GROUP NEW BUSINESS definition

GROUP NEW BUSINESS. DEFINITION A. For purposes of Bonus administration for the 51+ and/or 1-50 New Business Bonus, “Group New Business” is either: 1. Risk business only; and 2. Group Medical contracts associated with such Medical Group contracts, written for Groups which had no prior Group Medical coverage with Insurer, or 3. Group Contracts written for former Groups whose contract with Insurer has lapsed, been cancelled or expired for a period of six (6) months (180 calendar days) or more; and 4. Does not include NCAS or CFA business 5. Does not include self-funded or ASO business 6. Does not include P.O.P. (Premium Only Plans) Contractor shall submit to Insurer evidence of Errors & Omissions coverage with a minimum $1,000,000.00 per occurrence and $2,000,000.00 aggregate. Errors & Omissions policy shall provide for coverage for duties and responsibilities set forth in this Broker/Agent Agreement. If the aforementioned policy is written on a claims-made basis, the retroactive date of the policy, if any, shall precede or be concurrent with any prior periods in which Broker/Agent had an in-force Broker/Agent Agreement with Insurer. A Certificate of Insurance (COI), or other evidence acceptable to Insurer shall be submitted and attached to this Agreement and furnished to Insurer as evidence of coverage. At time of Broker/Agent Agreement application to Insurer, and upon request by Insurer, proof of coverage must immediately be supplied to Insurer according to Insurer procedures and instructions that may include a third party. Broker/Agent shall submit a Certificate of Insurance (COI) evidencing current Errors & Omissions insurance with a carrier having an A.M. Best rating of not less than A- or captive approved by Insurer. The COI shall contain a Cancellation Provision of not less than thirty (30) days. Broker/Agent Fees will be earned by qualified Broker/Agents for Insurer Group business as follows: Fees are based on paid enrolled GROUP MARKET SCHEDULE OF BROKER/AGENT FEES MD Indemnity-Grandfather Group over 65 $13.00 BlueChoice HMO, HMO Referral,Plus,Advantage Compatible $21.00 BluePreferred PPO HSA/HRA/HDHP Compatible $21.00 BlueChoice HMO, HMO Referral,Plus,Advantage with BlueFund $23.00 BluePreferred PPO HSA/HRA/HDHP with Blue Fund $25.00 Any HealthyBlue HMO, HB Plus, HB Advantage, HB PPO) written without BlueFund $29.00 Any HealthyBlue HMO, HB Plus, HB Advantage, HB PPO) written with BlueFund ` $31.00 HealthyBlue 2.0 & HRA/HSA(Compatible) CDH NON-Medical $2.00 $6.00 Vision...
Sample 1
GROUP NEW BUSINESS. DEFINITION A. For purposes of Bonus administration for the 51+ and/or 1-50 New Business Bonus, “Group New Business” is either: 1. Risk business only; and 2. Group Medical contracts associated with such Medical Group contracts, written for Groups which had no prior Group Medical coverage with Insurer, or 3. Group Contracts written for former Groups whose contract with Insurer has lapsed, been cancelled or expired for a period of six (6) months (180 calendar days) or more; and 4. Does not include NCAS business 5. Does not include self-funded or ASO business
Sample 1
GROUP NEW BUSINESS is: 1. All Risk Business and Non-Risk Business in the 200 Plus Market: a. Written for Groups which had no prior Group Medical coverage with Insurer, or b. Written for former Groups whose contract with Insurer has lapsed, been cancelled or expired for a period of six (6) months (180 calendar days) or more 2. Group New Business does not include P.O.P. (Premium Only Plans). Agency A had 1,000 Qualifying Contracts on December 31, 2016. Agency A has 1,000 Qualifying Contracts on January 31, 2018. Agency A’s Persistency Level is 100%. With 1,000 Qualifying Contracts and a Persistency Level of 100%, the Per Contract Persistency Bonus Rate is $51.00, as shown on the 2017 Persistency Bonus Payout Chart in Exhibit A. 200+ ASO Contracts 250 (1 group with 250 contracts with CareFirst Medical, Rx, Stop-Loss, Vision and Dental)
Sample 1

Related to GROUP NEW BUSINESS

  • New Business as used herein, shall mean any matter not known about or which could not have been reasonably foreseen prior to the time of posting. (25 O.S. 311a(9))

  • Micro Business means a company which either:

  • Alarm business means the business by any individual, partnership, corporation, or other entity of selling, leasing, maintaining, servicing, repairing, altering, replacing, moving or installing any alarm system or causing to be sold, leased, maintained, serviced, repaired, altered, replaced, moved or installed any alarm system in or on any building, structure or facility.

