The period during a calendar year when an eligible Employee who was hired on or before the Policy Effective Date may enroll for the first time for coverage under this Policy. This period must be agreed upon by the Employer and Us.
Initial Open Enrollment Period
Any accidental loss or bodily harm.
Injury
A Covered Person who is A Covered Person who is formally admitted and confined to a Hospital or facility under a Physician’s order for a period of time requiring at least one overnight stay. Evidence of good health that is submitted by the Eligible Person and is satisfactory to Us before the coverage subject to this requirement becomes effective. An eligible person satisfies the insurability requirement on the day We agree in writing to accept him as insured for the amount subject to this requirement. We may require that the evidence of good health be provided at the eligible person's expense. is for the treatment of patients who are in acute or critical condition; 5. is furnished with emergency life-saving equipment and supplies that are immediately at hand; 6. is staffed 24 hours a day by Nurses who are specially trained to work in an intensive care unit; 7. is equipped and staffed to monitor each patient's vital signs around-the-clock; and 8. is not a recovery room or an area used primarily for post-operative or post- anesthesia care. A designated area of a hospital that: 4.
Inpatient
Insurability Requirement
Intensive Care Unit (ICU)
An Intensive Care Unit includes a critical care or cardiac care unit.
A licensed graduate registered Nurse (R.N.), a licensed practical Nurse (L.P.N.), or a licensed vocational Nurse (L.V.N.) who is not: 1. employed or retained by the Subscriber; 2. living in the Covered Person’s household; or 3. a parent, sibling, spouse or child of the Covered Person. A Covered Person who receives medical tests, treatment, or services from an Ambulatory Surgical Center, Hospital, lab, medical clinic, Physician’s office, or radiologic center and is not confined for a day’s room and board.
Nurse
Outpatient
Regularly working the number of hours set by the Subscriber as a regular work week for Employees, other than Full- Time, temporary or seasonal, in the Employee’s eligibility class.
Part-Time
Activities used in measuring levels of personal functioning capacity. These activities are normally performed without assistance, allowing personal independence in everyday living. These activities include the following: 1. Transfer and mobility - The ability to move into or out of a bed, chair or wheelchair or to move from place to place, either via walking, a wheelchair, cane, crutches, walker or other equipment; 2. Continence - The ability to maintain control of bowel and bladder function; or, when unable to maintain control of bowel or bladder function, the ability to perform associated personal hygiene (including caring for catheter, urostomy, or colostomy bag); 3. Dressing - Putting on and taking off all items of clothing and any necessary braces, fasteners or artificial limbs; 4. Toileting - Getting to and from the toilet, transferring on and off the toilet and performing associated personal hygiene; 5. Eating - Feeding oneself by consuming food or fluids manually from a receptacle (such as a plate, cup or table); or
Physical Activities of Daily Living
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