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**Description:**Identifies the reason or rational for why a person is eligible for benefits under an insurance policy or program. Examples:A new employee is eligible for health insurance as an employment benefit. A person meets eligibility criteria for government program coverage based on financial, age or health status.
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Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples:A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.
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