Coverage Month definition

Coverage Month the calendar month in which benefits and services may be provided to Enrollees. Covered Services: benefits and services covered under this Program applicable to this Contract as described in Attachment A. Data: any representation of information, knowledge, facts, concepts, computer software, computer programs, or instructions related to or arising from this Contract. Data may be in any form, including storage media, computer memory, in transit, presented on a display device, or in physical media such as paper, film, microfilm, or microfiche. Data includes the original form of the Data and all metadata associated with the Data. Effective Date of Services: the date on which Insurer is required to commence the provision of Covered Services to Enrollees (anticipated July 1, 2022). Emergency Medical Condition: a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in:
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Coverage Month the calendar month in which benefits and services may be provided to Enrollees.
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Coverage Month means a month during the term of -------------- this Agreement in which a Member receives health care coverage from a Participating Plan.
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Examples of Coverage Month in a sentence

  • Insurer shall only retain payments for Enrollees for the applicable Coverage Month.

  • Payments made for individuals determined to be ineligible for coverage or who are otherwise disenrolled from Insurer’s plan for the Coverage Month shall be returned to FHKC.

  • Insurer shall only retain premium payments for Enrollees for the applicable Coverage Month.

  • Premium payments made for individuals determined to be ineligible for coverage or who are otherwise disenrolled from Insurer’s plan for the Coverage Month shall be returned to FHKC.

  • Coverage Month" means a month during the term of -------------- this Agreement in which a Member receives health care coverage from a Participating Plan.

  • The Consolidated ▇▇▇▇ for each month shall be transmitted to the applicable Participating Account no later than the twenty-first day of the month prior to the Coverage Month represented by that invoice or by such other date as established from time to time by THE ASSOCIATION.

  • All unearned commission shall be recovered either within the first year of the coverage layer (generally, on the anniversary of Coverage Month 9), or upon termination of the Contract, whichever occurs first.

  • As needed, Vendor shall work with FHKC’s payment processing vendor to defend against Customer-requested credit card and debit card chargebacks, which are not permitted once the Coverage Month has begun and the Enrollee has received coverage.

  • As required in Appendix B, Vendor shall accurately and timely provide all enrollment information necessary for Insurers to provide insurance coverage and services to Enrollees effective at 12:00 a.m. the first day of every Coverage Month.

  • From time to time, Vendor may receive information that may require changes related to eligibility and enrollment once the Coverage Month has begun.


More Definitions of Coverage Month

Coverage Month the calendar month in which benefits and services are provided to Enrollees. Customer: any former, current, or potential Applicant; any former, current or potential, Enrollee; and any other parent as defined in 42 CFR § 435.603, authorized representative, or legal guardian. Customer Portal: the online, secure web application through which Customers may Access account information. Customer Relationship Management System (also referred to herein as CRM System): integrated business software used to process Program transactions in a single software solution and to provide the Customer Engagement Center the ability to interact with Customers. Cut-Over – the act of FHKC, Vendor, or FHKC’s alternative Vendor taking over operating responsibility for the [CRM System] [Customer Engagement Center] Services. Data: any representation of information, knowledge, facts, concepts, computer software, computer programs, or instructions related to or arising from this Contract. Data may be in any form, including storage media, computer memory, in transit, presented on a display device, or in physical media such as paper, film, microfilm, or microfiche. Data includes the original form of the Data and all metadata associated with the Data. Data Change: automated or manual method of overwriting a data element within an electronic table so that it has a different value and the appending, deletion, or purging of records when determined the action would have no effect on systems. Effective Date of Services: the date on which Vendor commences provision of Services to Customers (October 1, 2021). Enrollee: an individual who is receiving health benefits under the Program. Event of Default: an action or failure that renders the Contract terminable as set forth in Section 7. Family Account: the record stored in the CRM System containing all information pertaining to an Enrollee’s household. Florida Healthy Kids: the Florida CHIP and Full-Pay health benefits plans established by sections Florida KidCare: the benefits program established by section 409.813, Florida Statutes. Florida KidCare Application: the information submitted by an Applicant to receive health benefits under Florida KidCare. Florida KidCare Customer Engagement Center (also referred to herein as Customer Engagement Center or CEC): Vendor location(s) staffed with customer service representatives that provide service support to Customers. FHKC Materials: documents, files, manuals, databases, configurations, programs, custo...
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Coverage Month the calendar month in which services for Covered Services may be provided. Covered Services: Benefits and services covered under this Program applicable to this Contract as described in Attachment A. {Deductible: a specified dollar amount that an Enrollee must pay for Covered Services before Insurer will pay for any Covered Services other than preventive care. (Full-pay and subsidized)} Effective Date: January 1, 2020; the date on which Insurer commences performance of medical services and coverage to Enrollees. Emergency Medical Condition: a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in: Placing the health of the individual (or, for a pregnant woman, the health of the woman or her unborn child) in serious jeopardy. Serious impairment to bodily functions. Serious dysfunction of any bodily organ or part. Emergency Services: covered inpatient and outpatient services that are as follows: Furnished by a provider that is qualified to furnish these services under Title 42. Needed to evaluate or stabilize an Emergency Medical Condition. Enrollee: an individual enrolled in Insurer’s Florida Healthy Kids plan. Execution Date: the date on which the last Party to this Contract signed. Florida KidCare: the health benefits program administered through Sections 409.810-409.821.
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Coverage Month the calendar month in which benefits and services may be provided to Enrollees. Covered Services: benefits and services covered under this Program applicable to this Contract as described in Attachment A. Data: any representation of information, knowledge, facts, concepts, computer software, computer programs, or instructions related to or arising from this Contract. Data may be in any form, including storage media, computer memory, in transit, presented on a display device, or in physical media such as paper, film, microfilm, or microfiche. Data includes the original form of the Data and all metadata associated with the Data. Effective Date of Services: July 1, 2022; the date on which Insurer commences the provision of Covered Services to Enrollees.
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Coverage Month the calendar month in which benefits and services may be provided to Enrollees. Covered Services: Benefits and services covered under this Program applicable to this Contract as described in Attachment A. Effective Date: January 1, 2020; the date on which Insurer commences performance of medical services and coverage to Enrollees. Emergency Medical Condition: a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in:
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Coverage Month means the third month following the month during which Active Participants are eligible for benefits:
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Related to Coverage Month

  • Average monthly discharge limitation means the highest allowable average of "daily discharges" over a calendar month, calculated as the sum of all "daily discharges" measured during a calendar month divided by the number of "daily discharges" measured during that month. Compliance with fecal coliform bacteria or E coli bacteria limitations shall be determined using the geometric mean.

  • insurance period means a contribution period or an equivalent period;

  • 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.

  • Continuous period of creditable coverage means the period during which an individual was covered by creditable coverage, if during the period of the coverage the individual had no breaks in coverage greater than sixty-three (63) days.

  • Twelve-Month Period means a period of twelve consecutive months determined on a rolling basis where a new twelve month period begins on the first day of each calendar month.