Level of Coverage definition

Level of Coverage or “Metal Tier” means one of four standardized actuarial values and the catastrophic level of coverage as defined in 42 USC Section 18022(d) and (e), Sections 1367.008(a) and (c)(1) and 1367.009 of the Health and Safety Code, and Sections 10112.295(a) and (c)(1) and 10112.297 of the Insurance Code.

Level of Coverage means a bronze, silver, gold, or platinum level as determined under 45 CFR 156.140.

Level of Coverage has the meaning set forth in §1302 of the Affordable Care Act, and applicable regulatory guidance.

Examples of Level of Coverage in a sentence

• Effective January 1, 2017, employees electing Individual Coverage only under any of these plans will pay 10% of total premium cost through payroll deduction; employees electing any other Level of Coverage will pay 20% of total premium cost through payroll deduction.

• Metal TierThe Level of Coverage selected for the plan in the Plans & Benefits Template is mapped to the Desired Metal Tier in the AVC.

• For Additional Level of Coverage Policies: The price percentage is limited to 100 percent of the price election, and only one coverage level election may be selected for each basic unit.

• Combination Plan Type Option 2 (Retiree is not Medicare eligible, but one or more dependent(s) are) Level of Coverage City Monthly Contribution Basic Retiree+1 Medicare Dependent $937.30 Basic Retiree+2 or more Medicare Dependents $1,235.10 Basic Retiree+1 Basic Dependent+1 or more Medicare Dependent(s) $1,321.01 Retiree contributions will vary based on future changes to health premiums and health plan selected.

• Tiered Rate System – You Must Elect a Level of Coverage If you are covered under a collective bargaining agreement that has Central States Joint Board Health and Welfare Fund the monthly contribution required on your behalf will be based on the level of coverage you elect.

• For CAT Level of Coverage Policies: The price percentage is 55 percent of the price election, and the coverage level is 50 percent.

• Actuarial Value Calculation for Determining Level of Coverage; Levels of Coverage Section 16.

• Level of Coverage: Hospice services include palliative and supportive care provided to a patient to meet the special needs arising out of physical, psychological, spiritual, social and economic stress which are experienced during the final stages of illness and during dying and bereavement.

• Additional Level of Coverage Policies For policies that have elected basic units by plant category, the amount of insurance for each basic unit is the insured’s SV multiplied by the coverage level percentage that the insured elects multiplied by 100 percent (price election) multiplied by the insured’s share.

• Level of Coverage: No limitations; (However children potentially eligible for Medicaid requiring maternity care services will be referred to Medicaid.Pregnant women up to 200% net FPL are eligible for Medicaid’s PCAP program.

More Definitions of Level of Coverage

Level of Coverage or “Metal Tier” means one of four standardized actuarial values of Plan coverage (bronze, silver, gold, or platinum), as defined by section 1302(d) (1) of the ACA.

Level of Coverage or “Metal Tier” means one of four standardized actuarial values and the catastrophic level of coverage as defined in 42 USC Section 18022(d) and (e), Sections

Level of Coverage means the board's rating of a qualified health plan on the basis of the actuarial value of essential benefits provided under the plan, pursuant to regulations issued by the federal secretary of health and human services;