Notification of Change in Status. It shall be a Member’s responsibility to notify HMO of any changes which affect the Member’s coverage under this Certificate, unless a different notification process is agreed to between HMO and Contract Holder. Such status changes include, but are not limited to, change of address, change of Covered Dependent status, and enrollment in Medicare or any other group health plan of any Member. Additionally, if requested, a Subscriber must provide to HMO, within 31 days of the date of the request, evidence satisfactory to HMO that a dependent meets the eligibility requirements described in this Certificate.
Appears in 9 contracts
Samples: Certificate of Coverage, Certificate of Coverage, Certificate of Coverage
Notification of Change in Status. It shall be a Member’s responsibility to notify HMO of any changes which affect the Member’s coverage under this CertificateEOC, unless a different notification process is agreed to between HMO and Contract Holder. Such status changes include, but are not limited to, change of address, change of Covered Dependent status, and enrollment in Medicare or any other group health plan of any Member. Additionally, if requested, a Subscriber must provide to HMO, within 31 days of the date of the request, evidence satisfactory to HMO that a dependent meets the eligibility requirements described in this CertificateEOC.
Appears in 2 contracts
Samples: Group Agreement, Group Agreement
Notification of Change in Status. It shall be a Member’s responsibility to notify HMO of any changes which affect the Member’s coverage under this Certificate, ; unless a different notification process is agreed to between HMO and Contract Holder. Such status changes include, but are not limited to, change of address, change of Covered Dependent status, and enrollment in Medicare or any other group health plan of any Member. Additionally, if requested, a Subscriber must provide to HMO, within 31 days of the date of the request, evidence satisfactory to HMO that a dependent meets the eligibility requirements described in this Certificate.
Appears in 2 contracts
Samples: Group Agreement, Group Agreement
Notification of Change in Status. It shall be a Member’s responsibility to notify HMO of any changes which affect the Member’s coverage under this Certificate, unless a different notification process is agreed to between HMO and Contract Holder. Such status changes include, but are not limited to, change of address, change of Covered Dependent status, and enrollment in Medicare or any other group health plan of any Member. Additionally, if requested, a Subscriber must provide to HMO, within 31 days of the date of the request, evidence satisfactory to HMO that a dependent meets the eligibility requirements described in this Certificate.
Appears in 1 contract
Samples: Group Agreement
Notification of Change in Status. It shall be a Member’s responsibility to notify HMO of any changes which affect the Member’s coverage under this Certificate, unless a different notification process is agreed to between HMO and Contract Holder. Such status changes include, but are not limited to, change of address, change of Covered Dependent status, and enrollment in Medicare or any other group health plan of any Member. Additionally, if requested, a Subscriber must provide to HMO, within 31 days of the date of the request, evidence satisfactory to HMO HMO’s Medical Director or Designee that a dependent meets the eligibility requirements described in this Certificate.
Appears in 1 contract
Samples: Group Agreement
Notification of Change in Status. It shall be a Member’s responsibility to notify HMO of any changes which affect the Member’s coverage under this Certificate, Certificate unless a different notification process is agreed to between HMO and Contract Holder. Such status changes include, but are not limited to, change of address, change of Covered Dependent status, and enrollment in Medicare or any other group health plan of any Member. Additionally, if requested, a Subscriber must provide to HMO, within 31 days of the date of the request, evidence satisfactory to HMO that a dependent meets the eligibility requirements described in this Certificate.
Appears in 1 contract
Samples: Group Agreement