Gaining a Dependent Sample Clauses

The 'Gaining a Dependent' clause outlines the procedures and implications when an individual acquires a new dependent, such as through birth, adoption, or marriage. Typically, this clause specifies the timeframe and documentation required to add the new dependent to relevant benefits or coverage, such as health insurance. Its core function is to ensure that individuals can promptly update their status and secure necessary benefits for new dependents, thereby preventing gaps in coverage and ensuring compliance with policy requirements.
Gaining a Dependent i. If you gain a new dependent due to any of the following triggering events you can apply for coverage for yourself and your eligible dependent, or you can apply to change your coverage and add your eligible dependent, within 60 days after the date of the triggering event. Adding an eligible dependent may increase the cost of your Premium. You must pay the additional Premium due for coverage to be provided to the eligible dependent.
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Gaining a Dependent. Upon gaining a new dependent (or dependents) due to any of the following triggering events an eligible individual, or an eligible individual on behalf of himself and his eligible dependents, may elect to enroll in the Plan within 60 days after the date of the triggering event: i. Marriage; ii. Birth; iii. Adoption or placement for adoption; iv. Child support order or other court order (except for a court order to cover a former spouse);
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Related to Gaining a Dependent

  • Mastectomy Services Inpatient

  • Dependent Child If dependent children are covered under separate plans of more than one person, whether a parent or guardian, benefits for the child will be determined in the following order: • the benefits of the plan covering the parent born earlier in the year will be determined before those of the parent whose birthday (month and day only) falls later in the year; • if both parents have the same birthday, the benefits of the plan that covered the parent longer are determined before those of the plan which covered the other parent for a shorter period of time; • if the other plan does not determine benefits according to the parents' birth dates, but by parents' gender instead, the other plan’s gender rule will determine the order of benefits.

  • Hospice Individuals whose permanent residence and principal work location are outside the State of Minnesota and outside of the service areas of the health plans participating in Advantage. If these individuals use the plan administrator’s national preferred provider organization in their area, services will be covered at Benefit Level Two. If a national preferred provider is not available in their area, services will be covered at Benefit Level Two through any other provider available in their area. If the national preferred provider organization is available but not used, benefits will be paid at the POS level described in paragraph “i” below. All terms and conditions outlined in the Summary of Benefits will apply.

  • Chiropractic Services This plan covers chiropractic visits up to the benefit limit shown in the Summary of Medical Benefits. The benefit limit applies to any visit for the purposes of chiropractic treatment or diagnosis.

  • Non-dependent Dependent