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Loss of Minimum Essential Coverage definition

Loss of Minimum Essential Coverage means in the case of a Member who has coverage that is not COBRA continuation coverage, the conditions are satisfied at the time the coverage is terminated as a result of loss of eligibility (regardless of whether the individual is eligible for or elects COBRA continuation coverage). Loss of eligibility does not include a loss due to the failure to pay premiums on a timely basis or termination of coverage for cause (such as making a fraudulent Claim or an intentional misrepresentation of a material fact in connection with the Plan). Loss of eligibility for coverage includes, but is not limited to:
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Loss of Minimum Essential Coverage includes loss of eligibility for coverage as a result of any of the following: (i) Legal separation or divorce. (ii) Cessation of dependent status (such as reaching the maximum age to be eligible as a Dependent under this Contract). (iii) Death of an employee; termination of employment; reduction in the number of hours of employment; or any loss of eligibility for coverage after a period that is measured by any of the foregoing. (iv) Individual who no longer resides, lives or works in the service area. (v) A situation in which a health benefit plan no longer offers any benefits to the class of similarly situated individuals that includes the individual. (vi) Termination of employer contributions. (vii) Exhaustion of COBRA continuation of coverage.
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Examples of Loss of Minimum Essential Coverage in a sentence

  • An individual may enroll in HPN outside of the annual open enrollment period under the following circumstances; pre-enrollment verification may apply:  Loss of Minimum Essential Coverage (MEC): An applicant may enroll sixty (60) days before and after loss of MEC; the effective date of coverage will be the first (1st) day the month following loss of MEC.

  • In all, 72 Iowans in a bipartisan fashion spent more than a week counting votes, with the assistance of the local county auditors and their staff and the Secretary of State, who traveled from county to county to observe the Caviness, Wapello County; Affidavit of Sandy Greiner, Washington County; Affidavit of Nancy Dieleman, Wayne County.

  • An individual may enroll in SHL outside of the annual open enrollment period under the following circumstances; pre-enrollment verification may apply:  Loss of Minimum Essential Coverage (MEC): An applicant may enroll sixty (60) days before and after loss of MEC; the effective date of coverage will be the first (1st) day the month following loss of MEC.

  • Loss of Minimum Essential Coverage (§155.420(d)(1))The rule provides eligibility for an SEP up to 60 days prior to the end of a qualified individuals or his or her dependent’s existing coverage.

  • An individual may enroll in SHL outside of the annual open enrollment period under the following circumstances; pre-enrollment verification may apply:  Loss of Minimum Essential Coverage (MEC): An applicant may enroll sixty (60) days before and after loss of MEC.

  • If you are applying under a limited open enrollment event, please check the appropriate box and provide a copy of the required written proof/documentation with your completed application and applicable premium.PLEASE PROVIDE THE DATE OF EVENT (month, day, year): / / Limited Open Enrollment EventElection Period & Examples of Required Proof/DocumentationCoverage Effective DateInvoluntary Loss of Minimum Essential Coverage (MEC):❏ 1.

  • Ms. Nagashima said Qualifying Life Events (QLE) for Loss of Minimum Essential Coverage (MEC) was also affected by COVID-19.

  • Loss of Minimum Essential Coverage In the event the Member experiences a loss of minimum essential coverage, coverage will be effective no later than the first day of the Month following the loss of coverage.

  • However the following qualifying events allow for different effective dates: · In the case of marriage, domestic partnership, or Loss of Minimum Essential Coverage, coverage is effective on the first day of the month following receipt of your application.

Related to Loss of Minimum Essential Coverage

  • Minimum Essential Coverage has the meaning given in the Affordable Care Act, 26 U.S.C. §5000A(f).

  • Defects Liability Period (Warranty Period) means the period stated in the Schedule A Special Stipulations, following the taking over, during which the Contractor is responsible for making good defects and damage in accordance with Clause 15.

  • Minimum Extended Summer Resource Requirement means, for Delivery Years through May 31, 2017, the minimum amount of capacity that PJM will seek to procure from Extended Summer Demand Resources and Annual Resources for the PJM Region and for each Locational Deliverability Area for which the Office of the Interconnection is required under Tariff, Attachment DD, section 5.10(a) to establish a separate VRR Curve for such Delivery Year. For the PJM Region, the Minimum Extended Summer Resource Requirement shall be equal to the RTO Reliability Requirement minus [the Limited Demand Resource Reliability Target for the PJM Region in Unforced Capacity]. For an LDA, the Minimum Extended Summer Resource Requirement shall be equal to the LDA Reliability Requirement minus [the LDA CETL] minus [the Limited Demand Resource Reliability Target for such LDA in Unforced Capacity]. The LDA CETL may be adjusted pro rata for the amount of load served under the FRR Alternative.

