Temporary Coverage for Newborns. When a Member gives birth, the newborn is entitled to the benefits set forth in the Agreement from birth through 3 weeks of age. All provisions, limitations and exclusions will apply except Subsections F. and G. After 3 weeks of age, no benefits are available unless the newborn child qualifies as a Dependent and is enrolled.
Temporary Coverage for Newborns. When a Member gives birth, the newborn is entitled to the benefits set forth in the EOC from birth through 3 weeks of age. All provisions, limitations and exclusions will apply except Subsections F. and G. After 3 weeks of age, no benefits are available unless the newborn child qualifies as a Dependent and is enrolled.
Temporary Coverage for Newborns. When a Subscriber or Member gives birth, their newborn child will be entitled to the benefits set forth in the Benefits section from birth through 3 weeks of age. After 3 weeks of age, no benefits are available unless the newborn child qualifies as a Dependent and is enrolled under this Agreement. All contract provisions, limitations, and exclusions will apply. ENROLLMENT Application for enrollment must be made through the Washington State Health Benefit Exchange during open enrollment. Applicants will not be enrolled, and premiums will not be accepted, until the completed application information has been received and approved by CHPW. CHPW reserves the right to refuse enrollment to any person whose coverage under any contract for medical coverage issued by CHPW has been terminated for cause. A written application for enrollment of a newborn child must be made to CHPW within 60 days following the date of birth, if there is a change in the monthly premium payment as a result of the additional Dependent. A written application for enrollment of an adopted child must be made to CHPW within 60 days from the date the child is placed with the Subscriber for the purpose of adoption, or the Subscriber assumes total or partial financial support of the child, if there is a change in the monthly premium payment as a result of the additional Dependent. Subject to prior approval by the Washington State Office of the Insurance Commissioner, CHPW may limit enrollment, establish quotas or set priorities for acceptance of new applications if it determines that CHPW’s capacity, in relation to its total enrollment, is not adequate to provide services to additional persons. CHPW will allow special enrollment for persons in circumstances in which applicable federal or state law or regulation provides for special enrollment, called Qualifying Events. Following the occurrence of a Qualifying Event listed below, the individual experiencing the Qualifying Event has a 60 day special enrollment period to apply for coverage, including coverage for any Dependents. Applications for coverage must be received within 60 days of the occurrence of the Qualifying Event. We may ask you to provide reasonable proof or documentation that you have experienced a Qualifying Event. • Marriage or Domestic Partnership, including eligibility as a dependent of an individual marrying or entering into a domestic partnership; • Birth, placement for or adoption of the person for whom coverage is sought; • A...
