Primary enrollee definition

Primary enrollee means a person who is responsible for making payments for participation in a health care plan or an enrollee whose employment or other status is the basis of eligibility for enrollment in a health care plan.
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Primary enrollee means an Employee who is enrolled hereunder. Prospective Rating Method shall mean the rating method where Delta Dental is at risk for claims cost versus premium. Protected Health Information, (PHI) shall mean information related to an Enrollee‘s health status or Treatment received, that is individually identifiable by reference to the Enrollee. Records shall mean the data collected by Delta Dental regarding claims administration. Retention Rating Method shall mean the rating method where Delta Dental is at risk for losses, but surpluses are refunded to the purchaser. Services shall mean the Treatments set forth in Schedule A and any applicable Riders to Schedule A, which Schedule and Riders are incorporated herein and made part hereof by reference, the provisions, conditions, limitations and exclusions contained in Schedule A, performed by a Dentist or under his/her supervision and direction and when necessary, customary and reasonable, as determined by Delta Dental, using standards of generally accepted dental practice. Single Procedure shall mean a dental procedure to which a separate procedure number is assigned by Delta Dental. Treatment shall mean a caring for or dealing with an oral condition.
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Primary enrollee means a person who is responsible for making payments for participation in a
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Examples of Primary enrollee in a sentence

  • For treatment rendered by a person who ordinarily resides in the Primary Enrollee’s household or who is related to the Primary enrollee (or to the Primary Enrollee ‘s spouse) by blood, marriage or legal adoption.

  • Examples of the information we may collect from you are: • Your name• Email address• Primary enrollee ID number (may include social security number, employee ID or alternate ID number)• Date of birth• Credit card information (if you are purchasing dental benefits online)• For brokers or agents, your license number or tax identification numberWe may also collect information about the device you use to access our electronic services.

  • Primary enrollee on the property must be Choctaw Nation tribal member.

  • Examples of the information we may collect from you are: • Your name• Postal address• Email address• Telephone number• Primary enrollee ID number (may include social security number, employee ID or alternate ID number)• Date of birth• Credit card information (if you are purchasing dental or vision benefits online)• For brokers or agents, your license number or tax identification numberWe may also collect information about the device you use to access our electronic services.

  • Primary enrollee" means a person who is responsible for making payments for participation in a health care plan or an enrollee whose employment or other status is the basis of eligibility for enrollment in a health care plan.

  • For treatment rendered by a person who ordi narily resides in the Prim ary Enrollee’s household or who is related to the Primary enrollee (or to the Primary Enrollee ‘s spouse) by blood, marriage or legal adoption.

  • Armenia has achieved the targets prescribed by the World Health Organization (WHO) for validation of the elimination of mother-to-child transmission of HIV in the Republic of Armenia, on the basis of which the country has initiated a process of validation of the elimination of mother-to-child transmission of HIV.


More Definitions of Primary enrollee

Primary enrollee means a person who is responsible
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Related to Primary enrollee

  • Enrollee means any person entitled to health care services from a carrier.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • primary carer means the person who has responsibility for the care of the Child. Only one person can be the Child’s Primary Carer on a particular day.

  • primary education means education offered in years numbered 1 to 7, both inclusive.

  • Primary caregiver or "caregiver" means a resident of the State

  • Primary care physician means a physician who is a family

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Primary care provider (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.

  • child care element of working tax credit means the element of working tax credit prescribed under section 12 of the Tax Credits Act 2002 (child care element).

  • HMO means health maintenance organization.

  • Primary care-giver means a person who assumes the principal role of providing care and attention to a child.

  • Potential Enrollee means a Medical Assistance Recipient who may voluntarily elect to enroll in a given managed care program, but is not yet an Enrollee of an MCO.

  • Child care provider means a provider who receives compensation for providing child care services on a regular basis, including an ‘eligible child care provider’ (as defined in section 658P of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858n)).

  • MHSA means the law that provides funding for expanded community Mental Health 22 Services. It is also known as “Proposition 63.”

  • Child Caregiver means an individual providing basic childcare service needs for Your minor children under the age of 18 while You are on the Trip without the minor children. The arrangement of being the Child Caregiver while You are on the Trip must be made 30 or more days prior to the Scheduled Departure Date.

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • graduate psychiatric nurse means a person whose name is entered on the register of graduate psychiatric nurses of the College of Registered Psychiatric Nurses of Manitoba. The terms of this Agreement shall be applicable to the graduate nurse, the graduate practical nurse, graduate psychiatric nurse, and graduate nurse practitioner, except as otherwise specified in the Collective Agreement.

  • secondary education means attendance at a public or private school offering instruction at grade levels 9-12, or equivalent. (interim eff. 6/6/2010 TL:SR-735; final eff. 7/4/2010 TL:SR-737)

  • DSHS means the Department of State Health Services.

  • MCP means a Material Change Proposal for the Station issued on [

  • Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other entity administering the Medicaid program and a health care operation under which the health care operation agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • Psychiatric nurse means a registered nurse who has

  • Non-Administrator Coordinated Home Care Program means a Coordinated Home Care Program which does not have an agreement with the Claim Administrator or a Blue Cross Plan but has been certified as a home health agency in accordance with the guidelines established by Medicare.