Eligibility and Enrollment definition

Eligibility and Enrollment tab means the patient is not eligible under the Medicaid Program. The member is Medicare eligible and is responsible for any additional medical costs.
Sample 1
Eligibility and Enrollment. As of the first day of the term of this Contract, the City will have delivered to Florida Blue enrollment information regarding eligible and properly enrolled members, as determined by the City. The City shall deliver to Florida Blue all employee and dependent eligibility status changes on a monthly basis, or more frequently as mutually agreed by the parties. The City shall be responsible for providing each covered employee with a copy of the plan document which shall include the Group Health Plan.
Sample 1

Examples of Eligibility and Enrollment in a sentence

  • PRM-1 Eligibility and Enrollment for Coverage....................................................................

  • A Dependent's coverage will take effect on the day that the Eligibility and Enrollment Requirements are met and the Member is covered under the Plan or as otherwise stated in the Enrollment section of this Plan.

  • These provisions are fully described in the Eligibility and Enrollment section of Your Certificate of Insurance.

  • Except as provided in this paragraph, coverage for a Participant who is no longer eligible under this Plan will terminate on the date a Participant no longer qualifies as a Participant, as defined in the Eligibility and Enrollment Section.

  • Participating Employee—an Eligible Employee who has enrolled for coverage and has satisfied the requirements of the Eligibility and Enrollment Section.

  • The list of changes in the Change in Family Status provision, if shown in the Eligibility and Enrollment also applies to coverage for civil unions and domestic partnership.

  • Any person in a Subscriber’s family who meets all the eligibility requirements of the Eligibility and Enrollment section of this Certificate and the Dependent Eligibility section of the Schedule of Benefits, has enrolled in HMO, and is subject to Premium requirements set forth in the Premiums section of the Group Agreement.

  • A terminated Employee who is rehired will be treated as a new hire and be required to satisfy all Eligibility and Enrollment requirements.

  • Enrollee—an Eligible Employee who has enrolled for coverage and has satisfied the requirements of the Eligibility and Enrollment Section.

  • To continue benefits beyond the 3-week period, please see the dependent eligibility and enrollment guidelines outlined under Eligibility and Enrollment.

Related to Eligibility and Enrollment

  • Enrollment means the number of students who are enrolled in a school operated by the district on October 1. A student shall be counted as one whether the student is enrolled as a full-time or part-time student. Students enrolled in prekindergarten programs shall not be counted.

  • Enrollment Agreement means an agreement between the Company and an employee, in such form as may be established by the Company from time to time, pursuant to which the employee elects to participate in this Plan, or elects changes with respect to such participation as permitted under the Plan.

  • Number of Students Who Began the Program means the number of students who began a program who were scheduled to complete the program within 100% of the published program length within the reporting calendar year and excludes all students who cancelled during the cancellation period.

  • Open Enrollment Period means an enrollment period during which time any Eligible Employee and/or Dependent may apply to become a Subscriber and/or Covered Dependent, and existing Subscribers may apply to change to another provider network or coverage option, if available, or elect to terminate coverage.

  • Deferral Election means the Participant’s election under Section 3.1 to defer all or a portion of his or her Compensation.

  • Enrollment Period means the period agreed upon by the Policyholder and Us when an Eligible Person may enroll for coverage or an Insured may change benefit elections under the Policy.