Criteria for Enrollment Clause Samples

The Criteria for Enrollment clause defines the specific requirements and conditions that individuals or entities must meet to be eligible to participate in a program, service, or agreement. This may include prerequisites such as age, qualifications, documentation, or compliance with certain standards. For example, a training course might require participants to have prior experience or certifications, or a health plan may limit enrollment to residents of a particular region. The core function of this clause is to ensure that only qualified or appropriate participants are admitted, thereby maintaining the integrity and effectiveness of the program or agreement.
Criteria for Enrollment. Employees who have accumulated the equivalent of ten (10) days sick leave may contribute one day per year to the bank. Employees who have accumulated the equivalent of 40 days sick leave may contribute 2 days to the bank. To be a participant in the bank an employee must donate each year to the bank. All contributions to the bank must be authorized by the contributing employee in writing, and no contributions will be effective without said written authorization. Except as otherwise provided herein, once donated, days(s) contributed to the Sick Leave Bank are not returnable. No contributions can be made except as provided in this section. Operational Procedures: Although donations to the bank will be processed as "days", accumulations in the bank will be accumulated as the dollar value of the contributing employee's "day". Example: A two hour, $8.00 per hour, employee donates two "days" of leave. This will be credited as $32.00, (2 hours x 2 days x $8.00 = $32.00). Withdrawals from the bank will be calculated as the dollar value of the days granted.
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Related to Criteria for Enrollment

  • Enrollment You are responsible for i) having all of the required information in this Agreement completed and

  • Special Enrollment a. KFHPWA will allow special enrollment for persons: 1) Who initially declined enrollment when otherwise eligible because such persons had other health care coverage and have had such other coverage terminated due to one of the following events: • Cessation of employer contributions. • Exhaustion of COBRA continuation coverage. • Loss of eligibility, except for loss of eligibility for cause. 2) Who initially declined enrollment when otherwise eligible because such persons had other health care coverage and who have had such other coverage exhausted because such person reached a lifetime maximum limit. KFHPWA or the Group may require confirmation that when initially offered coverage such persons submitted a written statement declining because of other coverage. Application for coverage must be made within 31 days of the termination of previous coverage. b. KFHPWA will allow special enrollment for individuals who are eligible to be a Subscriber and their Dependents (other than for nonpayment or fraud) in the event one of the following occurs: 1) Divorce or Legal Separation. Application for coverage must be made within 60 days of the divorce/separation. 2) Cessation of Dependent status (reaches maximum age). Application for coverage must be made within 30 days of the cessation of Dependent status. 3) Death of an employee under whose coverage they were a Dependent. Application for coverage must be made within 30 days of the death of an employee. 4) Termination or reduction in the number of hours worked. Application for coverage must be made within 30 days of the termination or reduction in number of hours worked. 5) Leaving the service area of a former plan. Application for coverage must be made within 30 days of leaving the service area of a former plan. 6) Discontinuation of a former plan. Application for coverage must be made within 30 days of the discontinuation of a former plan. c. KFHPWA will allow special enrollment for individuals who are eligible to be a Subscriber and their Dependents in the event one of the following occurs: 1) Marriage. Application for coverage must be made within 31 days of the date of marriage. 2) Birth. Application for coverage for the Subscriber and Dependents other than the newborn child must be made within 60 days of the date of birth. 3) Adoption or placement for adoption. Application for coverage for the Subscriber and Dependents other than the adopted child must be made within 60 days of the adoption or placement for adoption. 4) Eligibility for premium assistance from Medicaid or a state Children’s Health Insurance Program (CHIP), provided such person is otherwise eligible for coverage under this EOC. The request for special enrollment must be made within 60 days of eligibility for such premium assistance. 5) Coverage under a Medicaid or CHIP plan is terminated as a result of loss of eligibility for such coverage. Application for coverage must be made within 60 days of the date of termination under Medicaid or CHIP. 6) Applicable federal or state law or regulation otherwise provides for special enrollment.

  • Open Enrollment KFHPWA will allow enrollment of Subscribers and Dependents who did not enroll when newly eligible as described above during a limited period of time specified by the Group and KFHPWA.

  • SALARY DETERMINATION FOR EMPLOYEES IN ADULT EDUCATION PCA Article B.3 does not apply in School District No. 34 (Abbotsford).

  • Eligibility for Employer Contribution This section describes eligibility for an Employer Contribution toward the cost of coverage.