Orange County NC Website
6 <br /> TABLE OF CONTENTS <br /> SECTION PAGE <br /> I. INTRODUCTION 3 <br /> II. DEFINITIONS 5 <br /> III. ELIGIBILITY ENROLLMENT AND CONDITIONS OF COVERAGE 12 <br /> IV. HEALTH SERVICES COVERED BY THE PLAN 17 <br /> V. LIMITATIONS OF COVERAGE 24 <br /> VI. REIMBURSEMENT OF ELIGIBLE EXPENSES FOR TREATMENT 27 <br /> BY NON--PARTICIPATING PROVIDERS <br /> VII. EXCLUSIONS 29 <br /> VIII. TERMINATION OF COVERAGE 34 <br /> IX. CONVERSION PRIVILEGE 38 <br /> X. COORDINATION OF BENEFITS 41 <br /> XI. GRIEVANCE PROCEDURES 45 <br /> XII. RELATIONSHIP BETWEEN PARTIES 47 <br /> XIII. CONTRACT PROVISIONS 48 <br /> XIV. GENERAL PROVISIONS 52 <br /> 4 <br />