Newly Eligible Family Members. Any individual becoming a newly Eligible Family Member may apply for coverage under SHL by submitting to SHL the Application Form (or Membership Change Form) within sixty (60) days of the date on which the individual becomes eligible. An individual may become a newly Eligible Family Member as the result of: A change in the Subscriber’s marital or domestic partnership status. A birth or adoption of a child by the Subscriber. Loss of eligibility under other healthcare coverage.
Appears in 4 contracts
Samples: Epo Agreement of Coverage, Epo Agreement of Coverage, Epo Agreement of Coverage
Newly Eligible Family Members. Any individual becoming a newly Eligible Family Member may apply for coverage under SHL by submitting to SHL the Application Form (or Membership Change Form) within sixty thirty-one (6031) days of the date on which the individual becomes eligible. An individual may become a newly Eligible Family Member as the result of: • A change in the Subscriber’s marital or domestic partnership status. • A birth or adoption of a child by the Subscriber. • Loss of eligibility under other healthcare coverage.
Appears in 2 contracts
Samples: Agreement of Coverage, Agreement of Coverage
Newly Eligible Family Members. Any individual becoming a newly Eligible Family Member may apply for coverage under SHL by submitting to SHL the Application Form (or Membership Change Form) within sixty thirty-one (6031) days of the date on which the individual becomes eligible. An individual may become a newly Eligible Family Member as the result of: • A change in the Subscriber’s marital or domestic partnership status. A birth or adoption of a child by the Subscriber. • Loss of eligibility under other healthcare dental coverage.
Appears in 1 contract
Samples: Dental Coverage Agreement
Newly Eligible Family Members. Any individual becoming a newly Eligible Family Member may apply for coverage under SHL by submitting to SHL the Application Form (or Membership Change Form) within sixty thirty-one (6031) days of the date on which the individual becomes eligible. An individual may become a newly Eligible Family Member as the result of: A change in the Subscriber’s marital or domestic partnership status. A birth or adoption of a child by the Subscriber. Loss of eligibility under other healthcare coverage. Enrollment must take place within thirty-one (31) days of the initial eligibility under the circumstances listed above. Coverage for such newly Eligible Family Members is subject to medical underwriting approval.
Appears in 1 contract
Samples: Ppo Agreement of Coverage