New Dependents. A written application for enrollment of a newly dependent person, other than a newborn or adopted child, must be made to the Group within 31 days after the dependency occurs. A written application for enrollment of a newborn child must be made to the Group within 60 days following the date of birth when there is a change in the monthly premium payment as a result of the additional Dependent. A written application for enrollment of an adoptive child must be made to the Group within 60 days from the day the child is placed with the Subscriber for the purpose of adoption or the Subscriber assumes total or partial financial support of the child if there is a change in the monthly premium payment as a result of the additional Dependent. When there is no change in the monthly premium payment, it is strongly advised that the Subscriber enroll the newborn or newly adoptive child as a Dependent with the Group to avoid delays in the payment of claims.
New Dependents. New Dependents may be added by paying the applicable Premium and completing enrollment for:
a. Marriage or beginning of a legal domestic partnership (and the spouse’s/domestic partner’s child(xxx)) Coverage is effective the first day of the month following the completion of the enrollment. A completed Application submission to us or the Marketplace, as applicable, is required within 60 days from the date of marriage or legal domestic partnership.
b. Birth, Adoption or Legal Guardianship A newborn is automatically covered for 31 days from the moment of birth unless the Subscriber notifies us that the newborn will not be covered under this Agreement. For continuous coverage beyond 31 days from birth, you must submit a completed Application to us or the Marketplace, as applicable, within 60-days from birth. For purposes of this section, the term “newborn” includes a newly born child of the insured or Subscriber or a newly born child of a Dependent child of the insured or Subscriber. Grandchildren of the Subscriber are not eligible for coverage beyond the initial 31-day period following birth. Coverage for routine newborn care will be attributed to the mother’s coverage until the mother’s discharge. If the newborn remains in the Hospital after the mother is discharged, or if services beyond the scope of routine newborn care are provided, those services will be subject to Deductible and Coinsurance, if applicable, of the newborn. See the Covered Services Section 4.B.
i. Adoption or Placement for Adoption An adopted child or child Placed for Adoption is covered for 31 days from the date of adoption or Placement for Adoption, upon notification. For continuous coverage beyond 31 days from adoption or Placement for Adoption, you must submit a completed Application to us or the Marketplace, as applicable, within 60-days from birth.
ii. Legal Guardianship Coverage is effective the date of the court order appointing the guardian if the completed Application is received within 60 days from the date of the court order.
iii. Subscriber Becomes Legally Responsible for a Dependent’s Health Care Coverage Coverage is effective the date of the court order or other event creating such legal responsibility if the completed Application is received within 60 days from the date of the court order or event.
New Dependents. An Enrolled Employee who gains a new Dependent through marriage, establishment of a domestic partnership, birth, adoption, placement for adoption, assumption of a parent-child relationship, or through a court order shall have 30 days from the date of such event to enroll the new Dependent. If so enrolled, coverage for a new Spouse or Domestic Partner will be effective not later than the first day of the first calendar month beginning after the date the request for enrollment is received. Coverage for a new Child Dependent will be effective as of 12:01 a.m. on the date of birth, adoption, placement for adoption, assumption of a parent-child relationship or date of guardianship as ordered by a court, unless the employee requests the coverage to be effective on the first day of the month following the date of such event.
(1) An Eligible Employee who previously declined coverage during the initial enrollment period or annual Open Enrollment Period and who subsequently acquires a Dependent may enroll in Plan along with the new Dependent.
(2) When an Eligible Employee gains a Child Dependent, the employee may enroll a Spouse or Domestic Partner for coverage under Plan during the same special enrollment period as the newly gained Child Dependent.
New Dependents. Stepchild
New Dependents. New or adopted children, to the extent allowed by the insuring companies, may be added to the employee's medical insurance provided they are added within sixty (60) days after birth or adoption.
New Dependents. New Dependents may be added by paying the applicable Premium and completing enrollment for:
a. Marriage or beginning of a legal domestic partnership (and the s child(ren)) Coverage is effective the first day of the month following the completion of the enrollment. A completed Application submission to us or the Marketplace, as applicable, is required within 60 days from the date of mar riage or legal domestic partnership.
b. Birth, Adoption or Legal Guardianship A newborn is automatically covered for 31 days from the moment of birth unless the Subscriber notifies us that the newborn will not be covered under this Agreement. For continuous coverage beyond 31 days from birth, you must submit a completed Application to us or the Marketplace, as applicable, within 60 - days from birth. Subscriber or a n ewly born child of a Dependent child of the insured or Subscriber. Grandchildren of the Subscriber are not eligible for coverage beyond the initial 31 - day period following birth.
New Dependents. If an eligible employee gains a new spouse or other new eligible dependent(s) due to marriage, adoption, placement for adoption, or birth, the employee and the spouse and/or the new dependent(s) may enroll for coverage in this vision care plan. If the new dependent is gained by birth, adoption, or placement for adoption, enrollment in this vision care plan will be retroactive to the date of birth or the date of adoption or the date of placement for adoption. But, the time requirement described below must be met. To exercise your special enrollment rights, you must notify your plan sponsor no later than 30 days after the date when any one of the following events occur: the date you lose your other coverage; the date the subscriber gains a new dependent; the date the subscriber receives notice that a dependent child who was not previously eligible is newly eligible for coverage as a result of changes to dependent eligibility; or the date you receive notice that you are newly eligible for coverage as a result of the elimination of a lifetime maximum. For example, if your coverage under another health plan is terminated, you must notify your plan sponsor and request enrollment within 30 days after your other health care coverage ends. Upon request, the plan sponsor will send you any special forms you may need. If you do not request enrollment within 30 days, you will have to wait until the group’s next open enrollment period to enroll for group coverage. You also have special enrollment rights related to termination of coverage under a state Children’s Health Insurance Program plan or a Medicaid plan or eligibility for assistance under a Medicaid plan or a state Children’s Health Insurance Program plan. When this situation applies, you must notify your plan sponsor to request group coverage in this vision care plan no later than 60 days after the coverage terminates or the employee or eligible dependent is determined to be eligible for assistance.
