Sentences with phrase «enrolled in the group plan»

Effective January 1, 2014, an employer can only offer an HRA if 1) the employer also offers group health insurance, and 2) only employees enrolled in the group plan can be a part of the HRA.

Under HIPAA (the Health Insurance Portability and Accountability Act of 1996), employer - sponsored (group) plans were allowed to impose pre-existing condition exclusion periods if a new enrollee didn't have at least 12 months of creditable coverage (ie, had been uninsured prior to enrolling in the group plan) without gaps of 63 or more days (18 months of creditable coverage could be required if the person was enrolling in the group plan late, after his or her initial enrollment window had passed).

Not exact matches

This week, UnitedHealth Group, the country's biggest health insurer, said it would review and, if necessary, adjust «facility claims for the most severe and costly ED visits for patients enrolled in the company's commercial and Medicare Advantage plans,» the trade publication Modern Healthcare reported today.

The employer enrolled me in their group LTD plan, which was inferior to my individual plan in a number of respects (the definition of disability, wasn't «own occupation» coverage, etc.), so I maintained my individual policy alongside.

enrolled in Citi Bike's affordability program by increasing marketing and offering an installment payment plan; providing funding for Bay Area nonprofits to spread the word about its own affordability program and to empower communities in station - siting plans as we prepare to expand the region's bike share tenfold; launching campaigns like #WomenWhoBike to help close the gender gap in cycling; or working with community organizations to recruit staff from historically underrepresented groups, we are working tirelessly to foster a more equitable future.

Whether we are doubling the number of people enrolled in Citi Bike's affordability program by increasing marketing and offering an installment payment plan; providing funding for Bay Area nonprofits to spread the word about its own affordability program and to empower communities in station - siting plans as we prepare to expand the region's bike share tenfold; launching campaigns like #WomenWhoBike to help close the gender gap in cycling; or working with community organizations to recruit staff from historically underrepresented groups, we are working tirelessly to foster a more equitable future.

Individuals enrolled in a group health plan that provides benefits only through an insurance contract with a health insurance issuer or HMO would have access to all rights provided by this regulation through the health insurance issuer or HMO, because they are covered entities in their own right.

In addition, group health plans that provide health benefits only through an insurance contract and do not create, maintain, or receive protected health information (except for summary information described below or information that merely states whether an individual is enrolled in or has been disenrolled from the plan) do not have to meet the notice requirements of § 164.520 or the administrative requirements of § 164.530, except for the documentation requirement in § 164.530 (j), because these requirements are satisfied by the issuer or HMO that is providing benefits under the group health plaIn addition, group health plans that provide health benefits only through an insurance contract and do not create, maintain, or receive protected health information (except for summary information described below or information that merely states whether an individual is enrolled in or has been disenrolled from the plan) do not have to meet the notice requirements of § 164.520 or the administrative requirements of § 164.530, except for the documentation requirement in § 164.530 (j), because these requirements are satisfied by the issuer or HMO that is providing benefits under the group health plain or has been disenrolled from the plan) do not have to meet the notice requirements of § 164.520 or the administrative requirements of § 164.530, except for the documentation requirement in § 164.530 (j), because these requirements are satisfied by the issuer or HMO that is providing benefits under the group health plain § 164.530 (j), because these requirements are satisfied by the issuer or HMO that is providing benefits under the group health plan.

Summary health information is information that summarizes the claims history, expenses, or types of claims by individuals enrolled in the group health plan.

(i) An individual enrolled in a group health plan has a right to notice:

(ii) A group health plan that provides health benefits solely through an insurance contract with a health insurance issuer or HMO, and that creates or receives protected health information in addition to summary health information as defined in § 164.504 (a) or information on whether the individual is participating in the group health plan, or is enrolled in or has disenrolled from a health insurance issuer or HMO offered by the plan, must:

(iii) A group health plan that provides health benefits solely through an insurance contract with a health insurance issuer or HMO, and does not create or receive protected health information other than summary health information as defined in § 164.504 (a) or information on whether an individual is participating in the group health plan, or is enrolled in or has disenrolled from a health insurance issuer or HMO offered by the plan, is not required to maintain or provide a notice under this section.

Individuals enrolled in such group health plans have the right to notice of the health insurance issuer or HMO's privacy practices and, on request, to notice of the group health plan's privacy practices.

