Common use of Eligibility, Enrollment and Effective Date Clause in Contracts

Eligibility, Enrollment and Effective Date. Subscribers and Dependents who meet the following criteria are eligible for coverage under this Plan. 1.1 Who Is Eligible Subscriber. To be eligible to enroll as a Subscriber, an Individual must: Dependent. To be eligible to enroll as a Dependent, an individual must be one of the following: a. The child must be covered as a Dependent under this Plan before reaching the limiting age, and proof of incapacity and dependency must be given to HPN by the Subscriber within thirty-one (31) days of the child reaching the limiting age; or b. The handicap started before the child reached the limiting age, but the Subscriber was covered by another health insurance carrier that covered the child as a handicapped Dependent prior to the Subscriber applying for coverage with HPN. HPN may require proof of continuing incapacity and dependency when the child reaches the limiting age. HPNs determination of eligibility is final. Evidence of any court order needed to prove eligibility must be given to HPN. 1.2 Who Is Not Eligible

Eligibility, Enrollment and Effective Date. Subscribers and Dependents who meet the following criteria are eligible for coverage under this Plan. 1.1 Who Is Eligible Subscriber. To be eligible to enroll as a Subscriber, an Individual must: Dependent. To be eligible to enroll as a Dependent, an individual must be one of the following: a. The child must be covered as a Dependent under this Plan before reaching the limiting age, and proof of incapacity and dependency must be given to HPN by the Subscriber within thirty-one (31) days of the child reaching the limiting age; or b. The handicap started before the child reached the limiting age, but the Subscriber was covered by another health insurance carrier that covered the child as a handicapped Dependent prior to the Subscriber applying for coverage with HPN. HPN may require proof of continuing incapacity and dependency dependency, but not more often than once a year after the first two (2) years beyond the date when the child reaches the limiting age. HPNs determination of eligibility is final. Evidence of any court order needed to prove eligibility must be given to HPN. 1.2 Who Is Not Eligible