  • General Conditions Cost means costs incurred and minor work performed by Contractor without the need for competitive bids/proposals. The allowable General Conditions items are limited in Paragraph 11.1 and are further described on Exhibit “D”. The maximum allowable General Conditions Cost payable to Contractor during the Construction Phase of the Project is set out in Exhibit “A” attached to this Agreement.

  • Direct Damage has the meaning given in clause 24.2; "Dispute" has the meaning given in clause 23.1;

  • Defects Liability Period means the warranty period following the taking over, during which the Contractor is responsible for making good, defects and damage in Goods and Services provided, under the Contract.

  • Guarantee/Warranty/ Defect Liability Period (DLP) means the period and other conditions governing the warranty/guarantee/defect liability period of the services as provided in the Contract.

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

  • Maximum Liability has the meaning assigned to such term in Section 10.10.

  • Coverage Area means the area described in the Website for which Nearmap has available Products, which may cover part or all of that area and which may cover part (but not all) of the area covered by the Survey.

  • Medicaid Notification of Termination Requirements Any Contractor accessing payments for services under the Global Commitment to Health Waiver and Medicaid programs who terminates their practice will follow the Department of Vermont Health Access, Managed Care Organization enrollee notification requirements.

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

  • contributory employment and support allowance means an allowance under Part 1 of the Welfare Reform Act 2007 as amended by the provisions of Schedule 3, and Part 1 of Schedule 14, to the Welfare Reform Act 2012 that remove references to an income-related allowance and a contributory allowance under Part 1 of the Welfare Reform Act 2007 as that Part has effect apart from those provisions;

  • Minimum Improvements means devoting the Development Property to its intended Use and construction of approximately a square foot parking facility for use as parking for the Developer as identified and set forth in Exhibit C and constructed in accordance with the Construction Plans submitted to and approved by the Authority. After completion of the Minimum Improvements, the term shall mean the Development Property as improved by the Minimum Improvements.

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

  • Fraud Loss Coverage Termination Date The point in time at which the Fraud Loss Coverage Amount is reduced to zero.

  • extended reduction (qualifying contributory benefits means a reduction under this scheme for which a person is eligible in accordance with paragraph 88 or 95;

  • Minimum Balance Requirements The minimum balance to open the account is $5.00. If the balance falls below $5 at any time, the account may be closed. See Balance Computation Method above. Fees and Charges; Other Requirements: See our Schedule of Fees at xxxxxxx.xxx/xxxx. Dividends: See Disclosures Concerning Dividends above. Current rates are disclosed on the Credit Union’s website.

  • essential requirements means all the conditions set out in Annex III which must be met by the rail system, the subsystems, and the interoperability constituents, including interfaces;

  • 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:

  • 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.

  • Loss or Damage means any loss or damage to the Vehicle, including that caused by theft of the Vehicle or by adverse weather events, that requires repair or replacement including the loss of use of the Vehicle (demurrage), legal expenses, assessment fees, towing and recovery costs, storage, service charges and any appraisal fees of the Vehicle;

  • Fraud Loss Coverage Amount As of the Closing Date, $10,458,862 subject to reduction from time to time, by the amount of Fraud Losses allocated to the Certificates. In addition, on each anniversary of the Cut-off Date, the Fraud Loss Coverage Amount will be reduced as follows:

  • General Liability means:Your legal liability in respect of Personal Injury and/or Property Damage and/or Advertising Injury caused by or arising out of an Occurrence happening in connection with the Business other than Products Liability.

  • General Liabilities shall have the meaning given it in Article III, Section 6(b) of this Declaration of Trust;

  • Asset Coverage Test is met if the Adjusted Aggregate Asset Amount (as defined below) shall be in an amount at least equal to the Canadian Dollar Equivalent of the aggregate Principal Amount Outstanding of the Covered Bonds as calculated on the relevant Calculation Date. For greater certainty, references in this Schedule to “immediately preceding Calculation Date” and “previous Calculation Date” are to the Calculation Period ending on the Calculation Date.

Most Referenced Clauses

Most Referenced Definitions