Common use of Open Enrollment Period Clause in Contracts

Open Enrollment Period. Open Enrollment is a period of time each year when you and your eligible dependents may enroll for healthcare coverage. Each year, the annual open enrollment period is determined by the federal government and the State of Rhode Island. Please contact Customer Service to obtain specific dates. This agreement goes into effect on the first day of the month based on your eligibility effective date and you have paid the premium. A Special Enrollment Period is a time outside the yearly Open Enrollment Period when you can sign up for health coverage. You and your eligible dependents may enroll for coverage through a Special Enrollment Period by providing the required enrollment information within sixty (60) days following one of these events: • you get married; the coverage is effective the first day of the month following your marriage. • you have a child born to the family; the coverage effective date is the date of birth. • you have a child placed for adoption with your family, the coverage effective date is the date of placement. In accordance with RIGL §27-18.5-10.1, if you or your dependent are not currently enrolled and become pregnant, you may enroll at any time after the commencement of your pregnancy, provided you or your dependent meet the eligibility requirements described above. Coverage will be effective the first of the month in which we receive your application for enrollment. Special note about enrolling your newborn child: This plan covers your newborn child for thirty-one days (31) days after the date of birth in accordance with 230-RICR-20-30-1. You must notify us of the birth of a newborn child and pay the required premium within thirty-one (31) days of the date of birth. Otherwise, the newborn will not be covered beyond the thirty-one (31) day period. This plan does not cover services for a newborn child who remains hospitalized after thirty-one (31) days and has not been enrolled in this plan. If you are enrolled in an Individual Plan when your child is born, the coverage for thirty- one (31) days described above means your plan becomes a Family Plan for as long as your child is covered. Applicable Family Plan deductibles and maximum out-of-pocket expenses may apply. In addition, if you lose your healthcare coverage, you may enroll or add your eligible dependents through a Special Enrollment Period by providing required enrollment information within sixty (60) days following the date you lost coverage. Coverage will begin on the first day of the month following the date your coverage under the other plan ended. In order to be eligible, the loss of coverage must be the result of: • legal separation or divorce; • death of the covered policy holder; • termination of employment or reduction in the number of hours of employment; • the covered policy holder becomes entitled to Medicare; • loss of dependent child status under the plan; • employer contributions to such coverage are being terminated; • COBRA benefits are exhausted; or • your employer is undergoing Chapter 11 proceedings. You are also eligible for a Special Enrollment Period if you and/or your eligible dependent lose eligibility for Medicaid or a Children’s Health Insurance Program (CHIP), or if you and/or your eligible dependent become eligible for premium assistance for Medicaid or CHIP. In order to enroll, you must provide required enrollment information within sixty (60) days following your change in eligibility. Coverage will begin on the first day of the month following our receipt of your enrollment information. In addition, you may also be eligible a Special Enrollment Period if you provide required information within sixty (60) days of the following the events: • you or your dependent lose minimum essential coverage; • you adequately demonstrate to us that another health plan substantially violated a material provision of its contract with you; • you make a permanent move to Rhode Island; • your enrollment or non-enrollment in a qualified health plan (QHP) is unintentional, inadvertent, or erroneous and is the result of error, misrepresentation, or inaction by us HSRI, or the U.S. Department of Health and Human Services (HHS). If you purchased this plan through HSRI, you may also be eligible for additional Special Enrollment Periods. Please contact HSRI for questions about these Special Enrollment periods and your eligibility.

Open Enrollment Period. Open Enrollment is a period of time each year when you and your eligible dependents may enroll for healthcare coverage. Each year, the annual open enrollment period is determined by the federal government and the State of Rhode Island. Please contact Customer Service to obtain specific dates. This agreement goes into effect on the first day of the month based on your eligibility effective date and you have paid the premium. A Special Enrollment Period is a time outside the yearly Open Enrollment Period when you can sign up for health coverage. You and your eligible dependents may enroll for coverage through a Special Enrollment Period by providing the required enrollment information within sixty (60) days following one of these events: • you get married; the coverage is effective the first day of the month following your marriage. • you have a child born to the family; the coverage effective date is the date of birth. • you have a child placed for adoption with your family, the coverage effective date is the date of placement. In accordance with RIGL §27-18.5-10.1, if you or your dependent are not currently enrolled and become pregnant, you may enroll at any time after the commencement of your pregnancy, provided you or your dependent meet the eligibility requirements described above. Coverage will be effective the first of the month in which we receive your application for enrollment. Special note about enrolling your newborn child: This plan covers your newborn child for thirty-one days (31) days after the date of birth in accordance with 230-RICR-20-30-1. You must notify us of the birth of a newborn child and pay the required premium within thirty-one (31) days of the date of birth. Otherwise, the newborn will not be covered beyond the thirty-one (31) day period. This plan does not cover services for a newborn child who remains hospitalized after thirty-one (31) days and has not been enrolled in this plan. If you are enrolled in an Individual Plan when your child is born, the coverage for thirty- one (31) days described above means your plan becomes a Family Plan for as long as your child is covered. Applicable Family Plan deductibles and maximum out-of-pocket expenses may apply. In addition, if you lose your healthcare coverage, you may enroll or add your eligible dependents through a Special Enrollment Period by providing required enrollment information within sixty (60) days following the date you lost coverage. Coverage will begin on the first day of the month following the date your coverage under the other plan ended. In order to be eligible, the loss of coverage must be the result of: • legal separation or divorce; • death of the covered policy holder; • termination of employment or reduction in the number of hours of employment; • the covered policy holder becomes entitled to Medicare; • loss of dependent child status under the plan; • employer contributions to such coverage are being terminated; • COBRA benefits are exhausted; or • your employer is undergoing Chapter 11 proceedings. You are also eligible for a Special Enrollment Period if you and/or your eligible dependent lose eligibility for Medicaid or a Children’s Health Insurance Program (CHIP), or if you and/or your eligible dependent become eligible for premium assistance for Medicaid or CHIP. In order to enroll, you must provide required enrollment information within sixty (60) days following your change in eligibility. Coverage will begin on the first day of the month following our receipt of your enrollment information. In addition, you may also be eligible a Special Enrollment Period if you provide required information within sixty (60) days of the following the events: • you or your dependent lose minimum essential coverage; • you adequately demonstrate to us that another health plan substantially violated a material provision of its contract with you; • you make a permanent move to Rhode Island; • your enrollment or non-enrollment in a qualified health plan (QHP) is unintentional, inadvertent, or erroneous and is the result of error, misrepresentation, or inaction by us HSRI, or the U.S. Department of Health and Human Services (HHS). If you purchased this plan through HSRI, you may also be eligible for additional Special Enrollment Periods. Please contact HSRI for questions about these Special Enrollment periods and your eligibility.

Open Enrollment Period. Open Enrollment is a period of time each year when you and your eligible dependents dependents, if family coverage is offered, may enroll for healthcare coverage or make changes to your existing healthcare coverage. Each year, the annual open enrollment period is determined by the federal government and the State of Rhode Island. Please contact Customer Service to obtain specific dates. This agreement goes into effect The effective date will be on the first day of the month based on your eligibility effective date and you have paid the premiumemployer’s plan year. A Special Enrollment Period is a time outside the yearly Open Enrollment Period when you can sign up for health coverage. You and your eligible dependents may enroll for coverage through a Special Enrollment Period by providing the required enrollment information within sixty thirty (6030) days of the following one of these events: • you get married; , the coverage effective is effective the first day of the month following your marriage. • you have a child born to the family; , the coverage effective date is the date of birth. • you have a child placed for adoption with your family, the coverage effective date is the date of placement. In accordance with RIGL §27-18.518.6-10.13.1, if you or have met your dependent employer’s eligibility requirements and you are not currently enrolled and become pregnant, you may enroll at any time after the commencement of your pregnancy. Or, provided you or if your dependent meet (spouse or child) become pregnant, you and your pregnant dependent may enroll at any time after the eligibility requirements described abovecommencement of the pregnancy. Coverage will be effective the first of the month in which we receive your application for enrollment. Special note about enrolling your newborn child: This plan covers your newborn child for thirty-one days (31) days after the date of birth in accordance with 230-RICR-20-30-1. You must notify us your employer of the birth of a newborn child and pay the required premium within thirty-one (31) days of the date of birth. Otherwise, the newborn will not be covered beyond the thirty-one (31) day period. This plan does not cover services for a newborn child who remains hospitalized after thirty-one (31) days and has not been enrolled in this plan. If you are enrolled in an Individual Plan when your child is born, the coverage for thirty- one (31) days described above means your plan becomes a Family Plan for as long as your child is covered. Applicable Family Plan deductibles and maximum out-of-pocket expenses may apply. In addition, if you lose your healthcare coveragecoverage from another plan, you may enroll or add your eligible dependents for coverage through a Special Enrollment Period by providing required enrollment information within sixty thirty (6030) days following the date you lost coverage. Coverage will begin on the first day of the month following the date your coverage under the other plan ended. In order to be eligible, the loss of coverage must be the result of: • legal separation or divorce; • death of the covered policy holder; • termination of employment or reduction in the number of hours of employment; • the covered policy holder becomes entitled to Medicare; • loss of dependent child status under the plan; • employer contributions to such coverage are being terminated; • COBRA benefits are exhausted; or • your employer is undergoing Chapter 11 proceedings. You are also eligible for a Special Enrollment Period if you and/or your eligible dependent lose eligibility for Medicaid or a Children’s Health Insurance Program (CHIP), or if you and/or your eligible dependent become eligible for premium assistance for Medicaid or a (CHIP). In order to enroll, you must provide required enrollment information within sixty (60) days following your the change in eligibility. Coverage will begin on the first day of the month following our receipt of your enrollment informationapplication. In addition, you may also be eligible for a Special Enrollment Period if you provide required information within sixty thirty (6030) days of one of the following the events: • you or your dependent lose minimum essential coverage (unless that loss of coverage is due to non-payment of premium or your voluntary termination of coverage); • you adequately demonstrate to us that another health plan substantially violated a material provision of its contract with you; • you make a permanent move to Rhode Island; : or • your enrollment or non-enrollment in a qualified health plan (QHP) is unintentional, inadvertent, or erroneous and is the result of error, misrepresentation, or inaction by us HSRI, or an agent of HSRI or the U.S. Department of Health and Human Services (HHS). If you purchased this plan through HSRI, you may also be eligible for additional Special Enrollment Periods. Please contact HSRI for questions about these Special Enrollment periods and your eligibility.

Open Enrollment Period. Open Enrollment is a period of time each year when you and your eligible dependents may enroll for healthcare coverage. Each year, the annual open enrollment period is determined by the federal government and the State of Rhode Island. Please contact Customer Service to obtain specific dates. This agreement goes into effect on the first day of the month based indicated on your eligibility effective date completed enrollment form and you have paid the premium. A Special Enrollment Period is a time outside the yearly Open Enrollment Period when you can sign up for health coverage. You and your eligible dependents may enroll for coverage through a Special Enrollment Period by providing the required enrollment information within sixty (60) days following one of these events: • you get married; , the coverage effective is effective the first day of the month following your marriage. • you have a child born to the family; , the coverage effective date is the date of birth. • you have a child placed for adoption with your family, the coverage effective date is the date of placement. In accordance with RIGL §27-18.5-10.1, if you or your dependent are not currently enrolled and become pregnanta pregnant individual, you may are eligible to enroll for coverage at any time after the commencement of your pregnancy, provided you or your dependent meet the eligibility requirements described above. Coverage will be effective the first of the month in which we receive your application for enrollment. Special note about enrolling your newborn child: This plan covers your newborn child for thirty-one days (31) days after the date of birth in accordance with 230-RICR-20-30-1. You must notify us of the birth of a newborn child and pay the required premium within thirty-one (31) days of the date of birth. Otherwise, the newborn will not be covered beyond the thirty-one (31) day period. This plan does not cover services for a newborn child who remains hospitalized after thirty-one (31) days and has not been enrolled in this plan. If you are enrolled in an Individual Plan when your child is born, the coverage for thirty- one (31) days described above means your plan becomes a Family Plan for as long as your child is covered. Applicable Family Plan deductibles and maximum out-of-pocket expenses may apply. In addition, if you lose your healthcare coverage, you may enroll or add your eligible dependents through a Special Enrollment Period by providing required enrollment information within sixty (60) days following the date you lost coverage. Coverage will begin on the first day of the month following the date your coverage under the other plan ended. In order to be eligible, the loss of coverage must be the result of: • legal separation or divorce; • death of the covered policy holder; • termination of employment or reduction in the number of hours of employment; • the covered policy holder becomes entitled to Medicare; • loss of dependent child status under the plan; • employer contributions to such coverage are being terminated; • COBRA benefits are exhausted; or • your employer is undergoing Chapter 11 proceedings. You are also eligible for a Special Enrollment Period if you and/or your eligible dependent lose eligibility for Medicaid or a Children’s Health Insurance Program (CHIP), or if you and/or your eligible dependent become eligible for premium assistance for Medicaid or CHIP. In order to enroll, you must provide required enrollment information within sixty (60) days following your change in eligibility. Coverage will begin on the first day of the month following our receipt of your enrollment information. In addition, you may also be eligible a Special Enrollment Period if you provide required information within sixty (60) days of the following the events: • you or your dependent lose minimum essential coverage; • you adequately demonstrate to us that another health plan substantially violated a material provision of its contract with you; • you make a permanent move to Rhode Island; • your enrollment or non-enrollment in a qualified health plan (QHP) is unintentional, inadvertent, or erroneous and is the result of error, misrepresentation, or inaction by us HSRI, or the U.S. Department of Health and Human Services (HHS). If you purchased this plan through HSRI, you may also be eligible for additional Special Enrollment Periods. Please contact HSRI for questions about these Special Enrollment periods and your eligibility.

Open Enrollment Period. Open Enrollment is a period of time each year when you and your eligible dependents may enroll for healthcare coverage. Each year, the annual open enrollment period is determined by the federal government and the State of Rhode Island. Please contact Customer Service to obtain specific dates. This agreement goes into effect on the first day of the month based on your eligibility effective date and you have paid the premium. A Special Enrollment Period is a time outside the yearly Open Enrollment Period when you can sign up for health coverage. You and your eligible dependents may enroll for coverage through a Special Enrollment Period by providing the required enrollment information within sixty (60) days following one of these events: • you get married; the coverage is effective the first day of the month following your marriage. • you have a child born to the family; the coverage effective date is the date of birth. • you have a child placed for adoption with your family, the coverage effective date is the date of placement. In accordance with RIGL §27-18.5-10.1, if you or your dependent are not currently enrolled and become pregnant, you may enroll at any time after the commencement of your pregnancy, provided you or your dependent meet the eligibility requirements described above. Coverage will be effective the first of the month in which we receive your application for enrollment. Special note about enrolling your newborn child: This plan covers your newborn child for thirty-one days (31) days after the date of birth in accordance with 230-RICR-20-30-1. You must notify us of the birth of a newborn child and pay the required premium within thirty-one (31) days of the date of birth. Otherwise, the newborn will not be covered beyond the thirty-one (31) day period. This plan does not cover services for a newborn child who remains hospitalized after thirty-one (31) days and has not been enrolled in this plan. If you are enrolled in an Individual Plan when your child is born, the coverage for thirty- one (31) days described above means your plan becomes a Family Plan for as long as your child is covered. Applicable Family Plan deductibles and maximum out-of-pocket expenses may apply. In addition, if you lose your healthcare coverage, you may enroll or add your eligible dependents through a Special Enrollment Period by providing required enrollment information within sixty (60) days following the date you lost coverage. Coverage will begin on the first day of the month following the date your coverage under the other plan ended. In order to be eligible, the loss of coverage must be the result of: • legal separation or divorce; • death of the covered policy holder; • termination of employment or reduction in the number of hours of employment; • the covered policy holder becomes entitled to Medicare; • loss of dependent child status under the plan; • employer contributions to such coverage are being terminated; • COBRA benefits are exhausted; or • your employer is undergoing Chapter 11 proceedings. You are also eligible for a Special Enrollment Period if you and/or your eligible dependent lose eligibility for Medicaid or a Children’s Health Insurance Program (CHIP), or if you and/or your eligible dependent become eligible for premium assistance for Medicaid or CHIP. In order to enroll, you must provide required enrollment information within sixty (60) days following your change in eligibility. Coverage will begin on the first day of the month following our receipt of your enrollment information. In addition, you may also be eligible a Special Enrollment Period if you provide required information within sixty (60) days of the following the events: • you or your dependent lose minimum essential coverage; • you adequately demonstrate to us that another health plan substantially violated a material provision of its contract with you; • you make a permanent move to Rhode Island; • your enrollment or non-enrollment in a qualified health plan (QHP) is unintentional, inadvertent, or erroneous and is the result of error, misrepresentation, or inaction by us HSRI, or the U.S. Department of Health and Human Services (HHS). If you purchased this plan pln through HSRI, you may also be eligible for additional Special Enrollment Periods. Please contact HSRI for questions about these Special Enrollment periods and your eligibility.