Child Member definition

Child Member. A Subscriber or Dependent that is under age 19 on this Benefit Plan’s Effective Date. Claim – A Claim is written or electronic proof, in a form acceptable to UCD, of charges for Covered Services that have been incurred by a Member during the time period the Member was insured under this Contract. The provisions in effect at the time the service or treatment is received shall govern the processing of any Claim expense actually incurred as a result of the service or treatment rendered. Coinsurance – The sharing of Allowable Charges for Covered Services. The sharing is expressed as a percentage. Once the Member has met any applicable Deductible, UCD's percentage will be applied to the Allowable Charge for Covered Services to determine the Benefits provided. Complaint – An oral expression of dissatisfaction with the dental plan or Provider services. Company – Means Blue Cross and Blue Shield of Louisiana. Cosmetic Surgery/Treatment – Any procedure or any portion of a procedure performed primarily to improve physical appearance. A procedure, treatment or service will not be considered Cosmetic Surgery or treatment if that procedure, treatment or service restores bodily function or corrects deformity of a part of the body that has been altered as a result of Accidental Injury, disease, disorder or covered surgery.
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Child Member. A Subscriber or Dependent that is under age 21 on this Benefit Plan’s Effective Date. Claim – A Claim is written or electronic proof, in a form acceptable to UCD, of charges for Covered Services that have been incurred by a Member during the time period the Member was insured under this Benefit Plan. The provisions in effect at the time the service or treatment is received shall govern the processing of any Claim expense actually incurred as a result of the service or treatment rendered. Claims Administrator – United Concordia Companies, Inc. is Blue Cross and Blue Shield of Louisiana’s claims administrator for this Benefit Plan.
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Child Member. A Subscriber or Dependent that is under age 19 on this Benefit Plan’s Effective Date. Claim – A Claim is written or electronic proof, in a form acceptable to UCD, of charges for Covered Services that have been incurred by a Member during the time period the Member was insured under this Contract. The provisions in effect at the time the service or treatment is received shall govern the processing of any Claim expense actually incurred as a result of the service or treatment rendered.
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Examples of Child Member in a sentence

  • Once the Child Member pays the maximum OOP in deductible and coinsurance for covered Benefits, the Member’s Benefits will be 100% covered until the end of the Policy Year.

  • If there is only one Child Member, the Out of Pocket (OOP) Yearly Maximum per Child Member will apply, which is the maximum dollar amount that the Child Member will have to pay out of his/her own pocket during a Policy Year.

  • For the In-Network unlimited Dental Benefits, the Schedule of Dental Benefits will contain an Out of Pocket (OOP) Yearly Maximum per Child Member, and an Out of Pocket (OOP) Yearly Maximum per 2 or more Child Members.

  • These OOP maximums are accumulated when the covered Benefits are received by the Child Member from Participating Providers.

  • Once that maximum OOP amount is paid in deductible and coinsurance for covered Benefits by any Child Member, all the Child Members will be 100% covered until the end of the Policy Year.

  • If the HH would like to work with Child Member they should either:1.

  • ScenarioCDTFChargeAll Other CoveredServices 1Voluntary Child Member Moves from STAR+PLUS to FFS(Includes Change Based on SSI Status) Former STAR+PLUS MCO FFS 2Member Moves from STAR to FFS(Disenrolled at MCO’s Request) Former STAR MCO FFS 3Member Moves from STAR+PLUS to FFS(Disenrolled at MCO’s Request)Former STAR+PLUS MCO FFS The responsible party will pay the CDTF charge until the earlier of: (1) date of Discharge from the CDTF, or (2) loss of Medicaid eligibility.

  • The Junior or Child Membership shall be deemed to be terminated, without the need for a written notice, when the Junior or Child Member reaches the age of 21.

  • Scenario CDTFCharge All OtherCovered Services 1 Voluntary Child Member Moves from STAR+PLUS to FFS (Includes Change Based on SSI Status) Former STAR+PLUS MCO FFS The responsible party will pay the CDTF charge until the earlier of: (1) date of Discharge from the CDTF, or (2) loss of Medicaid eligibility.

  • Child Member status will change to adult status when a child reaches 18 at which stage they will be required to become a Full Member and complete a Membership Application Form in their own right.


