second sentence of this paragraph) reduced by Fraud Losses allocated to the Certificates since such anniversary; and during the period on and after the fifth anniversary of the Cut-Off Date, zero. On each anniversary of the Cut-Off Date, the Fraud Coverage shall be reduced to the lesser of (i) on the first, second, third and fourth anniversaries of the Cut-Off Date, 1.00% of the aggregate principal balance of the Mortgage Loans as of the Due Date in the preceding month and (ii) the excess of the Initial Fraud Coverage over cumulative Fraud Losses allocated to the Certificates since the Cut-Off Date. The Fraud Coverage may be reduced upon written confirmation from the Rating Agencies that such reduction will not adversely affect the then current ratings assigned to the Certificates by the Rating Agencies.

  • Health Coverage means that if Key Employee elects to continue coverage for himself or his eligible dependents under the Company’s group health plans pursuant to the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended (“COBRA”), during the twelve-month period commencing on the date of Key Employee’s termination of employment from the Company (the “Severance Period”), then throughout the Severance Period the Company shall promptly reimburse Key Employee on a monthly basis for the difference between the amount Key Employee pays to effect and continue such coverage and the employee contribution amount that active senior employees pay for the same or similar coverage under Company’s group health plans. Further, if after the Severance Period Key Employee continues his COBRA coverage and Key Employee’s COBRA coverage terminates at any time during the eighteen-month period commencing on the day immediately following the last day of the Severance Period (the “Extended Coverage Period”), then the Company shall provide Key Employee (and his eligible dependents) with health benefits substantially similar to those provided under its group health plans for active employees for the remainder of the Extended Coverage Period at a cost to Key Employee that is no greater than the cost of COBRA coverage; provided, however, that the Company shall use its reasonable efforts so that such health benefits are provided to Key Employee under one or more insurance policies (or such other manner) so that reimbursement or payment of benefits to Key Employee thereunder shall not result in taxable income to Key Employee. Notwithstanding the preceding provisions of this paragraph, the Company’s obligation to reimburse Key Employee during the Severance Period and to provide health benefits to Key Employee during the Extended Coverage Period shall immediately end if and to the extent Key Employee becomes eligible to receive health plan coverage from a subsequent employer (with Key Employee being obligated hereunder to promptly report such eligibility to the Company).

  • Health plan or "health benefit plan" means any policy,

  • Enrollee means any person entitled to health care services from a carrier.

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • Health means physical or mental health; and

  • Potential Enrollee means a Medical Assistance Recipient who may voluntarily elect to enroll in a given managed care program, but is not yet an Enrollee of an MCO.

  • Claims-made coverage means an insurance contract or provision limiting

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • Retiree means any person who has begun accruing a retirement

  • Health insurance carrier or "carrier" means any entity subject to the insurance

  • Period of Coverage means the Plan Year, with the following exceptions: (a) for Employees who first become eligible to participate, it shall mean the portion of the Plan Year following the date on which participation commences, as described in Section 3.1; and (b) for Employees who terminate participation, it shall mean the portion of the Plan Year prior to the date on which participation terminates, as described in Section 3.2.