Conditions of Coverage. Eligibility and Enrollment
Conditions of Coverage. A. For purposes of determining when insurance under this Policy shall attach and the limitations under which such insurance shall apply:
Conditions of Coverage. Upon initial visit by technician, system will be inspected for compliance with company criteria. Items determined necessary to bring up to this criteria will be the responsibility and expense of the customer and agreement will not be applicable until criteria are met. If, upon inspection, the equipment covered ceases to meet acceptable standards for continued coverage, all costs for parts and service rendered prior to the date of cancellation will be applied against the cost of the agreement. The Company reserves the right to postpone services for unsafe or unsanitary conditions. In the event that the equipment under agreement is no longer economically repairable, we will provide customer with a quote to replace, until replacement takes place, no further service work will be performed. Customer is to keep equipment accessible and free from any obstructions that deter proper servicing of equipment. Area around equipment, including crawl space must be accessible. Obligation to furnish replacement parts is subject to availability of parts from normal sources of supply. If parts are unavailable or obsolete contract coverage on these items is voided.
Conditions of Coverage. Eligibility and Enrollment To enroll and continue enrollment, a Subscriber must be an eligible Employee and meet all of the eligibil- ity requirements for coverage established by the Em- ployer. An Employee who resides or works in the Plan Service area is eligible for coverage as a Sub- xxxxxxx the day following the date he or she com- pletes the waiting period established by the Em- ployer. The Employee’s spouse or Domestic Partner and all Dependent children who reside or work in the Plan Service Area are eligible for coverage at the same time. (Special arrangements may be available for Dependents who are full-time students; Depen- dents of Subscribers who are required by court order to provide coverage; and Dependents and Sub- scribers who are long-term travelers. Please contact the Member Services Department to request an Away From Home Care (AFHC) Program Brochure which explains these arrangements including how long AFHC coverage is available. This brochure is also available at xxxxx://xxx.xxxxxxxxxxxx.xxx for HMO Members). An Employee or the Employee’s Dependents may enroll when initially eligible or during the Em- ployer’s annual Open Enrollment Period. Under cer- tain circumstances, an Employee and Dependents may qualify for a Special Enrollment Period. Other than the initial opportunity to enroll, a date 12 months from the date a written request for enrollment is made, the Employer’s annual Open Enrollment pe- riod, or a Special Enrollment Period, an Employee or Dependent may not enroll in the health program of- fered by the Employer. Please see the definition of Late Enrollee and Special Enrollment Period in the Definitions section for details on these rights. For ad- ditional information on enrollment periods, please contact the Employer or Blue Shield. Dependent children of the Subscriber, spouse, or his or her Domestic Partner, including children adopted or placed for adoption, will be covered immediately after birth, adoption or the placement of adoption for a period of 31 days. In order to have coverage con- tinue beyond the first 31 days, an application must be received by Blue Shield within 31 days from the date of birth, adoption or placement for adoption. If both partners in a marriage or Domestic Partnership are eligible Employees and Subscribers, then they are both eligible for Dependent benefits. Their children may be eligible and may be enrolled as a Dependent of both parents. Please contact Blue Shield to deter- mine what evidence ne...
Conditions of Coverage. (a) All benefit plan coverages, terms, conditions and specific eligibility requirements shall at all times be subject to and governed by the actual terms and conditions of the Plans provided by the carrier, as may be amended from time-to-time by the carrier.
Conditions of Coverage. Upon initial visit by technician, system will be inspected for compliance with company criteria. Items determined necessary to bring up to this criteria will be the responsibility and expense of the customer and agreement will not be applicable until criteria are met. If, upon inspection, the equipment covered ceases to meet acceptable standards for continued coverage, all costs for parts and service rendered prior to the date of cancellation will be applied against the cost of the agreement. Any remaining balance will be refunded to the customer. The Company reserves the right to postpone services for unsafe or unsanitary conditions. In the event that the equipment under agreement is no longer economically repairable, we will provide customer with a quote to replace, until replacement takes place, no further service work will be performed. Customer is to keep equipment accessible and free from any obstructions that deter proper servicing of equipment. Area around equipment, including crawl space must be dry. Attic unit must have adequate flooring to service unit, no exceptions will be made. Obligation to furnish replacement parts is subject to availability of parts from normal sources of supply. If parts are unavailable or obsolete contract coverage on these items is voided.
Conditions of Coverage. Eligibility and Enrollment To enroll and continue enrollment, a Subscriber must meet all of the eligibility requirements of this plan. Subscribers must reside in a Blue Shield service area for this plan within California to be eligible to enroll in coverage. A Subscriber or Dependent may enroll during the annual Open Enrollment Period. Under certain circumstances, an individual or Dependent may qualify for a Special Enrollment Period. Other than during the annual Open Enrollment Period, or a Special Enrollment Period, a Subscriber or Dependent may not enroll in this heath plan. Blue Shield will provide the Subscriber with a notice of the annual Open Enrollment Period each year. For additional information on enrollment periods, please contact Blue Shield. Dependent children of the Subscriber, spouse, or his or her Domestic Partner, including children adopted or placed for adoption, will be eligible immediately after birth, adoption or the placement of adoption for a period of 31 days. In order to have coverage continue beyond the first 31 days, an application must be received by Blue Shield within 60 days from the date of birth, adoption or placement for adoption. Please contact Blue Shield to determine what evidence needs to be provided to enroll a child. Enrolled disabled Dependent children who would normally lose their coverage under this health plan solely because of age, may continue to be eligible for coverage if they continue to meet the definition of Dependent in this Evidence of Coverage and Health Service Agreement. See the Definition of Dependent for additional information. If a Member commits any of the following acts, he or she will immediately lose eligibility to continue enrollment:
Conditions of Coverage. On the initial visit by ColdSolutions, our technician will inspect your system to ensure compliance with company criteria. Items determined necessary to bring the system up to these criteria will be your responsibility and acquired at your sole expense and the agreement will not apply until the criteria are met. In the event that the system equipment under the agreement becomes no longer economically repairable, ColdSolutions will provide a quote to you for replacement. Until replacement takes place, no further service work will be performed. You must keep the system equipment accessible and free from any obstructions that prevent proper service work. The area around the equipment, including crawl space, must be dry. Attic units must have adequate flooring to service the system equipment. No exceptions will be made.
Conditions of Coverage. For coverage, you must:
Conditions of Coverage. Licensee agrees to name Licensor as an additional insured on all insurance policies required by this Section 18 to the extent of its interest and provide Licensor certificates of insurance evidencing such coverage. All policies shall provide Licensor with at least thirty (30) days' prior written notice of cancellation or termination of coverage. Licensor reserves the right to specify reasonable changes in the types and amounts of insurance coverage required by this Section 18. Should Licensee fail or refuse to procure the required insurance coverage from an insurance carrier acceptable to Licensor, or to maintain such coverage throughout the Term of this Agreement, Licensor may, but not shall be obligated to, procure such coverage for Licensee, in which event Licensee agrees to pay the required premiums and/or to fully reimburse Licensor for them.
