Qualified Individual an individual determined by the Exchange to be eligible to enroll through the Exchange.
Qualified Individual. Qualified Individual is an individual who meets the requirements of 42 U.S.C. 18032(f)(1) and 45 CFR 155.305(a).
Qualified Individual. Qualified Individual has the same meaning as that term is defined in Section 1312(f)(1) of the Act.
Qualified Individual an individual not acting for or on behalf of a legally organized entity that uses the TCK for the purpose of developing and distributing a compatible implementation of a Spec, and that has established to the satisfaction of the Spec Lead, in its reasonable discretion, that such individ- ual is ready to begin testing its credible implementation of the Spec in question.
Qualified Individual a person who resides in Keystone’s Limited Network Area and is determined by the Marketplace to be eligible to purchase a qualified health plan (QHP) and who has not been determined by the Marketplace to be ineligible to continue enrollment in a QHP. RECONSTRUCTIVE SURGERY – Shall mean a procedure performed to improve or correct a Functional Impairment, restore a bodily function or correct deformity resulting from an otherwise covered sickness, Birth Defect or accidental injury. The fact that a Member might suffer psychological consequences from a deformity does not, in the absence of bodily Functional Impairment, qualify Surgery as being Reconstructive Surgery. REFERRAL – The process by which a primary care physician coordinates a member’s care with another provider for benefits which the primary care physician does not provide. Referrals must be properly documented and are valid only for benefits as defined in this Agreement. REHABILITATION HOSPITAL – a Facility Provider, approved by the HMO, which is primarily engaged in providing rehabilitation care services on an Inpatient basis. Rehabilitation care services consist of the combined use of medical, social, educational, and vocational services to enable patients disabled by disease or injury to achieve the highest possible level of functional ability. Services are provided by or under the supervision of an organized staff of Physicians. Continuous nursing services are provided under the supervision of a Registered Nurse. ROUTINE COSTS ASSOCIATED WITH QUALIFYING CLINICAL TRIALS – Routine costs include all the following: A. Covered Services under this Subscriber Agreement that would typically be provided absent a Qualifying Clinical Trial.
Qualified Individual an individual determined by the Marketplace to be eligible to enroll through the Marketplace.
Qualified Individual. Qualified Individual has the same meaning as that term is defined in § 1312(f)(1) of the Affordable Care Act.
Qualified Individual. An individual who has been determined eligible to enroll through the Exchange in a QHP in the Individual-FFM.
Qualified Individual. Customer shall ensure that at least one of the Users at all times is a Qualified Individual. The number of Qualified Individuals at any given time may not exceed the maximum, if any, set forth on the Signature Page. The initial Qualified Individuals are designated on the Signature Page. Customer shall notify Supplier of any new or replacement Qualified Individuals.
Qualified Individual. Licensee shall ensure that at least one of the Users at all times is a Qualified Individual. The number of Qualified Individuals at any given time may not exceed the maximum, if any, set forth on the Signature Page. The initial Qualified Individuals are designated on the Signature Page. Licensee shall notify Licensor of any new or replacement Qualified Individuals.
