Common use of Subscriber Amendment Clause in Contracts

Subscriber Amendment. A request to change enrollment status due to a qualifying change in family status will be allowed during the Contract Year provided the request for such change is received by DDPOK within the thirty (30) day period immediately following the date of the family status change. Such change will be effective the date of the family status change. Qualifying family status changes include, but are not limited to, marriage, birth, legal adoption, loss of other coverage, divorce, loss of eligible Dependent status, and/or death. Eligible employees or dependents failing to enroll within thirty (30) days of initial eligibility will automatically waive said eligibility until the next Plan Anniversary Date of this Plan Agreement. Eligible employees and dependents waiving coverage at the time of enrollment eligibility will be ineligible until the next Plan Anniversary Date of this Plan Agreement.

Appears in 3 contracts

Samples: Dental Insurance Agreement, Dental Insurance Agreement, Plan Agreement

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Subscriber Amendment. A request to change enrollment status due to a qualifying change in family status will be allowed during the Contract Year provided the request for such change is received by DDPOK within the thirty (30) day period immediately following the date of the family status change. Such change will be effective the date of the family status change. Qualifying family status changes include, but are not limited to, marriage, birth, legal adoption, loss of other coverage, divorce, loss of eligible Dependent status, and/or andƒor death. Eligible employees or dependents failing to enroll within thirty (30) days of initial eligibility will automatically waive said eligibility until the next Plan Anniversary Date of this Plan Agreement. Eligible employees and dependents waiving coverage at the time of enrollment eligibility will be ineligible until the next Plan Anniversary Date of this Plan Agreement.

Appears in 1 contract

Samples: Plan Agreement

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