Orange County NC Website
DocuSign Envelope ID: EE765B38-37EF-4402-B4E9-8B82F98E2EE8 <br /> DEFINITIONS <br /> ADMINISTRATOR means a firm or person who has been retained by the Policyholder to provide <br /> administrative services on behalf of the Policyholder/Plan. <br /> BENEFIT PERIOD means the period of time specified in the Schedule of Benefits in which a Covered <br /> Expense must be Incurred by the Covered Person and Paid by the Plan to be eligible for reimbursement <br /> under this Policy. This period does not alter the Effective Date, Policy Period, or waive this Policy's <br /> eligibility requirements. <br /> COVERED EXPENSE means medical or other expenses under the Plan to which this Policy applies, as <br /> shown in the Schedule of Benefits, and which are not specifically excluded by the terms of this Policy. <br /> Covered Expense does not include any payment for the cost of administrating the Plan or other <br /> Policyholder contracted services. <br /> COVERED PERSON(S)means each person covered under the Plan. <br /> COVERED UNITS(S) means the types of Covered Units and the factors and premium rates for each type <br /> as shown in the Schedule of Benefits. <br /> EFFECTIVE DATE is the date set forth in the applicable Schedule of Benefits. <br /> INCURRED means with respect to medical services or supplies, the date on which the services are <br /> rendered or supplies are purchased by the Covered Person. <br /> PAY, PAID, PAYMENT means under the Specific Excess Loss, on the date the Policyholder's check of <br /> Payment of a Plan benefit is issued by the Administrator or when a credit of funds for Payment of a Plan <br /> benefit has been debited by the Policyholder's bank account. Under the Aggregate Excess Loss,on the date <br /> the Policyholder's check for Payment of a Plan benefit has been presented through the collecting bank and <br /> reported to the Administrator or when a credit of funds for Payment of a Plan benefit has been debited by <br /> the Policyholder's bank account. <br /> PLAN means the self-funded health care plan established by the plan sponsor to provide certain benefits to <br /> Covered Persons. <br /> PLAN DOCUMENT means the written document approved by the Policyholder. A copy of the Plan <br /> Document in effect on the Effective Date is attached to the application for Excess Loss Insurance. <br /> POLICY PERIOD means the specified period in the Schedule of Benefits, however beginning no earlier <br /> than the Effective Date of this Policy and continuing until coverage terminates in accordance with the <br /> Termination Provisions. <br /> SPECIFIC DEDUCTIBLE is set forth in the Schedule of Benefits. The Specific Deductible will apply <br /> separately to each Benefit Period. <br /> UHIELIP-NC(07/06) 3 DEF <br />