Policyholder The term Policyholder means the owner of the group Policy as identified on the certification page.
when he performs any of the Vision Care services described in the policy.
HCVIS-DFS39
01-24
HCVIS-DFS48
01-24
Optician The term Optician means a fabricator and dispenser of eyeglasses and/or contact lenses. An Optician fills prescriptions for glasses and other optical aids as specified by Optometrists or Ophthalmologists. The state in which an Optician practices may or may not require licensure for rendering of these services.
Qualified Medical Child Support Order A Qualified Medical Child Support Order is a judgment, decree or order (including approval of a settlement agreement) or administrative notice, which is issued pursuant to a state domestic relations law (including a community property law), or to an administrative process, which provides for child support or provides for health benefit coverage to such child and relates to benefits under the group health plan, and satisfies all of the following: • the order recognizes or creates a child’s right to receive group health benefits for which a participant or beneficiary is eligible; • the order specifies Your name and last known address, and the child’s name and last known address, except that the name and address of an official of a state or political subdivision may be substituted for the child’s mailing address; • the order provides a description of the coverage to be provided, or the manner in which the type of coverage is to be determined; • the order states the period to which it applies; and • if the order is a National Medical Support Notice completed in accordance with the Child Support Performance and Incentive Act of 1998, such notice meets the requirement above.
HCVIS-DFS40
01-24
Optometrist The term Optometrist means a person practicing optometry within the scope of his license. It will also include a physician operating within the scope of his license when he performs any of the Vision Care services described in the policy.
HCVIS-DFS41
01-24
Participating Provider The term Participating Provider means: a Vision Provider, or a professional corporation, professional association, partnership, or other entity which is entered into a Contract with Us to provide vision services at predetermined fees. The providers qualifying as Participating Providers may change from time to time. A list of the current Participating Providers will be provided by Your Employer. Services received from Participating Providers are considered in- network (“In-Network”).
HCVIS-DFS49
01-24
Spouse The term Spouse means Your legally recognized Spouse in the state where You reside.
HCVIS-DFS43
01-24
Policy The term Policy means a written agreement between the Policyholder and Us outlining the terms and conditions under which We agree to insure certain Employees and pay benefits.
HCVIS-DFS52
01-24
Usual Fee The fee that an individual Vision Provider most frequently charges for a given vision service.
HCVIS-DFS47
01-24
HCVIS-DFS54
01-24
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