Loss of Coverage definition

Loss of Coverage means a Covered Employee's loss of continued eligibility for benefits due to the following:
Sample 1Sample 2Sample 3
Loss of Coverage means (a) a complete loss of coverage under the Benefit Package Option or other coverage (including the elimination of a Benefit Package Option, an HMO ceasing to be available in the area where the individual resides, or the individual losing all coverage under the option by reason of an overall lifetime or annual limitation); (b) a substantial decrease in the medical care providers available under the option (such as a major hospital ceasing to be a member of a preferred provider network or a substantial decrease in the physicians participating in a preferred provider network or an HMO); (c) a reduction in the benefits for a specific type of medical condition or treatment with respect to which the Participant or the Participant’s spouse or Dependent is currently in the course of treatment; or (d) any other similar fundamental loss of coverage.
Sample 1Sample 2
Loss of Coverage means that you have ceased to be eligible to participate under the same terms and conditions as in effect immediately before the Qualifying Event. A loss of coverage need not occur immediately after the Qualifying Event, so long as the loss of coverage will occur before the end of the maximum continuation coverage period.
Sample 1Sample 2Sample 3

Examples of Loss of Coverage in a sentence

  • Contact the Health Plan Administrator at your previous employer for full information.The Monthly Continuation Payment is the cost of continued coverage for the month beginning on the date after the Date of Loss of Coverage.

  • Qualifying event date Date of qualifying event/ /For Loss of Coverage, this is the last date of existing or prior coverage.

  • In addition, as set forth below, if the coverage curtailment results in a Loss of Coverage (as defined below), then Participants may drop coverage if no similar coverage is offered by the Employer.

  • Special Enrollment Due to Loss of Coverage under the Children’s Health Insurance Program or a Medicaid Program a.

  • If coverage is terminated due to a return to employer healthcare coverage, the Eligible Retiree, Eligible Spouse and Eligible Dependent will be eligible to re-enroll upon meeting the Loss of Coverage rules outlined in this document.

  • The Employer in its sole discretion, on a uniform and consistent basis, will decide, in accordance with prevailing IRS guidance, whether a curtailment is significant, and whether a Loss of Coverage has occurred.

  • Loss of Coverage because of:− The termination of employment except for gross misconduct.− A reduction in the number of hours worked by the Subscriber.

  • LEGISLATIVE BODY The above resolution is a true and correct copy of the resolution as adopted at a meeting of the Legislative Body held on the day of , , and duly filed in my office.

  • Require employers to offer laid-off engineers reemployment before applying for labor certification.

  • Loss of Coverage because of:− The termination of the Subscriber’s Coverage as explained in subsection (a), above.− The death of the Subscriber.− Divorce or legal separation from the Subscriber.− The Subscriber becomes entitled to Medicare.− A Covered Dependent reaches the Limiting Age.


More Definitions of Loss of Coverage

Loss of Coverage has the meaning given in Section 4.6(c).
Sample 1Sample 2Sample 3
Loss of Coverage means a complete loss of coverage under a Qualified Benefit or under the DFSA (including elimination of a Qualified Benefit for purposes of the Plan or loss of a Dependent Care Service
Sample 1Sample 2
Loss of Coverage means a complete loss of coverage under a Qualified Benefit or under the DFSA (including elimination of a Qualified Benefit for purposes of the Plan or loss of a Dependent Care Service Provider for purposes of the DFSA). In addition, the Administrator may, in its discretion, treat the following as a Loss of Coverage:
Sample 1
Loss of Coverage means a complete loss of coverage under, or elimination of, a Component Plan or a Medical or Dental Plan, including the elimination of a Component Plan. In addition, the Plan Administrator in its sole discretion, on a uniform and consistent basis, may treat the following as a loss of coverage:
Sample 1Sample 2
Loss of Coverage has the meaning given in Section 4.6(c). “Major Customers” has the meaning given in Section 2.20. “Major Suppliers” has the meaning given in Section 2.20.
Sample 1
Loss of Coverage means a complete loss of coverage under a Qualified Benefit or under the DFSA (including elimination of a Qualified
Sample 1

Related to Loss of Coverage

  • Period of Coverage means the Plan Year, with the following exceptions: (a) for Employees who first become eligible to participate, it shall mean the portion of the Plan Year following the date on which participation commences, as described in Section 3.1; and (b) for Employees who terminate participation, it shall mean the portion of the Plan Year prior to the date on which participation terminates, as described in Section 3.2.

  • Evidence of coverage means any certificate, agreement or contract issued to an enrollee setting out the coverage to which the enrollee is entitled.

  • Insurance Policy With respect to any Mortgage Loan included in the Trust Fund, any insurance policy, including all riders and endorsements thereto in effect, including any replacement policy or policies for any Insurance Policies.