Newly Eligible Persons Sample Clauses

Newly Eligible Persons. Newly eligible Subscribers and their Dependents may apply for enrollment in writing to the Group within thirty-one (31) days of becoming eligible.
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Newly Eligible Persons. Subject to §6.3, any individual who becomes a GovGuam employee, or for any other reason first becomes eligible to be a Covered Person outside the open Enrollment period, shall have thirty (30) days after the date on which he/she became eligible to become a Covered Person. The effective date of such Enrollment shall be as specified in §5.7 of the Certificate.
Newly Eligible Persons. Subject to §6.3, any individual who becomes a xxxxxx child under the legal custody of the Child Protective Services Division of the Department of Public Health and Social Services, or for any other reason first becomes eligible to be a Covered Person, shall have thirty (30) days after the date on which he/she became eligible to become a Covered Person. The effective date of such Enrollment shall be as specified in §5.7 of the Certificate.
Newly Eligible Persons. Subject to §6.3, any individual who first becomes eligible to be a Covered Person outside the open Enrollment period, shall have thirty (30) days after the date on which he/she became eligible to become a Covered Person. The effective date of such Enrollment shall be as specified in §5.5 of the Certificate.
Newly Eligible Persons. (a) Coverage for every newly eligible and enrolled person, except a newborn child as described in subsection (b), (c), or (d) below, is effective on the first day of the month following the date which the Group receives the enrollment form from Subscriber, subject to section 2-B(1). (b) An eligible newborn child of a Subscriber is covered from birth in accord with this Service Agreement if enrolled within 31 calendar days after birth. Newborns who receive medical services from non-Physicians will only be covered for Emergency Services in accord with section S of the benefit schedule. (c) A newborn who is the subject of a petition for adoption by Subscriber and who has been treated from birth by a Physician is covered from birth if: (i) Subscriber gives Health Plan written notice of Subscriber's intent to adopt the newborn prior to birth or within 31 calendar days of birth of the newborn, and (ii) newborn is enrolled in accord with section 2-B(1). (d) A newborn or child who is the subject of a petition for adoption by Subscriber and who has not been treated from birth by a Physician is covered from the earlier of: (i) the first calendar day following receipt by Health Plan, of a document authorizing Subscriber to consent to treatment for the child, and a properly completed enrollment form, or (ii) the date the child is placed for adoption with Subscriber, if Health Plan receives written notification of the placement within 31 calendar days of the placement. Placement occurs when Subscriber assumes legal obligation for total or partial support of the child in anticipation of the adoption.
Newly Eligible Persons. A person who newly attains eligibility to become a Subscriber may enroll by submitting an enrollment form to Group and Group submitting the completed enrollment form to Health Plan within 31 calendar days of Subscriber becoming eligible. If Health Plan fails to receive the completed enrollment form within 31 calendar days from the date the Subscriber is newly eligible, the Subscriber’s effective date will begin the first day of the month following the date Health Plan receives the completed enrollment form from Group. If Group has a probationary period during which a new Employee may not enroll, the enrollment form must be submitted to Group within 31 calendar days after the probationary period ends. If Subscriber desires to enroll the persons then eligible to become the Subscriber's Family Dependents, they must be enrolled at the same time as Subscriber. (a) Any newborn or adopted child who newly attains eligibility to become a Family Dependent may be enrolled by Subscriber submitting a change of enrollment form to Group and Group submitting the completed enrollment form to Health Plan within 31 calendar days of the newborn’s birth, or adopted child being placed for adoption. Placement occurs when Subscriber assumes legal obligation for total or partial support of the child in anticipation of the adoption. If Health Plan fails to receive the completed enrollment form within 31 calendar days of the newborn’s birth, or the child being placed for adoption, the newborn or adopted child may not be enrolled until the Group’s next open enrollment period. (b) Any other person who newly attains eligibility to become a Family Dependent, such as a new Spouse, may be enrolled by Subscriber submitting a change of enrollment form to Group and Group submitting the completed enrollment form to Health Plan within 31 calendar days of the person newly attaining eligibility. If Health Plan fails to receive the completed enrollment form within 31 calendar days from the date the person is newly eligible, the effective date will begin the first day of the month following the date Health Plan receives the completed enrollment form from Group. A newborn child of a Family Dependent other than the Subscriber's Spouse may be enrolled only if the newborn child is eligible under section 2-A(2)(c). A child to be adopted by Subscriber may be enrolled only if the child is eligible under section 2-A(2)(d).

Related to Newly Eligible Persons

  • Ineligible Persons Business Associate represents and warrants to Covered Entity that Business Associate (i) is not currently excluded, debarred, or otherwise ineligible to participate in any federal health care program as defined in 42 U.S.C. Section 1320a-7b(f) (“the Federal Healthcare Programs”); (ii) has not been convicted of a criminal offense related to the provision of health care items or services and not yet been excluded, debarred, or otherwise declared ineligible to participate in the Federal Healthcare Programs, and (iii) is not under investigation or otherwise aware of any circumstances which may result in Business Associate being excluded from participation in the Federal Healthcare Programs. This shall be an ongoing representation and warranty during the term of this Agreement, and Business Associate shall immediately notify Covered Entity of any change in the status of the representations and warranty set forth in this section. Any breach of this section shall give Covered Entity the right to terminate this Agreement immediately for cause.

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