Limitation on Enrollment. The Group Agreement will be open for applications for enrollment as described in the group master application. Subject to prior approval by the Washington State Office of the Insurance Commissioner, KFHPWA may limit enrollment, establish quotas or set priorities for acceptance of new applications if it determines that KFHPWA’s capacity, in relation to its total enrollment, is not adequate to provide services to additional persons.
Limitation on Enrollment. The Agreement will be open for applications for enrollment as described in the group master application. Subject to prior approval by the Washington State Office of the Insurance Commissioner, Group Health may limit enrollment, establish quotas or set priorities for acceptance of new applications if it determines that Group Health’s capacity, in relation to its total enrollment, is not adequate to provide services to additional persons. Your Group Health Options, Inc. Benefits Booklet Group Health Options, Inc. 2017 Benefits Booklet CA-2563a17, C427626512200 Important Notice Under Federal Health Care Reform Group Health recommends each Member choose a Network Personal Physician. This decision is important since the designated Network Personal Physician provides or arranges for most of the Member’s health care. The Member has the right to designate any Network Personal Physician who participates in one of the Group Health networks and who is available to accept the Member or the Member’s family members. For information on how to select a Network Personal Physician, and for a list of the participating Network Personal Physicians, please call the Group Health Customer Service Center at (000) 000-0000 in the Seattle area, or toll-free in Washington, 0-000-000-0000. For children, the Member may designate a pediatrician as the primary care provider. The Member does not need Preauthorization from Group Health or from any other person (including a Network Personal Physician) to access obstetrical or gynecological care from a health care professional in the Group Health network who specializes in obstetrics or gynecology. The health care professional, however, may be required to comply with certain procedures, including obtaining Preauthorization for certain services, following a pre-approved treatment plan, or procedures for obtaining Preauthorization. For a list of participating health care professionals who specialize in obstetrics or gynecology, please call the Group Health Customer Service Center at (000) 000-0000 in the Seattle area, or toll-free in Washington, 0-000-000-0000. Women’s health and cancer rights If the Member is receiving benefits for a covered mastectomy and elects breast reconstruction in connection with the mastectomy, the Member will also receive coverage for: • All stages of reconstruction of the breast on which the mastectomy has been performed. • Surgery and reconstruction of the other breast to produce a symmetrical appearance. • Prosthe...
Limitation on Enrollment. The Agreement will be open for applications for enrollment as set forth in this Section III.B. Subject to prior approval by the Washington State Office of the Insurance Commissioner, GHC may limit enrollment, establish quotas or set priorities for acceptance of new applications if it determines that GHC’s capacity, in relation to its total enrollment, is not adequate to provide services to additional persons.
Limitation on Enrollment. The Agreement will be open for applications for enrollment as set forth in this Section III.B. Subject to prior approval by the Washington State Office of the Insurance Commissioner, GHO may limit enrollment, establish quotas or set priorities for acceptance of new applications if it determines that GHO’s capacity, in relation to its total enrollment, is not adequate to provide services to additional persons.
Limitation on Enrollment. Notwithstanding any other provision of this Charter, student enrollment at the School will be limited to a specified number of students calculated as follows:
Limitation on Enrollment. If the Kaiser Permanente Senior Advantage Plan has reached its capacity limit that the Centers for Medicare & Medicaid Services has approved, Members that meet the eligibility enrollment provisions may kpgroup_servagree_16r.doc GSA-3 01/2016 be ineligible to enroll as Senior Advantage members.
