Entities protected by FSA rules contained in Dispute resolution: Complaints Handling. They are: private individuals; a commercial customer with a group annual turnover below £1m; a charity with an annual income below £1m; and a trustee of a trust with a net asset value of less than £1m.
Tag: RAW
Eligible Dependent
A dependent of an insured person who is eligible for coverage according to the requirements set forth in the contract.
Eligible dependent (Health Insurance)
A person who depends on the policyholder for financial support, who is deemed eligible for benefits under the policy contract.
Eligible dependents
Individuals who are permitted to apply and maintain membership in a health insurance plan (i.e., spouse and children of the insured). Under some insurance policies, parents, other family members, and domestic partners may be insured as dependents.
Eligible drugs
Medications that are covered by a prescription drug plan. In a Medicare Part D plan, drugs that qualify are listed on the plan’s formulary.
Eligible employee
Employed worker who qualifies for health insurance plan benefits as one who is insured.
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An employee who is eligible based on the requirements as indicated in the group contract.
Eligible employee (Health Insurance)
An employee who is eligible for benefits under the group policy contract.
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.