Court Ordered Determination. If a court ordered determination is made to cover an eligible Dependent under an employee’s Contract, the employee must enroll himself, if not already enrolled, and enroll the eligible Dependent by completing an enrollment form and submitting the enrollment form to Our home office within thirty (30) days after the court ordered determination. If timely enrolled, coverage for the eligible Dependent will be effective on the date of the court ordered determination.
Court Ordered Determination. If a court ordered determination is made to cover an eligible Dependent under an employee’s Benefit Plan, the employee must enroll himself, if not already enrolled, and enroll the eligible Dependent by completing an Special Enrollment Due to Loss of Certain Other Vision Coverage Special Enrollment Rights due to loss of certain other vision coverage are available only to current employees or elected officials and their Dependents. These rights are not available to retirees. Individuals who lose other coverage because they do not pay their premium or required contributions or lose other coverage for cause (such as filing fraudulent claims or an intentional misrepresentation of a material fact in connection with the plan) are not Special Enrollees and have no special enrollment rights. An Eligible Person who is not enrolled under this Benefit Plan may be permitted to enroll as a Special Enrollee if each of the following conditions is met: The Eligible Person lost coverage under a plan considered Creditable Coverage for HIPAA Portability purposes; The Eligible Person coverage described in c. above: was under a COBRA continuation provision and the COBRA continuation period was exhausted due to one of the following:
Court Ordered Determination. If a court ordered determination is made to cover an eligible Dependent under an employee’s Benefit Plan, the employee must enroll himself, if not already enrolled, and enroll the eligible Dependent by completing an enrollment form and submitting the enrollment form to Our home office within thirty (30) days after the court ordered determination. If timely enrolled, coverage for the eligible Dependent will be effective on the date of the court ordered determination. Special Enrollment Due to Loss of Certain Other Vision Coverage Special Enrollment Rights due to loss of certain other vision coverage are available only to current employees or elected officials and their Dependents. These rights are not available to retirees. Individuals who lose other coverage because they do not pay their premium or required contributions or lose other coverage for cause (such as filing fraudulent claims or an intentional misrepresentation of a material fact in connection with the plan) are not Special Enrollees and have no special enrollment rights. An Eligible Person who is not enrolled under this Benefit Plan may be permitted to enroll as a Special Enrollee if each of the following conditions is met: The Eligible Person lost coverage under a plan considered Creditable Coverage for HIPAA Portability purposes; The Eligible Person coverage described in c. above: was under a COBRA continuation provision and the COBRA continuation period was exhausted due to one of the following:
Court Ordered Determination. If a court ordered determination is made to cover an eligible Dependent under an employee’s Benefit Plan, the employee must enroll himself, if not already enrolled, and enroll the eligible Dependent by completing an enrollment form and submitting the enrollment form to Our home office within thirty (30) days after the court ordered determination. If timely enrolled, coverage for the eligible Dependent will be effective on the date of the court ordered determination. Special Enrollment Due to Loss of Certain Other Vision Coverage Special Enrollment Rights due to loss of certain other vision coverage are available only to current employees or elected officials and their Dependents. These rights are not available to retirees. Individuals who lose other coverage because they do not pay their premium or required contributions or lose other coverage for cause (such as filing fraudulent claims or an intentional misrepresentation of a material fact in connection with the plan) are not Special Enrollees and have no special enrollment rights. An Eligible Person who is not enrolled under this Benefit Plan may be permitted to enroll as a Special Enrollee if each of the following conditions is met: The Eligible Person lost coverage under a plan considered Creditable Coverage for HIPAA Portability purposes; The Eligible Person coverage described in c. above: was under a COBRA continuation provision and the COBRA continuation period was exhausted due to one of the following:
(a) the full COBRA continuation period was exhausted;
(b) the employer or other responsible entity failed to remit required premiums on a timely basis;
(c) the individual whose coverage is through a Health Maintenance Organization (HMO), no longer lives, resides or works in the service area the HMO services, whether or not the choice of the individual in the service area, and there is no other COBRA coverage available;
(d) the individual incurs a Claim that would meet or exceed a lifetime limit on all Benefits and there is no other COBRA continuation coverage available to the individual; or was not under a COBRA continuation provision and lost other vision coverage due to:
(a) loss of eligibility for coverage. Loss of eligibility for coverage includes but is not limited to the following:
(i) loss of eligibility as a result of legal separation, divorce, loss of Dependent status, death, termination of employment, or reduction in the hours of employment;
(ii) in the case of coverage offered through a He...
