Agreement of Coverage. Divorce. Transfer of residence outside HPN’s Service Area. The Eligible Person and/or Dependent loses eligibility under Medicaid or Children's Health Insurance Program (CHIP). Coverage will begin only if HPN receive the completed enrollment form and any required premium within sixty (60) days of the date coverage ended. Any other event which affects a Dependent’s eligibility. If the Subscriber fails to give notice which would have resulted in termination of coverage, HPN shall have the right to terminate coverage. A Dependent’s coverage terminates on the same day as the Subscriber.
Appears in 3 contracts
Samples: Myhpn Solutions Agreement of Coverage, Myhpn Solutions Agreement of Coverage, Myhpn Solutions Agreement of Coverage
Agreement of Coverage. Divorce. • Transfer of residence outside HPN’s Service Area. • The Eligible Person and/or Dependent loses eligibility under Medicaid or Children's Health Insurance Program (CHIP). Coverage will begin only if HPN receive the completed enrollment form and any required premium within sixty (60) days of the date coverage ended. • Any other event which affects a Dependent’s eligibility. If the Subscriber fails to give notice which would have resulted in termination of coverage, HPN shall have the right to terminate coverage. A Dependent’s coverage terminates on the same day as the Subscriber.
Appears in 2 contracts
Samples: Myhpn Solutions Agreement of Coverage, Myhpn Solutions Agreement of Coverage