Special Coverage Clause Samples

Special Coverage. Tenant shall carry “Builder’s All Risk” insurance in an amount approved by Landlord covering the construction of the Tenant Improvements, and such other insurance as Landlord may require. Such insurance shall be in amounts and shall include such extended coverage endorsements as may be reasonably required by Landlord including, but not limited to, the requirement that all of Tenant’s Parties shall carry excess liability and Products and Completed Operation Coverage insurance, each in amounts not less than $1,000,000 per incident, $2,000,000 in aggregate, and in form and with companies as are required to be carried by Tenant as set forth in the Lease.

Special Coverage. 11.3.9.1 In order to obtain services under Special Coverage, an Enrollee must register, as provided in Section 7.7.6 of this Contract. Registration is a form of utilization control, to determine whether the Enrollee’s health condition warrants Access to the expanded services included in Special Coverage. 11.3.9.2 In addition, as noted in Section 7.7.12 of this Contract, some individual Special Coverage services require Prior Authorization for an Enrollee who has registered under Special Coverage.

Special Coverage. 7.7.1 The Special Coverage benefit is designed to provide services for Enrollees with special health care needs caused by serious illness. 7.7.2 The Contractor shall provide to ASES the strategy implemented for the identification of populations with special health care needs in order to identify any ongoing special conditions of Enrollees that require a treatment plan and regular care monitoring by appropriate health care professionals. 7.7.3 The Contractor shall implement a system for screening Enrollees for Special Coverage and registering Enrollees who qualify. The Contractor shall design a form to be used by Providers in submitting a registration for Special Coverage. 7.7.4 The registration system for Special Coverage shall emphasize speedy processing of the registration. 7.7.5 Once a Provider supplies all the required information for the Contractor to process a registration, Special Coverage shall take effect retroactively as of the date the Provider reaches a diagnosis, including documentation of test results, for any condition included in Special Coverage. In case information is submitted to Contractor after diagnosis was reached, coverage can be made retroactive up to sixty (60) Calendar Days before the date on which Provider submitted the registration request. 7.7.6 According to the timeframes specified in Attachment 12 to this Contract, the Contractor shall submit to ASES for approval proposed protocols to be established for Special Coverage and any subsequent changes to the proposed protocols for Special Coverage must be previously approved in writing by ASES. The proposed protocols must be established for, at a minimum, the following: 7.7.6.1 Registration procedures; 7.7.6.2 Formats established for registration forms; 7.7.6.3 Forms of notices to be issued to the Enrollee and to the Provider to inform them of the Contractor’s decision concerning Special Coverage; 7.7.6.4 Protocols for the development of treatment plan; 7.7.6.5 Provisions for ensuring that Enrollees with Special Coverage have timely access to specialists appropriate for the Enrollee’s condition and identified needs; and 7.7.6.6 A summary of the Contractor’s strategy for the identification of populations with special health care needs. 7.7.7 The protocols shall emphasize both the need for a speedy determination and the need for screening evaluations to be conducted by competent Health Care Professionals with appropriate expertise. 7.7.8 The Contractor shall complete, monitor, and ...

Special Coverage. Tenant’s Contractor, or in the case of a construction management contract Tenant’s Major Subcontractors shall carry “Builder’s All Risk” insurance in an amount approved by Landlord covering the construction of the Tenant Improvements, and such other insurance as Landlord may require. Such insurance shall be in amounts and shall include such extended coverage endorsements including the requirement that all of Tenant’s Parties shall carry excess liability and Products and Completed Operation Coverage insurance, each in amounts not less than $1,000,000 per incident, $2,000,000 in aggregate, and in form and with companies as are required to be carried by Tenant as set forth in the Lease.

Special Coverage. Tenant shall carry “Builder’s All Risk” insurance in an amount approved by Landlord covering the construction of Tenant Improvements, and such other insurance as Landlord may require, it being understood and agreed that Tenant Improvements shall be insured by Tenant pursuant to Section 14 of the Lease immediately upon completion thereof. Such insurance shall be in amounts and shall include such extended coverage endorsements as may be reasonably required by Landlord including, but not limited to, the requirement that all of Tenant’s Agents shall carry excess liability and Products and Completed Operation Coverage insurance, each in amounts not less than $2,000,000.00 per incident, $5,000,000.00 in aggregate, and in form and with companies as are approved by Landlord.

Special Coverage. Subtenant shall carry "Builder's All Risk" insurance in a reasonable amount approved by Sublandlord and Landlord covering the construction of the Improvements, and such other insurance as Sublandlord and Landlord may reasonably require, it being understood and agreed that the Improvements shall be insured by Subtenant pursuant to the Sublease immediately upon completion thereof. Such insurance shall be in amounts and shall include such extended coverage endorsements as may be reasonably required by Sublandlord and Landlord including, but not limited to, the requirement that all of Subtenant's Agents shall carry excess liability and Products and Completed Operation Coverage insurance, each in amounts not less than $500,000 per incident, $1,000,000 in aggregate, and in form and with companies as are required to be carried by Subtenant as set forth in the Sublease.

Special Coverage. Enrollees with special health care needs can get Special Coverage that will provide services for the care they need. The special health care needs are: 1. Aplastic Anemia 2. Rheumatoid Arthritis 3. Autism

Special Coverage. The following special coverage applies to special product features and options; not all options are available on all products or in all regions: Detail Ranges Available Coverage Notes Double-Glazed Only Full Pane Cape Culture products 5 Years Special attention required for installation. Double-Glazed Only Full Pane Kenzo products 3 Years Special attention required for installation. Single Clear/ Laminated/Low E/ Safety Glass Cape Culture, Winsters, Kayo & Kenzo products No Coverage Pre-Seal: Finish on timber products, excluding dark colours ex. Imbuia finish Cape Culture, Winsters, Kayo 1 Year Coverage is for peeling, cracking, or exhibiting excessive fading or colour change. Timber products and products finished with factory applied Maxicare finish, installed within 5 kilometers of a salt-water source (for example, an ocean) or other corrosive environment requires additional and specific maintenance requirements. Refer to our full care and maintenance instructions.

Special Coverage. Coverage by workshops staff of special operational requirements of customers shall be provided as follows: