EXTENT OF COVERAGE Clause Samples
The "Extent of Coverage" clause defines the scope and boundaries of protection or benefits provided under an agreement, such as an insurance policy or service contract. It specifies what is included and excluded, detailing the situations, items, or parties that are covered. For example, it may outline whether certain types of damages, geographic areas, or time periods are included in the coverage. This clause is essential for setting clear expectations and preventing disputes by delineating exactly what is and is not protected or supported under the agreement.
EXTENT OF COVERAGE. Service Provider will perform the following Services with respect to any equipment described on any fully executed location requirement:
EXTENT OF COVERAGE. The extent of coverage under the health and disability plans, including any HMO's and/or self- insured plans referred to in this Agreement shall be governed by the terms and conditions set forth in said policies or plans or benefits thereunder and shall be resolved in accordance with the terms and conditions set forth in said policies or plans. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it is contracted or is obligated shall result in no liability to the College or County. However, in instances where the College agrees that an insurance provider may not be meeting its contractual obligations, the College agrees to contact the insurance provider on the employee's behalf.
EXTENT OF COVERAGE. Contract period
EXTENT OF COVERAGE. The extent of coverage under the health, dental and disability plans, including any HMO’s and/or self-insured plans referred to in this agreement shall be governed by the terms and conditions set forth in said policies or plans or benefits thereunder and shall be resolved in accordance with the terms and conditions set forth in said policies or plans. The failure of any insurance carrier(s) or plan administrator(s) to provide any benefit for which it is contracted or is obligated shall result in no liability to the Center or County. However, in instances where the Center agrees that an insurance provider may not be meeting its contractual obligations, the Center agrees to contact the insurance provider on the employee’s behalf.
EXTENT OF COVERAGE. The Board does not obligate itself to expend the total per teacher limit of said insurance premiums if the cost of such coverage for any individual teacher is less than the amount set by the Board for premium contribution.
EXTENT OF COVERAGE. In the event of a covered loss, the policy will pay the Creditor the lesser of the Actual Cash Value of the damaged or stolen Collateral as of the date of loss, the cost of repairing or replacing the damaged or stolen Collateral, or the amount of the Creditor’s impairment which is measured by the outstanding balance of the Credit Agreement as of the date of loss. The limit of liability under the policy is $50,000. The policy requires the Creditor to pay a $500 deductible.
EXTENT OF COVERAGE i. The Provider Hospital shall extend only inpatient hospitalization for General and / OR Specialized Purpose viz. OR As per list enclosed OR as notified/amended by Ministry of Health & Family Welfare Department of Health & Family Welfare under CGHS, (City) for that Hospital (remove whichever is not applicable) to the members under this Agreement and claims will be settled directly by the Food Corporation of India under ‘Direct Payment System’. For the ‘out-patient treatment’, the Corporation employee shall take such treatment on the agreed rates on cash basis and Food Corporation shall not be responsible for any such medical expenditure on this account under ‘Direct Payment System’.
ii. The Provider will charge agreed rates. The provider shall charge the negotiated rates for IPD and OPD treatment including diagnostics as contained in Clause 0.9.
iii. The Hospital will extend the services of their lab for diagnostic tests to all members on cash down basis on advice of Registered Medical Practitioner for OPD treatment/ purpose.
iv. As per existing policy, in the absence of FCI Medical Officer in the respective District Office/ Regional Office/Zonal Office/ Headquarters (as the case may be), the First Admission Report/ Pre-Authorization duly signed/issued online by the Competent Authority of the concerned empanelled hospital is acceptable subject to the fulfillment of other terms and conditions. FCI Authority competent to issue Authorization letter (online or offline as the case may be) in various offices of FCI are given at Annexure-I. Changes if any shall be intimated from time to time. Sample copies of First Admission Report/ Pre-Authorization Letter and Authorization letter are also given at ▇▇▇▇▇▇▇▇-▇▇ and III respectively.
v. The claim bill along with copies of investigation reports, first admission report/ pre- authorization letter, copy of authorization letter, original cash memos and discharge summary report be submitted by the Hospital to the AGM(Bills) of concerned FCI office i.e. HQ/ZO/RO (strike off or remove whichever is not applicable) within the stipulated period as per agreed terms and conditions. The bills submitted should contain the CGHS Code/Hospital Code applicable against each procedure charged to facilitate processing of the bill at the earliest. These documents are also to be uploaded including system generated Discharge Summary in Hospital Administration System (HAS). List of Administrative offices of FCI are provided at Annexure-IV...
EXTENT OF COVERAGE i) The Provider Hospital shall extend only in-patient hospitalization to the Members under this Agreement and claims will be settled directly by the University under „Direct Payment System‟. For the „Out- Patient treatment‟, the University employee shall take such treatment on the agreed rates on cash basis and the University shall not be responsible for any such medical expenditure on this account under „Direct Payment System‟.
ii) The Provider Hospital will extend services as per the rates prescribed in the Central Government Health Scheme (hereinafter referred as „CGHS‟) for both IPD & OPD treatment. In case there are no CGHS/DGEHS prescribed rates for any test/procedure, then AIIMS rates are applicable. If there are no CGHS/DGEHS/AIIMS rates, then reimbursement is to be arrived at by calculating admissible amount item-wise as per approved rates/actual whichever is less, in case of investigation.
iii) If the Provider Hospital normally charges rates for various procedures which are lower than the rates given by CGHS, the reimbursement would be at the actual rates charged by the Provider Hospital.
iv) The Provider Hospital shall ensure that each time a Member avails service envisaged in this Agreement, the expenses are regulated strictly with reference to the eligibility and monetary limits fixed with reference to the entitlements status of such Member.
v) The Provider Hospital shall ensure that the benefits are made available to the Member(s) strictly as per terms of this Agreement and no benefits outside the terms of this agreement shall be allowed without prior approval, unless the same is essential for the recovery of member(s).
vi) The University shall not be liable to make any payment on account of claims which are in the opinion of the University fraudulent or are a result of fabricated claims.
EXTENT OF COVERAGE. 7.3.1 ESCALATORS AND MOVING WALKS Contractor will maintain the escalator equipment herein described under the same terms and conditions described under Section 7.1 entitled “Traction Elevators”, as the same are applicable to escalators, with the following additions:
7.3.1. a Controller, all relays, contacts, coils, resistance for operating and motor circuits, operating transformers and operating rectifier;
7.3.1. b Handrail, handrail drive chains, handrail brush guards, handrail guide rollers, alignment devices, steps, step tread, step wheels, step chains, step axle bushings, comb plates, floor plates and tracks;
7.3.1. c Upper drive, upper drive bearings, tension sprocket bearings, upper newel bearings, lower newel bearings;
EXTENT OF COVERAGE. Permittee shall procure limits of insurance coverage in the following minimum amounts: