Common use of Conditions for Election Clause in Contracts

Conditions for Election. An Over-Age Dependent is only entitled to make an election for continued coverage if all of the following conditions are met. The Over-Age Dependent must provide evidence of prior creditable coverage or receipt of benefits under a group or individual health benefits plan, group health plan, church plan or health benefits plan or Medicare. Such prior coverage must have been in effect at some time prior to making an election for this Over-Age Dependent coverage. A parent of an Over-Age Dependent must be enrolled as having elected Dependent coverage at the time the Over-Age Dependent elects continued coverage. Except, if the Employee has no other Dependents, or has a Spouse who is covered elsewhere, the Over-Age Dependent may nevertheless select continued coverage. Election of Continuation To maintain continuous group health benefits, the Over-Age Dependent must make written election to Us within 30 days of the date the Over-Age Dependent attains age 26. The effective date of the continued coverage will be the date the Dependent would otherwise lose coverage due to attainment of age 26 provided written notice of the election of coverage is given and the first premium is paid. For a Dependent who was not covered on the date he or she reached the limiting age, the written election may be made within 30 days of the date the Over-Age Dependent attains age 26. The effective date of coverage will be the date the Dependent attains age 26 provided written notice of the election of coverage is given and the first premium is paid within such 30-day period. For a person who did not qualify as an Over-Age Dependent because he or she failed to meet all the requirements of an Over-Age Dependent, but who subsequently meets all of the requirements for an Over-Age Dependent, written election may be made within 30 days of the date the person meets all of the requirements for an Over-Age Dependent. If the election is not made within the 30-day periods described above an eligible Over-Age Dependent may subsequently enroll during an Employee Open Enrollment Period.

Conditions for Election. An Over-Age Dependent is only entitled to make an election for continued coverage if all of the following conditions are met. : • The Over-Age Dependent must provide evidence of prior creditable coverage or receipt of benefits under a group or individual health benefits plan, group health plan, church plan or health benefits plan or Medicare. Such prior coverage must have been in effect at some time prior to making an election for this Over-Age Dependent coverage. , • A parent of an Over-Age Dependent must be enrolled as having elected Dependent dependent coverage at the time the Over-Age Dependent elects continued coverage. Except, if the Employee Subscriber has no other Dependents, or has a Spouse who is covered elsewhere, the Over-Over- Age Dependent may nevertheless nonetheless select continued coverage. Election of Continuation • To maintain continuous continue group health benefits, the Over-Age Dependent must Dependent, whose coverage under the plan terminated due to reaching the limiting age before the dependent’s 31st birthday, may make a written election to Us within 30 days of the date the Over-Age Dependent attains age 26for coverage. The effective date of the continued coverage will be the later of: • The date the Over-Age Dependent gives written notice to the HMO; • The date the Over-Age Dependent pays the first premium. • The date the Dependent would otherwise lose lost coverage due to attainment of age 26 provided written notice the limiting age. For a dependent whose coverage has not yet terminated due to the attainment of the limiting age, the written election must be made within 30 days prior to termination of coverage is given due to attainment of the limiting age if the Dependent child seeks to maintain continuous coverage. The written election may be made later, and if made later would result in a lapse of coverage. See the first premium is paidApplication of a Pre-Existing Conditions Exclusion section below. For a Dependent who was not covered on the date he or she reached the limiting age, the written election may be made within 30 days at any time. See the Application of the date the Overa Pre-Age Dependent attains age 26. The effective date of coverage will be the date the Dependent attains age 26 provided written notice of the election of coverage is given and the first premium is paid within such 30-day periodExisting Conditions Exclusion section below. For a person who did not qualify as an Over-Age Dependent because he or she failed to meet all the requirements of an Over-Age Dependent, but who subsequently meets all of the requirements for an Over-Age Dependent, written election may be made within 30 days of the date at any time after the person meets all of the requirements for of an Over-Age Dependent. If See the election is not made within the 30Application of a Pre-day periods described above an eligible Over-Age Dependent may subsequently enroll during an Employee Open Enrollment PeriodExisting Conditions Exclusion section below.