Common use of ANNUAL AND SPECIAL ENROLLMENT PERIODS AND EFFECTIVE DATES OF COVERAGE Clause in Contracts

ANNUAL AND SPECIAL ENROLLMENT PERIODS AND EFFECTIVE DATES OF COVERAGE. Upon Keystone’s receipt of notice from the Marketplace that the individual is a Qualified Individual, and is entitled to enroll in a QHP during an Annual enrollment or Special Enrollment Period, such individual shall be eligible to enroll. Coverage under this Agreement shall become effective on the date established by the ACA, the Marketplace, or when appropriate as determined by Keystone. Except as set forth above, for elections made between the first and fifteenth day of any given month, the coverage will be effective as of the first day of the following month. For elections made between the sixteenth and last day of any given month, the coverage will be effective as of the first day of the second following month. An eligible Member is an individual who has completed and submitted an application to the Marketplace and has been determined by the Marketplace to be eligible to purchase a QHP.

Appears in 5 contracts

Samples: Individual Hmo Subscriber Agreement, Hmo Subscriber Agreement, Hmo Subscriber Agreement

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