Application for Coverage and Change. Form mean the form(s) provided by or acceptable to AvMed, including Applications received through the Health Insurance Marketplace, which an individual must complete and submit to AvMed (i) when applying for Membership as a Contractholder; (ii) on behalf of a Primary Applicant for child-only coverage; or (iii) when adding eligible dependents.
Appears in 10 contracts
Samples: avmed.org, avmed.org, www.avmed.org