Eligible Employee The term Eligible Employee means a person who is in Active Service with the Employer and who meets all the conditions to enroll for insurance under this plan as determined by the Employer.
Full-Time The term Full-Time means the number of hours set by the Employer as a regular work-week for persons in an Eligible Class.
HCVIS-DFS29
01-24
HCVIS-DFS21
01-24
Late Entrant The term Late Entrant means a person who elects the insurance under this Policy more than 31 days after becoming eligible or a person who again elects the insurance under the Policy after cancelling or terminating premium payments, if required.
Eligible Person The term Eligible Person means a person who meets the Employer’s conditions for enrollment for insurance coverage under the Policy.
HCVIS-DFS23
01-24
HCVIS-DFS33 M
01-24
Emergency Service The term Emergency Service means a service required immediately to either alleviate pain or to treat the sudden onset of an acute vision condition. These are usually minor procedures performed in response to serious symptoms, which temporarily relieve significant pain, but do not effect a definitive cure, and which, if not rendered, will likely result in a more serious vision or medical complication.
Medicaid The term Medicaid means a state program of medical aid for needy persons established under Title XIX of the Social Security Act of 1965 as amended.
HCVIS-DFS35
01-24
Medicare The term Medicare means the program of medical care benefits provided under Title XVIII of the Social Security Act of 1965 as amended.
HCVIS-DFS24
01-24
Employee The term Employee means, an individual meeting the eligibility criteria determined by Your Employer and who is enrolled for vision coverage and for whom all required premiums have been received by Us. Also referred to as “You” or “Your”.
HCVIS-DFS36
01-24
Non-Participating Provider The term Non-Participating Provider means a Vision Provider, or a professional corporation, professional association, partnership, or other entity that has not entered into a Contract with Us to provide vision services. Services received from Non-Participating Providers are considered Out-of-Network.
HCVIS-DFS25
01-24
Employer The term Employer means the Policyholder and all subsidiaries.
HCVIS-DFS38
01-24
HCVIS-DFS27
01-24
Ophthalmologist The term Ophthalmologist means a person practicing ophthalmology within the scope of his license. It will also include a physician operating within the scope of his license
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