Loss of Coverage definition

Loss of Coverage means a Covered Employee's loss of continued eligibility for benefits due to the following:

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Loss of Coverage means a complete loss of coverage under a Qualified Benefit or under the DFSA (including elimination of a Qualified

Loss of Coverage means (a) a complete loss of coverage under the Benefit Package Option or other coverage (including the elimination of a Benefit Package Option, an HMO ceasing to be available in the area where the individual resides, or the individual losing all coverage under the option by reason of an overall lifetime or annual limitation); (b) a substantial decrease in the medical care providers available under the option (such as a major hospital ceasing to be a member of a preferred provider network or a substantial decrease in the physicians participating in a preferred provider network or an HMO); (c) a reduction in the benefits for a specific type of medical condition or treatment with respect to which the Participant or the Participant’s spouse or Dependent is currently in the course of treatment; or (d) any other similar fundamental loss of coverage.

Examples of Loss of Coverage in a sentence

Any employee found performing work for a non-signatory, non-contributing employer shall lose coverage for himself/herself and his/her dependents as of the first day of the month in which such employment commences and shall forfeit all hours in his/her Health & Welfare reserve bank of hours, in accordance with the Loss of Coverage provision of the Health & Welfare Trust Agreement.
If you have lost coverage, it is required that Loss of Coverage documents include (1) the end date of the coverage, (2) types of coverage elected, and (3) who was covered under the plan.
For the avoidance of doubt, (i) in the event of a Loss of Coverage, Seller shall pay to the Company or the Company Subsidiaries the payments that the affected employee (or his dependents) would have been entitled to receive under the arrangement with respect to which the Loss of Coverage occurred and (ii) Seller shall bear no responsibility for any costs or Liabilities with respect to an Inactive Employee arising on or after the Return Date.
The Plan Administrator in its sole discretion and on a uniform and consistent basis will decide whether a curtailment is “significant” and whether a Loss of Coverage has occurred consistent with prevailing IRS guidance.
Proof of loss shall be Loss of Coverage Statement signed and dated by the previous employer (which all employers are req law to provide upon request); Employee, spouse or dependent becomes eligible for Medicare; Divorce, annulment, legal separation, or dissolution of marriage; Dependent no longer eligible (age 19 or over and no longer a full-time student, or dependent marries).
Special Enrollment Due to Loss of Coverage Under the Children’s Health Insurance Program or a Medicaid Program This Benefit Plan provides a Special Enrollment Period for an employee or family Dependent(s) if either (1) are covered under Medicaid or State Children’s Health Insurance Program (“CHIP”), a nd lose that coverage because of loss of eligibility; or (2) they become eligible for premium assistance under the CHIP program.
Not Eligible Add Spouse Marriage If last name is different Marriage Certificate 1040 Form Add Dependent Birth Adoption If last name is different Birth Certificate Formal Adoption Papers Court Approved Guardianship Papers Add Spouse Add Dependent Loss of Coverage Certificate of Creditable Coverage Add Domestic Partner Domestic Partnership Declaration of Cohabitation & Financial Interdependence form Not Eligible Not Eligible Group Health Incorporated (GHI), GHI HMO Select, Inc.
For the avoidance of doubt, (A) in the event of a Loss of Coverage, Harsco shall pay to Buyer or the Target Entities the payments that the affected employee (or his dependents) would have been entitled to receive under the arrangement with respect to which the Loss of Coverage occurred and (B) Harsco shall bear no responsibility for any costs or Liabilities with respect to an Inactive Employee arising on or after the Return Date.
Conditions of Coverage No Loss of Coverage No person will lose coverage due solely to a change in benefits carrier.
In addition, as set forth below, if the coverage curtailment results in a "Loss of Coverage" (as defined below), then Participants may drop coverage ifno similar coverage is offered by the Employer.

More Definitions of Loss of Coverage

Loss of Coverage has the meaning given in Section 4.6(c).

Loss of Coverage means that you have ceased to be eligible to participate under the same terms and conditions as in effect immediately before the Qualifying Event. A loss of coverage need not occur immediately after the Qualifying Event, so long as the loss of coverage will occur before the end of the maximum continuation coverage period.

Loss of Coverage means a complete loss of coverage under a Qualified Benefit or under the DFSA (including elimination of a Qualified Benefit for purposes of the Plan or loss of a Dependent Care Service Provider for purposes of the DFSA). In addition, the Administrator may, in its discretion, treat the following as a Loss of Coverage:

Loss of Coverage has the meaning given in Section 4.6(c). “Major Customers” has the meaning given in Section 2.20. “Major Suppliers” has the meaning given in Section 2.20.

Loss of Coverage means a complete loss of coverage under, or elimination of, a Component Plan or a Medical or Dental Plan, including the elimination of a Component Plan. In addition, the Plan Administrator in its sole discretion, on a uniform and consistent basis, may treat the following as a loss of coverage:

Related to Loss of Coverage

D&O Liability Insurance Policies means all insurance policies (including any “tail policy”) of any of the Debtors for liability of any current or former directors, managers, officers, and members.
Outline of coverage means a summary that explains an accident and health insurance policy.
Period of Coverage means the Plan Year, with the following exceptions: (a) for Employees who first become eligible to participate, it shall mean the portion of the Plan Year following the date on which participation commences, as described in Section 3.1; and (b) for Employees who terminate participation, it shall mean the portion of the Plan Year prior to the date on which participation terminates, as described in Section 3.2.

Related to Loss of Coverage

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