LATE ENROLLEES Clause Samples

LATE ENROLLEES. If You or Your Dependents do not enroll when first eligible, it will be necessary to wait for the next Open Enrollment Period. However, You may be eligible for special enrollment as set out below under the Special Enrollment Period section. OPEN ENROLLMENT The Open Enrollment Period is defined by the federal government. This enrollment period applies whether purchasing through the Health Insurance Marketplace or directly from Alliant Health Plans. SPECIAL ENROLLMENT PERIODS Consumers can qualify for a Special Enrollment Period (SEP) to enroll for health insurance coverage if they meet certain eligibility criteria. Below is a list of the categories of SEPs currently available. • Loss of qualifying health coverage • Change in household size • Change in primary residence • Newly gaining eligibility for an Individual Coverage Health Reimbursement Arrangement (ICHRA) or Qualified Small Employee Health Reimbursement Arrangement (QSEHRA). • Enrollment or plan error. Loss of coverage does not include voluntary termination of coverage or other loss due to: • Failure to pay premiums on a timely basis, including COBRA premiums prior to expiration of COBRA coverage; or • Situations allowing for a rescission as specified in 45 CFR 147.128. WHEN YOUR COVERAGE BEGINS Coverage starts at 12:01 a.m. on the Effective Date. The Effective Date is determined by Alliant Health Plans. No benefits will be provided for services, supplies or charges incurred before Your Effective Date. CHANGING YOUR COVERAGE There will be an annual re-enrollment period during which time Members may elect to change their options. CHANGING YOUR COVERAGE (ADDING A DEPENDENT) You may add new Dependents to Your plan, during Open Enrollment or a Special Enrollment Period, by contacting Client Services at (▇▇▇) ▇▇▇-▇▇▇▇. If You purchased through the Health Insurance Marketplace, You must notify the Health Insurance Marketplace. If You purchased outside the Health Insurance Marketplace, You must notify Us in writing. Coverage is provided only for those Dependents You have reported to Alliant and added to Your coverage by completing the correct application during a time they are eligible to be enrolled. MARRIAGE AND STEPCHILDREN A Member may add a spouse and eligible stepchildren within thirty-one (31) days of the date of marriage. The Effective Date will be the date of marriage. In most cases, there is an additional charge for adding additional covered person(s). If You purchased through the Health Insuranc...

LATE ENROLLEES. If You or Your Dependents do not enroll when first eligible, it will be necessary to wait for the next Open Enrollment Period. However, You may be eligible for special enrollment as set out below under the Special Enrollment Period section. OPEN ENROLLMENT The Open Enrollment Period is defined by the federal government. This enrollment period applies whether purchasing through the Georgia Access or directly from Alliant Health Plans.

LATE ENROLLEES. Unless otherwise prohibited by law, late enrollment is allowed only during the open enrollment period, which is the month prior to Your group’s next annual renewal date. Coverage for Late Enrollees will be effective on Your group’s next annual renewal date. Enrollment forms must be signed by the last day of open enrollment and must be received by Us in a timely manner. A Subscriber and his or her Eligible Dependents will not be considered Late Enrollees if the Group offers multiple health benefit plans and the Subscriber elects a different plan during the open enrollment period. Enrollment changes between these multiple plans are permitted only at open enrollment, unless for an HMO/POS enrollee who has moved out of the HMO/POS service area.