When Your Coverage Begins. We accept new subscribers and eligible dependents in accordance with federal law and R.I. General Law §27-18.5-3. Open Enrollment is a period of time each year when you and your eligible dependents can 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 indicated on your 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 may enroll your eligible dependents for coverage through a Special Enrollment Period by completing an enrollment form within sixty (60) days following one of these events: you get married. you have a child born to the family. you have a child placed for adoption with your family. In addition, if you lose your healthcare coverage, you may enroll or add your eligible dependents through a Special Enrollment Period by completing an application 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 is 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 make written application within sixty (60) days following your change in eligibility. Coverage will begin on the first day of the month following our receipt of your application. In addition, you may also be eligible a Special Enrollment Period if you apply 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 into the service area; 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).
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement
When Your Coverage Begins. We accept new subscribers and eligible dependents in accordance with federal law and R.I. General Law §27-18.5-3. Open Enrollment is a period of time each year when you and your eligible dependents can 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 indicated on your 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 may enroll your eligible dependents for coverage through a Special Enrollment Period by completing an enrollment form within sixty (60) days following one of these events: • you get married. • you have a child born to the family. • you have a child placed for adoption with your family. In addition, if you lose your healthcare coverage, you may enroll or add your eligible dependents through a Special Enrollment Period by completing an application 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 is 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 make written application within sixty (60) days following your change in eligibility. Coverage will begin on the first day of the month following our receipt of your application. In addition, you may also be eligible a Special Enrollment Period if you apply 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 into the service area; • 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).
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement
When Your Coverage Begins. We accept new subscribers and eligible dependents in accordance with federal law and R.I. General Law §27-18.5-3. Open Enrollment is a period of time each year when you and your eligible dependents can 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 indicated on your 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 may enroll your eligible dependents for coverage through a Special Enrollment Period by completing an enrollment form within sixty (60) days following one of these events: you get married. you have a child born to the family. you have a child placed for adoption with your family. In addition, if you lose your healthcare coverage, you may enroll or add your eligible dependents through a Special Enrollment Period by completing an application 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 is 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 make written application within sixty (60) days following your change in eligibility. Coverage will begin on the first day of the month following our receipt of your application. In addition, you may also be eligible a Special Enrollment Period if you apply 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 into the service area; 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.
Appears in 1 contract
Samples: Subscriber Agreement
