Common use of Application for Enrollment Clause in Contracts

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 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 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.  DRAFT • 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 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 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.