Newly Eligible Family Members. Any Individual becoming newly eligible as a Dependent may apply for coverage under an HPN Plan by submitting to HPN the Enrollment Application Form or Membership Change Form within sixty (60) days of the date on which the individual becomes eligible. A person 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 with other healthcare coverage. Enrollment must take place within sixty (60) days of the date of initial eligibility under the circumstances listed above.
Appears in 4 contracts
Samples: Agreement of Coverage, Agreement of Coverage, Agreement of Coverage
Newly Eligible Family Members. Any Individual becoming newly eligible as a Dependent may apply for coverage under an HPN Plan by submitting to HPN the Enrollment Application Form or Membership Change Form within sixty thirty-one (6031) days of the date on which the individual becomes eligible. A person 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 with other healthcare coverage. Enrollment must take place within sixty thirty-one (6031) days of the date of initial eligibility under the circumstances listed above.
Appears in 2 contracts
Samples: Agreement of Coverage, Individual Agreement of Coverage
Newly Eligible Family Members. Any Individual becoming newly eligible as a Dependent may apply for coverage under an HPN Plan by submitting to HPN the Federally Facilitated Marketplace the Enrollment Application Form or Membership Change Form within sixty (60) days of the date on which the individual becomes eligible. A person 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 with other healthcare coverage. Enrollment must take place within sixty (60) days of the date of initial eligibility under the circumstances listed above.
Appears in 1 contract
Samples: Agreement of Coverage
Newly Eligible Family Members. Any Individual becoming newly eligible as a Dependent may apply for coverage under an HPN Plan by submitting to HPN the Enrollment Application Form or Membership Change Form within sixty thirty-one (6031) days of the date on which the individual becomes eligible. A person 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 with other healthcare coverage. Enrollment must take place within sixty thirty-one (6031) days of the date of initial eligibility under the circumstances listed above.
Appears in 1 contract
Samples: Individual Agreement of Coverage