ELIGIBILITY FOR COVERAGE. Any employee and the dependents of an employee who meet and continue to meet the eligibility requirements described in this Contract, will be entitled to apply for coverage under this Contract. These eligibility requirements are binding upon you and your eligible dependents. We may require acceptable documentation that an individual meets and continues to meet the eligibility requirements (e.g. proof of residency, copies of a court order naming the Subscriber as legal guardian, or appropriate adoption documentation, as described in Part IV. ENROLLMENT AND EFFECTIVE DATE OF COVERAGE).
ELIGIBILITY FOR COVERAGE. Subscribing Group hereby represents that it has met the non-discrimination testing requirements under U.S. Code Section 105(h). The delivery of benefits and services covered in this Contract will be subject to the provisions, Limitations and Exclusions set forth herein and any amendments, modifications and Contract termination provisions specified herein, and by the mutual agreement between AvMed and Subscribing Group, without the consent or concurrence of the Members. By electing or accepting Health Care Services and Hospital or other benefits hereunder, all Members legally capable of contracting and the legal representatives of all Members incapable of contracting, agree to all terms, conditions and provisions hereof.
ELIGIBILITY FOR COVERAGE. Those eligible for coverage are all employees who are designated as permanent full-time employees, other than an employee whose age is 65 less the qualifying period. An employee becomes eligible for coverage under the plan on the day following the completion of the three-month probationary period.
ELIGIBILITY FOR COVERAGE. Any individual and the dependents of an individual who meet and continue to meet the eligibility requirements described in this Contract, or as set forth by the Health Insurance Marketplace, will be entitled to enroll in coverage under this Contract. These eligibility requirements are binding upon you and your eligible dependents. We may require acceptable documentation that an individual meets and continues to meet the eligibility requirements (e.g. proof of residency, copies of a court order naming the Contractholder as legal guardian, or appropriate adoption documentation, as described in Part IV. ENROLLMENT AND EFFECTIVE DATE OF COVERAGE).
ELIGIBILITY FOR COVERAGE. An employee is eligible for coverage if:
ELIGIBILITY FOR COVERAGE. Employees shall be eligible for the coverage provided in this Section after completing sixty (60) days of employment.
ELIGIBILITY FOR COVERAGE. If you did not purchase this Agreement at the same time as the purchase of the Covered Product, this section applies to you. Prior to the sale of this Agreement, we reserve the right to obtain product information from you in order to determine eligibility for coverage. To be eligible for coverage, the product must be in proper operating condition at the start of coverage and the information regarding the original purchase date of the covered product is correct. Inaccurate information regarding purchase date may result in the product being ineligible for coverage. We reserve the right to inspect the Covered Product to determine eligibility for coverage. If you are not current on your installment or monthly payments for this Agreement, you will not be eligible for coverage or benefits under this Agreement until payment is made current.
ELIGIBILITY FOR COVERAGE. Eligible Dependent also includes a newborn child of a Covered Dependent, other than the Subscriber’s spouse (coverage for such newborn child automatically terminates 18 months after the birth of the newborn child).
ELIGIBILITY FOR COVERAGE. An employee who either suffers an injury as a direct result of an accident, or develops an illness, arising out of and in the course and scope of employment shall be entitled to a leave of up to sixty (60) working days in any one (1) fiscal year for the same injury or illness. Eligibility for such coverage shall begin on the first work day of employment. Industrial accident and illness leave shall commence on the first day of absence.
ELIGIBILITY FOR COVERAGE. An employee who either suffers an injury as a direct result of an accident, or develops an illness, arising out of and in the course and scope of employment shall be entitled to a leave of up to sixty (60) working days in any one (1) fiscal year for the same injury or illness. Eligibility for such coverage shall begin on the first work day of employment. Industrial accident and illness leave shall commence on the first day of absence. Employees shall use their accrued sick leave during any period of absence for injury or illness when such leave is not compensated by industrial accident and illness leave or workers’ compensation benefits. If an employee used his/her accrued sick leave pending approval of a workers’ compensation claim and the claim is subsequently accepted, the employee’s sick leave will be restored retroactively for any absence that is covered by workers’ compensation benefits and/or industrial accident and illness leave.
