Changes In Eligibility Status. It is the Subscriber's responsibility to give HPN written notice within thirty-one (31) days of changes which affect his Dependents’ eligibility. Changes include, but are not limited to: Reaching the limiting age Ceasing to satisfy the mental or physical handicap requirements. Death. Divorce. Transfer of residence outside HPN’s Service Area. Any other event which affects a Dependent’s eligibility. If the Subscriber fails to give notice which would have resulted in termination of coverage, HPN shall have the right to terminate coverage. A Dependent’s coverage terminates on the same day as the Subscriber.
Appears in 1 contract
Samples: Individual Agreement of Coverage
Changes In Eligibility Status. It is the Subscriber's responsibility to give HPN written notice within thirty-one (31) days of changes which affect his Dependents’ eligibility. Changes include, but are not limited to: • Reaching the limiting age • Ceasing to satisfy the mental or physical handicap requirements. • Death. • Divorce. • Transfer of residence outside HPN’s Service Area. • Any other event which affects a Dependent’s eligibility. If the Subscriber fails to give notice which would have resulted in termination of coverage, HPN shall have the right to terminate coverage. A Dependent’s coverage terminates on the same day as the Subscriber.
Appears in 1 contract
Samples: Individual Agreement of Coverage
Changes In Eligibility Status. It is the Subscriber's responsibility to give HPN written notice within thirty-one (31) days of changes which affect his Dependents’ Dependent’s eligibility. Changes include, but are not limited to: • Reaching the limiting age age. • Ceasing to satisfy the mental or physical handicap requirements. • Death. • Divorce. • Transfer of residence or work outside HPN’s Service Area. • The Eligible Person and/or Dependent loses eligibility under Medicaid or the Children's Health Insurance Program (CHIP). Coverage will begin only if HPN receives the completed enrollment form and any required Premium within 60 days of the date coverage ended. • Any other event which affects a Dependent’s eligibility. If the Subscriber fails to give notice which would have resulted in termination of coverage, HPN shall have the right to terminate coverage. A Dependent’s coverage terminates on the same day as the Subscriber.
Appears in 1 contract
Samples: Group Enrollment Agreement
Changes In Eligibility Status. It is the Subscriber's responsibility to give HPN written notice within thirty-one (31) days of changes which affect his Dependents’ eligibility. Changes include, but are not limited to: Reaching the limiting age age. Ceasing to satisfy the mental or physical handicap requirements. Death. Divorce. Transfer of residence or work outside HPN’s Service Area. Any other event which affects a Dependent’s eligibility. If the Subscriber fails to give notice which would have resulted in termination of coverage, HPN shall have the right to terminate coverage. A Dependent’s coverage terminates on the same day as the Subscriber.
Appears in 1 contract
Samples: Agreement of Coverage
Changes In Eligibility Status. It is the Subscriber's responsibility to give HPN written notice notice, within thirty-one (31) days days, of changes which affect his Dependents’ eligibility. Changes include, but are not limited to: Reaching the limiting age age. Ceasing to satisfy the mental or physical handicap requirements. Death. Divorce. Transfer of residence outside HPN’s Service Area. The Eligible Person and/or Dependent loses eligibility under Medicaid or Children's Health Insurance Program (CHIP). Coverage will begin only if HPN receive the completed enrollment form and any required premium within 60 days of the date coverage ended. Any other event which affects a Dependent’s eligibility. If the Subscriber fails to give notice which would have resulted in termination of coverage, HPN shall have the right to terminate coverage. A Dependent’s coverage terminates on the same day as the Subscriber.
Appears in 1 contract
Samples: Agreement of Coverage