Common use of Special Enrollment Period Clause in Contracts

Special Enrollment Period. A period of time that is no less than 30 days or 60 days, as applicable, following the date of a Triggering Event during which: Late Enrollees are permitted to enroll under the Contractholder’s Policy; and Covered Employees and Dependents who already have coverage are permitted to replace current coverage with coverage under a different policy, if any, offered by the Contractholder. [SPECIALTY PHARMACETICALS. Oral or injectable drugs that have unique production, administration or distribution requirements. They require specialized patient education prior to use and ongoing patient assistance while under treatment. These Prescription Drugs [must be] [may be] dispensed through specialty pharmaceutical providers. Examples of Prescription Drugs that are considered Specialty Pharmaceuticals include some orally administered anti-cancer Prescription Drugs and those used to treat the following conditions: Crohn’s Disease; Infertility; Hemophilia; Growth Hormone Deficiency; RSV; Cystic Fibrosis; Multiple Sclerosis; Hepatitis C; Rheumatoid Arthritis; and Gaucher’s Disease. [Carrier] will provide a complete list of Specialty Phamaceuticals. The list is also available on [Carrier’s] website.]

Special Enrollment Period. A period of time that is no less than 30 days or 60 days, as applicable, following the date of a Triggering Event during which: Late Enrollees are permitted to enroll under the Contractholder’s Policy; and Covered Employees and Dependents who already have coverage are permitted to replace current coverage with coverage under a different policy, if any, offered by the Contractholder. [SPECIALTY PHARMACETICALS. Oral or injectable drugs that have unique production, administration or distribution requirements. They require specialized patient education prior to use and ongoing patient assistance while under treatment. These Prescription Drugs [must be] [may be] dispensed through specialty pharmaceutical providers. Examples of Prescription Drugs that are considered Specialty Pharmaceuticals include some orally administered anti-cancer Prescription Drugs and those used to treat the following conditions: Crohn’s DiseaseCrohn’sDisease; Infertility; Hemophilia; Growth Hormone Deficiency; RSV; Cystic Fibrosis; Multiple Sclerosis; Hepatitis C; Rheumatoid Arthritis; and Gaucher’s Disease. [Carrier] will provide a complete list of Specialty Phamaceuticals. The list is also available on [Carrier’s] website.]] SUBSTANCE ABUSE. Abuse of or addiction to drugs or alcohol.

Special Enrollment Period. A period of time that is no less than 30 days or 60 days, as applicable, following the date of a Triggering Event during which: Late Enrollees are permitted to enroll under the Contractholder’s Policy; and Covered Employees and Dependents who already have coverage are permitted to replace current coverage with coverage under a different policy, if any, offered by the Contractholder. [SPECIALTY PHARMACETICALS. Oral or injectable drugs that have unique production, administration or distribution requirements. They require specialized patient education prior to use and ongoing patient assistance while under treatment. These Prescription Drugs [must be] [may be] dispensed through specialty pharmaceutical providers. Examples of Prescription Drugs that are considered Specialty Pharmaceuticals include some orally administered anti-cancer Prescription Drugs and those used to treat the following conditions: Crohn’s Disease; Infertility; Hemophilia; Growth Hormone Deficiency; RSV; Cystic Fibrosis; Multiple Sclerosis; Hepatitis C; Rheumatoid Arthritis; and Gaucher’s Disease. [Carrier] will provide a complete list of Specialty Phamaceuticals. The list is also available on [Carrier’s] website.]] SUBSTANCE ABUSE. Abuse of or addiction to drugs or alcohol.