Note to Carriers definition

Note to Carriers. Include the bracketed text in item b)

Note to Carriers. Include the bracketed text in item a) for SHOP policies.] If the Employee does this more than [30] days after the Dependent's Eligibility Date, We will consider the Dependent a Late Enrollee. An Employee may elect to cover a Dependent who is a Late Enrollee during the Employee Open Enrollment Period. Coverage will take effect on the Contractholder’s Contract Anniversary date following enrollment. Once an Employee has dependent coverage for Initial Dependents, the Employee must notify Us of a Newly Acquired Dependent within the [30] days after the Newly Acquired Dependent's Eligibility Date. If the Employee does not, the Newly Acquired Dependent is a Late Enrollee. A Newly Acquired Dependent other than a newborn child or newly adopted child, including a child placed for adoption, will be covered from the later of:

Note to Carriers. The Coverage Provision section is only to be included in plans where coverage is subject to deductible and coinsurance. ] COVERED SERVICES & SUPPLIES [Members] are entitled to receive the benefits in the following sections when Medically Necessary and Appropriate, subject to the payment by [Members] of applicable copayments [Cash Deductible,][or Coinsurance] as stated in the applicable Schedule of Services and Supplies and subject to the terms, conditions and limitations of this Contract. Read the entire Contract to determine what treatment, services and supplies are limited or excluded.

Examples of Note to Carriers in a sentence

• DIAGNOSTIC SERVICES INPATIENT $0 Copayment (OUTPATIENT) [$15, $30, $40, $50] Copayment/visit SCHEDULE OF SERVICES AND SUPPLIES [Note to Carriers: This schedule illustrates the $30 copayment plan that must be offered by HMO carriers.] THE SERVICES OR SUPPLIES COVERED UNDER THIS CONTRACT ARE SUBJECT TO ALL COPAYMENTS AND COINSURANCE AND ARE DETERMINED PER CALENDAR YEAR PER [MEMBER], UNLESS OTHERWISE STATED.

• The Employee is covered under Medicare; The Employee is covered under Medicaid or NJ FamilyCare; The Employee is covered under TRICARE; or The Employee is covered under another group health benefits plan, [Carrier] will count that Employee as being covered by this Contract for purposes of satisfying participation requirements; ] [Note to Carriers: the above item b for non-SHOP policies [b.

• Total # Full time employees Total # Full-time employees applying/enrolling for health benefits coverage Total # Full-time employees waiving health benefits coverage under the policy with coverage under their spouse's or parent’s group coverage, Medicare, Medicaid, or NJ FamilyCare or Tricare or any other group Health Benefits Plan through adifferent employer [or coverage under an individual plan] Note to Carriers: include individual plan for SHOP.

• The effective date of a marketplace redetermination of an Eligible Person’s subsidy, including a determination that an Eligible Person is newly eligible or no longer eligible for a subsidy] [ Note to Carriers, use this first clause for Marketplace plans.] [The effective date of a marketplace redetermination that an Eligible Person is no longer eligible for a subsidy] Note to carriers for off-Marketplace plans.].

• Note to Carriers: This Bulletin and previously issued Bulletin 97­IHC­01 are not intended to authorize making any other exceptions to the Open Enrollment requirements set forth in the IHC Program Regulations.

• The effective date of a marketplace redetermination of an Eligible Person’s subsidy, including a determination that an Eligible Person is newly eligible or no longer eligible for a subsidy.] [ Note to Carriers, use this first clause for Marketplace plans] [The effective date of a marketplace redetermination that an Eligible Person is no longer eligible for a subsidy] Note to carriers for off-Marketplace plans.].

• If a Covered Person has exhausted the available annual Preventive Care benefit, the mammogram may be covered subject to the terms of this MammogramCharges provision.] [Note to Carriers; Include if policy includes limited non-network benefits.] Colorectal Cancer Screening Charges[Carrier] covers charges made for colorectal cancer screening provided to a Covered Person age 50 or over and to younger [Covered Persons] who are considered to be high risk for colorectal cancer.

• Waiting period before employees become insured: (may not exceed 90 days ) [The1st or 15th of the month following the waiting period of:] 0 days  30 days  60 days  exactly 90 days][ 0 month  1 month  2 months  exactly 90 days][Present Employees: New or Rehired Employees: ][Present Employees: New Employees: Rehired Employees: ]]Note to Carriers: For Non-SHOP applications.

• Waiting period before employees become insured: (may not exceed 90 days ) [The1st or 15th of the month following the waiting period of:] 0 days □ 30 days □ 60 days □ exactly 90 days for:][□ 0 month □ 1 month □ 2 months □ exactly 90 days for:] [□Present Employees: □New or Rehired Employees: ][□Present Employees: □New Employees: □Rehired Employees: ]Note to Carriers: Include applicable text.

• As at December 31, 2007, the Company determined there were no triggering events requiring an impairment analysis.Goodwill and intangible assets with indefinite lives are subject to an annual assessment for impairment unless events or changes in circumstances indicate that the value may not be fully recoverable, in which case the assessment is done at that time.

More Definitions of Note to Carriers

Note to Carriers. Include in policies issues or renewed on or after January 1, 2019. Unless otherwise provided in the Charges for the Treatment of Hemophilia section below, Blood, blood products, blood transfusions and the cost of testing and processing blood. But We do not cover blood which has been donated or replaced on behalf of the Member.