Loss of Coverage definition

Loss of Coverage means a Covered Employee's loss of continued eligibility for benefits due to the following:
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Loss of Coverage means (a) a complete loss of coverage under the Benefit Package Option or other coverage (including the elimination of a Benefit Package Option, an HMO ceasing to be available in the area where the individual resides, or the individual losing all coverage under the option by reason of an overall lifetime or annual limitation); (b) a substantial decrease in the medical care providers available under the option (such as a major hospital ceasing to be a member of a preferred provider network or a substantial decrease in the physicians participating in a preferred provider network or an HMO); (c) a reduction in the benefits for a specific type of medical condition or treatment with respect to which the Participant or the Participant’s spouse or Dependent is currently in the course of treatment; or (d) any other similar fundamental loss of coverage.
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Loss of Coverage means that you have ceased to be eligible to participate under the same terms and conditions as in effect immediately before the Qualifying Event. A loss of coverage need not occur immediately after the Qualifying Event, so long as the loss of coverage will occur before the end of the maximum continuation coverage period.
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Examples of Loss of Coverage in a sentence

  • The Employer in its sole discretion, on a uniform and consistent basis, will decide, in accordance with prevailing IRS guidance, whether a curtailment is significant, and whether a Loss of Coverage has occurred.

  • In addition, as set forth below, if the coverage curtailment results in a Loss of Coverage (as defined below), then Participants may drop coverage if no similar coverage is offered by the Employer.

  • The Plan Administrator in its sole discretion, on a uniform and consistent basis, will decide, in accordance with prevailing IRS guidance, whether a curtailment is “significant,” and whether a Loss of Coverage has occurred.

  • Loss of Coverage because of:− The termination of employment except for gross misconduct.− A reduction in the number of hours worked by the Subscriber.

  • Loss of Coverage because of:− The termination of the Subscriber’s Coverage as explained in subsection (a), above.− The death of the Subscriber.− Divorce or legal separation from the Subscriber.− The Subscriber becomes entitled to Medicare.− A Covered Dependent reaches the Limiting Age.

  • For purposes of this Section 11.03(i)(1), a Loss of Coverage means a complete loss of coverage (including the elimination of a Benefit Package Option, an HMO ceasing to be available where the Participant or his or her Spouse or Dependent resides, or a Participant or his or her Spouse or Dependent losing all coverage under the Benefit Package Option by reason of an overall lifetime or annual limitation).

  • Loss of Coverage because of: The termination of the Subscriber’s Coverage as explained in subsection (a), above. The death of the Subscriber. Divorce or legal separation from the Subscriber. The Subscriber becomes entitled to Medicare. A Covered Dependent reaches the Limiting Age.

  • Loss of Coverage and Acquisition of Coverage must start on event date (Option #1).

  • Loss of Coverage because of: The termination of employment except for gross misconduct. A reduction in the number of hours worked by the Subscriber.

  • Contact the Health Plan Administrator at your previous employer for full information.The Monthly Continuation Payment is the cost of continued coverage for the month beginning on the date after the Date of Loss of Coverage.


More Definitions of Loss of Coverage

Loss of Coverage has the meaning given in Section 4.6(c).
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Loss of Coverage means a complete loss of coverage under a Qualified Benefit or under the DFSA (including elimination of a Qualified
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Loss of Coverage means a complete loss of coverage under a Qualified Benefit or under the DFSA (including elimination of a Qualified Benefit for purposes of the Plan or loss of a Dependent Care Service
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Loss of Coverage means a complete loss of coverage under a Qualified Benefit or under the DFSA (including elimination of a Qualified Benefit for purposes of the Plan or loss of a Dependent Care Service Provider for purposes of the DFSA). In addition, the Administrator may, in its discretion, treat the following as a Loss of Coverage:
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Loss of Coverage means a complete loss of coverage under, or elimination of, a Component Plan or a Medical or Dental Plan, including the elimination of a Component Plan. In addition, the Plan Administrator in its sole discretion, on a uniform and consistent basis, may treat the following as a loss of coverage:
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Loss of Coverage has the meaning given in Section 4.6(c). “Major Customers” has the meaning given in Section 2.20. “Major Suppliers” has the meaning given in Section 2.20.
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Related to Loss of Coverage

  • Levels of cover means cover is available for either hospital treatment, general treatment or combined hospital and general treatment.

  • D&O Liability Insurance Policies means all insurance policies (including any “tail policy”) of any of the Debtors for liability of any current or former directors, managers, officers, and members.

  • Outline of coverage means a summary that explains an accident and health insurance policy.

  • 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.

  • Company Insurance Policies has the meaning set forth in Section 4.15.

  • Evidence of coverage means any certificate, agreement or contract issued to an enrollee setting out the coverage to which the enrollee is entitled.

  • R&W Insurance Policy has the meaning set forth in Section 6.15.

  • Property Insurance is defined in Section 6.10(a).

  • Environmental Insurance Policy means, with respect to any Mortgage Loan or the related Mortgaged Property or REO Property, any insurance policy covering pollution conditions and/or other environmental conditions that is maintained from time to time in respect of such Mortgage Loan, Mortgaged Property or REO Property, as the case may be, for the benefit of, among others, the Trustee on behalf of the Certificateholders.

  • Insurance Policies has the meaning set forth in Section 3.16.

  • Mortgage guaranty insurance means surety insurance under which a mortgagee or other creditor is indemnified against losses caused by the default of a debtor.

  • Special Primary Insurance Policy Any Primary Insurance Policy covering a Mortgage Loan the premium of which is payable by the Trustee pursuant to Section 4.04(a), if so identified in the Mortgage Loan Schedule. There are no Special Primary Insurance Policies with respect to any of the Mortgage Loans.

  • Certificate of Coverage means a written certification provided by any source that offers medical care coverage, including the Plan, for the purpose of confirming the duration and type of an individual’s previous coverage.

  • Blanket insurance policy means a group policy covering a defined class of

  • group insurance means blanket insurance and franchise insurance and any other forms of group insurance.

  • Liability Insurance means compulsory professional liability errors and omissions insurance required by a governing body;

  • General Liability Insurance Subcontractor shall carry minimum primary General Liability Insurance for the following amounts:

  • Effective Date of Coverage means the date of commencement of Coverage in respect of a Life Insured under the Policy pursuant to the provision on Commencement of Coverage.

  • Errors and Omissions Insurance Policy means an errors and omissions insurance policy maintained by the Master Servicer, the Special Servicer, the Trustee, the Custodian or the Certificate Administrator, as the case may be, in accordance with Section 8.2, Section 9.2 and Section 7.17, respectively.

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

  • Mortgage Impairment Insurance Policy A mortgage impairment or blanket hazard insurance policy as described in Section 4.11.

  • Blanket travel insurance means a policy of travel insurance issued to any eligible group providing coverage for specific classes of persons defined in the policy with coverage provided to all members of the eligible group without a separate charge to individual members of the eligible group.

  • Environmental Damage means any material injury or damage to persons, living organisms or property or any material pollution or impairment of the environment resulting from the discharge, emission, escape or migration of any substance, energy, noise or vibration;

  • Insurance Policy With respect to any Mortgage Loan included in the Trust Fund, any insurance policy, including all riders and endorsements thereto in effect, including any replacement policy or policies for any Insurance Policies.

  • Hovercraft Liability This policy does not cover "hovercraft liability".

  • 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.