Laserfiche WebLink
Covered Dependent means an Eligible Dependent who continues to meet all applicable <br /> eligibility requirements described in the Evidence of Coverage and who is enrolled, and actually <br /> covered, under the Agreement other than as a Covered Retiree. <br /> Covered Person means a Covered Retiree or a Covered Dependent. <br /> Covered Retiree means an Eligible Retiree, who continues to meet all applicable eligibility <br /> requirements described in the Evidence of Coverage and who is enrolled, and actually covered, <br /> under the Agreement other than as a Covered Dependent. <br /> Effective Date for the Group means 12:01 a.m. on the date specified on the last page of this <br /> Agreement and for Covered Persons means 12:01 a.m. on the date coverage will begin as <br /> specified in the Evidence of Coverage. <br /> Eligible Dependent means an individual who meets and continues to meet all of the eligibility <br /> requirements described in the Evidence of Coverage. <br /> Eligible Retiree means an individual who meets and continues to meet all of the eligibility <br /> requirements set forth in the Evidence of Coverage and is eligible to enroll as a Covered Retiree. <br /> An Eligible Retiree is not a Covered Retiree until actually enrolled and accepted for coverage as <br /> a Covered Retiree by us. <br /> Enrollment Forms means those forms, electronic or paper, which are approved by us and used <br /> to maintain accurate enrollment files under the Agreement. <br /> Grace Period means the sixty (60) calendar day period beginning on the date the Premium is <br /> due. <br /> Grievance means a type of complaint submitted by a Covered Person (or other person eligible <br /> under CMS Requirements to submit a Grievance) about us or one of our network providers or <br /> pharmacies, including a complaint concerning the quality of care. This type of complaint does <br /> not involve coverage or payment disputes. <br /> Group means the employer, labor union, association, partnership, corporation, department, other <br /> organization or entity through which coverage and benefits are issued by us. <br /> Note: References to "you" or "your" throughout the first part of this Agreement also refer to the <br /> Group. References to "you" or "your" in the Evidence of Coverage refer to Eligible Retirees, <br /> Eligible Dependents, Covered Retirees and/or Covered Dependents depending on the context and <br /> intent of the specific provision. <br /> Group Master Agreement or Agreement means the written document which is evidence of the <br /> entire agreement between the Group and Florida Blue whereby coverage and benefits are <br /> provided to Covered Persons. <br /> 2 <br /> 1• <br />