Group health benefits plan definition

Group health benefits plan means a health benefits plan for
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Group health benefits plan means a health benefits plan for groups of two or more persons.
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Group health benefits plan means a health benefits [plan for groups of two or more persons] covering at least one employee.
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Examples of Group health benefits plan in a sentence

  • Complete if you are a new enrollee except when enrolling in a Small Employer Group health benefits plan with more than 5 employees.


More Definitions of Group health benefits plan

Group health benefits plan means a hospital and medical expense insurance policy or certificate, health service corporation contract or certificate, hospital service corporation contract or certificate, medical service corporation contract or certificate, health maintenance organization subscriber contract or certificate, or other plan for medical care delivered or issued for delivery in this State to a small employer group pursuant to N.J.S.A. 17B:27A-19, or a large employer, or any other similar contract, policy, or plan issued to an employer not explicitly excluded from the definition of health benefits plan at N.J.S.A. 17B:27A-2, and rules promulgated pursuant thereto at N.J.A.C. 11:20. For purposes of this subchapter, group health benefits plan shall not include one or more, or any combination of, the following: coverage only for accident, or disability income
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Group health benefits plan means a hospital and medical expense insurance policy or certificate, health service corporation contract or certificate, hospital service corporation contract or certificate, medical service corporation contract or certificate, health maintenance organization subscriber contract or certificate, or other plan for medical care delivered or issued for delivery in this State to a small employer group pursuant to N.J.S.A. 17B:27A-19, or a large employer, or any other similar contract, policy, or plan issued to an employer not explicitly excluded from the definition of health benefits plan at N.J.S.A. 17B:27A- 2, and rules promulgated pursuant thereto at N.J.A.C. 11:20. For purposes of this subchapter, group health benefits plan shall not include one or more, or any combination of, the following: coverage only for accident, or disability income insurance, or any combination thereof; coverage issued as a supplement to liability insurance; liability insurance, including general liability insurance and automobile liability insurance; stop loss or excess risk insurance; workers’ compensation or similar insurance; automobile medical payment insurance; credit-only insurance; coverage for on-site medical clinics; and other similar insurance coverage, as specified in Federal regulations, under which benefits for medical care are secondary or incidental to other insurance benefits. Group health benefits plan shall not include the following benefits if they are provided under a separate policy, certificate, or contract of insurance or are otherwise not an integral part of the plan; limited scope dental or vision benefits; benefits for long-term care, nursing home care, home health care, community-based care, or any combination thereof; and such other similar, limited benefits as are specified in Federal regulations. Group health benefits plans shall not include hospital confinement indemnity coverage if the benefits are provided under a separate policy, certificate, or contract of insurance, there is no coordination between the provision of the benefits and any exclusion of benefits under any group health benefits plan maintained by the same plan sponsor, and those benefits are paid with respect to such an event under any group health plan maintained by the same plan sponsor. Group health benefits plan shall not include the following if it is offered as a separate policy, certificate, or contract of insurance: Medicare supplemental health insurance as defined under Secti...
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Related to Group health benefits plan

  • Health benefits plan means a benefits plan which pays or

  • Group health benefit plan means any health care plan, subscription contract, evidence of

  • Health benefit plan means a policy, contract, certificate or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.

  • Basic health benefit plan means any plan offered to an individual, a small group,

  • Group health plan means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise.

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

  • Retirement Plan means a plan which provides retirement benefits to you and which is not funded wholly by your contributions. The term shall not include a profit-sharing plan, informal salary continuation plan, registered retirement savings plan, stock ownership plan, 401(K) or a non-qualified plan of deferred compensation.

  • Health insurance plan means any health insurance policy or health benefit plan offered by a health insurer or a subcontractor of a health insurer, as well as Medicaid and any other public health care assistance program offered or administered by the State or by any subdivision or instrumentality of the State. The term includes vision care plans but does not include policies or plans providing coverage for a specified disease or other limited benefit coverage.

  • Flexi Plan means any individual indemnity hospital insurance plan under the VHIS framework with enhancement(s) to any or all of the protections or terms and benefits that the Standard Plan provides to the Policy Holder and the Insured Person, subject to certification by the Government. Such plan shall not contain terms and benefits which are less favourable than those in the Standard Plan, save for the exception as may be approved by the Government from time to time.

  • Essential Health Benefits means, under section 1302(b) of the Patient Protection and Affordable Care Act, those health benefits to 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 abuse 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.

  • Deferred Compensation Plan means any plan, agreement or arrangement maintained by the Company from time to time that provides opportunities for deferral of compensation.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under: