Application for Enrollment. Application for enrollment must be made on an application approved by KFHPWA. The Group is responsible for submitting completed applications to KFHPWA. KFHPWA reserves the right to refuse enrollment to any person whose coverage under any medical coverage agreement issued by Xxxxxx Foundation Health Plan of Washington Options, Inc. or Xxxxxx Foundation Health Plan of Washington has been terminated for cause.
Application for Enrollment. Application for enrollment and adding or removing dependents must be made on an application approved by KFHPWA or through the Washington Health Benefit Exchange, as applicable for the Member’s type of plan. Under the federal Patient Protection and Affordable Care Act of 2010, you cannot be denied health insurance but coverage must be purchased during a limited period of time. Special enrollment periods may apply if there is a qualifying event. If one of the qualifying events listed below occurs, you have 60 days to buy coverage. The following qualifying events apply to all individual health plans: Loss of health coverage, including an employer plan. Loss of Apple Health (Medicaid) eligibility. Change of permanent residence outside the service area of the Member’s current coverage. Change of permanent residence where additional health insurance plan options are available. Birth or adoption. COBRA eligibility/coverage ends. Dependent loss of eligibility on an employer plan due to age. Marriage or domestic partnership (dependents also qualify). Dissolution of marriage or domestic partnership. Discontinuation of Washington State Health Insurance Pool (WSHIP) coverage. Demonstrate that the health insurer violated an important provision of its contract with you, such as non-payment of claims for covered health care treatments. Loss of coverage due to errors made by the Washington Health Benefit Exchange. Become a legal resident. Change in income or household status that affects eligibility for tax credits or cost-sharing reductions. The Washington Health Benefit Exchange discontinues your coverage. Native American Members are allowed to change plans once a month. In order for a person 17 years of age or younger to be enrolled, KFHPWA reserves the right to require a guarantor who is 18 years of age or older to cosign the Agreement.
Application for Enrollment. Application for enrollment must be made on an application approved by Group Health. The Group is responsible for submitting completed applications to Group Health. Group Health reserves the right to refuse enrollment to any person whose coverage under any medical coverage agreement issued by Group Health Options, Inc. or Group Health Cooperative has been terminated for cause.
Application for Enrollment. Application for enrollment must be made on an application form furnished or approved by GHC. Applicants will not be enrolled or premiums accepted until the completed application form has been received and approved by GHC. The Group is responsible for submitting completed application forms to GHC.
Application for Enrollment. Broker shall accurately and completely record information required by Plans for enrollment of Enrolling Units under a Benefit Contract and shall comply with applicable policies and procedures as established by Plans from time to time.
Application for Enrollment. The original and any subsequent forms completed and signed by the Subscriber seeking coverage. Such Application may take the form of an electronic submission. Autism means a developmental neurological disorder, usually appearing in the first three years of life, which affects normal brain functions and is manifested by compulsive, ritualistic behavior and severely impaired social interaction and communication skills. This Contract shall provide benefits for the diagnosis of autism in accordance with the conditions, schedule of benefits, limitations as to type and scope of treatment authorized for neurological disorders, exclusions, cost-sharing arrangements and copayment requirements which exist in this contract for neurological disorders. This contract provides for habilitative or rehabilitative services (including applied behavior analysis) and other counseling or therapy services necessary to develop, maintain, and restore the functioning of an individual with ASD who is six years of age or under. There is an annual cap of $30,000 on claims paid for applied behavior analysis for the purpose of treating a person with ASD when applying the benefits required by Georgia House Bill 429. This cap only applies to applied behavior analysis and does not apply to the other treatments (such as counseling or therapy services) which may be required by HB 429. One year, January 1 – December 31 (also called year or calendar year). It does not begin before a Member’s Effective Date. It does not continue after a Member’s coverage ends. A drug item which is under patent by its original innovator or marketer. The patent protects the drug from competition from other drug companies. There are two types of Brand Name Drugs: Single Source Brand: drugs that are produced by only one manufacturer and do not have a generic equivalent available. Multi-Source Brand: drugs that are produced by multiple pharmaceutical manufacturers and do have a generic equivalent available on the market. A network of health care facilities selected for specific services based on criteria such as experience, outcomes, efficiency, and effectiveness. For example, an organ transplant managed care program wherein Members access select types of benefits through a specific network of medical centers. The network of health care professionals that entered into Contracts with Alliant Health Plans to provide transplant or other designated specialty services.
Application for Enrollment. Agent will assist individuals in completing and submitting applications for enrollment in accordance with DCPG policies and procedures. Agent will assure that all forms included in the application have been completed and are submitted with the application. Agent acknowledges that Agent has received and reviewed all of DCPG policies and procedures regarding enrollment in DCPG benefit plans, and Agent understands and agrees to be bound by such.
Application for Enrollment. Broker and Broker’s Agent will assist Individuals and Groups in completing and submitting applications for enrollment in accordance with Health Plan’s then current policies and procedures.
Application for Enrollment of a principally supported child as a Family Dependent may be made when the child has met the IRS dependency standards for six full months.
a. The Subscriber must submit evidence that the child was reported as a dependent on the Subscriber’s most recently filed tax return; or
b. The Subscriber must provide evidence and a sworn statement that the child qualifies for dependent tax status in the current year.
Application for Enrollment. Application for enrollment and adding or removing dependents must be made through the Washington Health Benefit Exchange. Under the federal Patient Protection and Affordable Care Act of 2010, you cannot be denied health insurance but coverage must be purchased during a limited period of time. Special enrollment periods may apply if there is a qualifying event, as determined by the Washington Health Benefit Exchange. If one of the qualifying events listed below occurs, you have 60 days to buy coverage. The following qualifying events apply to all individual health plans: Loss of health coverage, including an employer plan. Loss of Apple Health (Medicaid) eligibility. Change of permanent residence outside the service area of the Member’s current coverage. Change of permanent residence where additional health insurance plan options are available. Birth or adoption. COBRA eligibility/coverage ends. Dependent loss of eligibility on an employer plan due to age. Marriage or domestic partnership (dependents also qualify). Dissolution of marriage or domestic partnership. Discontinuation of Washington State Health Insurance Pool (WSHIP) coverage. Demonstrate that the health insurer violated an important provision of its contract with you, such as non-payment of claims for covered health care treatments. Loss of coverage due to errors made by the Washington Health Benefit Exchange. Become a legal resident. Change in income or household status that affects eligibility for tax credits or cost-sharing reductions. The Washington Health Benefit Exchange discontinues your coverage. Native American Members are allowed to change plans once a month.
