Late Entrants an individual for Dental Care Insurance more than days after first becoming eligible to do so, benefits will be limited to per Covered Person during the first months of coverage. This limitation will be waived under the following circumstances:
Late Entrants. If an individual enrolls for Dental Care Insurance more than thirty one days after first becoming eligible to do so, benefits will be limited to $100.00 per covered person during the first twelve months of coverage. These limitations will be waived under the following circumstances: When the covered dental expenses is the result of accidental injuries sustained while a covered person; or For a covered dependent child younger than age five; or For a dependent: (1) who was previously covered for employee insurance under another group plan, and (2) whose coverage terminated due to termination of employment, and (3) who enrolls for this coverage with thirty one days of the prior coverage’s termination.
Late Entrants. If an Employee or dependent fails to enroll within thirty-one (31) days of becoming eligible, he will not be eligible for coverage unless he is a special enrollee under HIPAA requirements, or unless it is during the open enrollment period. In the event that an Eligible Employee or Eligible Dependent does not enroll within 31 days of the date of eligibility, he may complete enrollment during the annual open enrollment period (which is the month of August of any year) and coverage will be effective on the next following September 1st. A person is eligible to enroll in the Plan if (1) the employee’s or dependent’s Medicaid or CHIP coverage is terminated as a result of loss of eligibility and the employee requests coverage under the plan within 60 days after the termination, or (2) the employee or dependent become eligible for a premium assistance subsidy under Medicaid or CHIP, and the employee requests coverage under the plan within 60 days. Such coverage will be effective on the day following the date coverage is lost under Medicaid or CHIP.
Late Entrants an individual enrolls for Care Insurance more than days after first becoming eligible to do so, benefits will be limited to per Covered Person during the first months of coverage. This limitation will be waived under the following circumstances:
Late Entrants. If a person becomes insured for this benefit more than days after first becoming eligible, the amount payable for eligible expenses during the first months will be limited to for that person. Full premiums are during the month period. If charges for any case, services or supplies are expected to exceed the Company recommends that a detailed treatment plan be submitted before expenses are The Company will not determine the appropriatenessof the treatment, but will advise the benefit payable, if any. Payments by the Company are subject to co-ordination and subrogation as under General Information.
Late Entrants. You have days from the date you become to apply for insurance. If you apply after that period has passed, you must submit medical evidence of insurability for yourself and your dependents. TERMINATION OF INSURANCE Your coverage under this plan ceases when you terminate your employment, when you cease to belong to a class of eligible employees, or as otherwise stated in the Schedule of Benefits. Coverage for your dependents ceases when your coverage terminates, or when they cease to qualify as dependents by the definition i n the group pol icy. Should you become temporarily laid off, take a leave of absence or be absent due to disability, please consult your plan administrator as to the status o f your coverage under this plan. INSURANCE COMPANY North American Life Assurance Company i s the underwriter of all benefits provided to you or your dependents under this plan. Waiting Period: Group Life Insurance months Long Term Disability months Life All Active Your choice of: asses Employees x Annual Earnings Max: or Termination: x years of service, to a maximum of at retirement. At such time, Paid-up Life Insurance be purchased for you and a Paid-up Life Insurance Certificate w i l l be issued to you at that time.
