Enrollee coverage definition

Enrollee coverage means any certificate or contract A
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Enrollee coverage means any certificate or contract A HEALTH COVERAGE PLAN issued pursuant to section 10-16-507 THIS ARTICLE
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Enrollee coverage means any certificate or contract A HEALTH COVERAGE PLAN issued pursuant to section 10-16-507 THIS ARTICLE to an enrollee setting out the dental coverage to which such THE enrollee is entitled UNDER THE HEALTH COVERAGE PLAN.
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Examples of Enrollee coverage in a sentence

  • Contractor shall not terminate Covered California Enrollee coverage for fraud without prior review and approval from Covered California.

  • Contractor shall not terminate Enrollee coverage for fraud without prior review and approval from Covered California.

  • Contractor shall not terminate Enrollee coverage for fraud without prior review and approval from the Exchange.

  • The STATE will pay to the MCO a Medicaid Capitation Payment for each Enrollee in accordance with Article 4 for the month in which coverage becomes effective and thereafter until termination of Enrollee coverage pursuant to section 3.2 becomes effective.

  • The MCO shall provide valid enrollment data to Providers for Enrollee coverage verification by the first day of the month and within two working days of availability of enrollment data at the time of reinstatement.

  • If the Em- ployee or Dependent is considered a Late Enrollee, coverage will become effective the earlier of 12 months from the date a written request for cover- age is made or at the Employer’s next Open En- rollment Period.

  • For clarification purposes, an Enrollee’s stay while recovering from COVID-19 in a nursing facility or chronic or rehabilitation hospital, or any combination thereof, shall count towards the 100-day per Contract Year per Enrollee coverage described in this section; provided, however for an Enrollee’s stays in a Commonwealth- designated COVID-19 nursing facility, see non-ACO Covered Services in Exhibit 2 below.

  • The MCO shall provide valid enrollment data to Providers for Enrollee coverage verification by the first day of the month, and within two working days of availability of enrollment data at the time of reinstatement.

  • The STATE will pay to the MCO a Capitation Payment for each Enrollee in accordance with Article 4 for the month in which coverage becomes effective and thereafter until termination of Enrollee coverage pursuant to section 3.4 becomes effective.

  • The STATE will pay to the MCO a Medicaid Capitation Payment for each Enrollee in accordance with Article 4 for the month in which coverage becomes effective and thereafter until termination of Enrollee coverage becomes effective according to section 3.4 of this Contract.


More Definitions of Enrollee coverage

Enrollee coverage means a health coverage plan issued pursuant to this article to an enrollee setting out the coverage to which the enrollee is entitled under the health coverage plan.
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Related to Enrollee coverage

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for

  • Health insurance coverage means benefits consisting of medical care (provided directly, through

  • Group health insurance coverage means in connection with a group health plan, health insurance

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Coverage or “Covering”) shall mean that the developing, making, using, offering for sale, promoting, selling or importing of a given compound, formulation or product would infringe a Valid Claim of an issued patent in the absence of a license under such Valid Claim. The determination of whether a compound, formulation or product is Covered by a particular Valid Claim shall be made on a country-by-country basis.