Insured Services Sample Clauses

The 'Insured Service(s)' clause defines which specific services provided under the contract are covered by insurance. It typically lists or describes the activities, operations, or deliverables that the insurance policy will protect, such as consulting, construction, or maintenance work performed by the service provider. By clearly identifying the insured services, this clause ensures that both parties understand the scope of insurance coverage, thereby reducing ambiguity and potential disputes regarding liability in the event of a claim.
Insured Services. In the event that a Member new to HMO is assigned to PPG and gives birth within six (6) months of such assignment, HMO shall pay PPG a flat fee of eight-hundred dollars ($800.00) for such Member’s delivery. This fee shall be in addition to the Capitation for such Member, provided that the delivery services were rendered by a contracted physician of PPG.
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Insured Services. Contracted Services that are arranged or provided and paid for by PPG but which are reimbursable by HMO in addition to the Capitation paid. Such Insured Services are set forth in the applicable Addendum.
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Insured Services services provided by the Insured Person to clients which are indicated on the insurance policy and to which the insurance contract applies.
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Insured Services. PPG Capitated Services that are provided and paid for by PPG but which arc reimbursable by HEALTH NET in addition to the Capitation paid. Such Insured Services are set forth on the applicable Exhibit to this Addendum.
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Related to Insured Services

  • Covered Services You will receive Covered Services under the terms and conditions of this Contract only when the Covered Service is: • Medically Necessary; • Provided by a Participating Provider for in-network coverage; • Listed as a Covered Service; • Not in excess of any benefit limitations described in the Schedule of Benefits section of this Contract; and • Received while Your Contract is in force.

  • Required Services Consultant agrees to perform the services, and deliver to City the “Deliverables” (if any) described in the attached Exhibit A, incorporated into the Agreement by this reference, within the time frames set forth therein, time being of the essence for this Agreement. The services and/or Deliverables described in Exhibit A shall be referred to herein as the “Required Services.”

  • Non-Covered Services The Contractor shall refer Members to Providers enrolled in the Medicaid Fee-for- Service delivery system for all Medically Necessary Services not covered by the Contractor under the MississippiCAN Program. The Contractor shall have written policies and procedures for the referral of Members for non-covered services, which shall provide for the smooth transition to Out-of-network Providers and assistance to Members in obtaining a new PCP, if appropriate. These procedures shall be applicable to the referral of Members to Out-of- network Providers, as necessary, upon Disenrollment, regardless of the reasons for Disenrollment.

  • Shared Services CUPE agrees to adopt a shared services model that will allow other Trusts to join the shared services model. The shared services office of the Trust is responsible for the services to support the administration of benefits for the members, and to assist in the delivery of benefits on a sustainable, efficient and cost effective basis recognizing the value of benefits to the members.

  • Infertility Services Freezing, storage and thawing of embryos, sperm, or other tissues, for future use, unless the freezing, storage and thawing is needed due to potential iatrogenic infertility as described in Infertility Services in Section 3. • Reversal of voluntary sterilization or infertility treatment for a person that previously had a voluntary sterilization procedure. • Fees associated with finding an egg or sperm donor, related storage, donor stipend, or shipping charges. • Services related to surrogate parenting, when the surrogate is not a member of this