Orange County NC Website
11 <br /> Disabled means in the case of an adult Member, an injury or illness <br /> when the adult Member is wholly unable to perform the usual tasks <br /> required of his/her employment at the time of the onset of said injury <br /> or illness and which makes such person incapable to perform tasks of any <br /> employment for which said Member is fitted by reason of age, education, <br /> training, general physical and mental capacity, and previous employment <br /> experience. A Family Dependent the age of 19 or over is considered <br /> Disabled when, by reason of injury of illness, he/she is wholly unable <br /> to engage in the normal activities of a person of the same sex and age. <br /> Effective Date means the date from which Members are entitled to <br /> receive Health Services from the Plan. <br /> Eligible Expenses means the reasonable fees for Health Services <br /> Covered under this Contract. <br /> Eligibility Period means a thirty (30) day period during which only <br /> newly hired employees or other potential members who become eligible <br /> because of a Change of Status, can apply for coverage. This eligibility <br /> period begins on the date of hire for newly hired employees and begins <br /> on the date the actual Change of Status (ie. , date of birth, date of <br /> marriage, etc. ) occurred. <br /> Emergency means a sudden, unexpected onset of acute sickness or <br /> Accidental Injury, of such a nature that the life of the Member could be <br /> threatened or permanent disability would result without immediate <br /> medical attention. The Member is required to contact his or her <br /> Personal Physician before seeking treatment except in an Emergency <br /> situation. Any physician or Hospital may provide Emergency care to <br /> Members. <br /> 7 <br /> . _ <br />