Eligible Subscribers definition
Examples of Eligible Subscribers in a sentence
Eligible Subscribers or Dependents initially or newly eligible for enrollment who do not enroll within thirty-one (31) days after eligibility are late enrollees and may only be enrolled during a subsequent Group Open Enrollment Period.
Eligible Subscribers or Dependents initially or newly eligible for enrollment who do not enroll within thirty- one (31) days after eligibility are late enrollees and may only be enrolled during a subsequent Group Open Enrollment Period.
If applicable, eligible RIte Care Subscriber payments will only be made to Program Provider with two hundred (200) or more Eligible Subscribers.
For those Eligible Subscribers of the Organization who became eligible as determined by the Organization after the effective date of this Agreement, the effective date of eligibility shall be subject to the eligibility rules of the Organization, but shall always take effect on the 1st day of a calendar month.
Eligible Subscribers and their Eligible Dependents enjoy the right and privilege of Plan Benefits by becoming Members of ORAQUEST during the open enrollment time designated by the Organization for an effective date of this Agreement and may not terminate their coverage until the expiration of this Agreement, except for the reasons described in Sections 3.5(a) through 3.5(d) of this Agreement.
The Plan will calculate the number of Eligible Subscribers each quarter based on twenty-seven (27) months of claims data.
The eligibility requirements for Newly Eligible Subscribers in the Group are stated in the Eligibility Schedule.
Eligible Subscribers shall be issued a CPST Refund as reflected in Appendix A.
Payments made per member per month (“PMPM”) will be made for Eligible Subscribers subject to the following definitions and requirements.
Eligible Subscribers must be active Plan Subscriber as of the date indicated below in the payment schedule table (see Section IV d.2 for reporting requirements regarding Eligible Subscribers).