  • Cannabis business means any business activity involving cannabis, including but not limited to cultivating, transporting, distributing, manufacturing, compounding, converting, processing, preparing, storing, packaging, delivering, testing, dispensing, retailing and wholesaling of cannabis, of cannabis products or of ancillary products and accessories, whether or not carried on for gain or profit.

  • Planned development means a real property development other than a community apartment project, a condominium project, or a stock cooperative, having either or both of the following features:

  • Associated Business means a business that owns at least 50% of and controls, directly or indirectly, an authorized business.

  • Active business operations means all business operations that are not inactive business operations.

  • Annual Business Plan means the development plan and budget report for Party B’s Business in the next calendar year which is prepared by Party B with the assistance of Party A pursuant to this Agreement before November 30 of each year.

  • Cannabis retailer means any licensed person or entity that purchases or otherwise obtains usable cannabis from cannabis cultivators and cannabis items from cannabis manufacturers or cannabis wholesalers, and sells these to consumers from a retail store, and may use a cannabis delivery service or a certified cannabis handler for the off-premises delivery of cannabis items and related supplies to consumers. A cannabis retailer shall also accept consumer purchases to be fulfilled from its retail store that are presented by a cannabis delivery service which will be delivered by the cannabis delivery service to that consumer.

  • Disadvantaged Business means a small business concern: (a) which is at least 51 percent owned by one or more socially and economically disadvantaged individual(s) or in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more socially and economically disadvantaged individual(s); and (b) whose management and daily business operations are controlled by one or more of the socially and economically disadvantaged individual(s) who own it. It is important to note that the business owners themselves must control the operations of the business. Absentee ownership or title ownership by an individual who does not take an active role in controlling the business is not consistent with eligibility as a DBE under CFR 49 Part 26.71.

  • urge buckslip optional, but recommended. (This is a small, single sheet of paper that requests Customers to vote as quickly as possible and that their vote is important. One copy will be supplied by the Fund.)

  • Competitive Process means either an Open Competition or an Invitational Competition;

  • Restricted business operations means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

  • food business means any undertaking, whether for profit or not and whether public or private, carrying out any of the activities related to any stage of production, processing and distribution of food;

  • Planned unit development means a subdivision characterized by a unified site design, clustered residential units and/or commercial units, and areas of common open space.

  • Inactive business operations means the mere continued holding or renewal of rights to property previously operated for the purpose of generating revenues but not presently deployed for such purpose.

  • Sexually oriented business means an adult arcade, adult bookstore or adult video store, adult cabaret, adult motel, adult motion picture theater, adult theater, escort agency, nude model studio, or sexual encounter center.

  • home business means a business, service or profession carried out in a dwelling or on land around a dwelling by an occupier of the dwelling which –

  • Authorized business means 1 of the following:

  • Competitive Business Activity means:

  • sustainable development means development that meets the needs of the present generation without compromising the ability of future generations to meet their own needs;

  • Principal Business means the primary activity as determined by analyzing the amount of capi- tal, labor, time, attention, and floor space devoted to each business activity and by analyz- ing the sources of net income and gross income. The name, appearance, and advertising of the entity may also be taken into consideration if they are given less weight.

  • Financial exploitation means a breach of a fiduciary duty by an actor’s unauthorized expenditure of funds entrusted to the actor for the benefit of the vulnerable adult or by an actor’s failure to provide food, clothing, shelter, health care, therapeutic conduct or supervision, the failure of which results or is likely to result in detriment to the vulnerable adult. Financial exploitation also includes: the willful use, withholding or disposal of funds or property of a vulnerable adult; the obtaining of services for wrongful profit or advantage which results in detriment to the vulnerable adult; the acquisition of a vulnerable adult’s funds or property through undue influence, harassment, duress, deception or fraud; and the use of force, coercion, or enticement to cause a vulnerable adult to perform services against the vulnerable adult’s will for the profit or advantage of another.

  • Team Leader means an employee who is in a set or team and who is generally responsible for the work executed by the employees comprising such set or team;

  • Competitive Business means any person or entity that engages in any business activity that competes with the Company’s business in any way, in any geographic area in which the Company engages in business, including, without limitation, any state in the United States in which the Company sells or offers to sell its products from time to time.

  • Core Business means any material line of business conducted by the Company and its Subsidiaries as of the Closing Date and any business directly related thereto.