Annual Open Enrollment Period. An Annual Open Enrollment is a period of time each year when enrollment or benefit changes can be made. Each year, the Annual Open Enrollment period is determined by the federal government and the State of Rhode Island. Please contact Blue Cross Dental Customer Service to obtain specific dates. If your apply during the Annual Open Enrollment Period, coverage will begin on the first day of the month of the plan year, as long as you have submitted a complete application and premium payment. Special Enrollment Period A Special Enrollment Period is a time outside the Annual Open Enrollment Period when you and your eligible dependents may enroll or make benefit changes. In order to enroll, you would need to provide the required enrollment information within sixty (60) days following one of these events: • you get married, the coverage effective is the first day of the month following your marriage. • you have a child born to the family, the coverage effective date is the date of birth. • you have a child placed for adoption with your family, the coverage effective date is the date of placement. In addition, if you lose your dental coverage, you may enroll or add your eligible dependents by providing required enrollment information within sixty (60) days following the date you lost coverage. Coverage will begin on the first day of the month following the date your coverage under the other plan ended. In order to be eligible, the loss of coverage must be the result of: • legal separation or divorce; • death of the covered policy holder; • termination of employment or reduction in the number of hours of employment; • the covered policy holder becomes entitled to Medicare; • loss of dependent child status under the plan; • employer contributions to such coverage are being terminated; • COBRA benefits are exhausted; or • your employer is undergoing Chapter 11 proceedings. You are also eligible for a Special Enrollment Period if you and/or your eligible dependent lose eligibility for Medicaid or a Children’s Health Insurance Program (CHIP), or if you and/or your eligible dependent become eligible for premium assistance for Medicaid or CHIP. In order to enroll, you must provide required enrollment information within sixty (60) days following your change in eligibility. Coverage will begin on the first day of the month following our receipt of your enrollment information. In addition, you may also be eligible a Special Enrollment Period if you provide required information within sixty (60) days of the following the events: • you or your dependent lose minimum essential coverage; • you adequately demonstrate to us that another dental plan substantially violated a material provision of its contract with you; • you make a permanent move to Rhode Island; • your enrollment or non-enrollment in a qualified dental plan (QDP) is unintentional, inadvertent, or erroneous and is the result of error, misrepresentation, or inaction by us HSRI, or the U.S. Department of Health and Human Services (HHS). If you purchased this plan through HSRI, you may also be eligible for additional Special Enrollment Periods. Please contact HSRI for questions about these Special Enrollment periods and your eligibility.
Appears in 6 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Annual Open Enrollment Period. An Annual Open Enrollment is a period of time each year when enrollment or benefit changes can be made. Each year, the Annual Open Enrollment period is determined by the federal government and the State of Rhode Island. Please contact Blue Cross Dental Customer Service to obtain specific dates. If your you apply during the Annual Open Enrollment Period, coverage will begin on the first day of the month of the plan year, as long as you have submitted a complete application and premium payment. Special Enrollment Period A Special Enrollment Period is a time outside the Annual Open Enrollment Period when you and your eligible dependents may enroll or make benefit changes. In order to enroll, you would need to provide the required enrollment information within sixty (60) days following one of these events: • you get married, the coverage effective is the first day of the month following your marriage. • you have a child born to the family, the coverage effective date is the date of birth. • you have a child placed for adoption with your family, the coverage effective date is the date of placement. In addition, if you lose your dental coverage, you may enroll or add your eligible dependents by providing required enrollment information within sixty (60) days following the date you lost coverage. Coverage will begin on the first day of the month following the date your coverage under the other plan ended. In order to be eligible, the loss of coverage must be the result of: • legal separation or divorce; • death of the covered policy holder; • termination of employment or reduction in the number of hours of employment; • the covered policy holder becomes entitled to Medicare; • loss of dependent child status under the plan; • employer contributions to such coverage are being terminated; • COBRA benefits are exhausted; or • your employer is undergoing Chapter 11 proceedings. You are also eligible for a Special Enrollment Period if you and/or your eligible dependent lose eligibility for Medicaid or a Children’s Health Insurance Program (CHIP), or if you and/or your eligible dependent become eligible for premium assistance for Medicaid or CHIP. In order to enroll, you must provide required enrollment information within sixty (60) days following your change in eligibility. Coverage will begin on the first day of the month following our receipt of your enrollment information. In addition, you may also be eligible a Special Enrollment Period if you provide required information within sixty (60) days of the following the events: • you or your dependent lose minimum essential coverage; • you adequately demonstrate to us that another dental plan substantially violated a material provision of its contract with you; • you make a permanent move to Rhode Island; • your enrollment or non-enrollment in a qualified dental plan (QDP) is unintentional, inadvertent, or erroneous and is the result of error, misrepresentation, or inaction by us HSRI, or the U.S. Department of Health and Human Services (HHS). If you purchased this plan through HSRI, you may also be eligible for additional Special Enrollment Periods. Please contact HSRI for questions about these Special Enrollment periods and your eligibility.
Appears in 3 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Annual Open Enrollment Period. An Annual Open Enrollment is a period of time each year when enrollment or benefit changes can be made. Each year, the Annual Open Enrollment period is determined by the federal government and the State of Rhode Island. Please contact Blue Cross Dental Customer Service to obtain specific dates. If your apply during the Annual Open Enrollment Period, coverage will begin on the first day of the month of the plan year, as long as you have submitted a complete application and premium payment. Special Enrollment Period A Special Enrollment Period is a time outside the Annual Open Enrollment Period when you and your eligible dependents may enroll or make benefit changes. In order to enroll, you would need to provide the required enrollment information within sixty (60) days following one of these events: • you get married, the coverage effective is the first day of the month following your marriage. • you have a child born to the family, the coverage effective date is the date of birth. • you have a child placed for adoption with your family, the coverage effective date is the date of placement. In addition, if you lose your dental coverage, you may enroll or add your eligible dependents by providing required enrollment information within sixty (60) days following the date you lost coverage. Coverage will begin on the first day of the month following the date your coverage under the other plan ended. In order to be eligible, the loss of coverage must be the result of: • legal separation or divorce; • death of the covered policy holder; • termination of employment or reduction in the number of hours of employment; • the covered policy holder becomes entitled to Medicare; • loss of dependent child status under the plan; • employer contributions to such coverage are being terminated; • COBRA benefits are exhausted; or • your employer is undergoing Chapter 11 proceedings. You are also eligible for a Special Enrollment Period if you and/or your eligible dependent lose eligibility for Medicaid or a Children’s Health Insurance Program (CHIP), or if you and/or your eligible dependent become eligible for premium assistance for Medicaid or CHIP. In order to enroll, you must provide required enrollment information within sixty (60) days following your change in eligibility. Coverage will begin on the first day of the month following our receipt of your enrollment information. In addition, you may also be eligible a Special Enrollment Period if you provide required information within sixty (60) days of the following the events: • you or your dependent lose minimum essential coverage; • you adequately demonstrate to us that another dental plan substantially violated a material provision of its contract with you; • you make a permanent move to Rhode Island; • your enrollment or non-enrollment in a qualified dental plan (QDP) is unintentional, inadvertent, or erroneous and is the result of error, misrepresentation, or inaction by us HSRI, or the U.S. Department of Health and Human Services (HHS). If you purchased this plan through HSRI, you may also be eligible for additional Special Enrollment Periods. Please contact HSRI for questions about these Special Enrollment periods and your eligibility.
Appears in 1 contract
Samples: Subscriber Agreement