ALTERNATIVE COVERAGE 2025

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The document is a verification form for employees in Massachusetts who are waiving coverage under the Tufts Health Plan. It requires employees to provide their personal information, reasons for waiving coverage, and details about any alternative health insurance they may have. The form also outlines the conditions under which employees can later enroll in the Tufts Health Plan if their circumstances change.

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Click ‘Get Form’ to open the ALTERNATIVE COVERAGE document in the editor.
Begin by entering your Employee Name and Employer Group in the designated fields. Ensure that all information is accurate for proper processing.
In the 'Reasons for Waiver' section, select one of the options that best describes why you are waiving coverage. If you choose 'Other', be sure to provide specific details in the space provided.
If you have coverage elsewhere, fill in the Carrier Name and Subscriber Name fields with the relevant information to substantiate your waiver.
Finally, sign and date the form at the bottom. This certifies that all information provided is complete and true, ensuring compliance with Tufts Health Plan requirements.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (167 Votes)
2010	4 Satisfied (51 Votes)

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What is the meaning of applicable coverage?

Applicable Insurance means all primary and excess liability insurance policies, including any environmental liability insurance, that the Debtors have asserted or could assert provides coverage to the Debtors (including any of their predecessors in interest) for losses or liabilities relating to environmental releases

What is an alternative benefit plan?

Alternative Benefit Plan (ABP) Medicaid state plan option to provide certain groups of Medicaid enrollees with benchmark or benchmark-equivalent coverage that is based on one of three commercial insurance products, or a fourth, Secretary-approved coverage option.

What is an alternative health plan?

Health insurance alternatives offer a different approach. These options cover essential healthcare needs without the high costs of traditional managed-care models. They include health savings accounts, non-traditional group plans, medical cost-sharing programs, and limited medical coverage.

What does alternate coverage mean?

Alternative coverage means the degree to which other agencies or organizations provide the same or similar service. If there is high alternative coverage, clients (in this case, students) have many options for service, while low alternative coverage leaves them with few.

What is the meaning of alternative coverage?

Alternative health coverage means health care services other than health insurance, including, but not limited to, Indian Health Services (IHS) or Defense Eligibility Enrollment Reporting System (DEERS), which is available to either parent under which medical services could be provided to the dependent child(ren).

What is the definition of alternative use?

Alternate use of resources mean more than one uses to which a resource can be put and imply that resource can be used only for one purpose at a time.

What is the meaning of alternative?

something that is different from something else, especially from what is usual, and offering the possibility of choice: an alternative to an alternative to coffee.

What is the meaning of alternative care?

Alternative care consists of all formal and informal arrangements whereby a child is looked after at least overnight outside the parental home, either by decision of a judicial or administrative authority or duly accredited body, or at the initiative of the child, his/her parent(s) or primary caregivers, or

ALTERNATIVE COVERAGE 2025

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ALTERNATIVE COVERAGE 2025

Here's how it works

How to use or fill out ALTERNATIVE COVERAGE with our platform

See more ALTERNATIVE COVERAGE versions

Complete this form in 5 minutes or less

Got questions?

What is the meaning of applicable coverage?

What is an alternative benefit plan?

What is an alternative health plan?

What does alternate coverage mean?

What is the meaning of alternative coverage?

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People also ask

What is the definition of alternative use?

What is the meaning of alternative?

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