(B) Information on whether the individual is participating in the group health plan, or is enrolled in or has disenrolled from a health insurance issuer or HMO offered by the plan.

In this case, the individuals enrolled in the group health plan would receive notice of the health insurance issuer or HMO's privacy practices, but would not be entitled to notice of the group health plan's privacy practiceIn this case, the individuals enrolled in the group health plan would receive notice of the health insurance issuer or HMO's privacy practices, but would not be entitled to notice of the group health plan's privacy practicein the group health plan would receive notice of the health insurance issuer or HMO's privacy practices, but would not be entitled to notice of the group health plan's privacy practices.

Some commenters also requested that all family members, regardless of whether they are part of the enrollment group or are enrolled in a qualified health plan through the Exchange, receive a special enrollment period.

A group health plan, and a health insurance issuer offering health insurance coverage in connection with a group health plan, that makes coverage available with respect to dependents is required to permit individuals described in paragraph (b)(2) of this section to be enrolled for coverage in a benefit package under the terms of the plan.

The 12 - month period in which you are enrolled in a group health plan and receive coverage under the plan.

(i) Subject to § 147.104 of this subchapter, a Federally - facilitated SHOP must use a minimum participation rate of 70 percent, calculated as the number of full - time employees accepting coverage offered by a qualified employer plus the number of full - time employees who, at the time the employer submits the SHOP group enrollment, are enrolled in coverage through another group health plan, governmental coverage (such as Medicare, Medicaid, or TRICARE), coverage sold through the individual market, or in other minimum essential coverage, divided by the number of full - time employees offered coverage.

(ii) Is enrolled in any non-calendar year group health plan or individual health insurance coverage, even if the qualified individual or his or her dependent has the option to renew such coverage.

This proposed policy will ensure that consumers enrolled in group health plans not subject to ERISA do not experience unnecessary delays in receiving the benefit of the rebates.

For this reason, we propose to calculate the minimum participation rate as the number of full - time employees accepting coverage offered by the qualified employer through the SHOP plus the number of full - time employees who are enrolled in coverage through another group health plan, in governmental coverage (such as Medicare, Medicaid or TRICARE), in coverage sold through the individual market, or in other minimum essential coverage, divided by the number of full - time employees offered coverage through the SHOP.

Medicare is a federal health insurance program that allows certain groups of people to get healthcare coverage without purchasing individual insurance plans or enrolling in a group health plan, such as an employer's health plan.

The amount you will save by enrolling in a group policy depends on which company you work for and which insurance provider the plan is offered through.

PROJECT FOR PRIDE, Kingston, NH (Mar 2013 — Jan 2016) Youth Program Coordinator • Held 3 team building exercises, resulting in increased efficiency in terms of meeting program deadlines • Created and implemented a series of youth programs for age groups between 8 and 18 years • Coordinated a large event for recruitment of members, resulting in 58 % of youngsters between the ages of 10 and 18 enrolled into different program modules • Introduced the concept of self and group care initiatives, thereby streamlining outdoor activities such as camping and hiking • Provided logistical support in developing both short and long term program plans and ways of monitoring each module's progress • Designed performance measures and perform monitoring activities to ensure that desired outcomes are met • Developed and implemented periodic youth outreach programs to meet program needs and capacity • Identified open positions within the program and indulged in hiring and training procedures to fill them • Supervised daily activities of enrolled members and ensured that all requirements of the program are being filled • Designed and executed youth program according to each individual member's ability to cope • Organized training programs for staff members to ensure delivery of exceptionally well - placed supervision • Monitored performance of both members and staff to ensure efficient functioning of programs

• Assisted lead teachers in creating specifically targeted lesson plans for students with special needs • Provided assistance in imparting lessons based on special education techniques approved by the school • Enforced behavior standards and ensured that each student followed them appropriately • Assisted students with special needs in understanding concepts individually and in groups • Ascertained the overall safety and wellbeing of enrolled students by providing them with physical cover and emotional support

I have a single employee, currently enrolled in our group health plan, who is getting married to someone who does not work with us in April.

The plan administrator must enroll the child as a beneficiary in the group health plan regardless of any restrictions on the enrollment period, and the union or employer must withhold any required premium from the obligor's income upon notification by the plan administrator that the child is enrolled.

The child shall be enrolled in the group health plan in which the obligor is enrolled.