Service Company

A ‘service company coverholder (referred to in the Code simply as a “service company”)’ is an approved coverholder which Lloyd’s has agreed can be classified as a “service company” by reason of it being a wholly owned subsidiary of either a managing agent or of a managing agent’s holding company and which is normally only authorised to enter into contracts of insurance for members of its associated syndicate and/or associated insurance companies.

Service date

1. Month, day, and year a patient receives a medical service. Dates of service are inserted in Block 24A Lines 1 through 6 of the CMS-1500 insurance claim form. Service date is inserted in Field 45 of the Uniform Bill (UB-04) inpatient hospital billing claim form. The electronic version requires an eight-character date listing year, month, and day: 20XX0328. 2. For health insurance, the effective date of membership. 3. For employment, the effective date of full-time employment.

Service fee

Special dollar amount given to insurance consultants or brokers who may perform many functions of group representatives or home offices. This occurs when commissions paid to the servicing agent have ceased.

Service of Suit Clause

A clause in U.S. reinsurance contracts, typically utilized for non-U.S. reinsurers, whereby the reinsurer agrees to submit to any court of competent jurisdiction in the United States, which provides a legal basis for the enforcement of arbitration awards. The clause names a U.S. agent to accept service of process on behalf of the reinsurer for purposes of the ceding company gaining U.S. jurisdiction against the reinsurer. It is not intended to supersede the contracting parties’ obligation to arbitrate disputes, but to provide a mechanism to enforce awards.

Service plan

1. Health insurance plan that directly contracts with providers such as Blue Cross and Blue Shield. The providers directly bill the plan and the plan pays directly to the providers. The providers agree to certain fees and payment in full with no balance billing to the patient. The patient (member or insured) is responsible for the deductible and copayments. 2. Written document that outlines the types and frequency of long-term care services that a client receives. It may include treatment goals for a specified time period. 3. See plan of treatment .
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Insurance coverage that has contracts with providers and in which health care benefits are given to individuals instead of monetary payment. Sometimes a Blue Cross and Blue Shield plan may be referred to as a service plan .