Eligibility and Enrollment definition

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.
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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.
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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.

  • D Develop sub-grant applications that have the best possible chance of being approved and funded.

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

  • Outpatient services provided by Out-of-network Providers/Practitioners are not Covered except as provided in How the Plan Works, Eligibility and Enrollment, and Accidental Injury / Urgent Care / Emergency Health Services / Observation / Trauma Services Benefit Sections.

Related to Eligibility and Enrollment

  • 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.