An employee who is eligible for benefits under the group policy contract.
Insurance Encyclopedia
Eligible expenses
Specific medical services and supplies for which the insurance plan or federal or state program will pay for covered persons under the terms of the plan.
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Expenses as defined in the health plan as being eligible for coverage. This could involve specified health services fees or “customary and reasonable” charges.
Eligible expenses (Health Insurance)
Medical costs or other charges deemed under the health plan contract as being eligible for coverage.
Eligible groups
Individuals allowed insurance under a group policy such as individual employer groups, multiple employer groups, labor union groups, credit-debtor groups, and certain association groups.
Eligible insurer
An insurer that is allowed to write surplus lines business in the state of Texas. These insurers must be included on the Surplus Lines Insurers List and must meet the requirements of TIC 981, Subchapter B, and TAC 28 Secs. 15.8 and 15.9.
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An insurer that is allowed to write surplus lines business in the state of Texas. These insurers must be included on the Surplus Lines Insurers List and must meet the requirements of TIC 981, Subchapter B, and <a href="https//texreg.sos.state.tx.us/public/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&
Eligible medical expenses
Types of medical care expenses that an insurance plan covers.
Eligible members
Individuals in a group who qualify for a group insurance plan, or in a family who qualify for a family insurance plan.
Eligible person
1. Individual who qualifies and is permitted to apply and maintain membership in a health insurance plan. 2. Individual who was covered under a group health plan and who may qualify to purchase an individual insurance policy regardless of previous health problems.
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Similar to eligible employee except it could be a contract covering people who are not employees of a specified employer. An example might e members of an association, club, committee or union.
Eligible person (Health Insurance)
A person deemed eligible for coverage under the contract. Unlike an eligible employee, this person does not necessarily work for a certain employer. They may be union members or part of an association.
Elimination period
MEDICAL,USA,REFERENCE: See: waiting period (WP) .
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The duration of time between the beginning of an insured person’s disability and the start of a policy’s benefits. Also called waiting period.
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The period that must elapse before disability income is payable under a health insurance policy covering disability income loss.
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This is the period between the onset of the disability and the time the insured begins to draw benefits. As with higher deductibles in property insurance, the longer waiting period, the lower the premium. Frequently offered waiting periods are 30, 60, 90, 180, 365, and 720 days. The decision about a waiting period depends on the amount of savings a person has.