YOUR COVERAGE Clause Samples
YOUR COVERAGE. Your coverage begins the day your payment is verified and will last either one full school year, or until the end of the current school year, as long as the specified terms and agreements have not been violated. See the insuring agreement for guidelines.
YOUR COVERAGE. Your coverage begins the day your payment is verified and will last until the end of the current school year. Students who enroll after September will be given a prorated amount. See the insurance agreement for guidelines.
YOUR COVERAGE. Your coverage begins the day your payment is verified and will last one full year, as long as the specified terms and agreements have not been violated. See the Insuring agreement for guidelines.
YOUR COVERAGE. Pre-Existing Conditions Waived Medical conditions for which the advice or treatment was received prior to effective date of coverage are included. However, doctor−verified disabilities in effect prior to the effective date would be excluded. Yes Waiting Period Calendar Day (CD): The waiting period is based on actual calendar days. Work Day (WD): The waiting period is based on the consecutive number of contracted work days. Modified Fill (MF): Benefits begin on the latter of exhaustion of sick time/ bank or the specified number of calendar/work day waiting period. Straight Wait (SW): Benefits begin after the specified number of calendar/ work day waiting period. 90 CDMF
YOUR COVERAGE. We provide the benefits described in this booklet only for eligible Members. The health care services are subject to the limitations, exclusions, Copayments, Deductibles and percentage payable requirements specified in this booklet. Any Group Alliant Contract or Certificate which you received previously will be replaced by this Contract. Benefit payment for Covered Services or supplies will be made directly to In-Network Providers. A Member may assign benefits to a provider who is not an In-Network Provider, but it is not required. If a Member does not assign benefits to an Out-of-Network Provider, any payment will be sent to the Member. We do not supply you with a Hospital or Physician. In addition, we are not responsible for any Injuries or damages you may suffer due to actions of any Hospital, Physician or other person. In order to process your claims, we may request additional information about the medical treatment you received and/or other group health insurance you may have. This information will be treated confidentially. An oral explanation of your benefits by an Alliant employee is not legally binding. Any correspondence mailed to you will be sent to your most current address. You are responsible for notifying us of your new address. Fraudulent statements on Subscriber application forms and/or claims for services or payment involving all media (paper or electronic) may invalidate any payment or claims for services and be grounds for voiding the Subscriber’s coverage. This includes fraudulent acts to obtain medical services and/or Prescription Drugs. Both parties to this Contract (the employer and Alliant) are relieved of their responsibilities without breach, if their duties become impossible to perform by acts of God, war, terrorism, fire, etc. We will adhere to the employer’s instructions and allow the employer to meet all of the employer’s responsibilities under applicable state and federal law. It is the employer’s responsibility to adhere to all applicable state and federal laws and we do not assume any responsibility for compliance. Should the performance of any act required by this coverage be prevented or delayed by reason of any act of God, strike, lock-out, labor troubles, restrictive government laws or regulations, or any other cause beyond a party’s control, the time for the performance of the act will be extended for a period equivalent to the period of delay and non-performance of the act during the period of delay will be excused. ...
YOUR COVERAGE. The coverage You selected in Section 1, “Vehicle Service Contract Registration,” is detailed below. Included with Your selected coverage is the “Expense Reimbursement Package,” and when applicable, the “Sport Package” and “Propulsion Battery Coverage.” Your coverage will be valid for the Contract Term and subject to all terms, limitations and exclusions in this Contract.
