Enrollment of Members Sample Clauses

Enrollment of Members. 1. Client shall be solely responsible for determining eligibility of potential Members and enrolling them in the Plan. Client represents and warrants that only Eligible Individuals and their Eligible Dependents will be enrolled in the Plan. Client agrees that it will enroll Eligible Dependents consistent with the guidelines set forth in the Benefit Documents.
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Enrollment of Members. (i) Customer will be solely responsible for enrolled members in the Licensed Program, and will have sole and absolute discretion in determining whether such members will be permitted to participate in the Licensed Program. The enrollment of a new participant in the Licensed Program is conclusive evidence (to be relied upon solely by BGA Partners) of Customer’s determination that (i) such new participant has satisfactorily completed the Customer’s health and medical screening process, and completed all documentation required for participation in the Licensed Program (including, but not limited to, the Membership Enrollment Form), and (ii) the new participant has no medical restrictions or other limitations of any kind that would or should prevent such person from participating fully in the Licensed Program.

Related to Enrollment of Members

  • Enrollment The School shall maintain accurate and complete enrollment data and daily records of student attendance.

  • Disenrollment Adverse Benefit Determination taken by the Division, or its Agent, to remove a Member's name from the monthly Member Listing report following the Division's receipt and approval of a request for Disenrollment or a determination that the Member is no longer eligible for Enrollment in the Contractor.

  • Enrollment Requirements You must maintain with Blue Cross and Blue Shield a current and updated listing of covered employees. You will be responsible for all claims costs and expenses associated with failure to maintain an accurate and current listing with Blue Cross and Blue Shield, unless such claims costs and expenses are due to an error on Blue Cross and Blue Shield’s part. Eligibility of an Employee In order to maintain health care coverage with Blue Cross and Blue Shield, an employee must meet the written eligibility requirements (such as length of service, active employment and number of hours worked) you impose as long as they do not conflict with Blue Cross and Blue Shield’s eligibility requirements. An eligible employee as defined by Blue Cross and Blue Shield means: • A permanent full-time employee regularly working 30 hours or more each week at the employer’s usual place(s) of business and who is paid a salary or wage in accordance with state and federal wage requirements; or • A permanent part-time employee regularly working at least 20 hours but less than 30 hours each week at the employer’s usual place(s) of business and who is paid a salary or wage in accordance with state and federal wage requirements; or • A disabled permanent full-time or part-time employee who is actively working despite the disability (including one who is engaged in a trial work period) and a disabled employee who is not actively working but whom the employer treats as an employee; or • A former employee (or a former covered dependent of the employee of the group) who qualifies for continued group coverage under federal or state law, but only if the employer maintains Blue Cross and Blue Shield group coverage for permanent full-time employees as defined in (a) above; or • A retired employee of the employer. Enrollment of a Member Newly hired employees who are eligible for group benefits can enroll in the benefits plan according to your eligibility requirements for coverage, provided that your requirements comply with Blue Cross and Blue Shield’s eligibility and enrollment requirements. The effective date of an eligible employee’s (or his or her dependent’s) membership in the benefits plan may be the Member’s initial eligibility date or your subsequent anniversary/renewal date, as long as: (a) Blue Cross and Blue Shield receives your written notice no later than 30 days after the Member’s enrollment notification period applicable to membership modifications (as described in the Subscriber Certificate for your benefits plan); and (b) you pay the applicable premium charges.

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