Level of Coverage definition

Level of Coverage or “Metal Tier” means one of four standardized actuarial values and the catastrophic level of coverage as defined in 42 USC Section 18022(d) and (e), Sections 1367.008(a) and (c)(1) and 1367.009 of the Health and Safety Code, and Sections 10112.295(a) and (c)(1) and 10112.297 of the Insurance Code.
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Level of Coverage means a bronze, silver, gold, or platinum level as determined under 45 CFR 156.140.
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Level of Coverage or “Metal Tier” means one of four standardized actuarial values and the catastrophic level of coverage as defined in 42 USC Section 18022(d) and (e), Sections
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Examples of Level of Coverage in a sentence

  • Effective January 1, 2017, employees electing Individual Coverage only under any of these plans will pay 10% of total premium cost through payroll deduction; employees electing any other Level of Coverage will pay 20% of total premium cost through payroll deduction.

  • Continued Summary of Medical Benefits See Important Note from First Page Type of Service Section Level of Coverage Benefit Limit Network Provider Non-Network Provider Ambulance 3.1 • Ground 3.1 After deductible 100% coverage.

  • Extension of and Level of Coverage- Extension of coverage to a Loan under this Policy shall be evidenced by issuance of a Certificate number on the Certificate Schedule.

  • Additional Level of Coverage A basic unit includes all insurable plants in each insured plant category under each insured practice.

  • The topology configuration is a hierarchical tree distribution with periodic flooding (rekeying process) of control messages.

  • Continued Summary of Medical Benefits See Important Note from First Page Type of Service Section Level of Coverage Benefit Limit Network Provider Non-Network Provider Physical/ Occupational Therapy Inpatient, Outpatient, or in a doctor’s/ therapist’s office 3.26 After deductible 100% coverage.

  • Carrier will ensure that each of its QHPs complies with the Benefit Design Standards required by the ACA (Section 1302), including the Cost-Sharing limits, actuarial value requirements, and EHBs. Carrier may offer Catastrophic QHPs, which are exempt from the actuarial Level of Coverage requirement, as long as they meet other statutory provisions related to QHP design.

  • What is, however, observed is yit,yit = k if µk < yi∗t ≤ µk+1, k = 1, ..., K, (2) where the threshold parameters µk are assumed to be strictly increasing for all values of k, and µ1= -∞ and µK+1 = +∞.

  • Reporting by Practice - For CAT Level of Coverage Insureds must report on the NVR the highest inventory amount for all the insured plant categories in any of the preceding three crop years and the maximum of the monthly values reported on the MUVP.

  • The entered Plan ID must correspond to a plan in which Child-Only Offering is equal to “Allows Adult and Child-Only” or “Allows Child-Only.” The corresponding plan must have the same Level of Coverage as the plan for which you are entering data.


More Definitions of Level of Coverage

Level of Coverage has the meaning set forth in §1302 of the Affordable Care Act, and applicable regulatory guidance.
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Level of Coverage or “Metal Tier” means one of four standardized actuarial values of Plan coverage (bronze, silver, gold, or platinum), as defined by section 1302(d) (1) of the ACA.
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Level of Coverage means one of four standardized actuarial value levels as defined in 42 U.S.C. 18022.
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Level of Coverage means the board's rating of a qualified health plan on the basis of the actuarial value of essential benefits provided under the plan, pursuant to regulations issued by the federal secretary of health and human services;
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Related to Level 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.

  • Effective Date of Coverage means the date of commencement of Coverage in respect of a Life Insured under the Policy pursuant to the provision on Commencement of Coverage.

  • R&W Insurance Policy has the meaning set forth in Section 6.15.

  • Master Policy means this document, any supplementary contracts or endorsements therein, whenever executed, any amendments thereto agreed to and signed by Us, the application form provided by You, the Schemes Rules, the quotation of the Company for the Scheme and the individual enrolment forms, if any, of the insured Members, which together constitute the entire contract between the parties.

  • Blanket travel insurance means a policy of travel insurance issued to any eligible group providing coverage for specific classes of persons defined in the policy with coverage provided to all members of the eligible group without a separate charge to individual members of the eligible group.

  • Certificate of Coverage means a written certification provided by any source that offers medical care coverage, including the Plan, for the purpose of confirming the duration and type of an individual’s previous coverage.

  • Travel Insurance means coverage for personal risks incidental to planned travel, including one or more of the following:

  • Property Insurance is defined in Section 6.10(a).