More Definitions of Child Member

Child Member means a child of a Membership Holder who is aged under
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Child Member means a member that has not attained the age of majority;
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Child Member means a Membership that admits children 15 years and under. (Children aged 2 and under are admitted free of charge if they sit on a parent’s lap. Children aged 3-15 must have a Child Membership)
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Related to Child Member

  • Lead Member shall, in the case of a joint venture, mean the member of such joint venture who shall have the authority to bind the contractor and each member of the Joint venture; and shall be deemed to be the Contractor for the purposes of this Agreement; the Lead Member shall itself undertake and perform at least 51% (fifty one per cent) of the total length of the Project Highway;

  • Retired member means any former member receiving a retirement allowance or any former member who has filed the necessary documents for retirement benefits and is no longer contributing to the retirement system;

  • Household member means an adult living in the private residence out of which a program is operated, regardless of whether the adult is living there permanently or temporarily.

  • Founder Member means a subscriber to these rules for the purposes of registration;

  • Full Member means any person who is in one of the categories of membership referred to in Rule 10.3.

  • Designated member means the spouse, child, grandchild, parent, brother, or sister of a deceased individual who owned an interest in a wholesaler, who is entitled to inherit the deceased individual's ownership interest in the wholesaler under the terms of the deceased individual's will, or who has otherwise been designated in writing by the deceased individual to succeed the deceased individual in the wholesaler's business, or is entitled to inherit such ownership interest under the laws of intestate succession of this state. With respect to an incapacitated individual owning an ownership interest in a wholesaler, the term means the person appointed by a court as the conservator of such individual's property. The term also includes the appointed and qualified personal representative and the testamentary trustee of a deceased individual owning an ownership interest in a wholesaler.

  • lay member means a member of the Authority, who is not, nor has been:

  • Independent Member of the board means a member of the board who has no business, family or other relationship that raises a conflict of interests regarding the CCP concerned or its controlling shareholders, its management or its clearing members, and who has had no such relationship during the five years preceding his membership of the board;

  • Individual Member means a registered, financial Member of the Club who is at least 18 years of age.

  • Panel Member ’ means a member of a panel;

  • Service member means a member of the armed forces, a reserve branch of the armed forces, or the Michigan national guard.

  • ☐ - MULTI-MEMBER The “Capital Account” for each Member shall mean the account created and maintained for the Member in accordance with Section 704(b) of the Internal Revenue Code and Treasury Regulation Section 1.704-1(b)(2)(iv).

  • Related member means a person that, with respect to the taxpayer during all or any portion of the taxable year, is either a related entity, a component member as defined in section 1563(b) of the Internal Revenue Code, or a person to or from whom there is attribution of stock ownership in accordance with section 1563(e) of the Internal Revenue Code except, for purposes of determining whether a person is a related member under this division, "twenty per cent" shall be substituted for "5 percent" wherever "5 percent" appears in section 1563(e) of the Internal Revenue Code.

  • Associate Member means a person appointed to perform specific statutory and non-statutory duties which have been delegated by the Trust Board for them to perform and these duties have been recorded in an appropriate Trust Board minute or other suitable record.

  • Unit Member refers to any employee who is included in the certificated employees' bargaining unit and, therefore, covered by the terms and provisions of this Agreement.

  • Interested Member means any person (other than the Company and any direct or indirect majority-owned subsidiary of the Company) that:

  • Co-opted Member means a person who is not a member of the authority but who-

  • Staff member means a staff member as defined in section 1(1) of the Public Service Act, 1995 (Act No. 13 of 1995);

  • Potential Member means an individual who meets the eligibility requirements to enroll in the Oregon Health Plan but has not yet enrolled with a specific PHP or CCO.

  • Board Member means a member of the Board;

  • Preferred Member means a Member holding Preferred Units.

  • New member means a person first employed on or after Septem- ber 1, 2005, including a former member who withdrew retirement contributions under Government Code 822.003 and is reemployed on or after September 1, 2005.

  • Inactive member means a member of the pension program or the individual account pro-

  • Life Member means an Individual appointed as a Life Member of the Club under clause 5.2.

  • A Member means a companion, fellow, member, honorary member, associate or affiliate of the Society

  • Special Member means, upon such person’s admission to the Company as a member of the Company pursuant to Section 5(c), a person acting as Independent Director, in such person’s capacity as a member of the Company. A Special Member shall only have the rights and duties expressly set forth in this Agreement.