Exclusive provider benefit plan definition

Exclusive provider benefit plan means a managed care plan subject to 28 T.A.C. Part 1, Chapter 3, Subchapter KK.
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Exclusive provider benefit plan means a managed
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Exclusive provider benefit plan means a benefit plan in which an insurer excludes benefits to an insured for some or all services, other than emergency care services required under Section 1301.155, provided by a physician or health care provider who is not a preferred provider.
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Examples of Exclusive provider benefit plan in a sentence

  • Exclusive provider benefit plan (EPBP)--An MCO that complies with 28 TAC §§3.9201 - 3.9212, relating to the Texas Department of Insurance's requirements for EPBPs, and contracts with HHSC to provide Medicaid coverage.

  • Exclusive provider benefit plan notice.[Figure 28 TAC §3.3705(f)(2)] Figure 28 TAC §3.3705(f)(2)Your rights with an exclusive provider (EPO) health planNotice from the Texas Department of InsuranceYour planYour health plan contracts with doctors and facilities to treat its members at discounted rates.


More Definitions of Exclusive provider benefit plan

Exclusive provider benefit plan means a benefit
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Exclusive provider benefit plan means a benefit plan in
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Exclusive provider benefit plan means a benefit 5-67 plan in which an insurer excludes benefits to an insured for some or 5-68 all services, other than emergency care services required under 5-69 Section 1301.155, provided by a physician or health care provider
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Exclusive provider benefit plan means a plan that requires
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Related to Exclusive provider benefit plan

  • Seller Benefit Plan means each Employee Benefit Plan that is sponsored, maintained or contributed to or required to be contributed to by Seller or any of its Affiliates, or with respect to which Seller or any of its Affiliates may have any Liability, and in which one or more Business Employees participates.

  • Seller Benefit Plans has the meaning set forth in Section 4.10(a).

  • Buyer Benefit Plans has the meaning set forth in Section 6.10(f).

  • Basic health benefit plan means any plan offered to an individual, a small group,

  • Health benefit plan means a policy, contract, certificate or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.

  • Employee Welfare Benefit Plan has the meaning set forth in ERISA Section 3(1).

  • income-related employment and support allowance means an income-related allowance under Part 1 of the Welfare Reform Act 2007;

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • converted employment and support allowance means an employment and support allowance which is not income-related and to which a person is entitled as a result of a conversion decision within the meaning of the Employment and Support Allowance (Existing Awards) Regulations 2008;

  • Parent Benefit Plan means any Employee Benefit Plan maintained by, sponsored by or contributed to by, or obligated to be contributed to by any Parent Group Entity.

  • Newly hired employee or “New Hire” means any employee, whether permanent, full-time, or part-time, hired by the Office and who is still employed as of the date of new employee orientation. It also includes all employees who are or have been previously employed by the Office and whose current position has placed them in the bargaining unit represented by CSEA. For those latter employees, for purposes of this article only, the “date of hire” is the date upon which the employees’ employment status changed as such that the employee was placed in the CSEA unit.

  • Benefit Arrangement means at any time an employee benefit plan within the meaning of Section 3(3) of ERISA which is not a Plan or a Multiemployer Plan and which is maintained or otherwise contributed to by any member of the ERISA Group.

  • Foreign Benefit Arrangement any employee benefit arrangement mandated by non-US law that is maintained or contributed to by any Group Member or any ERISA Affiliate.

  • Health benefits plan means a benefits plan which pays or

  • Company Benefit Plan has the meaning specified in Section 4.13(a).

  • Compensation and Benefit Plans has the meaning set forth in Section 5.03(m).

  • Excluded Employees has the meaning set forth in Section 2.5(a)(iv).

  • Deferred Compensation Plan means any plan, agreement or arrangement maintained by the Company from time to time that provides opportunities for deferral of compensation.

  • Professional employer agreement means a written contract by and between a client and a PEO that provides for the following: