Common use of Qualified Medical Child Support Order (QMCSO) Clause in Contracts

Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due. The effective date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.

Appears in 8 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider

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Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due. The effective date Effective Date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.dependent.β€Œ

Appears in 7 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due. The effective date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.any

Appears in 5 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due. The effective date Effective Date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.

Appears in 5 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due, within 60 days after the date of the order. The effective date Effective Date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.dependent.β€Œ

Appears in 4 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

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Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependentEligible Dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due, within 60 days after the date of the order. The effective date Effective Date of coverage for the eligible dependent properly enrolled Eligible Dependent will be the date of the order. You must pay the additional Premium for coverage to be provided for to the eligible dependentEligible Dependent.

Appears in 2 contracts

Samples: Non Group Medical and Hospital Service Contract, Non Group Medical and Hospital Service Contract

Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due, within 60 days after the date of the order. The effective date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due. The effective date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.any

Appears in 1 contract

Samples: Medical and Hospital Service Contract

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